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Home My WebLink About2320 VIA CLEMENTE; ; CB051307; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-08-2005 I Miscellaneous Permit Permit No: CB051307 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2320 VIA CLEMENTE CBAD MISC Subtype: REPAIR 1672504400 $0.00 CASCADE FALLS APTS BLDG 2 REPAIR CONCRETE DECK ---... ,, Lot #: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/08/2005 LSM 04/08/2005 04/08/2005 pplicant: ~ GUINEA'S CONSTRUCTIOr-(1 C UNIVERSE INSTITUTIONAL VENTURES I LL C 214 il't"el EG 760-722-4126 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 9478 W OLYMPIC BLVD #300 BEVERLY HILLS CA 90212 PERMIT FEE Total Payments To Date: $0.00 Balance Due: $60.00 $0.00 $0.00 $60.00 $60.00 5608 04/08/05 0002 01 CGP Inspector: FINAL APPROVAL / Date: C-f -r J -CJ! 5 Clearance: NOTICE: Please take NOTICE that 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 whi h h v r vi I N Tl imi r hi r whi h h f limi i n h I h rwi x ir 02 60. 00 FOR OFFICE USE ONLY PERMIT APPLICA TlON PLAN CHECK NO. (!..8 0 '5l ~0 ; CITY OF CARLSBAD, BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -1~___,,..,... ______ _ Validated BY--,---.-~--------- Date tf.Jd11), t Jlo..f ubdivlsion Name/Number Unit No. Phase No. Total II of units Proposed Use #of Stories II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone II ~t!Tu~~'.4elJ!~~~t:11,:,'.,·0 .~lilj~fl'.ii!i!i~t~i ~;ga'M 1Jot/¢9jitr.~i;to.()f,O iOw,ner; :· ·;o :t\g~ri't\f.of:~6~,',: Name Address City State/Zip Telephone II Name Address CltY State/Zip Telephone II Fax II '..)., ·,.: OO~ill!'.(:Cifi!tll'J.tC.iJ;fJi:iR~i®1iMii9~~i.M't;1t ,'#'.?fl;i'l1/•'.;,,,iyf1IP :'; /;;r:::;;-., '' ':' t ', '1S:\i\;: .,., . : '. " +,,;' :. I;/; "/,ji'',IJM{;'.'{;0; 1 ih,.I,,:i ~-,iiL~,-~t!1rV, ;:-;i:i/~{lj'f}.1{~:~11r;~·~ ; 1:i.~i)i:r':.; ;( Jit!W~..;,llt,: (Sac. 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 applicant for such permit to file a signed statement that he Is licensed pursuant to the provlslona of the Contractor's License Law !Chapter 9, commanding with Section 7000 of Division 3 .of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any,.vlola Ion of S tlon 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hun red dollars ($5001). • , • r _ " "/9,U/ r S',,,-,,,1,r--.,., r O • 'Cl), :J. -1/Z. (- Name State License II ('.i ':(ZP 9?/ Address City State/Zip Ta apho::r II License Class ,S City Business License II A:-p p ) 1 €.-d. Designer Name Address City State/Zip Telephone State License II _________ _ (!tJ~W.DAliff'$i\(cfMP.iN.tl'nt:i.~1';f;'~fr~;;,:\,;;'.".,,j1:;•,,_;;) ,if:;,-, ct!.:. 't:/i:,:, :-,. +:'.'' ~·1:;b1t'.-i'.: ; ,;;1,\~.:c-~::j;u:{~,;::t; 1··:-tw:· •:i; .L· _,, , '. .:/,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My worker's comp nsatlo Insurance carrier and policy number are: lnsur■nce Company • • . -r-r ~ Polley No. 00 u-7D O f'Z. Expiration Date f!)..B -/ l -Zo D{. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for whl'ch this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure. to-. re workera' compana■tlon coverage la unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred thoua■nd doffara ($10 001, In addition to the coat of compana■tlon, damagea ea provklad for In Section 3706 of the Labor coda, lntereat end attorney'• fees. /)' DATE .01/-0f!,-(:)5 . "· _ . ~· ~ ~ ~~~R!ifiJQN~~~tr~.11·.~;:~··:. ,r ~-~r1~'.1\i~~: '.,.}~~ftli~~~~\:·f~~r~;:~:~jf22{=i~~i:~~J;_~~;r-=,· t'.{~EY~C::~~f :~:~ :;;;~r~·~, ~?~:;);•~i~~~J?;:i::~~~t ;f{~J;r7~l1i1~~~~-::~i~i}~fr::,.-;j!f i{t:;;~t:. f-..1~; at I am exempt from the Contractor'a License Law for the following reason: • 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work and the structure ls 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 wch work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, 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). 0 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 License Lew does not ·apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and ~aterlals for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):.~---------------------------------------------- 6. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ ~~MR~~ii'j1r,rj.11Jl$i:cti'idNJt.o~Jr.{QN~f,sti$iivt,~,:11t11to1NG11>,ERM1,rs,0NuY'.,:.,;: ,''{/ i:. • ,;;.;,,,.: • .. : , 1, ,. ·, '' ,' ·\· .• , ,, ; .• , ii' • .. :_;• ,,,,;:,,;:, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act1 0 YES O NO IS the appiicant or future building occupant reQulrad to obtain o permit frcm thn ~ir pollut!cn control district ,,, air qua'iW manegement distric:t? ·0 YES O NO Is the facility to be constructed within· 1,000 feet of the outer boundary of a school site? 0 YES O 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. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). I certify that I have read the application and state that the above Information Is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction, I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permll Issued by the building Offlclal under the provisions of this Code shall expire by limitation and become null and void If the bulldlng or work authorized by such permit ls not comm ced within 180 days from the date of such permit or II the building or work authorized by such permit is suspended or abandoned at any time after lhe work is commen d for a period of 180 da (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNA TU DATE ,t),f" -CJ /a -a_s- ·YELLOW: Applicant PINK: Finance •city of Carlsbad Bldg Inspection Request For: 04/12/2005 Permit# CB051307 Title: CASCADE FALLS APTS BLDG 2 Description: REPAIR CONCRETE DECK Type: MISC Sub Type: REPAIR Job Address: 2320 VIA CLEMENTE Suite: Lot 0 Location: OWNER UNIVERSE INSTITUTIONAL VENTURES I LL C Owner: UNIVERSE INSTITUTIONAL VENTURES I L L C Remarks: Total Time: CD Description Act Comment Inspector Assignment: ____,___/2-Jj Phone: 7606442830 Inspector: ---~c"-£-(? Requested By: OSCAR Entered By: CHRISTINE 11 Ftg/Foundation/Piers ~-------------------- ___f_!?/_ ____ _ #r I Associated PCRs/CVs Inspection History Date Description Act lnsp Comments