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Home My WebLink About1923 CALLE BARCELONA; 148; CB142398; Permit09-18-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Demolition Permit Permit No: CB142398 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Occupancy Group: 09/18/2014 PC #: # Dwelling Units: Bedrooms: Project Title: 1923 CALLE BARCELONA CBAD St: 148 DEMO Full Demo: N 2550120400 Lot #: 0 Reference*: CBI 41742 0 0 URBAN PLATES: Tl: CB14-1742 Structure Type: Bathrooms: DEMO IN PREP FOR Applicant: SOUTHWEST DEMOLITION 1024E28TH ST LOS ANGELES GA 90011-2033 323-521-1323 Status: Applied: Entered By: Owner: T-C FORUM AT CARLSBAD LLC c/o TIAA-CREF 4675 MACARTH U R CT # 1100 NEWPORT BEACH CA 92660 ISSUED 09/18/2014 JMA Plan Approved: Issued: 09/18/2014 Inspect Area: Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $20.00 $33.00 $12.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 EXPIRED PERMIT PERMIT HAS EXPIRED !N ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMEMDED BY|C.M.C.18.04.030 OATEjjjzj^SISNATyRS /j^^' Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, reservations, or other exactions hereafter coilectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions, if you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and fiie the protest and any other required infomiation with the City IVlanager for processing in accordance with Carlsbad iVIunicipai Code Section 3.32.030. Failure to timely follow that procedure wiii bar any subsequent legal action to attaci<, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor pianning, zoning, grading or other similar appiication processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTiCE similar lo this, or as to which the statute of limitations has oreviouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING nENGINEERING nBUILDING DFIRE ] HEALTH nHAZMAT/APCD City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (6( ' ^ 3 ^ ^ Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS ' |L0T# I PHASE # I # OF UNITS j # BEDROOMS « BATHRJOMS ^ CT/PR0JECT# TENANT BUSINESS NAME CONSTR. TYPE 15L DESCRIPTION OF WORK: fnc/ude Square Feet of Affected Areafs; EXISTING USE . PROPOS.»|USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FlRESPRINKLERS YES|~|# NO^. VES^NO | | YES^NO| | PHmaTy''cont"ct J^I^QUJ^ \A^U\^ PROPERTYOWNER ^ ^0^^^VK CITY STATE ZIP/TV. /«7 FAX FAX EMAIL DESIGN PROFESSION^p.^ VWcX^^g^ /Vt """"""""•""'^oinWia^-r 'OCTn«>L.niciJ PHONE , ^ ^ >, ^ FAX 'SZ\. 15-25 '5?3'5ZA- \%,s EMAIL \ ^—^ STATE L1C.# , „ CLASS CITY BtlS. LIC.# ' (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 issuancl, ilso. 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 Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applioantfor a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMCCNSA TION Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declarations: 11 have and will maintain a ceitificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the woht for which this pennit is issued. ]E^^have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, forthe perfomsnse ctf the wo(k for w^Jtus permit is i^ijpd. My worl<e[S' compen§aljpn insurance camewnd policy number are: Insurance Co.. Policy No. ^\ \lJ\^\Ji ] J \^ Expiration Date /\ This section need not be completed if Ihe permit is for one hundred dollars ($100) or less. ' I I Certificate of Exemption: I certify that in theugrfonnanceJif the wori( for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worlters' Compensation Laws of Califomia. WARNING: Failure to secui;»ifonRi^ompenatloMAyerage ^ unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatioiySamagis ^providat for 'fy&lrjion 3f 06 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE •^^ENT DATE O WN£R-B) I LDE I' C EC LARA TIOW / hereby affimi fhsf / am exempt from Contractor's Ucense Law for the fotlowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves Ihereon, and who does such work himsell or through his own employees, provided lhal such improvements are nol intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bunlen of proving that he did not build or improve for the purpose of sale). • [ I I am exempt under Section I, as owner of the properly, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who buiids or improves Ihereon, and contracis for such projects wilh contractor(s) licensed pursuant to the Contractor's License Law). .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. [^Yes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the tollowing person to coordinate, supervise and provide the major wort (indude name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future buiiding occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted wilhin 1,000 feet of the outer boundary of a school site? Yes 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. —" u: :r^.— 1 hereby affinn that there is a construction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 11. I certif th^ I have read the application and state that the above intbnnation is conect and that the Inlbmnation on the plans is accuiate. I agree to comply with all Cily ordinances and State laws relating to building constniction. I hereby authorize representative ofthe City of Caristad to enter upon the alwve mentioned property for inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pemnit is required for excavations over 5'0' deep and demolitbn or construction of stmctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitatton and become null and void if the building cr viorit authorized by such permit is not commenced within 180 days from the date of such pemnit or if the building or viort< authorized by such pennit is suspended or abandoned at any time after the is oommenoed for a period of 180 days (Sectton 106.4.4 Uniform Building Code). vfiTAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buiidinataicarlsbacica.gov or Mail the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CO NTACT (Listed above) OCCUPANT (Listed a bove) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jeiAPPLICANT'S SIGNATURE DATE 1024 E. 28TH STREET, #A LOS ANGELESCA 90011 TEL: 323-521-1323 FAX: 323-521-1365 www.southwestdemo.com September 17, 2014 This letter gives Tom McCabe authorization to act as an agent under Southwest Demolition, Inc. in order to obtain demolition permits with the City of Carlsbad, for Urban Plates, 1923 Calle Barcelona Ste. 148, Carlsbad, CA 92009 5mael Esparza ' President