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HomeMy WebLinkAbout2175 SALK AVE; ; CB091579; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-24-2009 Plumbing Permit Permit No: CB091579 Building Inspection Request Line (760) 602-2725 Job Address: 2175 SALK AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2120210200 Lot#: 0 Applied: 09/24/2009 Construction Type: NEW Entered By: JMA Reference #: Plan Approved: 09/24/2009 PC #: Issued: 09/24/2009 Project Title: VENTANA REAL: GAS & WATER TO Inspect Area: Applicant: Owner: TSA CONTRACTING INC. RIO SD PLAZA II MASTER LLC 9535 WAPLES ST C/0 NEWPORT NATIONAL CORPORATION SUITE 200 1525 FARADAY AVE #100 SAN DIEGO 92121 CARLSBAD CA 92008 858-784-3650 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 1 0 1 0 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $7.00 $0.00 $13.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: $0.00 FINAL APPROVAL Inspector: /\^ Date: ? " -^ *"*'" /^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. <lfwT Building Permit A| yt-^^vv 1635 Faraday Ave., Carlsba ' ^y 'CITY OF 760-602-2717/2718 f^ ADI C D A r^ Fax: 76°-602-85 f A\f\| jljy'XLjF www.carlsbadca.i JOB ADDRESS /-. „ CT/PROJECT* ^^ LOT* PHASE # # OF UNITS * BEDROOMS ,._ ^._ Plan Check No.O^cD^S"?^ppiiCQtion d, CA 92008 Est. Value/ zt±y58 Plan Ck. Deposit m Date tflzy/Q^ ^l/Vtf\ SUITE*/SPACE#/UNIT# APN " ((BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (« Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD# NOD YES D NOD YES D NO O APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME _ r~, /-^ \ iTSM ror\-\r^cV'Aa ADDRESS Q - - \ ^oS>_> l~>orje<>S'Tr~9-ti " ST*--^^/ CITY \ STATE ZIP PHONE , ' FAX i EMAIL ' STATE LIC.#-^ CLASSr^. CITY BUS. LIC.*1KW& ~L> (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 theappjicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter a, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that 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 acivil penalty of not more than five hundred dollars ($500)). W O RK E R* ' C O m P E N £ A "f.I O M Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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 of the work for which this permit is issued. j^O have and will maintain workers'.compensation, as required by Section 37M of the Labor Code, for the performanceQf the work for which this permit is issued. My workers' compensafon iosurance<cam'er and policy t> '1 number are: Insurance Co. n 37M of the L -fu\O Policy No. I I Q 'Expiration Date msatbn iosurano _^ O This section need not be completed if the permit is for one hundred dollars ($100) or less. CD 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>>oyirage 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, damagp^sjAvided fc^fn S/ction 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE OWN «,R ?-«« l:!t.O M. 8 D E C L.fl.tf A T:l Q W / hereby affirm that I am exempt from Contractor's License Law for the following reason: G 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 properly 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). D 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). O I am exempt under Section 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. Cl Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) 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 following person to coordinate, supervise and provide the major work (incl ude 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 DATE THIS SECTION N O N • R E $ I D £ N T I A t 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. "clip,.* f * u c TI o N m « N,C Y I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) 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 representative of the City of Carlsbad to enter upon Ihe above mentioned property for inspecbon 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. OSH A: An OSHA permit is required lor 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 Cot&stell expire by limitation and become null and void if Ihe building or work authorized by such permit is not commenced within 180 days from Ihe date of such permit or if the buidkig or work authpijjga1 by such^pe^^sylpendedjxajiandoned at any time after tte APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/24/2010 Permit* CB091579 Title: VENTANA REAL: GAS & WATER TO Description: Inspector Assignment: RB Type: PLUM Sub Type: Job Address: 2175 SALKAV Suite: Lot: 0 Location: APPLICANT TSA CONTRACTING INC. Owner: RIO SD PLAZA II MASTER LLC Remarks: Phone: 8584371775 Inspector: Total Time:Requested By: BILL Entered By: CHRISTINE CD Description 29 Final Plumbing Act Comments ft? 0£ +9 Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act 11/12/2009 18 Exterior Lath/Drywall AP 11/02/2009 14 Frame/Steel/Bolting/Welding AP 11/02/2009 34 Rough Electric AP 10/05/2009 11 Ftg/Foundation/Piers AP 10/05/2009 21 Underground/Under Floor AP 10/05/2009 23 Gas/Test/Repairs AP 10/05/2009 31 Underground/Conduit-Wiring AP Insp Comments RB PY BBQ PY RB RB UNDRG PLUMBING RB UNDRG GAS LINE RB Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 Department of Consumer Affairs Contractors State Lic<e Board Contractor's License Detail - License # 847198 i-Li DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this Information, you should be aware of the following limitations. » CSLB complaint disclosure is restricted by law (B&P 71.24.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. * Per B&P 7071,17, only construction related civil judgments reported to the CSLB are disclosed. *• Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Expire Date: License Status: Classifications: 847198 Extract Date: 09/24/2009 ISA CONTRACTING INC dba D B C 9535 WAPLES STREET SUITE 200 SAN DIEGO, CA 92121 Business Phone Number: (858) 784-3650 Corporation 09/20/2004 09/30/2010 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION GENERAL. BUILDING CQNIR.ACIQR CONTRACTOR'S BOND Bonding: Workers' Compensation: This license filed Contractor's Bond number 661110973 in the amount of $12,500 with the bonding company LINCOLN GENERAL INSURANCE COMPANY. Effective Date: 01/01/2007 CoMractor's_.Bondir!g.Mstory BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) TERRENCE SHAWN ARNETT certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 09/20/2004 This license has workers compensation insurance with the STATE COMPENSATION .INSURANCE FUND I Policy Number: 719-0000227 / Effective Date: 01/01/2008 ( Expire Date: 01/01/2010 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List I Other Licenses Conditions of Use | Privaey_PoJicy Copyright © 2009 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 09/24/2009 INC. March 10,2009 ISA Project &05-02-5011 City of Carlsbad Building Inspection Dept 1635 Faraday Avenue Carlsbad, CA 92008 RE: Authorization to Pull Building Permit To Whom It May Concern: Please note that Matt Hendry is authorized to pull permits on behalf of TSA Contracting, Inc. (State Ucense Number 847198) for the project called Ventana Real D located at 2175 Salk, Carlsbad, CA. If you have any questions concerning this matter, please feel tree to call me at (858) 784-3650. Sincerely, TSA CONTRACTING Terry S. Amett President TSA/ t* 9535 Waptes Street, Ste. 200 || San Diego, CA 92121 tj Tel: (858) 784-3650 | Fax: (858) 784-3651 Contractor's License # 847198