HomeMy WebLinkAbout2750 CIRCULO SANTIAGO; ; CB051669; PermitCity of Carlsbad
1635 Faraday Av Carlsbad CA 92008
Miscellaneous Permit Permit No CB051669
Building Inspection Request Line (760) 602 2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
2750 CIRCULO SANTIAGO CBAD
MISC Subtype
0000000000 Lot #
$000
CASCADE FALL REPAIR WALKWAYS
SECOND FLOOR
REPAIR
0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
\pplicant
UNIVERSE INSlTITUTIONAL HOLDINGS
PIC 90212
Owner
ISSUED
05/11/2005
RMA
05/11/2005
05/11/2005
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $12000
$000
$000
$12000
Total Fees $120 00 Total Payments To Date $0 00 Balance Due $12000
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PERMIT HAS EXPIP<* iN ACTOWMNCE WITH C B C
SECTION 106 4 4 Ac <MEKiM) d> C M C18 04 030
DATEg(..Jofr 05/11/05 0002 01 02
CGF 120 00
Inspector
FINAL APPROVAL
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
r/
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave Carlsbad CA 92008
1 PROJECT INFORMATION /
/A//S&S1&.
FOR OFFICE USE O
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By ,Date -5A/
Address (include Bldg/Suite #)Business Name (at this address.
Legal Description Lot No Subdivision Name/Number Unit No
Assessor s Parcel tt Existing Use Proposed Use
Description of Work SO. FT #of Stones # of Bedrooms of Bathrooms
CONTACT PERSONON Of different from applicant)
^a ,_>9xa
Name
3 APPLICANT Contraotw
Address <- " '
Q Agent for Contractor Q Owner
City
.^Agent f°r Owner
State/Zip Telephone #Fax #
Name
4 PFIOPERTY OWNER
Address
y y > x
City State/Zip
y
Telephone #
/ ^7
Name ••' Address
6 CONTRACTOR COMPANY NAME
(Sec 7031 5 Business and Professions Code Any City or County which requires a permTt 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 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 a civil penalty of not more than five hundred dollars I$500])
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone tt
Designer Name Address City State/Zip Telephone
State License #
6 WORKERS COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
CD 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 compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
PI 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 coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10O^Mt)) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
ty^SIGNATURE ^^^ ~ DATE ^ — /S^—g__^
7 OWM^^mSE^ECLftRATlON
I hereby affirm-that I am exempt from the Contractor s License Law for the following reason
l~l 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 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)
C] 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)
CD 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 Q YES I~|NO
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 / phone number / 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 / address / phone
number / contractors license number)
5 I will provide some of the work but I have^ontracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work)
OPERTY OWNER SIGNATURe" S^as*'**'' ~—-' ~ DATE u^ —
COMPLETE THIS SECJlOtffp^^NlSfSlDENTIAL BUILDING PERMITS ONLY
Is the applicant or futuu£edflding occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention
program under Secj»rfrls25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES CD NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES O 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 3097(i) Civil Code)
LENDER S NAME LENDER S ADDRESS
9 APPLICANT CERTIFICATION
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 representatives of the City 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 if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned
at any time after the work IS commannBfUnfg'perinri nf 1BO riaya (Sartmn 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE
YELLOW Applicant PINK Finance
City of Carlsbad
October 11 2005
UNIVERSE HOLDINGS
9478 WEST OLYMPIC
BEVERLY HILLS CA 90212
RE BUILDING PERMIT EXPIRATION
PERMIT TYPE MISC
Building Department
Permit Number CB051669
Issue Date 5/11/05
ADDRESS 2750 CIRCULO SANTIAGO
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 11/7/05
The provisions of UBC Section 106 4 4 as amended by the Carlsbad Municipal Code state EXPIRATION
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and
become null and void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit) or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit
Before such work can be recommenced a new permit shall be obtained to do so and the fee therefore shall be
one half the amount required for a new permit for such work and provided that no changes have been made or
will be made in the original plans and specifications for such work and provided further that such suspension or
abandonment has not exceeded one year In order to renew action on a permit after expiration the permittee shall
pay a new permit fee
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons The Building Official may extend the time for Action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken No permit shall be extended more
than once
Please check below indicating your intentions and return this letter to us
Project abandoned A new permit will be obtained prior to commencing work
No fee extension requested for 180 days (attach a letter of explanation)
Renewal permit requested
If the project has been completed and only a final inspection is needed please call the inspection request line at
(760) 602 2725
If you have any questions please contact the Building Inspection Department at (760) 602 2700
Christine Wauschek
Office Specialist
1635 Faraday Avenue • Carlsbad CA 92008 7314 • (76O) 602 2700 • FAX (760) 602 8560