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Home My WebLink About1403 CORAL WAY; ; CB004377; Permit11/27/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No CB004377 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1403 CORAL WYCBAD PATIO 2121904000 Lot# $924 00 Construction Type BUSWELL- DECK 77 SF 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/27/2000 JM 11/27/2000 11/27/2000 Applicant H K CONSTRUCTION STE 233 3940 GRESHAM STREET SAN DIEGO CA 92109 858270-1937 Owner BUSWELL PETER S&KATHRYN M 1403 CORAL WAY CARLSBAD CA 92009 Total Fees $41 18 Total Payments To Date $000 Balance Due $41 18 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee TOTAL PERMIT FEES $2435 $000 $1583 $000 $1 00 $000 $000 $000 $41 18 Inspector FINAL APPROVALsi\a/o\Date CleararicP H/27/00 02 41-18 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 ;n 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 capactiy 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 you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATIpN i FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite #1 Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use •7 10 " Proposed Use Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from applicant) Name Address 3 APPLICANT ^Contractor Q Agent for Contractor City Owner CD Agent for Owner State/Zip Telephone #Fax Name 4 PROPERTY OWNER Address City State/Zip Telephone # •Atfi Z^73^ Address 'City State/Zip Telephone #Name I S 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 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 ($5001) Name State License tt 0 Address License Class ' City State/Z] City Business License tt ' State/Zip TelephoneDesigner Name Address ' City State License tt 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 [ST 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 ssued My worker s compensation insurance carrier and policy number are / / (2ott\i>f,Vif p0|icv NO &>- 0000 5~/0/ Expiration Date ////<»/Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars l$\00 000) in addition to Uie cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE vJ^'Z^xMX.X^ fc££~-*«^-i>~£>/ DATE // I'&'J/OD 7 OWNERjBtliLOER DECLARATION ~ ' '' I hereby affirrn t(jat I am exempt from the Contractor s License Law for the following reason Q 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) Q 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) D 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 O 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 contracted (hired) the following persons to provide the work indicated (include name / 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? O YES H] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' £] YES O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES Q 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(0 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 authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106.4 4 Uniform Building Code) , APPLICANT S SIGNATURE yif^Tt^kf^^^. ft^£*-r*s6-f-£e( DATE // / "^7/ ^ VHITF File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/09/2001JXSiMr: J Permit# CB004377 Title BUSWELL-DECK 77 SF Description Inspector Assignment SR 1403 CORAL WY Lot Type PATIO Sub Type Job Address Suite Location APPLICANT H K CONSTRUCTION Owner GREYSTONE HOMES INC Remarks Phone 8582701937 Inspector Total Time CD Description 19 Final Structural Requested By JUSTIN Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp 01/23/2001 21 Underground/Under Floor WC SR 01/23/2001 23 Gas/Test/Repairs AP SR 01/18/2001 17 Interior Lath/Drywall AP SR 01/18/2001 18 Exterior Lath/Drywall AP SR 01/12/2001 17 Interior Lath/Drywall CO SR 01/12/2001 18 Exterior Lath/Drywall AP SR 01/05/2001 14 Frame/Steel/Bolting/Weldmg AP SR 01/05/2001 34 Rough Electric AP SR 12/22/2000 UFrame/Steel/Bolting/Weldmg PA GG 12/15/2000 11 Ftg/Foundation/Piers AP GG 12/14/2000 11 Ftg/Foundation/Piers CO SR 12/13/2000 11 Ftg/Foundation/Piers CO SR Comments APPROVED ON 1/12/01 NOT ALL DONE OK TO SCRATCH NEEDS 4X4 KICKERS INSTEAD OF 2 X 4 DECK OK TO SEAL GAS LINE RUNNING UNDER STRUCTURE GAS LINE RUNNING THROUGH FOOTING ACQRD, CERTIFICATE OF LIABILITY INSURAIS PRODUCER THIS CERTIFICATE IS AEG Insurance Services, Inc ONLY AND CONFER pn Box?8iqoo HOLDER THIS CERTK U BOX ^«1JUU ALTER THE COVERA San Francisco CA 94128-1900 Carrie Crozat (877) AEG-4407 x157 INS,URE INSURED i INSURER A VirgmiaS Gieselmann Construction dba HK Construction | INSURER B •* c/o American Employers Group ' INSURER c || PO Box 281 900 INSURER D p[ _' VSan Francisco! CA. 94128-1900 011.1273 7«6 INSURERS — ~ 1 f\ r; DATE (MM/DD/YY) H-"t 7/18/00 ISSUED AS A MATTER OF INFORMATIO S NO RIGHTS UPON THE CERTIFICA7 IFICATE DOES NOT AMEND, EXTEND O GE AFFORDED BY THE POLICIES BELOV ERS AFFORDING COVERAGE jrety Company VIM <%•••%BUSED, . i COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTAND^ ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED C MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUC POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSRj TVDrnciNCiin/iMrc oni irv MIIMOCH POLICY EFFECTIVE . POLICY EXPIRATION ,,..,,-LTR ! TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYI i DATE (MM/DD/YY) i LIMITS | GENERAL LIABILITY COMMERCIAl GFNERAL LIABILITY ,1 i CLAIMS MADF OCCUR GEN L AGGREGATE LIMIT APPLIES PER i , POLICY JECT LOG , i AUTOMOBILE LIABILITY i ] : ANY AUTO "I 'ALL OWNKI") AUIOS | SCHEDULED AMI OS '' ! HIRED AUTOS ' , dQN OWNED ALIIOS 1 ' i GARAGE LIABILITY ANY AUTO 1 : EXCESS LIABILITY 1 j OCCUR CLAIMS MADf. ' I i ; DbDUCTIBI E | RETENTION i WORKERS COMPENSATION AND A EMPL°YERS UABILITY 05-00005101 1/1/00 1/1/01 OTHER i EACH OCCURRENCE ; $ FIRE DAMAGE (Any one lire) $ MED EXP (Any one person) S ! PERSONAL & ADV INJURY $ , GENERAL AGGREGATE $ i PRODUCTS COMP/OPAGG S COMBINED SINGLE LIMIT , (Ea accident) BODILY INJUnY , fPer person) • ! BODILY INJURY i , (Per iccicicnt) : : PROPERTY DAMAGE „(Per accident) AUTO ONLY FA ACCIDENT $ drupel TH»M EA ACC * AUTO ONLY AGQ j EACH OCCURRENCE $ AGGREGATE $ : ' $ S !» v WCSTATU OTH i, A . TORY 1.IMIIS : ' EF(_. _.. E I. EACH ACCIDENT JS 1 ,000,OOC E L DISEASE EA EMPLOYEE $ 1 ,000, OOC E L DISEASE POLICY LIMIT i J 1 000 OOC I i! i Coverage is provided for all classifications and codes approved for the policy including the Alternate Employees Endorsement Gieselmann Construction 3940 Gresham Street Suite 233, San Diego, CA 92109-0000 CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION Gteselmann Construction dba HK Construction 3940 Gresham Street, Suite 233 San Diego, CA 92109-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATi DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..3_Q__ DAYS WRIT! NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SH> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^^-^^''^''''^ ^--^~~ ^-___^-__^^^x'»£T ^^*