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Home My WebLink About1923 CALLE BARCELONA; 138; CB032422; Permit- 09-04-2003 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: KALIN ENTERPRISES City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB032422 1923 CALLE BARCELONA CBAD St: $46 MlSC Subtype: OTHER Status: ISSUED Lot #: 0 Applied: 09/04/2003 Plan Approved: 09/04/2003 Issued: 09/04/2003 $0.00 Entered By: RMA BOMBAY CO-SAW CUT FOR ELECTRIC Inspect Area: & PLUMBING-BEFORE TENANT IMPROVEMENT STARTS STE 201 9540 PATHWAY ST 92071 61 9 562-2304 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: $60.00 3344 86/04/03 0002 01 02 CGP 60.00 Clearance: NOTICE: Please take hTICE iha(approva1 of your project includes the 'hpasitib' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. c&& 72 yJ& EST. VAL. Plan Ck. Deposit Date I n Addres] ~c~~B1dglSu~h Legal Description Lot No. Subdivision NamelNumber 5; trL= /yd Unit No. Phase No. y TO^%?$?/ Business Name (at this address) R~t1ceIad4 " Assessor's Parcel C Existing Use Proposed Use # of Bathrooms- *? (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 exemption. Any violation of Section 7031.5 by any applicant f Name Address City Statelzip Telephone # State License # 76S6m License Class 6'-I City Business License # Designer Name Address city Statelzip Telephone a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$5001). &IJ PAbDnlRt) P A PC qsry, f%tWA, +4 2-1 (;\-.fee Cd f2q/ d/?* 92- CfoT c] 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 the work for which this permit is issued. -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 7 c- +,p Policy No. 7(3fit3' Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 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 shall subject CUI employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000~, In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. 14 3 c. SIGNATURE DATE OWYER-BUILDER DECLPIRATION -A 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 ON0 1 (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 Code 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 linclude name I address I Dhone number I tvDe -. 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? 0 YES c] NO 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? 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 PIN 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). LENDER'S NAME LENDER'S ADDRESS ERTl 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. 1 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 at any tir e after the work is isions of this Code shall expire by limitation and become null and void if the building or work of such permit or if the building or work authorized by such permit is suspended or abandoned 106.4.4 Uniform Building Code). APPLICL T'S SIGNATURE y- DATE WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB032422 Type: MlSC OTHER BOMBAY CO-SAW CUT FOR ELECTRIC & PLUMBING-BEFORE TENANT IMPROVE Date inspection Item Inspector Act Comments 09/29/2003 21 Underground/Under Floor - RI AM PLEASE 09/26/2003 19 Final Structural PS AP FINAL Friday, September 26, 2003 Page 1 of 1 ~~ . # 0633187 rcrmrento. CA 95334 ACIRLD galin ~ntarprisos 9540 Pathray, Unit 201 Sane.+, CA 92071