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Home My WebLink About2343 ALTISMA WAY; BLDG A; CB983140; PermitBUILDING PERMIT Permit No: CB983140 09/16/98 11:18 Project No: A9804083 Page 1 of 1 Development No: Job Address: 2343 ALTISMA WY Suite: Permit Type: MISCELLANEOUS Parcel No: 215-240-29-46 Lot#: Valuation: 44,700 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: TERMITE REPAIR/REPLACE TO Applied: 09/16/98 : 15 BLDGS Apr/Issue: 09/16/98 Entered By: JM Appl/Ownr : NEW SOLUTIONS 760 510-4780 1570 A CHEROKEE SAN MAROC CA 92069 *** Fees Required *** ^t^^^^^^fe^-lCollected & Credits *** Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TOTA 638.0 (M .00 5 09/16/98 OOQtxSl 02 638-00 Ext fee Data 638.00 PERMIT FEE 638.00 VT ANCEVBMUB& SIGNATURE FINAL APF OVAL IN8R .DAI 6 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad CA 92009(760)438-11611. PROJECT INF ATION FOR OFFICE USE OPLAN CHECK NO.£ST. VAL.Plan Ck. DepositValidated By .Date ^Address (include Bldg/Suita #)Business Name lot this address}Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed Use^Description of WorkT2. ' CONTACT PERSON (It dlfUr«nt from •ppflcantt SO. FT.*of Stories * of Bedrooms 9 of Bathrooms Name Address City 3. APPLICANT Ja^Contractor Q Agent for Contracior Q OWner 'Q Agerrt for 6wner State/Zip Telephone*Fax # , >- Name 4. PROPERTY OWNER Address City Stata/Zip Telephone # Name 5. CONTRACTOR • COMPANY NAME Address City State/Zip Telephone # Name f)/j ^t State License # /' -^ ' /S> Address License Class ~-V /IM£ /7 CitV 1f#A{ ASSTdtv State/Zip fl ' Business License * /Q/3f /felepbrone */; 1/X/& -TAJ // Designer Name State License # 6. WORKERS' COMPENSATION Address -•-••-•-. -•» City State/Zip Telephone 4,--'*. -'..• ". -;-*.;.:;.*-" ;' "' ,. '.', '•• ' - (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 Coda] 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 1*5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. $ 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 Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] 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 workers' compensation coverage Is unlawful, and shaH subject an employer to criminal penalties and dvll fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for hi Section 3706 of tha Labor coda, interest and attorney's leas. ^SIGNATURE ^C/L^i //Z^ f^t/C. #-/<£/f/Zfc?C- DATE ?~Jt '3& 7. " ' OWNER-BultDER DECLARATION • - —, - :••>,.- - - - * :••-, ^r-.-,;.,:™^:^"^ • ^-^^^^^^••^^^-^••^i^r^--^ 1 hereby affirm that I am exempt from the Contractor's License Law for tha following reason: O ', as owner of the property or my employees with wages as their sola 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 builda 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 tha purpose of sale). Q 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 Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) Kcensed pursuant to the Contractor's License Law). D I am exempt under Section Business end 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 tha major work (include name / address / phone number / contractors license number): ' 5. I will provide some of the work, but I have contracted (hired) tha following parsons to provide the work Indicated (include name / address / phone number / type of work):_ DATEPROPERTY OWNER SIGNATURE : fcOMPLfre THIS 'SECTION" FOR /VO/WI^flftMi BMblN^ 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, 2S533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. t 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 ADDRESSLENDER'S NAME F9. APPLICANT CERTIFICATION'* : . •• ,- -!r-^,-, t 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 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 commenced within 365 days from the data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after tbp^worjj is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). /APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983140 FOR 10/26/98 DESCRIPTION: TERMITE REPAIR/REPLACE TO 15 BLDGS TYPE: MISC JOB ADDRESS:2343 ALTISMA WY APPLICANT: NEW SOLUTIONS CONTRACTOR: OWNER: REMARKS: C/ SPECIAL INSTRUCT: PHONE: PHONE: PHONE: STE: INSPECTOR AREA PLANCK# CB983140 OCC GRP CONSTR. TYPE NEW LOT: 760 510-4780 INSPECTOR TOTAL TIME: _ CD LVL DESCRIPTION 14 ST Frame/Steel/Bolting/Welding ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS 09/16/98 WED 10:02 FAI XXX PRODUCE* Stdgwiek Jams cf c»Hf«rnU, Inc. 2555 Third 5tr»«e $u1t« 100 Saeremtnto, C* 95818 (916) 4 Mew Solutions Envifonmtmil P«t Management 6417 LaPalcnw Street Carlsbad, CA 92009 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THi CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY UETTER California insurance Company COMPAKV Q LETTER HIH COMPANY LETTER COMPACT LCTTCR „.„., 3. NOTWTHSTANOlNd ANY REQUIREMENT, TERM OR CONDITION Of AMY CONTRACTOR OTHER DOCUENT WITH RESPBCT TO WHICH THIS CRRTIFICATE MAY BE ISSUED OH MAY PERTAIN. THE INSURANCE AFFORDED tY THE POLICIES DESCRIBED HiMlN IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS ANP CONDITIONS OP SUCH POLICIES, UMTT3 SHQWH MAY HAVE BEEN REPUCCP *V PAIO CLAIMS. GENERAL AGGREGATE COMUEKCUL BENEIUL LIMIUTV CLAIMS MADE | X ! OCCUa PRODUCTS • OOMfOP AGO. PERSONAL EMIV.INJUIT OWNWT8 « COHTACTOfCS PROT. sn o*»»ce wnr cmiM ANT AUTO ALL OWNED M7TOS SCHEDULED AUTOB HIBCO AUTOS NON-OWNED AUTOS GARAGE IWDMTY PKOPEHTYDAMAGC EACH OCCURRENCEexcess Lumun- UMBRELIA FORM OTHER THAN UMBRELLA FOAM WOBKEirS COM»EN9ATIOrt AMI EMPLOYIH5' LUVUTY SHOULD ANV OP THE ABOVE DESCRIBED POLICIES BE CANCELLED WORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WHrTTEN NOTlCfi TO THE CERTIFICATE HOLDER NAM60 to THE LEFT BUT FAILURE TQ MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY WHO UPON THE COMPANY. ITS AGEKTS O&KEPRESCNTATNES- PBOQF Q^ INSURANCE TOTfiL P.01