HomeMy WebLinkAbout1923 CALLE BARCELONA; 148; CB032638; Permit$0 09-24-5003
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB032638
1923 CALLE BARCELONA CBAD St: 148
PLUM Status: ISSUED
Lot #: 0 Applied: 09/24/2003
Plan Approved: 09/24/2003
Issued: 09/24/2003
Construction Type: NEW Entered By: RMA
SUSHI ON ROCKS-INSTALL GREASE
INTERCEPTOR BEFORE PAVING PARKING LOT
Inspect Area:
Applicant: CASS PLUMBING & HEATING
STE C
4569 30TH ST 921 16
61 9 284-9252
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 $0.00
$0.00
$0.00 $0.00 $0.00 $0.00
$0.00
$40.00
$0.00 $0.00 $0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00
44x2 09./24/#3 0002 01 02
CGF 60.00
Clearance:
I of your project includes the "Imposition" 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.
You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or setvice fees in connection with this project. NOR DOES IT APPLY to any
feeslexactions of which YOU have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exdred.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
94SL '-7-.E\ # of Bathrooms #of Stories 1 # of Bedrooms
Assessor's Parcel #
YSQ. FT. $ DL$ionT%. s 'a
J
Name Address City Statelzip Telephone #
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he IS licensed pursuant to the provisions of the Contractor's License Law
Name Telephone #
Designer Name Address City Statelzip Telephone
State License #
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy NO. BXG~? ? Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
0
to become subject to the Workers' Compensation Laws of California.
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
a 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
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
s up to one hundred
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
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 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 (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? 0 YES 0 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
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(iI Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 not cpmmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co
APPLICANT'S GNATURE DATE
or a period of 180 days (Section 106.4.4 Uniform Building Code).
I .- WHITE: File YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB032638 Type: PLUM
Date Inspection Item
04/13/2004 29 Final Plumbing
02/03/2004 34 Rough Electric
12/11/2003 22 Sewerwater Service
12/11 /2003 23 Gas/Test/Repairs
12/11/2003 44 Rough/Ducts/Dampers
10/08/2003 21 UndergroundNnder Floor
10/08/2003 22 Sewerwater Service
10/08/2003 29 Final Plumbing
Inspector
PS
PS
PS
PS
PS
PS
PS
PS
SUSHI ON ROCKS-INSTALL GREASE
INTERCEPTOR BEFORE PAVING PARKIN
Act Comments
AP FINAL wc wc
PA STARTED 24HR TEST co
AP
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Tuesday, April 13, 2004 Page 1 of 1
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POLICYHOLMR COPY
STATE P.O. BOX 807. SAN FRANCISCOKA 94142-0807 cd MPB N s ATIO p1
ISSUE DATE 01-01-2002 GROUP 6ooo48 POLICY NUMBER: ooos3~3-2ooa CERTIFICATE ID: 59
CERTIFICATE EXPiRES: 01-01-2004 01-0f-2003/01-01-2004
CONTRACTORS STAT€ LICENSE BOARD SD LICEWE WMBER: #101)162 ATTN: WORKERS' lNCEPTION DATE: 01-0+-2043 BOX 26000 D.0.: SD SACRAMENTO CA 9
This is to certify that we have issued a vltid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you $0 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is nSn an insurance policy and does not amend, extend or otter the coverage afforded
by the policies listed herein Notwithstanding any requirement, term. or candrtion of any contract or other document with respect to which this certificate of insurance may be issued or may pertain. the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies.
AUTHORIZED REPRESENTATIVE PR~SIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: S1,O
ENDDRSEMENT #2W5 ENTITLED CERTIFICATE HOLDERS' NOTECE EFFECTIVE 01-01-2009 IS ATTACHED TO AND FORMS A PART OF THIS POLlCY.
EMPLOYER
CAS5 PLUMBING AN0 HEATING 4569 3OTH ST STE C SAN DIEGO CA 92116