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