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HomeMy WebLinkAbout2149 CORTE ACEBO; ; CB022010; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No CB022010 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2149 CORTE ACEBO CBAD PATIO 2552601200 Lot# $1,526 00 Construction Type 0 NEW THOMAS RESIDENCE METAL PATIO COVER ICBO 1841 Applicant SKYLINE SUNROOMS 8075 ALVARADO RD LA MESA, CA 91942 619-469-9556 Status Applied ISSUED 07/08/2002 Entered By MDP Plan Approved 07/08/2002 Issued 07/08/2002 Inspect Area Owner THOMAS TIMOTHY&DEBORAH 2149 CORTE ACEBO CARLSBAD CA 92009 0757 07/08/02 0002 Ol 02 CG.P 52-83 Total Fees $5283 Total Payments To Date $000 Balance Due $5283 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $31 41 $000 $2042 $000 $1 00 $000 $000 $000 $000 $5283 Inspector 7M. FINAL APPROVAL Date _2 Clearance NOTICE Please take NOTICE tnat 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION 4 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 T INFORMATION i^r FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #6*frraF Existing Use Proposed Use Description of Work 12: iPCONf ACT PERSON (if different torn Ipliicaht) SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address ..3-_ APPLICANT D Contractor KAgent for Contractor -D Owner City ier State/Zip Telephone tt Fax tt 4 PROPER TiKfName ' Address City State/Zip Telephone 4 PRQgERTY OWNER jtimName Address City State/Zip Telephone (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 oLSection 7031 5 by^ny applicant for a permit subjects the applicant to a gpajjjenalty of notjuorejhan fivejjundred dollars_l$500IJ City ' State/Zi| City Business License # Z.7 1. Name State License tt Address License Class iphone # Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION '""""""" Ar " Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 Qfl I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whichithis permit is issued My worker s compensation insurance carrier and policy number are - I Insurance Company ^ 1 /\|C^ £ff*^*\ Policy No / (pP / ( I | Expiration Date l.\ I 0 ' - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) I l~l 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 dolla^flTo^.OOO), lnifwytignto the cost of compensation, damages as provided for in Section 3706 of the Labor tode^jnterest and attorney s fees SIGNATURE^.-- i" % IT*Jf I^^V DATE 7 /1 / d 7'ffb'W ^ ^ I hereby affirm that llflli axyiflpt 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) C] 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) t~l 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 YES QNO 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 ONLYrf::: f *!;,;. A 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? d YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' fj] YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [J YES D 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 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 .fiiki,. ' : : f .>?««••• ; : •:=• 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 bui]d»g,0>fficial 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 rujt*e«irnenced wiftiVyrjfeo days from the date of such permit or if the building or work authorized by su/h peynit is suspended or abandoned at any time after the work is/wmrnenc^l for aBerjbLe*J80 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE)<^l'Sj^^2fc"4fcL-Pr " DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/19/2002 Permit# CB022010 Title THOMAS RESIDENCE Description METAL PATIO COVER ICBO 1841 Inspector Assignment 2149 CORTEACEBO Lot 0 Type PATIO Sub Type Job Address Suite Location APPLICANT SKYLINE SUNROOMS Owner THOMAS TIMOTHY&DEBORAH Remarks Phone 6197335159 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By JULY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments lACORDj^mn^a^"^^&^^^^^^ rswo.-.^- ,; «^?»^>^5^^^^^rs«^^^?si^^^r*^R^~ PRODUCER 619-699-1377 ' ROBERT F. DRIVER COMPANY, INC. 1 620 FIFTH AVENUE SAN DIEGO, CA 92 101 INSURED Skyline Sunrooms Inc. 5710 Kearny Villa Rd., Ste C San Diego CA 92123 i ^^S^^JJSKftSfeSi^i^^'^ """lo/Siwi" ' '* THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY ALLIED INSURANCE COMPANY COMPANY STATE COMpENSAT|ON ,NS pUND COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 BY 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 A B TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ) CLAIMS MADE | X | OCCUR OWNER S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILrTY THE PAH OFF! PROPRIETOR/ ,NCL CERS ARE EXCL OTHER POLICY NUMBER ACP7800986534 1607179 ^m^f -ZS-T?< POLICY EFFECTIVE DATE (MM/DD/YY) 11/01/01 11/01/01 •?5 POLICY EXPIRATION DATE (MM/DD/YY! 11/01/02 * 11/01/02 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MEO EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE v | we STATU i IOTH- * 1 TORY LIMITS 1 1 EH EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE EA EMPLOYEE t 2000000 « 2000000 » 1000000 t 1000000 * 50000 « 5000 « t > * • 4 $ » » 4 .. » 1000000 « 1000000 « 1000000 DESCRIPTION OF OPERATIONSaOCATIONS/VEHICLES/SPECIAL ITEMS 10 Days Notice Cancellation non CITY OF SAN DIEGO BUILDING INSPECTION DEPT. 1222 FIRST AVENUE, MS 301 SAN DIEGO, CA92101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 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 UPONVTME COMPfflW. ITS AOENTS OR REPRESENTATIVES