The URL can be used to link to this page

Home My WebLink About1560 CORMORANT DR; ; CB031467; Permit05-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB031467 Building Inspection Request Line (760) 602-2725 H Job Address Permit Type Parcel No Reference # Project Title 1560 CORMORANT DR CBAD ELEC 2156500204 Lot# Status ISSUED Applied 05/21/2003 RMA 05/21/2003 05/21/2003 BELLOWS RES-GAS & ELECT TO BBQ & GAS TO FIRE PIT Entered By Plan Approved Issued Inspect Area Applicant PRO EARTH LANDSCAPE INC STER 2210ENCINITASBLVD ENCINITAS CA 92024 760633-3120 Owner BELLOWS JAMES A&MARY M 1560 CORMORANT DR CARLSBAD CA 92009 5650 35/21/03 0002 01 02 CGF 47.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $2700 $000 $4700 Total Fees $47 00 Total Payments To Date $000 Balance Due $4700 Inspector Date Clearance NOTICE Please take NOTICE mat 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 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 Address (include Bldg/Suite #) FOR OFFICE USE ONLY PLAN CHECK NO Plan Ck Deposit Validated By Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of WorkCTC* ,2 _; ... CONJA fc TOQ *- JACT PEBSOitiraff . mappliiaht) . SQ FT #of Stones # of Bedrooms # of Bathrooms Name Address City ''ED; Agent for Contractor [3 Owner IjtQ .'Agent ' fpfsOwner .. State/Zip Telephone # Fax Name Address City State/Zip Telephone # 'r. Name Address City State/Zip Telephone ff it COMPANY NAMEi»/:::f;;H£:..;::£;»:, ""^,-^^ -^ :..,^':,; m* • '^y^mi. •.. ^.^^M^- • :"-:-:-^i^ ~^^K;*.. •.-,- (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 Anv 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)) to£AT?fA l&.tNg — •* ' • • - Name ._. ^-._ ' ^_ State License tt < t> C> ^^5 O Address License Class C. 2"? City State/Zip , _ City Business License tt ' ^" Telephone tt Designer Name .State License tt Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 J9. 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 s\/~) Insurance Company SmTI?, GOVYiPt^\)gAT\0\\) IlvK PlA'P Policy No (T)fT)>^ "7^0^ Expiration DateJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) CD CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California \ WARNING Failure to secure workers comAensaTion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred \/ thousand dollars ($')VOO,0/00) in additjvn/to, ipe/co/A j)f compensation damages as provided for in Sectiojj^706 of the Labor cod/,jnterest and attorney s fees J7\SIGNATURE_ 7"SfOWNER I hereby affirm that I am exempt from the Contractor s License Law for the following reason CD 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) • D 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 l~l YES CDNO 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 COMPLETEitHIS SECTION FORWO^fff^fiVTMi BUJLDING PERMITS ONLVjU .Siaj.. ::;4".j,:. : -. • : U: '' "*" ii ...,.„.. ' ,., . ^J"'" 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? CD YES CD 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 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(0 Civil Code) LENDER S ADDRESS X_/^ LENDER'S NAME 9 " APPLICANT CERTIFICATION, : ,, ' '. V • ,..'" . .„ i ,-:. ; .. N% ; ,J; , ",: • ."..'.,. . ? " 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 CitV 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 1 80 days/from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time ii'ter the work is commerteep for a period of ;18(J dayi (Section 106 4 4 Uniform Building Code) APPLICANT s SIGNATURE WHITE File YELLOW Applicant PINK Finance ^u City of Carlsbad Bldg Inspection Request For 08/04/2003 Permit* CB031467 Title BELLOWS RES-GAS & ELECT TO BBQ Description & GAS TO FIRE PIT Inspector Assignment JM 1560 CORMORANT DR Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT PRO EARTH LANDSCAPE INC Owner BELLOWS JAMES A&MARY M Remarks ACCESS CODE 1002 Phone 7606851129 Inspector I Total Time CD Description 39 Final Electrical Act fnment Requested By MARCUS Entered By KAREN ^&A Associated PC Rs/CVs Inspection History Date Description Act Insp Comments 05/22/2003 23 Gas/Test/Repairs AP JM FIRE PIT, BBQ 05/22/2003 31 Underground/Conduit-Wiring PA JM GATE CODE #1002 <3\ ^J SD POLICYHOLDER COPY COMPENSATION INSURANCE PO BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 04-01-2003 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 SD GROUP 000467 POLICY NUMBER 0000738-2003 CERTIFICATE ID 1 CERTIFICATE EXPIRES 04-01-2004 04-01-2003/04-01-2004 LICENSE NUMBER LIC #768368 INCEPTION DATE 04-01-2003 Do so This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days'-advance written notice to the employer We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE EMPLOYER LEGAL NAME PRO EARTH LANDSCAPE, INC 2210 ENCINITAS BLVD , #R ENCINITAS CA 92021* V H.R H , INC PRINTED °3-17-2003 PQ409 SCIF102S5 (REV. 2-01)