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1970 SILVERLEAF CIR; 313; CB090054; Permit
01-12-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB090054 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1970 SILVERLEAF CR CBAD St 313 MISC Subtype REPAIR 2550121600 Lot# 0 $000 Status ISSUED Applied 01/12/2009 Entered By RMA Plan Approved 01/12/2009 Issued 01/12/2009 LA COSTA GLEN- REPLACE DRYWALL & 3 ANGLE STOPS & TUB SURROUND IN MASTER BATH-DUE Inspect Area Applicant PRIMARY GENERAL STE I 5345TIMKENST 91942 619698-7751 Owner CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCHENBRENNER 800 MORNINGSIDE DR FULLERTON CA 92835 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $15700 $000 $000 TOTAL PERMIT FEES $15700 Total Fees $157 00 Total Payments To Date $15700 Balance Due $000 BUILD " ! •- -IN S.OKAGES ATTACHED Inspector FINAL APPROVAL 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 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 City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No Est Value Plan Ck Deposit Date 1 JOB ADDRESS CT/PROJECT II PHASE tt IXT tt or UNITS \ I! BEDROOMS SUITE»/SPACEff/LliNir# II BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet of Affected drears) CONSTR TYPE OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD tt NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Fom Applicant) _ KAy},si \ ADDRESS APPLICANT NAME CITY STATE ZIP ADDRESS CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY 0 LA CONTRACTOR BUS NAM ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX ?<.«- PHONE FAX _- 7731T EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC II STATE LIC It CLASS CITY BUS LIC It (Sec 7031S 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 ol the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt there from and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty ol perjury one of the following declarations O 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 •S"! 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 workers compensation insurance carrier and policy number are Insurance Co b> ®S& t^ t*? $ .St-WTX * /<W> cV«M//Z/ Policy No ^^& ~£>C>) IjT/*? Expiration Date ^ •"/~ ^X O( o This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subiect to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subiect an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees J£$ CONTRACTOR SIGNATURE /J[ J /Jj t/t4!ti?t7^' DATE I hereby affirm that I am exempt from Contractors License Law for the following reason O 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 lor 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) n I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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) O 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 O 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 / 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 / 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 / type of work) ^"PROPERTY OWNER SIGNATURE DATE 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' Cl Yes n 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 a No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 Cl Yes n No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT •; I hereby affirm that there is a construction lending agency for the performance of the work 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 representative 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 stones 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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANTS SIGNATURE /// //, S* . -f- I ,_ DATE / , ? — rt <^ City of Carlsbad Bldg Inspection Request For 03/04/2009 Permit* CB090054 Title LA COSTA GLEN- REPLACE DRYWALL Inspector Assignment RB Description & 3 ANGLE STOPS & TUB SURROUND IN MASTER BATH- DUE TO FIRE & SPRINKLER WATER DAMAGE 1970 SILVERLEAF CR 313 Lot 0 Type MISC Sub Type REPAIR Job Address Suite Location APPLICANT PRIMARY GENERAL Owner Remarks Phone 6197265159 Inspector Total Time CD Description 19 Final Structural Requested By DOUG Entered By CHRISTINE Act (Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/23/2009 17 Interior Lath/Drywall AP RB 02/19/2009 17 Interior Lath/Drywall CO RB NO ACCESS City of Carlsbad Bldg Inspection Request For 02/19/2009 Permit* CB090054 Title LA COSTA GLEN- REPLACE DRYWALL Inspector Assignment Description & 3 ANGLE STOPS & TUB SURROUND IN MASTER BATH- DUE TO FIRE & SPRINKLER WATER DAMAGE Type MISC Sub Type REPAIR Job Address 1970 SILVERLEAF CR Suite 313 Lot 0 Location OWNER CONTINUING LIFE COMMUNITIES LLC Owner Remarks A M PLEASE Phone 6197265159 Inspector Total Time CD Description 17 Interior Lath/Dry wall Act Comments Requested By DOUG Entered By CW Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments NOTICE CITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE /DATE TIME LOCATION / PERMIT NO A FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? : : YES FOR FURTHER IN FORMATION,-CONTACT PHONE CODE ENFORCEMENT OFFICER Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs - Contractors State License Board Contractor's License Detail - License # 806893 tJLi DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this Information, you should be aware of the following limitations » CSLB complaint disclosure is restricted by law (B&P_7124._6) If this entity is subject to public complaint disclosure a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information » Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disclosed » 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 onto the Board's license database License Number Business Information 806893 Extract Date 01/12/2009 PRIMARY GENERAL INC PO BOX 1077 LA MESA, CA 91944 Business Phone Number (619) 698-7751 Entity Issue Date Reissue Date Expire Date License Status Classifications Corporation 04/19/2002 03/29/2004 03/31/2010 This license is current and active All information below should be reviewed ^^•ri ASS I ncsrciBTiriN I I B GENERAL BUILDING CONTRACTOR I^^H CONTRACTOR'S BOND I | Bonding This license filed Contractor's Bond number 899113C in the amount of $12,500 with the bonding company DEVELOPERS SURETY AND INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's_Bonding History BOND OF QUALIFYING INDIVIDUAL The Responsible Managing Officer (RMO) ROBERT HOWARD FAYE certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A 1 bond of qualifying individual is not required Effective_Date 03/29/2004 This license has workers compensation insurance with the STATE. CQMPENS.A:nO_NJNS.URA.NCE .FUND Policy Number 238-0011519 Effective Date 01/01/2009 Expire Date 01/01/2010 Workers' Compensation History Miscellaneous Information Workers' Compensation DESCRIPTION 03/29/2004 LICENSE REISSUED TO ANOTHER ENTITY Personnel listed on this license (current or disassociated) are listed on other licenses Personnel List I Other Licenses Co.nditiqnsoLU.se | P.riyacy...Po!icy Copyright © 2009 State of California http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 01/12/2009 .3. O.S''1^ ~ 3 |S-,0 2^ a II! I ftO ft - -