HomeMy WebLinkAbout2775 OCEAN ST; ; CB112500; Permit,. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-28-2011 Miscellaneous Permit Permit No: CB112500
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
2775 OCEAN ST CBAD
MISC
2032350200
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: BEACH TERRACE INN-DEMO STUCCO
@LOWER LEVEL HALL,APPL Y NEW WEEP SCREED.RE-FINISH
Applicant:
PACIFIC PLASTERING
STE 108A
300 CARLSBAD VILLAGE DR
CARLSBAD CA 92003
760-687-1499
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Owner:
TOBO INVESTMENTS L L C
2775 OCEAN ST
CARLSBAD CA 92008
INSPECTION FEE
ISSUED
11/2812011
KG
11/28/2011
11/28/2011
$130.00
$0.00
$0.00
$130.00
Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due:
Inspector: 11\· ~~
FINAL APP OVAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "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 tees and capacity
changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES !T APPLY to any
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«~'» Building Permit Application Plan Check NoC. B / '5""0 0
~ CITY OF
CARLSBAD
OB ADDRESS .,r-"
2-71"J
CT/PROJECf II
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/ UNIT#
# BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Est. Value
Plan Ck. Deposit
SWPP
OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF) FIREPLACE
YES □#_ NO □
AIR CONDITIONING FIRE SPRINKLERS
YES □ NO □ YES D NOD
APPLICANT NAME (Primary Contact) APPllCANT NAME {Secondary Contact}
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
MA
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
E AIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
(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 per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the
Business and Professions Code} or that he 1s exempt therefrom, and the basts for the alleged e~empt1on. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty Of not more than five hundred dollars ($500}).
WOlll<llllS" cOMPf:NJAflOI\I
Workers' Compensation Declaration: / hereby affirm under penalty of p8ljUf'f one of the following declarations·
'B-ttiave 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 worl< for which ttis permit is issued.
□ I have and will maintain wo~ap' co7ipensatlon, as required by Section 3700 of the Labor Code, for the _performance of ~k for which this ~rm~:u_e~. My workers' compens~u~ ?9rrier and policy
eombe,a,e,loso,aoceCo (JL(, ILJ Cf-fi/4LT'{ Policy No. Uwt:4 -flt:?()@ 1/"C/ Expi,atiooDate / 't?',«
This section need not be completed if the permit is for one hundred dollars ($100) or less,
D Certificate of Exemption: I certify that in the perfonnance of the worl< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of
California WARNING: Failure to secure workers' compens era els unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to o~e hu rad thou and dollars (&100,000), in
addition to the cost of compensation, damagesn,,··-.r-n·· 6 of the abor code, Interest and attorney's fees. t
A$ CONTRACTOR SIGNATURE --n-□AGENT DATE / /, C-) /
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
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 o"Mier of property who builds or improves thereon, and who does such worl< 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-bt1ilder will have the burden of proViflQ 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 w1lh conlractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ~~~~-Business and Professions Code for this reason·
1. I personally ~an to provide the major labor and materials for construction of the proposed property improvement. D Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed worl<
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 wor1< (include name I address I phone/ contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worl< indicated (include name I address I phone I type of work):
..65 PROPERTY OWNER SIGNATURE □AGENT DATE
,.
/
--~ -~
COMPLEITI! THU JIICflOI\I FOR JlltHl•RIISltUI\IUA.L lllULPlt,l'G PEIRMITS 01111.Y'
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? □ Yes □ No
Is the applicaot or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes □ 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 ANO THE A1R POLLUTION CONTROL DISTRICT.
I cel1lfy tt,at I have read 1he application and state that the aoove infoimation Is correct and that the lnfoimation oo the plans Is accurala. I agiee to complyv.tth all Clfy ordinances and State law.; relating tD building construcoon.
I hereby authffl representative of the City of Carlsbad to enter up-;in the above mentioned JXOperty tir inspection purp:,ses. I ALSO AGREE TO SAVE, INDEMNIPf .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 CT' THE GRANTING OF THIS PERMIT
OSHA: t,.r, OSHA pennlt is required br excavations over 5'0' deep and demolition or constructK)n of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Bui'ding Offcial under the provisions of lhs c.ode shall expire OJ imitatK)n and become nu! and void tt the building orv.ork authorized by such permit is not commenced 'Mlhin
180 days from the date of such pennlt or if the building o orized by such permit is suspended or abandoned at anytime after the v.ork is oommenced for ape · of 180 days (Seeton 106.4.4 Uniform Building c.ode).
AS APPLICANT'S SIGNATURE DATE
, m City of Carlsbad Bldg Inspection Request
,
,
Permit# CB112500
For: 12/20/2011
Title: BEACH TERRACE INN-DEMO STUCCO
Inspector Assignment: MC ---
Description: @LOWER LEVEL HALL,APPL Y NEW WEEP SCREED,RE-
FINISH WALL
Type:MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2775 OCEAN ST
Lot: 0
APPLICANT PACIFIC PLASTERING
Owner: TOBO INVESTMENTS L L C
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural yl
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lns!lection Histo[Y
Date Description Act lnsp Comments
12/0712011 17 Interior Lath/Drywall WC MC
Phone: 7606871499
Inspector: /vtl --'----
Requested By: MIKE
Entered By: JANEAN
12/07/2011 18 Exterior Lath/Drywall AP MC LATH REPAIR AT RM 10-12 AND 14-16