Loading...
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