HomeMy WebLinkAbout1911 Calle Barcelona; ; CBC2017-0439; PermitPrint Date: 10/10/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1911 Calle Barcelona
BLDG-Commercial
2550120400
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: WELLS FARGO: RELOCATE CONDUITS FOR NEW ATM INSTALL
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
T-C FORUM AT CARLSBAD LLC
4675 Macarthur Ct Tiaa-Cref, 110
NEWPORT BEACH, CA 92660
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Fina led:
Inspector:
Contractor:
ONE SOURCE
2925 Fm 1960 E
HUMBLE, TX 77338-5329
713-934-7400
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBC2017-0439
Closed -Finaled
08/15/2017
08/15/2017
A Krog
$166.00
$0.00
..
._ { City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 780-602-2719 Fax: 760-602-8558
email: bullding@carlsbadca.gov
www.carlsbadca.gov
Plan Check No~ 2011 -04
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT# # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) •
•
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME
ADDRESS ADDRESS
CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
EMAIL
Est. Value
Plan Ck. Deposit
Date 5-15-r,
APN
FIREPLACE
YES D #_ NOD
STATE
FAX
. , 't (J(;
AIR CONDITIONING
YES D NOD
ZIP
CITY BUS. LIC.#
OCC. GROUP
FIRE SPRINKLERS
YES D NOD
(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 ttiat 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 Code) or that he is exeml)t 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 Declaration: I hereby afflrm under penalty of perjury one of the following declarations:
~ave 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 of the work for which this permit is issued.
D 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 workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date----------
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to s workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensatio da ges as provid Jor in Section 3706 of the Labor code, interest and attorney's fees.
_,1$ CONTRACTOR SIGNATUR ~ENT DATE
I hereby afflrm that I am exempt from Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not inlended or offered for sate (Sec. 7044, Business and Professions Code: The Contracto(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).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(s License Law).
D I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No
2. I (have I 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 I phone I 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 I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
_,1$ PROPERTY OWNER SIGNATURE D A GENT DATE
Is the applicant or future building occupant required to submit a business p~
4
~utely 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
Is the applicant or future building occupant required to obtain a permit from the ar pollution control district or air quality management district? D Yes f'l'No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? .,6.Jfes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BI ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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 representative 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 <:Ner 5'0' deep and demolition or construction of strucb.Jres <:Ner 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expre by limitation and become null and void rr the building or work authorized by such permit is not commenced within
180 days from the date of such permit or' building or work au · ed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unrronm Building Code).
Ji$ APPLICANT'S SIGNATURE DATE g--
, PERMIT INSPECTION HISTORY REPORT (CBC2017-0439)
Permit Type: BLDG-Commercial Application Date: 08/15/2017 Owner: T-C FORUM AT CARLSBAD LLC
Work Class P/M/E Issue Date: 08/15/2017 Subdivision: CARLSBAD TCT#92-08 GREEN
VALLEY
Status: Closed -Finaled Expiration Date: 04/02/2018 Address: 1911 Calle Barcelona
Carlsbad, CA 92009
IVR Number: 571 5
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
10/04/2017 10/04/2017 BLDG-34 Rough 036804-2017 Passed Andy Krogh Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Underground and rough Yes
10/10/2017 10/10/2017 BLDG-Final 037057-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
October 10, 2017 Page 1 of 1