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Home My WebLink About1615 CORTE ORCHIDIA; ; CB010154; Permit01/11/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB010154 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1615 CORTE ORCHIDIA CBAD MISC Subtype 2159503400 Lot# $000 CT98-17 OTHER 34 ENCANTADA-GARAGE TO TEMP SALES OFFICE Applicant RYLAND HOMES OF CALIFORNIA STE 200 5740 FLEET ST CARLSBAD CA 92008 760 603-8001 Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/11/2001 RMA 01/11/2001 01/11/2001 8776 01/11/01 0002 01 02 75.00 Total Fees $7500 Total Payments To Date $000 Balance Due $7500 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEE $7500 $000 $7500 Inspector Date 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 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 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated B Date , IT Address (include Bldg/Suite tt). v34 BusineSs"flame (at this address) Legal Description Lot No Subdivision Name/Numoer \ 4r> ' Unit No Phase N Total # of units Assessor s Parcel tt Existing Use Proposed Use Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms CONTACT PERSON (if different from applicant) Name 3 APPLICANT Address City Contractor O Agent for Contractor Q Owner JSfcJfgent for Owner State/Zip Telephone tt Fax tt Name {^\A \CuC\Ch I—blV^O Address 4 PROPERTY OWNER -5"! H O "9V City State/Zip Telephone # Address City State/Zip Telephone ttName 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 I $5001) Address License Class Name State License #la City Business License tt Designer Name Address City State/Zip Telephone 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 Q 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 Insurance Company rTgm \& sL '^&S~\AJ \ CJLQ _ Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure tp^secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred G]—ffi-' Expiration Date Ct \ osyof compensation, damages as provided for in Section 3706 of the Labor c DATE _ | iterest and attorney s feesthousand dollars ($rOJwOO) in addition^ SIGNATURE "^- ~^-£^r\^_ 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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 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) [3 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 Q YES [~1NO 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? f~l YES f~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? O YES C] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d 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(i) 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 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 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 j5enocTo"S48p dayi"teection 106 4 4 Uniform Building Code) i (-^ . /^ ^ , (~/\O. - — - > I1ATC I / \ \ I £j IAPPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance ACORD ._PRODUCfcR Serial * 500068 Aon Risk Services, Inc of Washington DC 1120 20th Strmrt NW Suite 800 Washington, DC 20036 DATE(MM/DD/YY)" 06/01/2000 UP Irl^UHMAIIUNONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE INSURED RYLAND HOMES 5740 FLEET STREET. SUITE 200 CARLSBAD, CA 92006 ATTN JOHANNA TARANTO COMPANY LUMBERMAN.S MUTUAL CAS AMERICAN PROTECTION INS CO COMPANY KEMPER ENVIRONMENTAL THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE WENlSSUEDTOTHE INSURED' NAMlDTffiOVE" FORTHE POLICY~PERiOC INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TT A C B TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE | X~| OCCUR OWNER S & CONTRACTOR S PROT AUTOMOBILE LIABILITY X , ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 1 HIRED AUTOS ~ 1 NON-OWNED AUTOS OARAGE LIABILITY • ANY AUTO EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM WOHKER-3 COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ |NC, PAHTNER&EXECISTIVE 1 OFFICERS AM. exCL OTHER POLICY NUMBER 4LS001114 4LS001115 4LS001116 4BR003219-02 (AOS) • UKU.ttUiil'fcCIAL ITEMS "" POLICY EFFECTIVE DATE(MM/DDIYY) 6/01/98 6/01/98 6/01/98 6/01/00 POLICY EXPIRATION DATE(MM/DD/YY) 6/01/01 6/01/01 6/01/01 6/01/01 fi LIMIT {GENERAL AGGREGATE | PRODUCTS - COMP/OP AGG PERSONAL ft AOV INJURY ! EACH OCCURRENCE FIRE DAMAGE (Any on» fira) MEDEXP (Any one paraon) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Par aapoanl} AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE y I VKSTlCHf JOTH-«• ITORTUMITB | ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL OlSEASC - EA EMPLOYEE S i»_ 2,000,000 * 2,000,000 J 1 ,000,000 I 1,000,000 t 1,000,000 s 5.000 * 1 ,000,000 $ S S I $ S t 5,000,000 $ 5,000,000 $ * 1,000,000 * 1.000.000 I 1.000,000 EVIDENCE OF INSURANCE CITY OF CARLSBAD 1635 FARADAY CARLSBAD, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BS CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.