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HomeMy WebLinkAbout2320 HOSP WAY; ; CB993332; Permit80() U0L 62--. V ! IZ't"b 09/09/1999 City of Carlsbad Miscellaneous Permit Permit No:CB993332 Building Inspection Request Line (760) 438-3101 Job Address: 2320 HOSP WY CBAD Permit Type: MISC Subtype: REPAIR Parcel No: Lot#: 0 Valuation: $0.00 Reference #: Project Title: REPALCE BEAM-THE GROVES HOA Applicant: BARRERA AND COMPANY H 2207GARNET SAN DIEGO CA 92109 619-483-0660 Owner: Status: ISSUED Applied: 09/09/1999 Entered By: JM Plan Approved: 09/09/1999 Issued: 09/09/1999 Inspect~ 09109199 0001 01. C-PRMT Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date· )2:,-~-9 C} ' Clearance: $60.00 $0.00 $60.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/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 r~ht to protest the specffie<I fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES 1T APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 60 .. 00 • PERM!T APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJEGi~~ON 1 / FOR OFFICE USE 0:(1 3 < PLAN CHECK NO. !...)3 J_,,, EST. VAL.----~--,----- Plan Ck. Deposit ....,,..i..~e....U..~-,--- Validated By-;::,:4,L,d=-r=f-,--/2,77-- Date, ________ ....::;c...::+-L..-I-- .Rl?2.'? nosp Address (include Bldg/Suite #) wq'::( Business Name (at this address) Legal Description Asses~ Parcel # f:ilrl Description of Work Lot No. Subdivision Name/Number Existing Use -SO. FT. --#of Stories sra I½ 2. CONTACT PERSON (If different from applicant) • Unit No. Phase No. Proposed Use -# of Bedrooms Total # of units # of Bathrooms :'.'.aA-REr'-' lh'.)'.i::> c;,o ... p9Nrj: "'07 6 ?&'§T <SAN J> ,s;.c,,.o CA Name -. Ad ess City t?-J State/Zi1J 3. APPLICANT littontractor D Agent for Contractor □ Owner □ Agent for Owner 7 vi 61 i eiephone # Fax It "''" .4,g;~so" Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5, CONTRACTOR ~ 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 fil1 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 thfl Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempti Any violation of Section 7031.5 by any applicant for a permJt subjects the applicant to a civil penalty of not more than five hundred dollars l$5OOl). K' i::r H nu.~ <A-1z. Name Designer Name State license # -~C.~Cf~(,,~%~'1~---- 6. WORKERS' COMPENSATION C:r Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. ~ 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 issued. My worker's com~nsation in~e carrier and policy number are: ,Li, 1 . / Insurance Company ,,;:l(/¥(£ 0 Policy No. frrl3tf Expiration Date f:1/1)0 nH1s SECTION NEED NOT BE coMPLETED IF THE PERMIT 1s FOR ONE HUNDRED DOLLARS [$1001 oR less> I O 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 ..,.,....,.,pensation coverage Is unlawful, and ahall slJbiect an employer to criminal penalties and civil fines up to one hundred thousand dno:11:•:,.~~~-~0~:iltL:~~~o~the;~co~••~o=f~com==pena==atl:::o:n~,~da=m=-=~•:pro:::=vld=od~l=or~in~S=ect=lon~ 3706 of the labor e, terut and attorney's fHa. SIGNATURJ DATE _ __c8,~..,,":C+--'-'----- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner .of the property or my employees with wages as their sole compens'ation, 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). O 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 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. 0 YES ONO 2. I (have/ 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 number/ contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors 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 / phone number / type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 poltutinn contro! dic;trict or air qua!ity manar;emant c.li.;u·i.:ti' D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES D 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. 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. 30970) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION l 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 it the building or work authorized by such permit is not commenc within 3 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 com od of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/1/1999 Permit# CB993332 Title: REPALCE BEAM-THE GROVES HOA Description: Type:MISC Sub Type: REPAIR Job Address: 2320 HOSP WY Suite: Lot 0 Location: APPLICANT BARRERA AND COMPANY Owner: THE GROVE UNIT OWNERS Remarks: BRIDGE REPAIR INSP Total Time: CD Description Act Comments Inspector Assignment: DA --- Phone: 6198071935 Inspector: ~ Requested By: NA Entered By: CHRISTINE 14 Frame/Steel/Bolting/Welding 1.,(/c_ ______________ _ l£_ _____ _ 4--{7;v41= Associated PCRs lnsQection Hislo[ll Date Description Act lnsp Comments 11/5/1999 18 Exterior Lath/Drywall AP DA 11/3/1999 18 Exterior Lath/Drywall co DA SEE NOTICE ATTACHED 10/20/1999 14 Frame/Steel/Bolting/Welding AP DA 10/19/1999 14 Frame/Steel/Bolting/Welding CA DA CA BY RUDY-GATE CODE 7327 10/15/1999 14 Frame/Steel/Bolting/Welding NR DA NO ACCESS Walb-ay Bridie BeU18 0rx., ~'7 m,1,en.,r.,c... <:?~ -r.v, 'vaK) ~ :3 ~f.~ :?.;i Httttell tntlnatlng 31)tt R.UM!t' st. 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