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HomeMy WebLinkAbout1970 SILVERLEAF CIR; 113; CB090056; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-12-2009 Miscellaneous Permit Permit No CB090056 Building Inspection Request Line (760) 602-2725 Job Address 1970 SILVERLEAF CR CBAD St 113 Permit Type MISC Subtype REPAIR Status ISSUED Parcel No 2550121600 Lot# 0 Applied 01/12/2009 Valuation $0 00 Entered By RMA Reference* Plan Approved 01/12/2009 PC# Issued 01/12/2009 Inspect Area Project Title LA COSTA GLEN-REPLACE DRYWALL & 3 ANGLE STOPS IN MASTER BATH DUE TO FIRE Applicant Owner PRIMARY GENERAL CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCHENBRENNER STE I 800 MORNINGSIDE DR 5345TIMKENST 91942 FULLERTON CA 92835 619698-7751 Miscelaneous Fee #1 PERMIT FEE $9200 Miscelaneous Fee #2 $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $92 00 Total Fees $92 00 Total Payments To Date $92 00 Balance Due $0 00 FINAL APPROVAL Inspector /^ f v Date —&*^ >"^^s 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 feas'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 mformation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will b-ii 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 proiect NOR DOES IT APPLY to any fees/exactions of which von 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 760-602-27.17 / 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application Plan Check No (j/Q ^ 0& Sj1—/-/— •• **• —s*^—f- Est. Value Plan Ck Deposit j—J-— ... j Date JOB ADDRESS CT/PROJECT * DESCRIPTION OF WORK Include Square Feet of Affected Area(s) n BEDROOMS SUITE/i/SPACE-'l/UNITIf &,- 113 // BATHROOMS TENANT BUSINESS NAME COMSTR TYPE OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) XA<JIA^ Vj~»A«Lt» ADDRESS lUo SMv^L-^-T C.H. CITY STATE ZIP £./tA*f&A«} C» *)2oo«l PHONE i FAX luo- ^toH- Wft tol\ Tfeo- -7oM - U2.az_ EMAIL I»»*AO *f <3 (.4 C«7xt £<«.» .c»*~. PROPERTY OWNER NAME CanSTi***;^ L.*e &«- .• "b^A LAC«tTA d.le/0 ADDRESS ^ 1^50 S.lwtf*. t«4-f C.A. CITY STATE ZIP c<*ALc4AA ** ?»oa«} PHONE ; FAX *?(.« -T«*f- /o(| -?6.» -•»«»«/- UXuz. EMAIL IjdlKAfe K. (? LA Ctst* tl<* .C«^~. ARCH/DESIGNER NAME & ADDRESS STATE LIC II PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY STATE ZIP PHONE IFAX EMAIL CONTRACTOR BUS NAME P& Mtyn '/ /*o£VvJt>iA C ADDRESS S^<£ T/*ll££ri SA ScvT? / CITY ' STATE ZIP LA /y\c^f\ £A <?/f<f4 PHONE FAX Dft • (<&&- ~77S # / (*rt - Ctfg*') 75" T EMAIL STATE LIC K CLASS CITY BUS LIC #'goto'sqs isim^os" [Sec 70315 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 u licensed pursuant to the provisions of 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 sublets the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration / hereby affirm under penalty of per/ury one of the following declarations n I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued .,£] I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co t^O/fc"?QP<-I^S < OrtlTrY V/'/lAtr/vi *}l f? V Policy No ^3- 8 ~OO| | g~ < *? Expiration Date / — /- g?X Q sf 6 This section need not be completed if the permit is for one hundred dollars (S100) or less C] Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000). in addition to the cost of compensation, damages as provided fonin Section 3706 of the Labor code, interest and attorney's fees £$ CONTRACTOR SIGNATURE f*>T DA1"E 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 no! 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) O 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 a Yes L! 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 / typo 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 25513 or 25534 of the Presley Tanner Hazardous Substance Account Act7 O Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 l~l Yes n No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 C1 Yes C1 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 stories in height 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 period of 180 days (Section 106 4 4 Uniform Building Code) "jA^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 02/04/2009 Permit* CB090056 Title LA COSTA GLEN-REPLACE DRYWALL Inspector Assignment RB Description & 3 ANGLE STOPS IN MASTER BATH DUE TO FIRE SPRINKLER DAMAGE Sub Type REPAIR 1970 SILVERLEAF CR 113 Lot 0 Type MISC Job Address Suite Location OWNER CONTINUING LIFE COMMUNITIES LLC Owner Remarks P M PLEASE Phone 6197265159 Inspector Total Time CD Description 19 Final Structural Act CA?.Comments Comments/Notices/Holds Requested By DOUG Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/14/2009 17 Interior Lath/Drywall AP RB Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs Contractors State Li e Board Contractor's License Detail - License # 806893 ft\ 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 71246) 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_7.Q7.1__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 Business Information License Number 806893 Extract Date 01/12/2009 PRIMARY GENERAL INC PO BOX 1077 LA MESA, CA 91944 Business Phone Number (619) 698-7751 Corporation 04/19/2002 03/29/2004 03/31/2010 This license is current and active All information below should be reviewed Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding CLASS DESCRIPTION GEN.e.RAL.,BU,ILDINe..CPNTRACIQR Workers' Compensation Miscellaneous Information CONTRACTOR'S BOND This license filed Contractor's Bond number 899113C in the amount of $12,500 with the bonding company DEVELQPERS..SURETY ANDJNDEMNITY 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 bond of qualifying individual is not required Effective Date 03/29/2004 This license has workers compensation insurance with the STATE COMPENSATION .INSURANCE FUND Policy Number 238-0011519 Effective Date 01/01/2009 Expire Date 01/01/2010 Workers'.Compensation History. DESCRIPTION 03/29/2004 L|CENSE REISSUED TO ANOTHER ENTITY Personnel listed on this license (current or disassociated) are listed on other licenses Olher Licenses Conditions of Use | Privacy Policy Copyright © 2009 State of California http //www2 cslb ca gov/OnhneServices/CheckLicense/LicenseDetail asp 01/12/2009 LSBAD 'EPT \r Ofry