HomeMy WebLinkAbout1911 CALLE BARCELONA; 154; CB040409; PermitCity of Carlsbad
b' 4 1635 Faraday Av Carlsbad, CA 92008
02-06-2004 Miscellaneous Permit Permit No: CB040409
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type: MlSC Subtype: OTHER Status: ISSUED
Parcel No: Lot #: 0 Applied: 02/06/2004
Valuation: $0.00 Entered By: MDP Reference #: Plan Approved: 02/06/2004
Issued: 02/06/2004
Project Title: NEW BALANCE Inspect Area:
191 1 CALLE BARCELONA CBAD St: 154
SAW CUT FOR FUTURE IMPROVEMENT
Applicant: SIMACCONSTRUCTION INC
15938 BERMUDA CENTER DR
SD 92127-1828 858-674-9880
Owner:
Miscelaneous Fee #I
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $60.00
$0.00
$0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00
Clearance:
P
NOTICE: Please take NOTiCE tyt approval of your project includes the 'Im~ositionn of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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
feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exclired.
FOR OFFICE USE ONLY
PLAN CHECK NO. Oy-Yq PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
$4 .
EST. VAL.
Plan Ck. Deposit
Validated By
Date
" ' Ahdress (include BldglSuite #) Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Existing Use Proposed Use
# of Bedrooms # of Bathrooms
D /
Description of Work SO. FT. #of Stories
of the work for which this permit is issued.
Insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS1
Expiration Date 4- 29-sr/
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 completlon. 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. YES
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (ftrml to provide the proposed construction (include name / address / phone number / contractors license number):
Business and Professions Code for this reason:
UNO
4.
number / contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
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
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7
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 AI
0 YES NO
0 YES 0 NO
0 YES 0 NO
TlON CONTROL DlSTRl
LENDER'S NAME LENDER'S ADDRESS
9 ERf I
I read
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
authorized by such permit is n
at any time after the work is
APPLICANT'S SIGNATURE DATE d-S--drj/
I1 expire by limitation and become null and void if the building or work
building or work authorized by such permit is suspended or abandoned