HomeMy WebLinkAbout2224 CORTE CICUTA; ; CB990417; Permit01/29/1999
City of Carlsbad
Patio/Deck Permit Permit No CB990417
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2224 CORTE CICUTA CBAD
PATIO
2552625200 Lot # 0
$870 00 Construction Type VN
PATIO W/ELEC
Status ISSUED
Applied 01/29/1999
Entered By MDP
Plan Approved 01/29/1999
Issued 01/29/1999
Inspect Area
Applicant
SIERRA MESA
917 HAWTHORNE
CARLSBAD CA 92009
760-632-6211
Owner
SHEA HOMES-LTD PARTNERSHIP
10721 TREENAST3200
••9213i~--x.\/,,>'//5923 01/29/99 0001 01 02
\ C-PRMT 57."9
Total Fees $5799 r Total Payments To Date ,;x\ $0 00 , V .'Balance Due
--•. ' u '" x '--i
$5799
1 ,— '•
! (i 0 /
Building Permit ; V- --''' ' ;
Add'l Building Permit Fee ;
;
Plan Check \ • :..i:'"---.
Add'l Plan Check Fee ' 'v \
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee \ /;'.- ,
Other Building Fee \ \\ ^, ••- -.
•• -.-.^ ..::;:,.•-"•••" ,#' \ ,.' i
'%. ^ ., ,^' {T}\ • " x \ \
,N\, •4->--'" /// /'?>\ \ v. Ji $2242
:'/"" f ;-;' :f --1 •''''"/ ,: '••--"-••' $000
/ i/ A u qr | /r''CV;// $1457
'•"--:-• i ill ••' / <'-i\--j/ ! $000
, -Vs ..-: ';.-.- ;- y -•-'' / /$1 oo
/' / ^ \-lr:-; ;-- •'"' ./ / $0 00
li'.-.HF-O --.Tel) x- ' •' -• ^ $000
"'--...,. ^2 ,,.-•""" ''."5\\'V:;> / $200°
TOTAL PERMIT FEES $5799
Inspector
FINAL APPROVAL
Date 2-Clearance
NOTICE Please take NOTICE (flat approval of your project includes the Impo ition 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 capactiy
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
2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
^PROJECt jNFORMATtOlNl
FOR OFFICE USE ONLY
PLAN CHECK NO _
EST VAL
Plan Ck Deposit.
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use Proposed Use
Tio rx.N/6n, I 2.0
Description of Work SQ FT #of Stones ff of Bedrooms # of Bathrooms
Address
33%SS®RI388l!SeSS&fX3&
Name Address
»gfiR!r«r^
Ay/lte ^-ntLU 3*
City ' State/Zip Telephone t^:sm
Name Address
.'•"nriAmtZXifv »rji'»JlH^^^^r^-^ *y?:?~M®Z!*r?:';*Vv''->,£3W?£!*~- *~r*.^<^.:£p*s>,i!***.T *SJ*!•^COMPANY'lMAMl^i-xMaef&rr^a^^^
City State/Zip Telephone #
i ••
(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 of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
Name
State License tf Q
Address
License Class C_>~ £-* '
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
fc-. WORKERS' COMPEN$ATIOM:r^;r;?Wf3^«
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
"{jL. 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
Q 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 worker s compensation insurance carrier and policy number are
Insurance Company Cj Tl^-TiJ? (&<^J7~), Policy No r~3 S /Z-^ yo Expiration Date C-ffiJTir-JOJ^
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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 thai) subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 000) in addition to the coot of compensation damages as provided for in Section 3706 of the Labor code Interest and attorney s fees
SIGNATURE DATE
7 *^^I hereby affirm that I am exempt from the Contractor s License Law for the following reason
0 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)
D < 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 Q 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
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? Q YFf 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? D YES Q NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D 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
'*2iilC8N^UCT^k ,.s-;,,:?i:i> -fl:-*-, "*•:'.£;^ -•
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER S NAME LENDER S ADDRESS
:., _ •:•-!--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 constructs I hereby authorize representatives of the CitV of Carlsbad to enter upon the above rnemoned
P,nno»VJ«'nSPeC1i0n PUrP°S8S ' ALS° AGREE T0 SAVE 'NDEMNIFY 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 ™S PERMIT
OSHA An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height
' " ' Bui|dmg Official under the provisions of this Code shall expire by limitation and become null and void if the building or
ommenced within 365^ays from the date of such permit or if the building or work authorized by such permit is suspended
pod oMSO days (Section 106 4 4 Uniform Building Code)
-T~ r~. ^% X7 /O
I
APPLICANT S SIGNATURE
^
'HITE File YELLOW Applicant PINK Finance
City of Carlsbad Inspection Request
For 2/23/99
Permit# CB990417
Title PATIO W/ELEC
Description
Inspector Assignment PY
2224 CORTE CICUTA
Lot 0
Type PATIO Sub Type
Job Address
Suite
Location
APPLICANT SIERRA MESA
Owner SHEA HOMES LTD PARTNERSHIP
Remarks
Phone 7606326211
Inspector
Total Time
CD Description
19 Final Structural
39 Final Electrical
Requested By NA
Entered By CHRISTINE
Act Comments
Inspection History
Date Description Act Insp Comments
2/1/99 31 Underground/Conduit Wiring AP PY
COMPENSATION
INSURANCE
FUND
P 0 BOX 7854
SAN FRANCISCO CA
94120 7854
28 782
WORKERS' COMPENSATION INSURANCE PAYROLL REPORT
40035500012569703000000125600401981001988098274
SO R
2EXP
SIERRA-MESA CONSTRUCTION
6840 DRAPER AVE.
LA JOLLA, CALIF 92037
GROUP 035 9
POLICY 001256 - 97 3
098274
PAYROLL PERIOD 4/01/98 TO 10/01/98 8
104
SEE INSTRUCTIONS ON REVERSE - DO NOT PERFORATE If zero payroll write NONE on all pages Sign Date
and return white copies of all pages
SO R -2 EXP SIERRA-MESA-CONSTRUCTION ..,J)40,15>8 100198 035 ODJ_25_6 97
CLASS
CODE NO
5183
5187
5185
5186
5190
5140
5201
5205
5213
5222
5225
5403
5432
5446
5447
DESCRIPTION OF WORK DONE
SEE REVERSE IF ADDITIONAL
CLASSIFICATION NEEDED
PLUMBING/REFRIG
WAGES PAID TO $19.99 PER HR
PLUMBING/REFRIG
WAGES PAID FROM $20.00 PER HR
AUTO SPRINK INSTALL
WAGES PAID TO $20.99 PER HR
AUTO SPRINK INSTALL
WAGES PAID FROM $21.00 PER HR
ELECT WIRING INSIDE
WAGES PAID TO $20.99 PER HR
ELECT WIRING INSIDE
WAGES PAID FROM $21 00 PER HR
CEMENT WORK FLAT
WAGES PAID TO $17.99 PER HR
CEMENT WORK FLAT
WAGES PAID FROM $18.00 PER HR
CONCRETE CONST
4kC8WTf ^T> *8IDG
iJlftf0fEi^^Li-|NST
^SfSISTl^rS!?!1^ PER HR
^••CAJRPf H^^Y "sCQMMCJJGi AL
i Mw,f \jflfiE?Stn?m?t« 99
M WAGES' PArb^FROM "$20
Itemize payroll below
only for corporate
officers, general part-
ners, LLC members or
relatives (farm only)
not excluded by
enrinrcAmant
YOUR POLICY WILL
BE SUBJECT TO
CANCELLATION IF
THIS REPORT AND
PAYMENT ARE NOT
PER HR
00 PER HR
PAYROLL OF
EMPLOYEES
OVERTIME
EXCESS *
TOTAL
PAYROLL *
RECEIVED BY 10/11/98
INTERIM
RATE
12 37
5 12
11 08
9 48
10 77
5 15
14 00
7 65
12 67
15 41
18 67
32 42
11 08
18 15
8 17
PREMIUM
(MULTIPLY PAYROLL BY INTERIM
RATE THEN DIVIDE BY 100
TO DETERMINE PREMIUM DUE)
GROSS
PREMIUM * ********
MODIFICATION ****
I
1
CHECK MUST BE ENCLOSED FOR THIS AMOUNT
NAME TITLE DESCRIPTION OF WORK DONE CODE NO PAYROLL
$
IS PAYROLL
INCLUDED ABOVE ?
YES NO
YES NO
YES NO
I (we) certify that the above reported payroll accurately reflects the total wages, salaries, and other compensation paid to
all employees (including unlicensed contractors or contractors without W C coverage) during the period covered
WILLFUL UNDERREPORTING OF SUCH AMOUNTS IS A VIOLATION OF CALIFORNIA FRAUD STATUTES
SIGNATURE
PREPARING
NAME AND
OF PERSON
REPORT +•
TITLE AREA CODE PHONE NO
ADDRESS WHERE PAYROLL RECORDS ARE KEPT (include ZIP CODE)DATE
SCIF 6224L (REV 11 97)
PAGE # 4 -SEE OVER
OLD DP224
JAN 2 9 1999
,-ity G; CfV\L6'd/\D
'3UiLDiNG DEPT
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