HomeMy WebLinkAbout2405 LA MACARENA AVE; ; CB994208; PermitCity of Carlsbad
11/10/1999 Miscellaneous Permit Permit No:CB994208
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2405 LA MAC ERENA AV CBAD
MISC Subtype:
2550704600 Lot#:
$0.00
INSTALL 2 SKYLIGHTS
OTHER
0
INSTALL (2) SKYLIGHTS IN LIVING ROOM
Applicant:
ROSSALL SKYLIGHTS
2429 SKYLARK DRIVE
OCEANSIDE, CA 92054
619-721-6626
Total Fees:
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector: P-c1
FINAL APPROVAL
Date: j:, 7-H
Status: ISSUED
Applied: 11/10/1999
Entered By: GMF
Plan Approved: '11/10/1999
lssdOJS lll/11~~~1 01 02
Inspect Area: C-PRMT 44-00
·:;'..
, $14.00
"" . "",r,,;;,$0.00
:f.Si!f. ~
Clearance:
$44.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" 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 limely 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 seivice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been oiven a NOTICE similar lo this or as to which the statute of limitauons has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
FOR OFFICE USE ONL V
PLAN CHECK NO. q94Jo"(
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. __ l_0_;,.5.;a..,_ _____ _
Plan Ck. D.eposit ________ _
Validated By_.._ft,,_1:---------
Date l•\i0;l.i;.4 t
1. PROJECT INFORMATION
240.S LA ~~eI!i\e
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
/htones U Mlfj o'iJJ:J~ # of Bathrooms
Name
3, APPLICANT· ·t!J Contractor
Name Address
4. PROPERTY OWNER·
S'4 LLey coae,
Name Address
6; CONTRACTOR a COMPANY NAME
CfJJ2.l::SJ!/:i) CA 7 2 .. :2~fsbl"Z.--
City
•~.·owner · OAgeiltforOwner
City
City
State/Zip Telephone#
State/Zip Telephone#
State/Zip Telephone#
Fax#
(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 ba'sis 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· ($5001). '
}so55(:;H .. l-. $)Ll5'Y3 Z.4c.95kiL.qzk:,_ (P..... ~ C'\... 7~ T2.,/ .. 1.,,bc ~-
Name Address City State/Zip Telephone #
State License # SZ O 3 L,, 9 License Class ~ '15-I City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6, WORKERS'.COMPENSATION
Workers' Compensation Declaratton: l hereby affirm under penalty of perjury one of the following declarations:
0 l 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.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, 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 Dare _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS!
'iP!" CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit is issued, I shall not employ any person in any manner so as
'I; become subjeci. to the Workers' Compensation Laws of California.
WARNING: Failure to secure workMs' compensation coverage Is unlawful, ■nd shall eubject an employer to criminal penalties and civil fines up to one hundred
thousand dollars I OJ in ddltion to the cost of compensation, damages as provided for in Section 3706 of the Labor cod""1~rest end attorney's fees.
SIGNATUREc,:;~~/t;,~~&g~-----------------DATE .... l_l_-__c(__;D::;.._·__:..'7_"7_" __
7. OWNER-BUILD RDECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for rha following reason:
D 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 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 contractorlsl licensed
pursuant to the Contractor's License Law I.
0 I am exempt under Section ______ Business and Professions Code for this reason:
l. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I have notl 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 I 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 I address / phone number I contractors license number!: _____________________________________________ _
5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated (include name I address I phone number/ type
of workt: ________________________________________________________ _
PROPERTY OWNER SIGNATURE----------------~------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONl Y
DATE _________ _
ls 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 Subsrance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qu.ility management district? 0 YES O NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site 7 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued 1sec. 3097Ii) Civil Code!.
LENDER·S NAME ______________ _ LENDER'S ADDRESS _________________________ _
9. APPLICANT CERTIFICATION
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\t 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 date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the · ommenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE .b~~~ft'.:t;~~==--------------DATE /f-/(>•'79
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 1/11/2000
Permit# CB994208
Title: INST ALL 2 SKYLIGHTS
Description: INST ALL (2) SKYLIGHTS IN LIVING ROOM
Type:MISC Sub Type: OTHER
Job Address: 2405 LA MACERENA AV
Suite: Lot
Location:
APPLICANT ROSSALL SKYLIGHTS
Owner: OASIS PURE TRUST
Remarks: SKYLIGHTS
Total Time:
CD Description
0
Act Comments
Inspector Assignment: RB
Phone: 8587929130
Inspector: {? ,;:-2,.._ -~
Requested By: SALLY COBB
Entered By: BARBARA
:.k_ Frame/Steel/Bolting/Welding gp _________ _
Associated PCRs
Inspection Histot:;t
Date Description Act lnsp Comments
1/6/2000 14 Frame/Steel/Bolting/Welding AP PY
1/6/2000 16 Insulation AP PY
1/5/2000 14 Frame/Steel/Bolting/Welding NR PY NOONE HOME
11/23/1999 14 Frame/Steel/Bolting/Welding co RB SEE NOTICE ATTACHED
11/23/1999 19 Final Structural co RB
"-l-()
.ld30 8NI01108 ~ STEVE ROSSALL
OV8Slt!V8 !O Al!~
S66!0TACIN SKYLIGHTS
2429 Skylark Drive
Oceanside, CA 92054
(619) 721-6626 • Lic.#520369
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Trinity E&S
Insurance Services, Inc.
_ Liquor Liability
.ll\U'IJ.ll C.:,
_X_ Exclusion of Certain Computer-Related
Losses
Standard Additional Insured Endorsements are chargeable at a flat fully earned premium of$50 each or $250
for 4 or more Ni's. This quote does not include any additional insureds. (No Special Wording Available).
Qednctible;
Premium Basis:
.A!ml1:
pqmjum:
$250 Per Claim for Property Damage
Payroll $25,000
Minimum
Earned:
Policy Fee;
Yes
$ 608.00
$100.00
S 75.00
Retroactive Date; NI A
In order to complete our file, pleme forward the followini: lnfonnatioa within five days or binding:
I. Complete Awrd applicatiuu 125 signed aad dated by the Insured.
2. Complete Supplemental Questionnaire BGC07 (07/96) signed and dated by the Insured.
3. Loss history verification, three year loss run or it's equivalent.
4. Satisfactory inspection.
Standard Terms and Conditions:
1. Premium is due 30 days from the effective date. All policies are 25% of the premium and 100"1., of the fees
are due at inception.
2. The terms and conditions of this quote may differ materially from those requested in youT submission. We
will, upon request, provide sample policy fonns for your review prior to binding.
3.
4. This binder is valid for thirty days.
We are able to offer a separate pollution liability quotation. Please feel free to contact me with any questions or
comments.
Sincerely,
Kay Wheeler
Senior Undeiwriter Environmental
Page2
12225 World Trade Drive, Suite S, San Diego, CA 92128 • (858) 676-1157 Fax (858) 676-0150
CA ucense No. 0691040