HomeMy WebLinkAbout1905 CALLE BARCELONA; ; CB033549; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
NOTICE: Please take NOTiCE ifat approval of your project includes the 'Idposition" o{fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeskxactions." You have 90 days from the date this permit was issued to protest imposition of these feeskxactions. 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 feeslexactions 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
~
12-1 9-2003 Sign Permit Permit No: CB033549
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type: SIGN Status: ISSUED
Parcel No: Lot #: 0 Applied: 12/17/2003
Valuation: $5,000.00 Construction Type: NEW Entered By: MDP
Reference #: Plan Approved: 1211 7/2003
Issued: 12/19/2003
Project Title: THE FORUM Inspect Area: PS
1905 CALLE BARCELONA CBAD
MONUMENT SIGN W/ELEC @ CORNER ECR & CALLE
Applicant:
VRATSINAS CONSTRUCTION COMPANY P 0 BOX 2558
LITTLE ROCK, AR
72203-2558
501-376-001 7
Owner:
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee Electrical Fee Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$61.19
$0.00 $39.77 $0.00 $0.00
$0.00
$0.00 $20.00
$0.00
$120.96
Total Fees: $120.96 Total Payments To Date: $0.00 Balance Due: $1 20.96
n
Clearance:
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Assessor's Parcel # Existing Use Prop?sed U
Description of Work 4 5kM 04 u4 (e(.& SO. FT. ?&- 8 uppbm #of Stories S' FA PWYILA~ # of Bedrooms led MWUWA # of Bathrooms
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. An violation of Section 7031.5 by an appli ant for a permit Subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001\.
Name
LIT? cc. RUCK #.jell UJi3 Sol 3 lC,W>
City Statelzip Telephone # rrI, LovrspuM
Address dc.c.
City Business License # : State License # 5 72 (05 7 License Class
Designer Name Address city Statelzip Telephone
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
rl have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
[THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$I001 OR LESS)
0
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' com
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
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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).
0 1, 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 wrth contractor(s) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES ON0
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
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 I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
PROPERTY OWNER SIGNATURE DATE
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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES [I1 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district!
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
0 YES 0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code)
LENDER'S ADDRESS LENDERS NAME
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 CitP 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
at any time ant., Ihe work is of such permit or if the building or work authorized by such permit is suspended or abandoned
106.4.4 Uniform Building Code).
APPLICANT'S ';NATURE Y DATE ]2-//7 /03
WHITE File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/2 1 /2004
Permit# CB033549 Inspector Assignment: PS
Title: THE FORUM
Description: MONUMENT SIGN W/ELEC 0 CORNER ECR & CALLE
BARCELONA
Type: SIGN Sub Type:
Job Address: 1905 CALLE BARCELONA
Suite: Lot 0
Location:
APPLICANT VRATSINAS CONSTRUCTION COMPANY
Owner:
Remarks: AM PLEASE -SIGN Q C.BAR. & ECR
Phone: 9097723766
Inspector: ';p
Total Time:
CD Description omment
Requested By: JEFF KAZMARK
Entered By: CHRISTINE
19 Final Structural
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/29/2004 66 Grout AP PY
03/12/2004 1 1 Ftg/Foundation/Piers AP PY
03/29/2004 11 Ftg/Foundation/Piers wc PY
01/22/2004 11 Ftg/Foundation/Piers co PS
a
?
City of Carlsbad Bldg Inspection Request
For: 03/1 a2004
Permit# CB033549
Title: THE FORUM
Inspector Assignment: PS
Description: MONUMENT SIGN W/ELEC Q CORNER ECR & CALLE
BARCELONA
Type: SIGN Sub Type: Phone: 9097723766
Job Address: 1905 CALLE BARCELONA
Suite: Lot 0
Location: Inspector:
APPLICANT VRATSINAS CONSTRUCTION COMPANY
Owner:
Remarks: 1 pm insp please
Total Time: Requested By: JEFF
Entered By: CHRISTINE
CD Description Act Comment
11 Ftg/Foundation/Piers
Associated PCRs/CVs
lnsuection History
Date Description Act lnsp Comments
01/22/2004 11 Ftg/Foundation/Piers co PS
Corporatb Office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (714) 632-2974 FIELD REPORT
Branch Office
7313 Carroll Road, Suite G
San Diego, California 92121
Tel: (858) 537-3999
Fax: (858) 537-3990
I
I CONTRACTORS EWIPMEM I MANPOWER USED:
PFRCENT PROJECT COMPLETION:
WEATHER: SAMPLESTAKEN: R/a I TEMWUTURE: TESTS REWIRED:
SITE TIME START SITE TIME FINISH:
~ ~______~~
3 IZZI Qf
Date of Report
Pnnt Name
corporate office
2992 E. La Palma Ave., Suite A
Anaheim, California 92806
Tel: (714) 632-2999
Fax: (7l4) 632-2974 FIELD REPORT
Branch Off ice
7313 Carroll Road, Suite G
San Diego, California 92121
Tel: (858) 537-3999
Fax: (858) 537-3990
t6%6R-%ING-kl3QUtREMENTS ICBO FIELD INSPECTION MANLJAUMTGL SOIL, MANUAL
IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RF'IS, ETC , FILL OUT AND AlTACH A DEFICIENCY REPORT
WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NCJE ON THE ORIGINAL DEFICIENCY REPOM AND
REVJEW PREVIOUS REPORTS AND LISTS
SUBMIT A COPY WITH YOUR WEEKS REPORTS. - MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO OR MATERUL TEST REPORTS)
CONTRACTORS EQUIPMENT I MANPOWER USED:
WEATHER: CLZ SAMPCESTAKEN: fl
TEMPERATURE: TESTS REWIRED:
SITE TIME START:
LUNCH PERIOD:
SITE TIME FINISH:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH TKSOIL INVESTIGATION RECOMMENDATIONS.
Date of Report ICBO CertKin Number
Y Print Name
3 ZB I- s - D - @ County Certitication Number
Rav: 7R7
. .- . a --....... ( #
Inland Empire:
14320 Elsworth Street, Suite ClOl
Moreno Valley, CA 92553
San Diegohmperial County:
7313 Carroll Road, Suite G
San Diego, CA 92121
E" t:
2992 E. La Palma Ave., Suite A
Anaheim, CA 92806
Tel: 714.632.2999 Tel: 858.537.3999 Tel: 909.653.4999
Fax: 71 4.632.2974 Fax: 858.537.3990 Fax: 909.653.4666
t
FIELD REPORT
SAMPLES TAKEN
SITE nw FINISH.
ICBO Cettifiution Number
City I County Miation Number
Rev 7197
Corporate: San Diego/lrnperial County.
2992 E. La Palma Ave., Suite A
Anaheim, CA 92806
731 3 Carroll Road. Suite G
San Diego, CA 92 121
Tel: 71 4.632.2999
Fax: 714.632.2974
Tel: 858.537.3999
Fax: 858.537.3990
Inland Empire:
14320 Eisworth Street, Suite CIG1
Moreno Valiey, CA 92553
Tel: 909.653.4999
Fax: 909.853.4666
FIELD REPORT
APPROVED PLANS (Y) (N)
FOR WEEK ENDlNG
APPROVED SHqP DRAWING (V) (N)
PROJECT NO 3 - & 1 ,\ ++C 0 4- 1
I 1 OF pG 1 ENGINEER REPORT NO
I c I
CONTRACTOR PLAN FILE NO PERMIT NO
SUE-CONTRACTOR PROJECT AM€
INSPECTION ADDRESS
CONTRACTOR PLAN FILE NO PERMIT NO
SUE-CONTRACTOR I
CH A DEFICIENCY REPORT
I
CONTRACTORS EQUIPMENT / MANPOWER USED: I
SAMPLES TAKEN
TEMPERATURE TESTS REQUIRED
SITE TIME START __ SITE TIME FINISH
TRAVEL TIME ___
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT INVESTIGATION RECOMMENDATIONS.
AND OR THE@ROVED PLANS, SPECIFICATI~AND APPLICABLE SECTION OF THE BUILDING IN THE DEFICIENCY REPORT
Rsv: 7/97
c J
Corporate:
Branch:
Branch:
Branch:
Age Date
(Days) Tested
7 41612004
28 4/2 7/2004
28 412712004
2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806
7313 Carroll Road, Suite G, San Diego, CA 92121
14320 Elsworth Street, Suite CIOI, Moreno Valley, CA 92553
130 IO San Fernando Road, Unit 1, Sylmar, CA 91 342
Tel: (714) 632-2999
Tel: (858) 537-3999
Tel: (909) 653-4999
Tel: (818) 833-8100
Fax: (714) 632-2974
Fax: (858) 537-3990
Fax: (909) 653-4666
Fax: (818) 833-0085
Nominal Actual Area Load Strength Type of
Size (Sq. Inch) (Ibs.) (Psi) Fracture
3X3X6 9.81 26,550 2,710 N/A
3X3X6 10.46 30,500 2,910 N/A
3X3X6 10.36 36,000 3,470 NIA
Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635 FARADAY AVENUE
CARLSBAD, CA 92008
Client: THOMAS ENTERPRISES
Set No.: 4- I2 129 h
File No.:
Permit No.: CB030132
Project No.: 3 1 15G02
Project Name: THE FORUM AT CARLSBAD-SITE WORK
CALLE BARCELONA
CARLSBAD, CA
Specified Strength: 2,000 PSI Sampled By: TORSTENBO
Location: WALL- HIGH LIFT 0 TO 10'
Concrete Supplier: HANSON
Mix No.: 201 1501
Ticket No.: 629970
Water added at Site: 0.00 gal. By
Cement Type: I1N Mix Time: 60 min.
Remarks:
Distribution: THOMAS ENTERPRISES
VCC (CARLSBAD)
NADEL ARCHITECTS, INC. (SD)
MAYERS ASSOCIATES CIVIL ENGINEERS
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
Date Sampled: 3/3012004 Date Received: 4/2/2004
Concrete Temp: 80 "F
Ambient Temp: 80 OF
Slump: 10.00 in.
Tested at: San Diego
Respectfully Submitted,
A
3 190 PSI
28-day compression test complies with the specified strength.
Corporate:
Branch:
Branch:
Branch:
2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806
73 13 Camll Road, Suite G, San Diego, CA 92121
14320 Elsworth Street, SuiteC101, Moreno Valley, CA 92553
I30 IO San Fernando Road, Unit I, Sylmar, CA 9 I342
Tel: (714) 632-2999
Tel: (858) 537-3999
Tel: (909) 653-4999
Tel: (818) 833-8100
Fax: (714) 632-2974
Fax: (858) 537-3990
Fax: (909) 653-4666
Fax: (818) 833-0085
Age Date Nominal Actual Area Load
(Days) Tested Size (Sq. Inch) (Ibs.)
7 311 912004 6X 12 28.27 72,500
28 41912004 6X 12 28.27 12 1,000
28 41912004 6X 12 28.27 124,000
28 H 4/9/2004 6X 12 28.27
Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39
Strength Type of
(Psi) Fracture
2,560 Cone
4,280 Cone
4.390 Cone & Split
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT
1635 FARADAY AVENUE
CARLSBAD, CA 92008
File No.:
Permit No.: CB030132
Project No.: 3 1 15G02
Project Name: THE FORUM AT CARLSBAD-SITE WORK
CALLE BARCELONA
CARLSBAD, CA
Specified Strength: 3,000 PSI Sampled By: GREG EVERSON Date Sampled: 3/12/2004 Date Received: 3/17/2004
Location: MONUMENT SIGN FOUNDATION @ CORNER OF ELCAMINO REAL & CALLE BARCELONA
Concrete Supplier: PALOMAR TRANSIT MIX
Mix No.: 303006
Ticket No.: 1512872
Water added at Site: 5.00 gal. By CONTRACTOR
Cement Type: II/V Mix Time: 37 min.
Remarks:
Distribution: THOMAS ENTERPRISES
VCC (CARLSBAD)
NADEL ARCHITECTS, INC. (SD)
MAYERS ASSOCIATES CIVIL ENGINEERS
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
**LAB COPY**
Concrete Temp: 67 "F
Ambient Temp: 74 "F
Slump: 4.00 in.
Tested at: San Diego
Respectfully Submitted,
4340 PSI
28-day compression test complies with the specified strength.
Corporate:
Branch:
Branch:
Branch:
2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806
73 13 Carroll Road, Suite G, San Diego, CA 921 21
14320 Elsworth Street, Suite ClOl, Moreno Valley, CA 92553
13010 San Fernando Road, Unit I, Sylmar, CA 91342
Tel: (714) 632-2999 Fax: (714) 632-2974
Tel: (858) 537-3999 Fax: (858) 537-3990
Tel: (909) 653-4999 Fax: (909) 6534666
Tel: (818) 833-8100 Fax: (818) 833-0085
Age
(Days)
7
28
28
28 H
Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39
Date Nominal Actual Area Load Strength Type of
Tested Size (Sq. Inch) (Ibs.) (psi) Fracture
311 912004 6X 12 28.27 72,500 2,560 Cone
41912004 6X 12 28.27
41912004 6X 12 28.27
41912004 6X 12 28.27
**
CITY OF CARLSBAD-BLDG INSPECTION DEPT.
1635 FARADAY AVENUE
CARLSBAD, CA 92008
Client: THOMAS ENTERPRISES
Set No.: 4-12097 A
File No.:
Permit No.: CB030132
Project No.: 3 1 15G02
CARLSBAD, CA
A
Specified Strength: 3,000 PSI Sampled By: GREG EVERSON Date Sampled: 311 2/2004 Date Received: 3/17/2004
Location: M8?WMEPIT SlGN FOllNDATiOW @CORWERWELCA#!~~!ik& @kfAJ!?WARCELONA ..
Concrete Supplier: PALOMAR TRANSIT MIX
Mix No.: 303006
Ticket No.: 1512872
Water added at Site: 5.00 gal. By CONTRACTOR
Cement Type: II1V Mix Time: 37 min.
Remarks:
Distribution: THOMAS ENTERPRISES
VCC (CARLSBAD)
NADEL ARCHITECTS, INC. (SD)
MAYERS ASSOCIATES CIVIL ENGINEERS
CITY OF CARLSBAD-BLDG 1NSPECTlON DEPT.
**LAB COPY **
Concrete Temp: 67 "F
Ambient Temp: 74 "F
Slump: 4.00 in.
Tested at: San Diego
Respectfully Submitted,
F -
RS &ASSOCIATES
Civil Engineering, Inc.
PLANNING ENGINEERING * SURVEYING 19 Spectrum Pointe Drive, Suite 609 Lake Forest, CA 92630
http://www.maycrscivil.com
(949) 599-0870 office (949) 599-0880 fax
Certification Field Memo
Attention: , Grading Inspector
Reference Project: Tract N 0. : FUdiW#
Address: CAR4 SBP?LJ
Permit No.: G&D3 3 Ff( 9'
The above mentioned project has been checked and found to be completed substantially in coformance
with the approved 3p- 1 plan, for the area described below.
0 Rough Grade 0 Precise Grade $I Line &-6~acl~1
Mayers & Associates, CIVIL ENGINEERING, Inc.
M&A F-02 04/05/01