The URL can be used to link to this page

Home My WebLink About1923 CALLE BARCELONA; ; CB051752; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 05-1 7-2005 Plumbing Permit Permit No: CB051752 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 25501 20400 Lot #: 0 Applied: 0511 712005 Reference #: Plan Approved: 0511 712005 Issued: 05/17/2005 Project Title: THE FOURM REROUTE H20 MAIN Inspect Area: 1923 CALLE BARCELONA CBAD Construction Type: NEW Entered By: SB IN PARKING LOT Applicant : ALBERT PLUMBING HEATING & AIR 5933 SEA LION PL CARLSBAD, CA 92008 61 9-431-5536 Owner: BORDERS INC cLF> FOURTH QUARTER PROPERTIES XXX L Cl BORDERS INC 300 VILLAGE GREEN CIR SE #200 SMYRNA GA 30080 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstallIRepair 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 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 ~ ~~ ~ ~ ~ ~ Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Clearance: NOTICE: Please take NOTICE that approv referred to as "feedexactions." 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 spedfied feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application prmssing or seMce fees in connection with this project. NOR DOES IT APPLY to any feedexact ions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute o f limitations has D reviouslv othe wise exDired. ions, reservations, or other exactions hereafter collectively PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Proposed Use # Rer~~te - 0 F 3f'w~3scr/3.34/'13 -2W Name Address city Statelzip Telephone # Fax # FOR OFFICE USE ONLY PLAN CHECK NOCE'S 173' EST. VAL. 9 COMPANY NAME (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 [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he IS exempt therefrom, and the basis for the alleged exemption. Any violation of Section frame State License # e city Statelzip oG Zeghone # City Business License # / I 7 H/BPW 40 /~rm6/ License Class a c 36 city StatelZip Telephone Designer Name Address State License # y affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 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 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 Zued. My worker's compensation insurance carrier and policy number are: Insurance Company b+ dr h AICf zacf4m /< Policy No.# 1 krdD29qqP Expiration Date 6 ///d -5 (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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand do n 3706 of the labor code, in rest and attorney's fees. DATE 47/7/40 7 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 UNO I (have / have not) signed an application for a building permit for the proposed work 1 have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): dusiness and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 / 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 / phone number /type ET€ THIS SECTION FOR NON-REs/DENTIAL BUILDING PERMITS ONLY 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? 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. 8. CONSTRUCTION LENDING AGENCY 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). 0 YES [7 NO YES a NO 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 Citt 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 commenced 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 APPLICANT'S SIGNATURE DATE c//7b -y WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/02/2005 Permit# CB051752 Title: THE FOURM REROUTE H20 MAIN Description: IN PARKING LOT Type: PLUM Sub Type: Job Address: 1923 CALLE BARCELONA Suite: Lot 0 Location: APPLICANT ALBERT PLUMBING HEATING & AIR Owner: Remarks: AM PLEASE - BACK OF BLDG. Inspector Assignment: PS Phone: 800461 4441 Inspector: z Total Time: Requested By: BEN CD Description Comment Entered By: CHRISTINE 22 SewerNater Service Associated PCRs/CVs Inspection Histow Date Description Act lnsp Comments 06/27/2005 22 SewerANater Service NR PS City of Carlsbad Bldg Inspection Request For: 08/0 1 /2005 Permit# CB051752 Title: THE FOURM REROUTE H20 MAIN Description: IN PARKING LOT Type: PLUM Sub Type: Job Address: 1923 CALLE BARCELONA Suite: Lot 0 Location: APPLICANT ALBERT PLUMBING HEATING & AIR Owner: Remarks: WATER LINE Inspector Assignment: PS Phone: 800461 4441 Inspector: /Tis Total Time: Requested By: BEN CD 22 Entered By: CHRISTINE Description Act Comment Sewermater Service Associated PCRs/CVs Inspectior; History Date Description Act lnsp Comments 06/27/2005 22 SewerNVater Service NR PS FROM :WRTERIDGE INS FQX NO. :8584526804 May. 13 2005 03:07PM P 2 csR I OATE(MHIDDNYYY) CORD^ CERTIFICATE OF LIABILITY INSURANCE ALBERT4 05/13/05 rnWC&t' + THIS CCRTIFICAT% IS"1S-SUE.D AS A MATTER OF INFORMATDK ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Watcridga Iitsurance Services HOLDER. THiS CERTIFICATE DOES NOT AMEND, EXTEND OR 10717 Sorrenta Valley Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Sam Diego CA 92121 4 I ~QM SHOULD AMY OF THE ABOVE DESCRl6ED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF. THE ISSU1N6 INSURER WILL ENDEAVOR TO MAlL 3z MY5 WRITEN NOTGE TO THE CERTIFICATE WLMR WMa TO THE LE^. FAILURE 70 00 $0 SWL 45 ANSIZY mve NAN Gw. 30263 ACORD 25 (2001/08) ACORD CORPORATION 1