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HomeMy WebLinkAbout2664 MADISON ST; TP; CB163201; Permit• 08-18-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: POWER PLUS City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB163201 Building Inspection Request Line (760) 602-2725 2664 MADISON ST CBAD St: TP PME 2031100102 Lot#: 0 BEACHWALK AT MADISON: TEMP POWER Owner: VESTA PACIFIC 100 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/18/2016 SLE 08/18/2016 08/18/2016 436 N QUINCE ST ESCONDIDO CA 92025-2522 760-839-9430 1818 FIRST AVE SAN DIEGO CA 92101 619-481-3830 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: Inspector: $0.00 $163.00 $0.00 $0.00 $163.00 $163.00 Balance Due: $0.00 NOTICE: Please take NOTIC that a proval of your project includes the "Imposition" o fees, de ications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You ve 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any 'n h vi I in NT imilr h vi I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD . Plan Check No. C-611/)~,n, <<~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Datec:>-I Pi -II n jSWPPP JOB ADDRESS SUITEf/SPACEf/UNITt IAPN 2664 Madison St TP --- CT/PROJECT# 'LOI# I PHASE# I# UF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Afea(sJ Temp Power -100amp temp meter for the Beach Walk@ Madison EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE I IAIR CONDITIONING I l FIRE SPRINKLERS YES[). Nc0 YEs0NoO YESONoO APPLICANT NAME (Primary Contact) Power Plus APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole ADDRESS ADDRESS 436 N. Quince St. 9880 Maqnolia Ave #119 CITY STATE ZIP CITY STATE ZIP Escondido CA 92025 Santee CA 92071 PHONE PHONE 760-839-9430 IFAX 619-405-2648 I FAX 619-330-4796 EMAIL EMA\L jennifer@permitrunner.net PROPERTY OWNER NAME Vesta Pacific CONTRACTOR BUS. NAME Power Plus ADDRESS ADDRESS 1818 First Ave, Ste 100 436 N. Quince St. CITY STATE ZIP CITY STATE ZIP San Dieao CA 92101 Escondido, CA 92025 PHONE IFAX PHONE I FAX (619) 481-3830 (760) 839-9430 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC.# !STATE UC.# 980589 I Cl.ASS I CITY BUS. UC# B,CI0,D31 1229567 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the apphcant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fuat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subJects the apphcant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / here.by affirm under pe!18lty of perjury one of the following declarations: BI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. I have and will maintain workers' compensation, as reauired bv Section 3700 Of the Labor Code, for the pertormance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, XL SPECIAL TY INSURANCE COMPANY Policy No. CWG7409307 Expiration □ate 3131/2017 ~section need not be completed if the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomla. WARNING: Failure to se<:ure workers' compensation cov e is unlawful, and shall subject an employer to crimlnal penaltles and civll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damagea as rovlded for I ·o,n 3706 of the Labor code, Interest and attomey'a fees. ,6:$ CONTRACTOR SIGNATURE I hereby afflrm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stn.icture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell or through his own empbyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp!etlon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exctustve\y contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appt, to an owner of property whJ builds or improves thereon, and contracts for such projeCls With contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement 0Yes 0No 2. l (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hlred the folkvMng person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number)· 5. I will provide some Of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, cr::utely hazardous materials registration form or risk management Md prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management dislrict? □ Yes □ No Is the fOOlity to be constructed within 1,000 feet of the outer bourdary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haYe iead the applk:atlon and Slate that the a00¥8 lnfonnation Is comictancl that the lnfonnatlon on 1he plans Is accurate. I &gleeto comply\\fth all Cltyordlnancesancl State laws Rllatlng ID buUdlng oonstrucllOn. I hereby au~Ofize representative of ~e City of Carlsbad to enter upon lhe above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMlESS THE CITY OF CARLSB-\D ACAINST ALL LI.ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG.4JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required br excavations over 5'0' deep and demolloon or coostruction of structures over 3 sbries in he{lht. EXPIRATION: Every permit issued by the Building Official under1he prow;ions of 1h. shall expire by ffllitatkm and ta::ome nul and void if the buitling or'MJrk authorized by sud! permit is not commenced 'Mlhin 180 d~ from the date of sudl permit or if the buildhg or 'Mlrk or1zed by fl!llt is suspended or abandoned at ariy lime after the 'Mlrk is oommencat bra period of 180 days (Section 106.4.4 Uniform BuildLllg Cooe). A!S° APPLICANT'S SIGNATURE DATE 8/17/16 ------------------ l.nspection List Permit#: CB163201 Type: PME Date Inspection Item 09/21/2016 32 Const. Service/Agricultural 09/21/2016 39 Final Electrical 09/15/2016 32 Const. Service/Agricultural 09/15/2016 32 Const. Service/Agricultural 09/15/2016 39 Final Electrical 08/29/2016 32 Const. Service/Agricultural Thursday, September 22, 2016 Inspector PY PY PY PY Act AP AP RI AP RI NR BEACHWALK AT MADISON: TEMP POWER Comments Page 1 of 1