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Home My WebLink About2545 STATE ST; TP; CB150189; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-21-2015 Permit No: CB150189 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2545 STATE ST CBAD St: TP PME 2030543407 Lot#: Project Title: 200A TEMP POWER FOR CONSTRUC. 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: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/21/2015 JMA 01/21/2015 01/21/2015 $0.00 $160.00 $0.00 $0.00 $160.00 $160.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE t at approval of your project includes the "Imposition" 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 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 f xacti n f whi h ou h v revio I be n i n a N Tl E simil to this r as to whi h th t e of r ital'ons TIIE FOlLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO Ccityof Building Permit Application Plan Check No. CR1a.01B1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 76Q-602-2719 Fax: 76Q-602-8558 Plan Ck. Deposit email: building@car1sbadca.gov www.carlsbadca.gov Date 1/'Z{ /,t/ lsWPPP JOB ADDRESS SUITU/SPACE#/UNIT# r· 2545 State St. TP --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS ITENANT8USIN-NAME I CONSTR. TYPE I vu:. GROUP o__,,,RIPTION OF WORK: fncludlt Squate Feet of Aft'ecfed Alea(s) 7#)!7>f temp power pole EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS YES[]# "'° YES □No □ YES□No□ APPLICANT NAME Stephanie Carlson / Action Power PROPERTY OWNER NAME Taylor Morrison of CA Primary Contact ADDRESS ADDRESS 17 Via Babera 8105 Irvine Center Dr, Suite 1450 CITY STATE ZIP CITY STATE ZIP Rancho Santa Margarita CA 92688 Irvine CA 92618 PHONE IFAX PHONE I FAX 949-709-8006 949-709-5719 949-341-1200 EMAIL EMAIL 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 I FAX 949-709-8006 IFAX 949-709-5719 EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS lc'7z:~•/?.I c; 947176 C10 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, dem011sh or repa1r any_ structure, prior to ,ts issuance, also reQu1res 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 fhat he is exem_11t therefrom, and the basis for the alleged exemption. My violation of Section 1031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {~500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of pe,jury one of the following declarations: D I have and wlll maintain a certificate of consent to self-insure for workera' compensation as provided by Sectklrl 3700 of the Labor Code, for the perfoonance of the WIYk for which lhls permit is issued. lZ] I have and wlll maintain workers' comi,ensatlon, as reciuired by Section 3700 of the Labor Code, for the pertormcflC8 of the work for which this permit Is Issued. My waxers• compensation insurance caTier ;n1 policy number are: Insurance Co. State Fund Policy No. 9049500-14 Expiration Date 4123/15 ]]li§.section need oot be completed if the pennit is for one hundred dollcrs ($1()0) or less. LJ Certificate « Exemption: I r.ertify that in the performance of the work for Vffllch this permit is issued, I shall not employ any person in any m<11ner so as to beoome subject to the Wooers' Compensation Laws of California. WARNING: Fallure to 88CUl'9 workers' compensation covsage Is unlawful, and shall tubjed an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), In ltlon to the cost of compensation, d_..,. '!l,IPf'O'llded for in Section 3706 of the Labor code, lntereat and attorney's fees. ,65 CONTRACTOR SIGNATURE QAGENT I hereby affirm that I am exempt from Contractor's Ucense Law tor me following reason: D I, as owner of the property or my employees with W81J8S as their sole compensation, will do the work aoo the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contra;tors License Law does not apply to an owner of piq:,erty who builds or improves !hereon, and who does such work himself or through his own employees, proviied that such improvements are not intended or offered for sale. lf, however, 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 of sale). □ □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Uc:ense Law does not apply to <11 owner of property who 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 aoo Professions Code for this reason: 1. I personally plan to provide the map labor aoo materials for construction of the prq)OSed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the p~ work. 3. 1 have contracted with the following person (firm) to provide the~ construction (include n11T10 oodress I phone I contractors' ticense number): 4. I plan to provkte portiOns of the 'M'.>l'k, but I have hired the fola#ing person to coordinate, supeMSe aOO provk1e the Illaµ' work (include name/ acldress / phone I oontra:tors' license number): 5. I will provide some of the work, but I have contracted (hired) the following pe,sons to provide the work indicated Qnclude name I address/ phone/ type afworit): NS PROPEIUY OWNER SIGNATURE []AGENT DATE Inspection List Pennit#: CB150189 Type: PME Date Inspection Item 01/22/2015 32 Const. Service/Agricultural 01/22/2015 39 Final Electrical 01/22/2015 39 Final Electrical Friday, January 23, 2015 200A TEMP POWER FOR CONSTRUC. Inspector Act Comments PY AP RI PY AP Page 1 of 1