HomeMy WebLinkAbout1050 CHINQUAPIN AVE; ; CB120555; Permit03-29-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CBl20555
Building Inspection Request Line (760) 602-2725
Job Address:
Pennit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1050 CHINQUAPIN AV CBAD
MISC
2060502100
$10,000.00
LIME GROVE APARTMENTS
Subtype: OTHER
Lot #: 0
Status: ISSUED
Applied: 03/29/2012
Entered By:
Plan Approved:
MDP
03/29/2012
Issued: 03/29/2012
Inspect Area:
INSTALL ACCESSIBLE RAMP AND ADD VAN ACCESSIBLE
Applicant:
LIME GROVE PARTNERS L P
Ovmer:
LIME GROVE PARTNERS L P
17952 ATHENS AVE
VILLA PARK CA 92861
17952 ATHENS AVE
VILLA PARK CA 92861
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $130.00
$0.00
$0.00
$130.00
Total Fees: $130.00 Total Payments To Date: $130.00 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: ^-^-^^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest ttiem, you must
follow the protest procedures set forth in Govemment 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 tinoely 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/exaotions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired,
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.ca risbadca .gov
Plan Check No.
Est. Value
Plan Ok. Deposit
Date SWPP
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME A CONSTR, TYPE OCCGROUP
DESCRIPTION OFWORK: Include Square Feet of AfhctedAreafs; ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS
YES D # NO • YES • NO D YES • NO •
APPUCANT NAIME (Prkirary Contact) » \ / ' ^ t 3|PPLlCANTMj|hlE (Secondary Contact)
ADDRESS r—^ >^ ADDRESS
CITY>--> SttTE ZIP ' ') CITY STATE ZIP
PHONE cj~> w# #^ FAX PHONE FAX
EIVIAIL
PROPERTVOWNERNAME /"l V?S. . _ i r»v^ CONTRACTOR BUS. NAME
ADDRESS ^^^^ Arm^C. AcVl^ ADDRESS
CiTY STATE ZIP
FAX PHONE FAX
EIVIAIL
ABCH/DESIGNER NAME & ADDRESS ^ STATE UC # CLASS CITY BUS, LIC,#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct aiter, improve, demolish or repair any structure, prior to its issuance, also requires the appiicant for such permit to file a signed statement that he Is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with 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 appiicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
W OR K i R S ' COMP E N S A T I O N
Woriters' Compensation Declaration: / /lereby affimi under penalty ofpeijury one ofthe following declarations:
O 1 haytflmd wili maintain a certificate of consent to seif-insure for woricers'compensation as provided bySection 3700 of tlie LaborCode, forthe performance of the wori< for whicii this permitjs issued,
O^ave and wili maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worit for which this pemiit is issued. My woriters' compensation insurance earner and poiicy
number are: Insurance Co, ] Policy No, Expiration Date
This section need not be completed ifthe permit Is for one hundred doiiars ($100) or iess,
n Certificate of Exemptian: I certify that in the perfomiance of the vrarit for which this pemiit is issued, I shali not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of
California, WARNING: Faiiure to secure woriters' compensation coverage is unlawful, and shali subject an employerto criminal penalties and civii fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
CONTRACTOR SiGNATURE •AGENT DATE
•*5' * RATIO N
/ hereby affimi (haf / am exempt Irom Contractor's Ucense Law lor the loilowing reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 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 himself or through his own employees, provided that such improvements are not intended or offered for
jale. If, however, the building or impiovement is sold within one year of compietion, 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 praperty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
praperty who builds or improves thereon, and contracts for such prajects with contractor(s) licensed pursuant to the Contractor's Ucense Law),
O I am exempt under Section Business and Prafessions Code for this reason:
1,1 personally plan to provide the major labor and materials for construction of the proposed property improvemenL • Yes • No
2,1 (have / have not) signed an application for a building pemiit for the proposed work,
3,1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4,1 plan to pravide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major work (include name / address / phone / contractors' license number):
5,1 will provide some of the work, but I have contracted (hired) thrtollowing persons to pravide the work indicated (include name / address / phone / type of worit):
COMPLETE THIS SECTION FOR N O N - R E S I 0 E N T I A t BUILDING PERMITS ONLV
Is the applicant or future buikling occupant requirsd to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes ONo
Is the applicant or future buikling occupant required to obtain a pemiit fram the air pollution control district or air quality management distnct? • Yes •No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 13 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 Is a constmction lending agency for the performance of the worit this pennit is Issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
PPLICANT CERTIFICATION
i cetti^ that I have lead tlie applkatton and slate that Ihe ab(»e Infoimatkin Is conect and that the infbnna
I hereby aulhorize representative of tie City of Carlsbad to enter upon the above mentbned property for inspeciion 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 pentiit is requred fer excavatfons over 50' deep and deinolitbn or constmction of slnictures over 3 stories in heighL
EXPIRATION: Every pemiit issued by Ihe Building Oflicial underthe provistans ofthis Code shall expire by limitaSon and become null and void ifthe buikiing orvwrit authorized by such pemiit is not commenced wilhin
180 days from the date of such pemiit or if the buikling or woik authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Secttan 106,4.4 Unifbmi Buikfing Code).
APPLICANT'S SiGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT JSSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 802-8560, Email v»ww,buildinoiacarlsbadca.oov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Cartsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CiTY STATE ZIP
Carlsbad CA
PHONE FAX
EIVIAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
1:1 PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed 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
APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For, 04/05/2012
Permit# CB120555
Title: LIME GROVE APARTMENTS
Description. INSTALL ACCESSIBLE RAMP AND ADD VAN
ACCESSIBLE PARKING SPACE FOR OFFICE
Type: MISC Sub Type: OTHER
Job Address: 1050 CHINQUAPIN AV
Suite: Lot: 0
Location:
APPLICANT LIME GROVE PARTNERS L P
Owner:
Inspector Assignment: PB
Phone: 7604978157
Inspector:
Remarks: P LEASE CALL SAM WITH ETA
Total Time: Requested By: SAM
Entered By: CHRISTINE
CD Description
19 Final Structural
Act Comments
^
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments
04/02/2012 11 Ftg/Foundation/Piers AP PB ADA RAH/IP FDN