HomeMy WebLinkAbout1679 CALLIANDRA RD; ; CB032129; Permit08-01 -2003
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB032129
1679 CALLIANDRA RD CBAD PLUM Status: ISSUED
21 59000600 Lot #: 0 Applied: 08/01/2003
Plan Approved: 08/01/2003
Issued: 08/01/2003
Construction Type: NEW Entered By: CB
GRILLONE RES-GAS & ELEC TO BBQ
FIREPIT, 3 OUTLETS, & HOSE BIBS
Inspect Area:
Applicant:
UNLIMITED LANDSCAPE INC.
15708 POMERADO RD
POWAY, CA 92064
61 9-485-1 600
Owner:
GRILLONE LISA R
1679 CALLIANDRA RD
CARLSBAD CA 92009
Plumbing Issue Fee
Fixture or Trap Building Sewer Roof Drain
InstalVRepair Water Line
Water Heater andlor Vent
Gas Piping System
Vacuum Breaker Other Plumbing Fees
Master Drainage Fee
Sewer Fee Additional Fees
TOTAL PERMIT FEES
$20.00 $0.00 $0.00 $0.00 $7.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00 $0.00
$54.00
Total Fees: $54.00 Total Payments To Date: $0.00 Balance Due: $54.00
VAL
T APPLICATION
OF CARLSBAD BUILDING DEPARTMENT
Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO(&3 21-
EST. VAL.
Plan Ck. Deposit
-egal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he IS licensed pursuant to the provisions of the Contractor's License Law
/-
State License #
Designer Name Address city Statelzip Telephone
State License #
0 of the work for which this permit is issued.
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
My worker's compensation insurance c rier and poli umber are:
Policy No. 76'353/L s
Insurance Company A z G &. ,W Expiration Date g// /-f
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR
[7 to become subject to the Workers' Compensation Laws of California.
E HUNDRED DOLLARS [$lo01 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whlch this permit IS issued, I shall not employ any person in any manner so as
s up to one hundred attorney's fees.
0 1, 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 qroving 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).
0
1.
2.
3.
4. number I contractors license number):
5.
of work):
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 I 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):
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
Business and Professions Code for this reason:
PROPERTY OWNER SIGNATURE DATE
COMRLEfe THIS SECTION FOR NONdEsIDwTk4L BUILDINQ'FERMlfS 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? 0 YES 0 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 site7 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(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 the date of such permit or if the building or work authorized by such Dermit is susDended or abandoned
at any time after the work
&APPLICANT'S SIGNATUR DATE
\ WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/18/2004
Permit# CB032129
Title: GRILLONE RES-GAS & ELEC TO BBQ
Description: FIREPIT, 3 OUTLETS, & HOSE BIBS
Type: PLUM Sub Type:
Job Address: 1679 CALLIANDRA RD
Suite: Lot 0
Location:
APPLICANT UNLIMITED LANDSCAPE INC.
Owner: GRILLONE LISA R
Remarks:
Total Time:
CD Description Ac Comrnen
Inspector Assignment: PD
Phone: 7607473500
Inspect gk
Requested By: SHANNON
Entered By: CHRISTINE
29 Final Plumbing Ffdzrrc
Associated PCRs/CVs
InsDection History
Date Description Act lnsp Comments
02/12/2004 29 Final Plumbing CO PD
12/23/2003 29 Final Plumbing CO PD ONCARD
08/04/2003 21 UndergroundUnder Floor AP PD
08/04/2003 24 Rougtvlopout WC PD
08/04/2003 31 UndergroundKonduit-Wiring AP PD
08/04/2003 34 Rough Electric WC PD
License Detail
8'-
IIClass] 1-1
Page 1 of2
Description 1
LANDSCAPING
kalifomia Home Fridav. Auo
License Detail Contractor License # 42901 0
CALIFORNIA CONTRACTORS STATETICEN
~ ~___~
DISCLAIMER A license status check provides information taken from the CSLB license data base. Before
on this information, you should be aware of the following limitations:
0 CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc
complaint disclosure, an icon will appear below. Click on the icon to obtain additional
complaint information. Per B&P 7071.1 7, only construction related civil judgments known to the CSLB are di
Arbitrations are not listed unless the contractor fails to comply with the terms of the
arbitration. Due to workload, there may be relevant information that has not yet been entered ont
Board's license data base.
Extract Date: 08/01/2003
* * * Business Information * * *
UNLIMITED LANDSCAPE & DESIGN INC
1820 S ESCONDIDO BLVD #lo2
ESCONDIDO, CA 92025
Business Phone Number: (760) 747-3500
Entity: Corporation
Issue Date: 10/01/1982 Expire Date: 10/31/2004
* * * License Status * * *
This license is current and active. All information below should be reviewed.
* * * Classifications * * *
llcss I~SWIMMING POOLII
* * * Bonding Information * * *
CONTRACTORS BOND: This license filed Contractor's Bond number 155848 in the am(
$10,000 with the bonding company
AMERICAN CONTRACTORS INDEMNITY COMPANY.
http: //www2. cslb.ca.gov/CSLB-LIBRARY/License+Detail. asp 8/1/2003
License Detail
1-
Page 2 of 2
Effective Date: 12/30/2001
Contractor's Bondina History
BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) PHti
THOMAS LIZARRAGA certified that he/she owns 10 percent or more of the voting stock/e
the corporation. A bond of qualifying individual is not required.
Effective Date: 10/01/1982
* * * Workers Compensation Information * * *
This license has workers compensation insurance with the
WESTPORT INSURAN CE CORPORA TlON
Policy Number: WCXOOO253101 Effective Date: 08/01/2002 Expire Date: 08/01/200
Workers Co mpensation History
Personnel List
License Number Request Contractor Name Request Personnel Name Request
SaIe6wr6on Reque6t Salesperson Name Reauest
Q Mo2 State of California. Gray Davis, Governor. Conditions of Use Privacy Policy
http://www2. cslb.ca.gov/CSLB~LIBRARY/License+Detail. asp 8/ 1 /2003
Aug 01 2003 9:03AM TANENBAUH HRRBER
~.
DAZE (HurOrw) ACORn!. CERTIFCATE OF LIABILITY INSURANCE 08/01/2003
THIS CERTIFICATE IS JSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TMENBAUM-HARBER OF CA, INC. 11610 IBERIA PL., SUITE 200 HOLDER. THIS CERTIFICATE bdES NOT AMEND, EXTEND OR Sm DIEGO, CALIFORNIA 92128 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
858 487 3984
LICENSE #0783125
[RF;B)4A7 -- -
INSURED UNLIMITED LANDSCAPE
& DESIGN, INC.
1820 S. ESCONDIDO BLVD. #lo2 ESCONDIDO, CA 92025
INSURERS AFFORDlNG COVERAGE - _. -- -- _. - __ __
, ~NSUMR A cEMINIc----
INSURER a -FIN FAGT,F: INS URANCEL __ __ __ - _-
up - --. - __ INSURER C GRO
INSURER 0
CITY OF CARLSBAD
2075 LAS PALMAS DR. P34RLSBAD CA. 92009-4659
I
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
MAY PERTAIN. THE INSURANCE AFFORDED BY ME POLICIES i2€SCRlfED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. AGGREGATE LlMlTS SHOWN MAY HAVE BEEN REDUCED BY PAID CUIMS.
ANY REOUIREMENT, TERM OR COND~TION OF ANY CONTRACT oii OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ALL OWNED ClUTOS CBP9 74 7 0 3 3
SCHEDULE0 AUTOS
HIRED AUTOS
NONOWNEO AUTOS . . - . . . . .
WOULD ANYOFTHE ABOVE OESCRIBED POUCYS BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. ME ISSWNO INSURER WILL EXIEAYOR TO MAIL 30 MYS WRITTEN
NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. BUT FAILURE TO W SO 3°C
IMPOSE NO 0ELIGATW)N OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES. // c
&4d AUTHORIZED REPRESENT4TIVE
h DEWCTIBLE I.
f10 DAY NOTICE F R NON-PAYMENT OF P
I
DESCRIPTIOH OF OPER*~N)NYLOCATH3NYVEHICLEYEXCLUS(ONS AOOED BY ENOORSEMENT6ECIAL PAOVQIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE
GENERAL LIABILITY FOR THE WORK PERFORMED BY THE NAMED INSURED RE:
OPERATIONS PERFORMED BY OR ON BEHALF OF "E NAMED INSURED
PER ATTACHED FORM: AD66020195.
Aug 01 2003 9:03AM TANENBAUM HflRBER
Wcy Number: VCGwo6%4S
Insured Name: Ualirnitcd Landscape. and
Dcsign, Inc
858 497 3994 P.2
AI) 66 02 01 9s
Effective Dace: 07109/2003
TMS ENDORSEMENT CEIANGlES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAIC XNSUREED CBLANKECr)
This uxlorsffnenl modifies irtsurancc provided under Le following:
COMMERUAL GENERAL UABLlTY CO-GE PART OWNERS AND CONTlWCTORS PRmECTNE LIABILITY Cot ERAGf3 PART PRODUCTS/COMPLE?ED OPERATIONS LuBlLlTY COVERA( .E PART I
W"0 IS AN INSURED (Stdion [I) is amended to include IS M inrurd ~yper$on, organiution, tturlce, cstalc of Gov- crnrnenrd entity to whom or lo which you mct obligald, by virtue of a mitten coiltrnct or by the issuance or cnistcnce of s
permik 10 provide hsunnc~ such is is afford4 by this policy, but only with rapect 10 opwtions pcrf'cd by you oc on
YOU bebrlf Of to faciiitia used by you and then only for &e limits of liability speGificd in such c000g but in no event for
limits of lirbility harccu of Ibc rppliublc limits oflirbilityof chis policy; procndcd that such person, organization, LNdce.
tslbtp Or Gb~cmmcntal CNijtyrhrll be an Insured only with respect to occurrence. laking phcc Ilk Such written conlnct has
ken crew1d or wch permit has been irsucd.
AD 6602 01 95