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Home My WebLink About1923 Calle Barcelona; 149; CBC2017-0282; PermitPrint DatE!:06/14/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1923 Calle Barcelona, 149 BLDG-Commercial 2550120400 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: Repair Status: Lot#: Applied: Reference#: Issued: Construction Type: Fina led: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: JIM BOS: REPAIR DUE TO CAR DAMAGE// REPLACE DOOR// REPAIR STUCCO & DRYWALL BUILDING PERMIT FEE ($0-$500) Total Fees: $130.00 Owner: T-C FORUM AT CARLSBAD LLC 4675 Macarthur Ct Tiaa-Cref, 110 NEWPORT BEACH, CA 92660 Total Payments To Date: $130.00 Contractor: JRE CONSTRUCTION INC 2305 S Melrose Dr, 101 Vista, CA 92081-8752 760-445-4190 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 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 fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBC2017-0282 Closed -Finaled 05/31/2017 05/31/2017 $0.00 $130.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0 BUILDING 0FIRE D HEALTH DHAZMAT/APCD .,: C,cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No~ZO\L-02'2)2.. Est. Value Plan Ck. Deposit www.carlsbadca.gov Date LOT# SUITE#/SPACE#/UNITI' 1"4 q JOB ADDRESS I CT/PROJECT# # OF UNITS TENANT BUSINESS NAME uimno~ CONS TR. TYPE OCC.GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) {!) ~9\-..~ t>crD I'-I ~I 1..\-N"~'-\t.c, @ ~r $~ .H-.)-"' u-,:_ Vw.6Yul.. ,.ff bo ~ .f.v......_c.L:_ (1) ~ j:>l~~ (...,~ fr,-~~k.}'L EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) )/~ ,.c+, AIR CONDITIONING NUQ5:J.. YES D NO APPLICANT NAME Primary Contact (]'(l.e, 0/11' S ~l'M. ADDRESS l,~6 {"" S. ~ ..t I ro~ Dr.¥ 10 CIT)' STATE C,Pt EMAIL .[Ol'IA.... DESIGN PROFESSIONAL CONTRACTOR BUS. NAME "}?.~ l,/k.J,fr,A._~ ADDRESS ADDRESS 21 cTS" ..S. t1'-ll ,o s.1 Ot'. ~ 10 / CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE UC.# STATE UC.# CITY BUS. UC.# o.pp-t..uL.d. (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 Code] or {hat he is exempt therefrom, and the basis 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 ($500}). Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: _Qi 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. ps-1 have and will maintain workers' compensation, as reQuired by Sectio"'3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ·nsu nee carrier and policy numberare:lnsuranceCo. /A( tc.A-tk-t--PolicyNo. ~1 f'/Z, '{l() f7 Expiration Date -#_,__"/)_,_... _____ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 cov ge is 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 compensation, dama es as provided fo~e io 37 the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I'"/ I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 himse~ 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). 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). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O ves 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 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 contraclors' license number): 5. 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 I type of work): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or futurtfbuilding occupant required to submit a business p~tely 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 applicai1hir future building occupant required to obtain a permit from air pollution control district or air q~nagement district? Yes ~ Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes ~ 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. I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cansbad 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 pem,tt is required for excavations <1ver 5'0' deep and demolition or construction of structures <1ver 3 stories in height EXPIRATION: Every pem,tt issued by the Building Official under the provisions of this Code shall expire by imitation and become nua and void if the building or WOik authorized by such permit is not commenced \\ithin 180 days from the date of such permit or if the buicling or WOik authorized bY. perm' · suspended or abandoned at any time after the WOik is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ,,a$ APPLICANT'S SIGNATURE A 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. crf1' 11r1cA. ..-~ OF OCCUPANCY / C O Ill 171 (' , C I , , I i'roJe:cr~ 0 fl i ~,; Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,L5 APPLICANT'S SIGNATURE DATE It ,t PERMIT INSPECTION HISTORY REPORT (CBC2017-0282) •' Porm,t .,pe: BLDG-Commercial Application Dato: 05/31/2017 Work Class: Repair Issue Date: 05/31/2017 Status: Closed -Finaled Expiration Date: 11/27/2017 IVR Number: 4037 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status 06/14/2017 06/14/2017 June 14, 2017 BLDG-Final Inspection 026128-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette T-C FORUM AT CARLSBAD LLC CARLSBAD TCT#92-08 GREEN VALLEY 1923 Calle Barcelona , 149 Carlsbad, CA 92009-8458 Reinspection Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1