HomeMy WebLinkAbout2587 STATE ST; TP; CB151896; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-19-2015 Permit No: CB151896
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2587 STATE ST CBAD St: TP
PME
0000000000 Lot#:
Project Title: STATE STTOWNHOMES-TEMP POWER
POLE FOR CONSTRUCTION-100 AMP
0
Applicant: Owner:
ACTION POWER INC
17 VIA BABERA
RANCHO SANTA MARGARITA CA 92688
949 709-8006
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $160.00 Total Payments To Date:
Inspector: Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/19/2015
RMA
06/19/2015
06/19/2015
$0.00
$160.00
$0.00
$0.00
$160.00
$160.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take OTICE that approval of your project includes the "I positi • of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit 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 ~mely 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
f x Ii ns f hi h uhave i I be n iv n N Tl Esimilartoth r which th oflimi h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
C_cityof
Building Permit Application Plan Check No. rJ1.1s J fc;1.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -I
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck.,.O,pos t email: building@carlsbadca.gov
1
j /}..
Date /,, / {Cl J 'le lsWPPP www.carlsbadca.gov /
JOB ADDRESS SUITEf/SPACEf/UNIT-IAPN 2587 State Street TP . . .
Cl/PROJECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME .rJ:~~TR. TYPE I occ. GROUP f7:41r f'l-1< f'T '1-nh 1~ I f ('
DESCRIPTION OF WORK: Include Square Feet of Affected Anul(s)
-4~1tae-'ie~ temp power pole
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE 1 IAIR CONDITIONING J FIRE SPRINKLERS
YES[}, Nc(J YES □No□ YES0No0
APPLICANT NAME Stephanie Carlson PROPERTY OWNER NAME Taylor Morrison of CA Pffll■"' cont•ct
ADDRESS ADDRESS
17 Via Babera 100 Spectrum Center Dr, Suite 1450
CITY STATE ZIP CITY STATE ZIP
Rancho Santa Marnarita CA 92688 Irvine CA 92618
PHONE IFAX PHONE I FAX 949-709-8006 949-709-5719 949-341-1200
EMAIL EMAIL
stephanie@actionpowerinc.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Action Power. Inc
ADDRESS ADDRESS
17 Via Babera
CITY STATE ZIP CITY STATE ZIP
Reho Santa Maraarita CA 92688
PHONE PHONE IFAX 949-709-8006 l'AX 949-709-5719
EMAIL EMAIL stephanie@actionpowerinc.com I STATE UC.# STATE UC.# ICUISS I CITY BUS. LIC.1231215 947176 C-10
(Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to_construct. alter, improve, demoltsh or repair any_ structure, pnor to its rssuance. also requires the applicant 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 that he is exeml}t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Wori.ers' Compensation Declaration: I hereby affirm under penalty of perjufy one of the fdkJ,ring declarations: D I have and will maintain a certificate of consent to self-Insure for Mlfl(ers' compensation as provided by SeclKln 3700 of the Labor Code, for the performance of the woo. for which this pem,lt is issued.
[Z] I have and will maintain worur'S' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My wctkers' compensation Insurance carrier Md policy
number are: Insurance Co. State Fund Policy No. 9049500-15 Expiration Date 4123116
1]1§. section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exen,stlon: I certify that in the performarce of the work for which this permit is issued, I shaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws c:I
California_ WARNING: Failure to secure workenl' COl11)fll'lsation coverage Is unlawful, and shall subject an employer to aimlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the coat of compensation, d as provided in Section 3706 of the Labor code, Interest and attorney's fees.
,./#5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractors Ucense Law for the following reason: D I, as owner of the property or my empk)yees with wages as their sole compensation, will do the wont and the structure is not intended or offered for sale (Sec. 7044, Business and Professions r.ode: Tlle Contr.1:ta's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, hcMever, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose c:I sale).
□
□
I, as owner of the property, am exdusively contracting with licensed con~tors to construct the project (Sec. 7044, Business and Professions Code: Tlle Contractor's License Law does not apply to an owner of
property woo builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ____ ,Business and Prdessions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. [Jves Oo
2. I (have/ have not) signed an ceiplication for a building pennlt for the proposed worl(.
3. 1 have contracted with the folk>wing person {firm) to provide the proposed construction (Include name address/ phone/ contractors' license number):
4. I plan to provide portions of the 'Mlrk, but I have hired the following peraon to coordinate, supervise and provide the major WOO( Onclude name/ address/ phooe I contractors' license number):
5. I will provide some of the 'Mlrk, but I have contracted (hired) the folb,ving persons to provide the work indicated (include name I address/ phone/ type of work):
AS PROPERTY OWNER SIGNATURE □AGENT DATE
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buikling occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes D No
Is the applicant or future building occupant required lo obtain a permit from the air pollutKm conlrol disbicl or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundcl'Y of a school site? □ Yes □ No
lF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICA'TE 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 IS a coostruelion lendmg agency for the performance of the wOII< this permit IS issued (Sec 3097 (i) c,~1 Code).
Lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I haw! read the application and Slalethattheabate Information Is c:onact:and that the lnloonatlon on the plans lsareuiate. I agree: to complywtlh all Cllyon:llnaras and State laws ielatlngto bmklng mnstnEdon.
I hereby authorize rei:reseotative of lhe City of Cartbad b en& upon Ule al:lr:M! menooned property tr inspecoorl PJrJXIS8S. I .ALSO AGREE TO &\VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
OSHA: AA OSHA pennl is required kt excavaticfls over 5'0' deep a'lcl demoloon or ronstruction of structures over 3 stories ii height.
EXPIRATION: Every pennlt issued by the (j,Jikjing Oli::ial under lhe i;rovisions of lhis C00e shall expire by linitaoon and become null and !,(li:I if the buik:filg or 'MXk aulhorized by sudl pemit is not canmencsd 'Mtlil
100dar-; from lhe daleofsudt pe1111locWlhe buHding ory,Ofi<aufhorized by such 1)811111 • suspended or abandlXled at any line afterlhey,Ofl< • ro1111ne1ired for a period of 100dar-; (Section 1116.4.4 Uniillm Eiliklng Code).
AS APPLICANT'S SIGNAT\IRE DATE
Inspection List
Permit#: CB151896 Type: PME
Date _ _l_nspection Item
07/13/2015 32 Const. Service/Agricultural
07/13/2015 39 Final Electrical
07/13/2015 39 Final Electrical
07/06/2015 32 Const. Service/Agricultural
07/06/2015 32 Const. Service/Agricultural
07/06/2015 39 Final Electrical
Friday, July 17, 2015
STATE STTOWNHOMES-TEMP POWER
POLE FOR CONSTRUCTION-100 AMP
Inspector Act Comments
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