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Home My WebLink About2246 CAMEO RD; ; CB022809; Permit09-1 9-2002 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Perm it Building Inspection Request Line (760) 602-2725 Permit No: CB022809 2246 CAMEO RD CBAD MlSC Subtype: OTHER Status: ISSUED 1670802700 Lot #: 0 Applied: 09/19/2002 Plan Approved: 09/19/2002 Issued: 09/19/2002 Entered By: MDP $2,500.00 ClANClOLA RESIDENCE Inspect Area: ADD OUTLETS,LIGHTS & WINDOW Applicant: WORTHING INC, B. A. L~LMARIE T 6652 w/19/02 0002 Of. 02 690 CARLSBAD VILLAGE DR 2246 CANE0 RD COP 100.00 CARLSBAD, CA 92008 CARLWAD CA 82008 61 9-729-3965 Total Payments To Date: $0.00 Balance Due: $100.00 Total Fees: $1 00.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES ELECTRIC PERMIT PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Date Business Name (at this address) Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total I of units Assessor's Parcel t Existing Use Proposed Use FOR OFFICE USE ONLY PLAN CHECK NO. (SZ-ZW EST. VAL. Plan Ck. Deposit Validated By / Name Address City StateIZip Telephone # Fax t Name Address City f Statelzip Telephone # 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 th Section 7000 exempt therefrom, and the basis fo 0 of the work for which this permit is issued. is8 ed. My worker's sur e car ier and policy number are: &b Policy No. Expiration Date Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Falhtre to secure workem' thOluMd ddlan ($100,0001. 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 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 +Dl/O~ R 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 es and cMI RMS up to w hundred teres1 and attonmy's fees. s pl0vId.d for In Secth 3706 of the 1, as owner of the property or my employees ges 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 C 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, p t such improveients are not intended or offered for sale. If, however, the building or improvemant is sold within one year of completion, the owner-builder will have the burden oFproving that he did not build or improve for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 contractorls) licensed pursuant to the Contractor's License Law). 0 CII --* * Business and Professions Code for thia reaaon: I am exempt under Section 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. c] YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. number I contractors license number): 5. of work): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type , 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? YES 0 NO Is the facility to be constructed within 1,OOO feet of the outer boundary of a school site? 0 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. YES 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). 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 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. 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 authorized by such permit is not co 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 comm (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 4/(q/ Erz, City of Carlsbad Bldg Inspection Request For: 10/11/2002 Permit# CB022809 Title: ClANClOLA RESIDENCE Description: ADD OUTLETS,LIGHTS & WINDOW Type: MlSC Sub Type: OTHER Job Address: 2246 CAMEO RD Suite: Lot 0 Location: APPLICANT WORTHING INC, B. A. Owner: ClANClOLA MICHAEL&MARIE T Remarks: Inspector Assignment: RF Phone: 7605332025 Inspector: Rf Total Time: Requested By: GAIL CD Description Act Comments Entered By: CHRISTINE 19 Final Structural Lc wLi;K& 4 Associated PCRs/CVs InsDection History Date Description Act lnsp Comments md -M3 09/27/2002 17 Interior LathlDrywall AP RF 09/27/2002 18 Exterior LathlDrywall AP RF 09/25/2002 13 Shear PaneldHD's AP RF 09/25/2002 34 Rough Electric AP RF 09/23/2002 14 Frame/SteeUBoltingMlding AP RF 09/23/2002 18 Exterior Lath/Drywall AP RF c 4 -s t' \I -.* * * , SAN FRANCISC0,CA 94 10 1 -b&7 .* <* STAT!: COMPPNSATION - INSURANCE ,i.' FUND c OMPENS~ON ^IN&URANCE ISSUE DATE 01-01-02 POLICY NUMBER: 048-02 UNIT 0008775 CERTIFICATE EXPIRES: 01-01 -03 .. . .. .. . ... . . . . . .. , . .. ." =* \,A ,- >I G,lTY OF CARLSBAD AYTN: 'BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE ' 'I CARLSBAD CA 92009-4859 308: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certfficate of insurbce is not an insurance policy and does not amend extend'or dter the coverage afforded by the policies listed herein. Notwithstanding any requirement term, or condition of my contract or other document with respect to which this certificate of insurance 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. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' &ICE EFFECTIVE 01/Q1/02 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. $1 ,OOO,doo.OO PER, OCCURRENCE. ,. * - EMPLOYER 8.A. WORTHING fNC. PO BOX 1041 CARLSBAO CA 92018 IY I LEGAL NAME B.A. WORTHINO, 2%. PRINTFD. 12-18-01 PnAflO