HomeMy WebLinkAbout2795 OCEAN ST; ; CB040223; PermitCity of Carlsbad P70fl~ ? 01-21-2004
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB040223
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2795 OCEAN ST CBAD
MISC
2032350300
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
01/21/2004
RMA
01/21/2004
01/21/2004
Project Title: BEST WESTERN-FIRE DAMAGE-ROOMS
51,56&61,REMOVE FIREPLACES.NEW FRAME.DRYWALL &
Applicant: Owner:
SAN DIEGO LANDMARK CONSTRUCTION TOBOINVESTMENTS
STE 116
1365 JOHNSON ST 92020
619 440-3115
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $120.00
PERMIT FEE
2785 ROOSEVELT ST
CARLSBAD CA 92008
Total Payments To Date: $0.00
Issued:
Inspect Area:
$120.00
$0.00
$0.00
$120.00
Balance Due: $120.00
3453 ,Jl./21 .. 04 GOCC J.i.
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
f X in fhi i I nivn NTl 'hh r I hrwi
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. OJol(C) ;}:2__3
CITY OF CA0RLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ~
Validated BvJ t __L1::::
Date l [ Q_ l t O ~
Business Name (at this address)
Unit No. Phase No. Total # of units
Name S.tate/Zip Telephone#
~ ! ~ M A , _
, (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 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 ha Is exempt therefrom, and the basis for the alleged
Any_ violation of Sa tion 7031.5 by any aP.plicant for a permit subjects the applies t to a civil penalty of not more than five hundred dollars [$600)1.
-' IP, ,., -1/S-
State License # ..::,.._Z4'2""_~~L..LZ..:./__...i],__ __
· y State/Zip T~ephone #
~ty Business License # /2 tP ?] S, "£ 1
Address City State/Zip Telephone
I 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.
O 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 era:
'-\ Insurance Company ./4 £ ~U:::n .J. Policy No.t?tP /'9</ .r:>;J-r7lc7(!)2 Expiration Date/0 -/,Q f
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallur• to aecur• workara' compana tlon coverag• la unlawful, and ahell subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar• ($1 ,0001, In eddlt to of compenaetlon, damages ea provided for In Section 3706 of the Labor coda, Interest end attorney's fees.
SIGNATURE DATE /-,e<j ---o $?, :7
firm 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 compensation, will do the work and the structure is not intended or offered for sale
(Sac. 7044, Business and Professions Coda: 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(&) 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 parson (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 parson to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number): ______________________________________________ _
6. I will provide soma of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type of work):. ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
fCOMei.TIE ;JHl$...$~CI!Qfif.QB llQ~!IJIJ!!tLQJ!m.MJ.ILQ.N,i,;Y!Jili,;,....,....-~ ..... -.,-.....__....,--'•------:l:....:.-
1s 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 25506, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
fl. 2!!llf™£I!Q!'t.b..~.!?lli9.1'...9!.fiC""Y""' __ 1J..._.5f:'""· __......,_..,._...i..,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S AD. -D;,:_R:_:E::SS;,;:;;;:;;;;;;;::::;-:::--:::;::J::::.::::.::::.:::;;-::::;;:;;:---:;--:--;;:--;-----=--~~•'...,.~"'~""",.;;;:.,;:;;,;;;;::::.-=i~iT,~Nc:.:.::.:.:.=:..;:;illi.;-;;i;-j,.,.-;;..,;.=:,J:;:.,.;;..,-:;;._"""""_.,~---~-"".;..;,,..ilrl,wu.::.. _ .•
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 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 if the building or work
authorized by such permit Is not commenced within 180 days from th data of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced J a period o 8 d ec n 106.4.4 Uniform Building Code).
-i___ APPLICANT'S SIGNATURE ---,.L....,;,~~a,...~~;.t;,,,::;.~~~::::Z.:Zk::--~-------l ~ PINK: Finance
DATE ....,..._/_-_,,:2'-"-_l _-_0--1-{P ___ _
I
·m•:.·-·••· ·.~.": :::: . . . . :••·
City of Carlsbad Bldg Inspection Request
For: 04/13/2004
Permit# CB040223 Inspector Assignment: PD ---
Title: BEST WESTERN-FIRE DAMAGE-ROOMS
Description: 51,56&61,REMOVE FIREPLACES,NEW FRAME,DRYWALL
& ELECT
Type: MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2795 OCEAN ST
Lot 0
APPLICANT SAN DIEGO LANDMARK CONSTRUCTION
Owner: TOBO INVESTMENTS
Remarks:
Total Time:
Phone:~5
lnspect:flA.,,,-., -----
Requested By: LINDA
Entered By: ROBIN
;; -~-~-"s_:~1ft_p._;~-u~-·-~-ra_1 __ u_~/t1~B~'l-c-o_m_m_e_n_t _________________ _
Associated PCRs/CVs
lns(lection Histoty
Date Description Act lnsp Comments
04/08/2004 19 Final Structural CA PD
02/17/2004 14 Frame/Steel/Bolting/Welding AP PD
02/17/2004 16 Insulation AP PD
02/17/2004 17 Interior Lath/Drywall AP PD
02/17/2004 34 Rough Electric AP PD
01/27/2004 14 Frame/Steel/Bolting/Welding co PD SEE NOTICE ATTACHED