HomeMy WebLinkAbout2287 GALENA AVE; ; CB052487; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Pat io/Dec k Permit
Building Inspection Request Line (760) 602-2725
Permit No: CB052487 07-05-2005 /' '\
Job Address: Permit Type: Parcel No:
Valuation: Reference #:
Project Title:
2287 GALENA AV CBAD
PATIO Status: ISSUED
21 32400300 Lot #: 0 Applied: 07/05/2005 $384.00 Construction Type: NEW Entered By: RMA
Plan Approved: 07/05/2005
Issued: 07/05/2005
ISLA VISTA-FRONT PATIO-PLN 1 Inspect Area:
MODEL Plan Check#:
Applicant:
TERRA FlRMA LANDSCAPE
9550 WAPLES
SAN DIEGO CA 92121
RMA
Owner: W L LA COSTA 61 ASSOCIATES L L C
C/O W L HOMES L L C 61 83 PASEO DEL NORTE #160 CARLSBAD CA 92009
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
$12.93
$0.00
$8.40 $0.00
$1 .oo
$0.00 $0.00
$0.00
$0.00
$22.33
Total Fees: $22.33 Total Payments To Date: $0.00 Balance Due: $22.33
!WILDING PLANS
IN STORAGE 77 __--- ATTACHED
185% 07/05/05 0002 01 02
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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.
F --
PERMIT APPLICATION A ,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I
FOR OFFICE USE
PLAN CHECK NO. 7
Proposed Use
Dekcription of Work Sh. FT. #of Stories # of Bedrooms # of Bathrooms
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
IChapter 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
exmtion. 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 [$5001).
Name Address ' \- . 454 q .7JZ\ LIM -;t7$7(5) I erpd E:pM 710 odQ@Jls L't <a*.b-J
city StateJZip TelZEhhoune # 753 State License # 76 License Class C: Business License # 1 zo 7 'SZI
<cwwJ
Design& Name Address City Statelzip Telephone
0 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.
[3t- 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 insur I e carrier and policy number are:
Insurance Company - lp ;& A nh-*v \n Policy NO. d[ ~1 30.5 Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
0 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 worken' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
I-
attorney's fees.
1 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). a 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).
0
1.
2.
3.
4.
am exempt under Section
personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
(have I have not) signed an application for a building permit for the proposed work.
have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
Business and Professions Code for this reason:
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 J phone
number I 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 J address J phone number I type
of work):
PROPERTY OWNER SIGNATURE DATE
& 3Ul
Is the applicant or future building occupant required to submit
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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
0 YES 0 NO
0 YES 0 NO
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 representatives of the Cit) 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 n r work authorized by such permit is suspended or abandoned at any time after the work is c
APPLICANT'S SIGNATURE DATE zLThz c/r WHITE: File YELLOW: Applicant PINK: Finance
.
City of Carlsbad Bldg Inspection Request
For: 07/06/2005
Permit# CB052487 Inspector Assignment:
Title: ISLA VISTA-FRONT PATIO-PLN 1
Description: MODEL
Type: PATIO Sub Type:
Job Address: 2287 GALENA AV
Suite: Lot 0
Location:
APPLICANT TERRA FlRMA LANDSCAPE
Owner:
Remarks: CARD WITH SUPER IN THE TRAILER
Total Time:
Phone: 8588640236
Inspector: K-B
Requested By: TOM
Entered By: CHRISTINE
CD Description Act Comment
11 Ftg/Foundation/Piers @L
Ici e
Associated PCRs/CVs
InsDection Historv
Date Description Act lnsp Comments
I ACORQTM CERTIFICATE OF LIABILITY I I
R I. 1 =urnham Insurance svcg I CA Lic 0099753 I750 B St., #2400 ' Diego, CA 92101
, 231-1010
INSURED
Terra Firrna Landscape Company
(L.A. Swikard, Inc. dba:)
7710 Kenamar Ct.
San Diego, CA 92121
\ISURANCE
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.
INSURERS AFFORDING COVERAGE NAlC #
INSURERA Zurich-American Ins. Co. 16535
INSURER B.
INSURER C.
INSURER D
INSURER E.
DATE (MMIDDmYy) I 09108104
EACHOCCURRENCE s
DAMAGE TO RENTED -) s
MED EXP (Any one person)
PERSONAL 8 ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGG
COMBINED SINGLE LIMIT (Ea accident)
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
S
S
5
S
ps"dj TYPE OF INSURANCE I
LI
GENL AGGREGATE LIMIT APPLIES PER 1 n ;:g n LOC
AUTOMOBILE LIABILITY -
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
- - - -
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [7 OCCUR
AUTO ONLY - EA ACCIDENT
H I
S
AGG AUTO ONLY:
" I
S
POLICY NUMBER
EXCESSIUMBRELLA LIABIUTY 7 OCCUR [7 CLAIMS MADE
DEDUCTIBLE
RETENTION S
NORKERS COMPENSATION AND SMPLOYERS' LIABILITY
ZNY PROPRIETOWPARTNERIEXECUTIVE IFFICERIMEMBER EXCLUDED?
GARAGE LIABILITY
ANY AUTO k
WC218680305 WCSTATU- om- 10101105
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE. POLICY LIMIT
10101104
s
$1,000,000
S~,ooo,ooo S~,ooo,ooo
I I
LIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRC RE: LICENSE W95376
CONTRACTORS STATE LICENSE BRD.
ATTN: WORKERS COMP UNIT
P.O. BOX 26000
SACRAMENTO, CA 95826
LIMITS POLICY EXPIRATION DATE (MMIDDIYY)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 2 DAYS WRllTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
BODILY INJURY I (Pw Penon)
BODILY INJURY
PROPERTY DAMAGE (Per accident)
EACHOCCURRENCE Is
S AGGREGATE
I
ISIONS