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Home My WebLink About1923 CALLE BARCELONA; 148; CO150006; Certificate of Occupancy01-27-2015 City Of CarlsbadncpORD COPY 1635 Faraday Av Carlsbad, CA 92lW-^^^'^*^ Certificate of Occupancy Cert of Occ#:C0150006 Permit Type: COFO Related Bldg Permit*: CB141742 Bldg Address: 1923 CALLE BARCELONA CBAD St: 148 Parcel No: 2550120400 Occupant Name: URBAN PLATES Contact Name: ANDREW KIESLING Issue Date: 01/27/2015 Piione#: Rhone*: 760-230-1700 Building Owner: T-C FORUM AT CARLSBAD LLC C/O TIAA-CREF 4675 MACARTHUR CT #1100 NEWPORT BEACH CA 92660 Description of Use: RESTAURANT Phone#: I certify that this building or portion complies with the California Building Code for the group and division of occupancy and the use for which the proposed occupancy is classified. The above information is true and correct, and I make this statement under penalty of perjury. Signature of Building Official, Date Date Routed Use Zone Inspected By Inspected By Inspected By FOR DEPARTMENTAL USE ONLY Occupancy Group: A2 Date/Z^V-a/S' Date. Date Construction Type: 5B Approved/ Approved. Approved Disapproved Disapproved. Disapproved, Comments: COMPLgTE THIS SECTION FOR N O N - i? E $ I D E N T I A 1. BUILOING PERMITS ONLY Is the applicant or future building occupant required to sutxnit a business plaofSQUtely hazardous matenais registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes Is the applicant or future building occupant required to obtain a pertTiit from InerW pollutton Yes / Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes /rie. >—' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNL^THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CO NSTRUCTION LENDING AGENCY I hereby affimi that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certl^that I have read the applkation and state that the above Infarniation Is conect and thatthe inlbrmation on the plans Is accurate. I agiee to comply with all Cily ordinances and State laws relating to building constmction. I hereby authorize representative of the City of Carlsbad to enter upon the above menttoned property Ibr inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST AU 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 constmction of stiuctures over 3 stories in height. EXPIRATION; Every pemiit issued by the Building Official under the provisbns of this Code shall expire by limitatton and become null and void if the building or vroik authorized by such permit is not commenced within 180 days from the date of sxh permit or if the building or work authorized by such pemiit is suspended or abandoned at any time after the vrork is commenced for a period of 180 days (Sectton 106.4.4 Unifoim Building Code). >eS'APPLlCANT'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 buildina(S)carlsbadca.aov or Mall the completed fom to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) COIS0OO&>' CONTACT NAME OCCUPANT NAIME —_ — J ADDRESS goS"^ So -^I^'YO Avenue, BUILDING ADDRESS ^ /, ^ ii. , /f?'^ Gxlle. three, CITY STATE ZIP ZIP Carlsbad CA PHONE FAX l^-z^o- I70Q I EMAIL RFI n/FRY npnONS --^ OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: <XONTACT [Listed aboveT>) OCCUPANT (Listed above) CONTRACTOh (OrTF IVIAIL/FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION DATE V0< THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: QPLANNING nENGINEERING •BUILDING QFIRE • HEALTH nHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: buildingigcarlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUrrE«/SPACE*/UNIT* APN - CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# NOQ AIR CONDITIONING YES I^NO Q FlRESPRINKLERS YESj |NO| 1 APPLICANT NAME (Primary Contact) APPLICANT N« LME (Secondi iry Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTYOWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City orOounty which requires a permit tq construct, alter, improve, demqiish qr repair any structure, prior to Its Issuance, also requires the applicant fqr such permit te file a signed statement that he '- " ' **- *' • •• • - -• •r^i—.— r' ••• r—.-.— -./^,^/^ r... Business and Prqfesslons Cede) qr that he Is exempt theret civil penalty qf not more than five hundred dollars ($500)). applicant fqr such permit tq file a signed statement that he Is licensed pursuant tq the previsions of the Centractor's License Law (Cnapter 9, cqmmending with Section 7000 of DIvlslqn 3 qf the Business and_Prqfessions Cqd_e) qr that he Is exempt therefrom, and the basis fqr the alleged exemptiqn. Any vlqlation of Section 7031.5 by any applicant for a permit subjects the applicant to a WORKERS' COMPENSATION Vtoiiiiers'Ctmpm)S!tion\M»riSon: I hereby affinn under penalty of perjury one of the lollowing decla^^^ HI have and will maintain a certificate of consent to self-insure for wqrkers' ccmpensatlqn as provided by Section 3700 of the Labor Code, for the periormance of the work fqr wtiich this pennit is issued. I have and will maintain workers' compensation, as required by Section 370O of the Labor (Me, tor the performance of the wod( for wtiich this permit is issued. My workers' compensation insurance canier and policy number are: Insurance Co. Policy Nq. Expiratiqn Date This sectiqn need net be completed If the pennit Is for one hundred dollars ($100) or less. I I Csrtificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject tc the Workers' Compensation Laws of Califqmla. WARNING: Failure to secure workers' competisation coverage 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, damages as provided for in Section 3706 of the Labor code, Interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE OW N E R - BUiLDER DECLARATION / h&eby affirm that I am exempt from Confraclor's license Law for the following reason: I I I, as owner of the property or my emplqyees with wages as their sole ccmpensatkin, virill do the work and the stnicture is not intended or oflered lor sale (Sec. 7044, Business and Piolessions Cqde: The Contractor's Lk:ense Law does not apply to an owner of property who builds or Improves thereon, and who does such worit himself or through his own emplqyees, provided that such impmvements are not intended or offered fqr 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 purpqse qf sale). I I I, as qwner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professiqns Code: The Contractor's License Law does not apply to an owner of property who buikls or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Sectkm _ .Business and Professions Code fqr this reasqn: 1.1 persqnally plan to provkJe the major labor and materials for construction qf the propqsed property improvement. ^Yes I INO 2.1 (have / have net) signed an applteatton for a building pennit for the proposed work. 3.1 have conlracted with the foltowing person (finn) to provide the propqsed constmction (include name address / pbone / contractcrs' license number): 4.1 plan to provide portions of the wori*, but I have hired the foltowing person to cooniinate, supen/ise and provide the major work (include name / address / phone / contractors' license number); 5.1 will provide some of the wori(, but I have centracted (hired) the following persons te provide the work indfcated (include name / address / phone / type of woric): ^efpROPERTY OWNER SIGNATURE QAGENT DATE