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Home My WebLink About1923 CALLE BARCELONA; 149; CB031031; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB031031 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: Lot #: 0 Applied: 04/09/2003 Reference #: Plan Approved: 0411 712003 Issued: 04/17/2003 Project Title: JIMBOS-UNDERGR PLUMB IN POUR Inspect Area: 1923 CALLE BARCELONA CBAD St: 149 Construction Type: NEW Entered By: RMA 361 04/P7/03 31 $2 STRIP-FUTURE TIE IN-VENTS/WAlSTE LINE Applicant: JOHN DANIELS 181 2 COUNTRY LN 92025 760 746-7431 Owner: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 ~~ ~~ ~~ Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units (Sac. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professcons Codel or that he is exempt therefrom, and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I550011. Name Address City StatelZip State License x S~b893 License Class 8 -&e. A&/-. kc, City Business License # Designer Name Address City Statelzip Telephone State License # P/?/h&Q4p &e q354- =-KAT 5 7. , z mwa # 9/99 * l&,)t6% - 7757 r -4=lT= 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of th work for which this permit is issued. d" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company &~m- 0-,4P &<. Policy NO. &6 A 00/%733 -a Expiration Date //.O f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 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 coveraga is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred attorney's fees. 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 improveqents 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 projedts with contractorls) licensed 0 1. 2. 3. -ut pursuant to the Contractor's License Law). -.. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 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 I contractors license number): Business and Professions Coda for this reason: 4. number I contractors license number): 5. 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 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 number I type of work): PROPERTY OWNER SIGNATURE DATE 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? 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 site? 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 0 YES WNO 0 YES NO 0 YES WNO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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 authorized by such permit is no r if the building or work authorized by such permit is suspended or abandoned at any time after the work is co APPLICANT'S SIGNATURE DATE y/ebs City of Carlsbad Bldg Inspection Request For: 03/15/2004 Permit# CB031031 Inspector Assignment: PS Title: JIMBOS-UNDERGR PLUMB IN POUR Description: STRIP-FUTURE TIE IN-VENTSMIAISTE LINE Type: PLUM Sub Type: Job Address: 1923 CALLE BARCELONA Suite: 149 Lot 0 Location: APPLICANT JOHN DANIELS Owner: Phone: Inspect &k Total Time: Requested By: CHRISTINE CD Description 29 Final Plumbing Entered By: CHRISTINE Act Corn men t Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 05/02/2003 21 Underground/Under Floor PA PD 05/01/2003 11 FtgIFoundationlPiers wc PS 05/01/2003 24 RougWopout co PS Corporate Office Branch Office 2992 E. La Palma Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92 12 1 Tel: (7 14) 632-2999 Tel: (858) 537-3999 Fax: (714) 632-2974 Fax: (858) 537-3990 Age (Days) 28 28 Report of: COMPRESSIVE STRENGTH-CONCRETE Date Nominal Actual Area Load Strength Size (Sq. Inch) (Ibs.) (psi) 412 1 I03 6X 12 28.37 14 1,000 4.970 412 1/03 6X 12 28.37 137.500 4,847 Specified Strength: 3,000 PSI Cast By: MICHAEL PHILLIPS Location: FTG @ EAST SlDE RETAINING WALL Concrete Supplier: PALOMAR TRANSIT MIX Mix No.: 203202 Ticket No.: 378853 Water added at Site: 10.00 gal. By Cement Type: Mix Time: 70 min. Slump: 5.00 in. ASTM C143 Remarks: Distribution: THOMAS ENTERPRISES VCC (CARLSBAD) NADEL ARCHITECTS. INC. MAYERS ASSOCIATES CIVIL ENGINEERS CITY OF CARLSBAD-BLDG INSPECTION DEPT **LAB COPY** on 3/24/03 Date Received: 313 1/03 Air: % ASTMC231 Unit Weight: PCF ASTMC138 Concrete Temp: 78 OF ASTM C1064 Admixture: Ambient Temp: 60 "F Respectfully Submitted, 4,909 28-day test complies with specified strength. MAY 01 2003 3:38PM WALSH ENGINEERS, INC. 858-541-0787 P-2 @ 3 I I c c OMC~~SATION FUND WORKERS' COMPENSATION INSURANCE IN8URANCW HOME OFFICE 1275 MARKET STEET sAr FRANCISCO, CA ~103 NOTICE OF CAWCELLATION/COWVERSION Date January 23, 2003 Policy No. 229-0021884-02 Period 01/01/02-01/01/03 PRIMARY MECHANICAL INC. PO BOK 1077 LA MESA, CA 91944 INSURANCE CANCELLED/CONVERTED EFFECTIVE 01/01/03 e 12:oi A.M. Reason : Effectiv8 01/01/03 your workers' compensation insurance has been converted to policy number 046-0012733-03. Your policy number 229-0021864-02 was cancelled 01/01/03. Your coverage under the new policy 046-0012733-03 begins 01/01/03. If you have any questions, contact our San Diego District office during normal business hours at (858) 552-7000 Policy convorsion. By Curtorat Services Unit State Cornpansation Insurance Fund