The URL can be used to link to this page

Home My WebLink About1905 CALLE BARCELONA; 210; CB032417; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB032417 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: Lot#: 0 Applied: 09/03/2003 Valuation: $0.00 Entered By: SB Reference #: Plan Approved: 09/03/2003 Issued: 09/03/2003 Project Title: 1905 CALLE BARCELONA CBAD St: 21 0 THE FOURM BLDG 1 EAST OF BAL1 DEMO SLAB FOR PLUMB NO NEW CONSTRUCTION Inspect Area: Applicant: SIMACCONSTRUCTION INC 15938 BERMUDA CENTER DR SD 92127-1828 ~i8-674-9aao Owner: Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $60.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 60.00 3224 09/03/03 w#. 02 IN STORAGE - ATTACHED ent Code Section 66020( Code Section 3.32.030. y other required information with the City Manager for rocedure will bar any subsequent legal action to attack, >PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. cg3 w7 EST. VAL. Date Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City StatelZip Telephone # '(Sec. 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 provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 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 1$5001). Telephone # StatelZip City City Business License # ~ZOC~ Name State License # License Class Designer Name Address city StatelZip Telephone ate License # 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Insurance Company A.-Y Policy NO. ST-n n Expiration Date 9- 29- a@' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS F~R DRED DOLLARS I$lOOl OR LESS) - 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which 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: Failure to secure workers' compensation coverage is unlawful, and shell subject an amployer to criminal penalties and civil fines up to one hundred , I thousand dollars [$lOdOOO), in Oddition te cost of compensation, damages as provided for in Section 3706 of the Labor codq. interest and attorney's fees. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 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 Law 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): Business and Professions Code for this reason: ON0 4. number 1 contractors license number): 5. of work): 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type PROPERTY OWNER SIGNATURE DATE ECTlO 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 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 City 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 permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work uthorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned t any time after the work IS APPLICAF 5 SIGNATURE DATE F/Fhy 06.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/22/2003 Permit# CB032417 Inspector Assignment: Title: THE FOURM BLDG 1 EAST OF BAL1 Description: DEMO SLAB FOR PLUMB NO NEW CONSTRUCTION Type: MlSC Sub Type: OTHER Phone: 7604790570 Job Address: 1905 CALLE BARCELONA - Suite: 21 0 Lot 0 Location: Inspector: -r> APPLICANT SIMACCONSTRUCTION INC Owner: Remarks: Total Time: Requested By: WAYNE Entered By: CHRISTINE CD Description 39 Final Electrical Associated PCRs/CVs Inspection History Date Description Act lnsp Comments