HomeMy WebLinkAbout1006 CARLSBAD VILLAGE DR; ; CB132741; Permit11-05-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI32741
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1006 CARLSBAD VILLAGE DR CBAD
PME
2033200400 Lot #:
MOTEL 6: MINOR ELECTRICAL
WORKIN 109 ROOMS
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
11/05/2013
JMA
11/05/2013
11/05/2013
Applicant:
MCCABE CONSTRUCTION
530 BRISTOL AVE
SIMI VALLEY CA 93065-5439
805-210-4800
Owner:
MOTEL6 OPERATING LP
TAX DEPT
P 0 BOX 117508
CARROLLTONTX 75011
Plumbing Fees
Electrical Fees
Mectianical Fees
Other PME Fees
$0.00
$158.00
$0.00
$3,282.40
TOTAL PERMIT FEES $3,440.40
Total Fees: $3,440.40 Total Payments To Date: $0.00 Balance Due: $3,440.40
Inspector: K^'^^^^^Z^'-^^ /
FINAL APPROVAL
Date 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 IVIanager 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
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise expired,
THE FOLLOWiNG APPROVALS REQUIRED PRIOR TO PERMiTISSUANCE: •PLANNING •ENGINEERING nBUILDING nPIRE •HEALTH •HAZMAT/APCD
4
^ CITY Of
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@Garlsbadca.gov
www.carisbadca.gov
Plan Check No.(2f^ |3 ~ ^ I
Est. Value
Plan Ck. Deposit
Pate |(^S-f\3^ SWPPP
JOB ADDRESS
cm n 11 nT « I DUACc:^ ^ # ricT IIOITC it DcnDrtn\.ic
SUITE#/SPACE*/UNIT*
CT/PROJECT # # BATHROOMS TENArfT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCFtlPTION OF WORK: /nc/ude Square Feet of Affected Areafs;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~l# NOl I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YESj I Noj I
APPLICANT NAME (Primary Contact) _ APPLICANT NAME ^Secondary Contact;
ADDRES^ ADDRESS
CITY . STATE ZIP
PHONE , _
STATE ZIP
PHONE ^
EMAIL
PHONE
N. \ - S^MAIL
PROPERTYOWNER NAME .
ADDRESS
STATE ^ ZIP
7 CONTRACTOR BUS,rllAME ) ~
V—OTN^ ADDRESS
CITY
PHONE
STATE
FAX
CITY . , STATE ZIE^ ^ ,
PHONE ^ ^ir:^- . .^FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
pT^tri
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County vi^hlch requires a permitto coTStruct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Lav» (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt 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
Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe following declarations:
ls^ have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37(X) of the Labor Code, for the performance of (lie work for whicli this permit is issued,
t^+have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the perfonnance of tiie work for which this permit is issued. My workers' compensation insurance canier ai^ policy
numberare: InsuranceCo,.
Thjs section need not be completed if the pemiit is for one hundred dollars ($100) or less,
I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemnit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (£100,000), In
addition to the cost of compensation, dannagesasprovidedfor in Section 3706 of the Labor code, interest and attomey's fees. y
7'' yeTcONTRACTOp^ilgNATURE SCV--vClJ[II* QAGENT DATE 1^ I /^
OWNER-BUILDEi? DECLARATION
/ hereby affimi that I sm exempt from (infractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 properly 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, 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 I I, as owner of the properly, am exclusively contracting with licensed contractors to constract tlie project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of
property who builds or improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law),
I I I am exempt under Section Business and Professions Code for this reason;
1.1 personally plan to provide the major labor and matertals for construction of the proposed property improvement, •Yes I INO
2,1 (have / have not) signed an application for a building pemiit for the proposed work,
3 I have contracted with the foilowing person (firm) to provide the proposed constraction (include name address / phone / contractors' license number);
4,1 plan to provide portions of the woik, but I have hirod the following person to coordinate, supenrise and provide the major work (include name / addross / phone / contractors' license number);
5,1 will provide some of the worl<, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work);
I PROPERTYOWNER SIGNATURE QAGENT DATE
MPLETE THIS SECTI ON roR NON-RESIDENTIAl BUILDING PERMITS ONI
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 25506,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or fulure building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is (he facility to be constmcted within I.OOOfeetoftheouterboundaryofaschoolsite? 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
CONSTROCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the work this permit is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify ttiat I have lead the appikation and state that the above inlbnnation is conectand that the infomiation on the plans is accurate. I agree to comply with all CHy ordinances and State laws relating to building constnjctnn.
I hereby authorize representative of the City of Carlsbad to enter upon the above menttoned property fbr inspectton purposes, I ALSO AGREE TO SAME, INDEMNII^ AND KEEP HAFtMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA pemiit is required fbr excavations over 5'0' deep and demolitton or constmction of structures over 3 stories in height
EXPIRATION; Every pernilt Issued by the Building (Mdal under Ihe provistons of this Code shall expire by limitatton and become null and void if the building or work authorized by such pemiit Is not commenced within
180 days tarn the date of such permit or If the building or vwrk authorized by such pemiit is suspended or abandoned at any time after the vrork is commenced jar a period of 180 days (Sectton 106.4.4 Uniform Building Code),
VSTAPPLICANT'S SIGNI DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildina(5)carisbadca.aov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Usted above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB132741 Type: PME
Date
01/21/2014
01/21/2014
01/15/2014
01/10/2014
01/06/2014
01/03/2014
12/27/2013
12/23/2013
12/18/2013
12/17/2013
12/05/2013
12/02/2013
11/27/2013
11/22/2013
11/20/2013
Inspection Item
39 Final Electrical
39 Final Electrical
34 Rough Electric
39 Final Electrical
34 Rough Electric
34 Rough Electric
34 Rough Electric
34 Rough Electric
34 Rough Electric
34 Rough Electric
39 Final Electrical
39 Final Electrical
34 Rough Electric
34 Rough Electric
34 Rough Electric
Inspector
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
PB
Act
AP
CA
AP
PA
AP
AP
AP
AP
CA
PA
PA
PA
AP
AP
AP
MOTEL 6: MINOR ELECTRICAL
WORK IN 109 ROOMS
Comments
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