HomeMy WebLinkAbout1921 CALLE BARCELONA; ; CB131051; Permit04-23-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB131051
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1921 CALLE BARCELONA CBAD
PME
2550120400 Lot#
BUCA -REPLACE (2) 100 GAL
WATER HEATERS SAME LOCATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/23/2013
LSM
04/23/2013
04/23/2013
Applicant Owner
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNI T-C FORUM AT CARLSBAD LLC
STE A C/O TIAA-CREF
9895 OLSON DR 4675 MACARTHUR CT #1100
SAN DIEGO CA 92121 NEWPORT BEACH CA 92660
858-457-6572
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 00 Balance Due $0 00
FINAL
Inspector 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 ms issued to protest imposition of these fees/exactions If you protest them, you must
follovir the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for
processiDg tn 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 nghl 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 liavt; previously been given a NOTICE similar to this, or to which the statute of limitations has previwglv otheiwise .expired,
c n V or
CARLSBAD
Building Permit Application
1635 Faraday Ave Carlsbad, CA 92008
760 602 2717/ 2718/ 2719
Fax 760 602 8558
www carlsbadca fiov
Est Value
Plan Ck Deposit
Date
•2,SS -OlZ-0<^ -G>r>,
CT/PHOJECT 1 « BATHnOOMS lENANT BUSINESS NAME
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
CONSTR TYPE
i^pUcg C^) IOO OjCd qJaJri,/
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS |SF) FIREPLACE
YESD f( NOO
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES • NOD
CONTACT NAME (II Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS ,
CITT ~ Z STATE ZIP CITY ZIP ZIP
PHONE fS'K-MF^n-Usnz -Coin-5Ml'i
EMAIL
PROPBRTJ OWNER NAME CONTRACTOR BUS NAME
ADDRES! 1 Qg^ll-f (^a,r CJCLIYTT-^OL
f « STATE _ ZIP
Qfq5 OL-S^ Dr. ft
CITY„ _ STATE CITY^ « t r\ STATE ^2IP
PHONE Vl' ; [TAX
STATE
(2A
ZIP
1 fab "MIS-01^7
gMAlL
PHONE _ FAX
EMAIL 1 , -
flRCH/DESlGNER NAME e, ADDRESS CLASS CITY BUS LIC«
iSec 7031 5 Business and Professions Code Any City oi Couniy whicli reouires a permmo consifuct alier imorove demolish or repair any siruciure prior lo iis issuance also requires Ihe applicant for such permit to file a signet) statement tfiat he is licensed pursuant to itie provisions of the Contractor s License Law (Chapter 9 cotvimending with Section 7000 of Division 3 of the
Business and Professions Code) or thai he is exempt tfietelrom snd 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 Ootlafs {$500}!
Woriers' Compensalron Declaralion I hereby affirm umiei penally ofpeipry one ot the ioBonrng decla/aiions
n /f have and will maintain a cartificale of consent lo self insure for workers compensalion as provided Oy Sectton 3700 of the Labor Code (or Ilie performance of the work (or whicfi Ihis permit is issued
I have and will maintain workers kortipensal ion as required by Seclion 3700 ol Ihe Labor Code for Ihe performance ollhe vioik for which ihis permil is issued li^v workers compensalion inAranc? car tier
/ ^ number are Insurance Co < 1 'TVPr'T'L^ Policy No ^CJ?'3 | 50s tx>3 1 Q t / Exoiralion Dale \ O ( I / / '2.
This seclion need not be completed i( the permit is lor one hundred dolfars (SlOO) or less dolfai
and policy
Ihis seclion neea not Oe completed nine permii is (or one hundred dollars (iiui;) or less
n Certihcata of Exemption I certify lhat in the performance of the work lor which ihis permit is issued I shall not employ any person in any manner so as lo become subject lo the Workers Compensalion 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 (8100 000), m
addHwnto ttw cost otcompansaUotvdacsagBsas ptovtdod lor in-Section 37()frtjf-tt»4.Abof code. Interest and allorney s fees I j
, cflX^rrWrWv^ \^NT DATE l^f ( |3 ^ CONTRACTOR SIGNATURE
/ hereby affirm lhal I am exempi from Coniraclor s Ucense Laf/ lor Ihe following reason
3 I as owner ol Iheproperlyor my employees with wages as Iheir sole compensalion will do Ihe work and theslruclureis not mlended or offered for sale ISec 704'! Busmassand Prolessions Code The Contractors
License Law does not apply lo an owner of properly who huilds or impioves thereon and who does such work himsell or through his own employees provided thai such improvemenis are not intended or offered lor
sale If However, Ihe building or improvement is sold within one year of completion Ihe ownec builder will have the burden of proving lhat he did not build ot improve loi Ihe purpose ol sale)
P I as owner o( the property am exclusively conlraciing wilh licensed conlfaclofsloconslruct the project [Sec 7044 Business and Professions Code The Contractors License (.aw does nol apply to an owner of
properly who builds o< improves Ihereon and coniracis for such projects with conir3Clor(5) iicensed pursuant lo Ihe Coniraclor s License Law)
P lam exempt under Section Business and Pi otessions Code for this reason
1 I personally plan lo provide the major labor and malenals lor construaion ol Ihe proposed properly improvemenl D Yes • No
2 I (tiave / ha^e not) signed an application tor a ouilding permil lor the proposed work
3 I have conlracled with llie (ollowing peison (dtm) to provide the proposed consIruclion (include name address / phone / conlraclors license numoer)
4 I plan lo provide pomons of Ine work but I have hired Ihe following person lo coordinate supervise and provide Ihe maior work (include name / address / phone / contractors license number)
5 I will provide some ol the woik but I have contracled (hired) Ihe lollcnving persons to provide Ihe work indicaled (include name / addiess / phone / type ol work)
^PROPERTY OWNER SIGNATURE •AGENT DATE
JS Ihe applicanl or lulwe building occupant required lo submit a business plan aculely hazaidous materials registration (orm oi nsk managemenl and prevention program under SecBons 25505 25533or 25534 of ihe
Presley Tanner Haiardous SuOsiance Accouni Acl' D Yes • No
Is Ihe apolicanl or (ulure building occupanl required to obiain a permil from ihe aif pollution conirol dislncl or atr qualily managemenl dislncP • Yes • No
Is Itie facility la be consltucled wilhin 1 000 leet ol the oulei boundary o( a school site'' 3 Yes D 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
5fc
I Hereby affirm lhal there is a construclion lending agency for Ihe performance of Ihe work this permil is issued (Sec 3097 (i) Civil Code)
Lender s Name LentJer s Address
I certify Uiat I have read the application and state (hat (he above mloiniaboit isconect and that (he infomnation on the plans is accurate I agree to comply with all C^tyonlinaiices and State laws relating to building construction
I hereby auBionze representalwe of Ihe City of CartsbatJ to enter upon Ihe above nienlionGd property lor inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIAaiHTES JUDGMENTS COSTS AND EXPENSES WHICH fvlAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pennil is required tot excavalions over 5 0 deep and demolibon or consliucton ol sinjctures over 3 slones ri height
EXPIRATION Every pennil issued by the Building Official under Ihe provisions ol Ihs Code shall expie by hmiiabon arel become nul and void if Ihe butfdrg or work aulhonzed by such pemul s not commenced wilhn
180 days from Ihe dale of such pennit or if the buJdng or M)ik authorized by such permit isjyspended or abandoned al any time afler the worit is commenced for a p^od of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
d for a p^iod
Inspection List
Permits CB131051 Type PME
Date Inspection Item
04/26/2013 25 Water Heater/Vents
04/26/2013 25 Water HeaterA/ents
04/26/2013 29 Final Plumbing
04/24/2013 29 Final Plumbing
04/24/2013 29 Final Plumbing
Inspector Act
Rl
PD
PD
PY
AP
AP
Rl
NR
BUCA -REPLACE (2) 100 GAL
WATER HEATERS SAME LOCATION
Comments
2 COMMERCIAL WATERHEATERS
PLEASE CALL W/TlfVlE
Tuesday, April 30, 2013 Page 1 of 1