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HomeMy WebLinkAbout2646 MARMOL CT; ; CB011719; Permitvl/-3~ 7 4 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/10/2001 Miscellaneous Permit Permit No:CB011719 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2646 MARMOL CT CBAD MISC Subtype: OTHER Status: · Applied: ISSUED 05/10/2001 CB 05/10/2001 05/10/2001 Parcel No: 2154910400 Lot#: 0 Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: COLSON RES/ FIREPLACE, SINK, GAS & ELEC. TO FIREPLACE & BBQ Inspect Area: Applicant: CONCRETE CREATIONS Total Fees: $143.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: .,,..-.. ,. c Owner: COLSON EDWARD E lll&KAREN J 2646 MARMOL CT CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE PERMIT FEE FINAL APPROVAL 8992 05/10/01 0002 01 02 CGP 143-00 Balance Due: $143.00 $89.00 $54.00 $0.00 $143.00 Date: "2.4z/'¥ Clearance: ------ 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 timely 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 service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviously been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NOCf'.X5 l l7 I j EST.VAL.~~~~~~~~~- Plan Ck. Deposit--------- Validated Bv.......,C:-~ ... 0'-------- Date s--/(>--/ 0 f ·Uttt «MMMoL c-t-Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Usa Proposed Use Description o Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 3. APPLICANT O Contractor 0 Owner Name Address City State/Zip Telephone # 4. PROPERTY O~R G'~ lk,.<e-.. Name Cde::,,n Address City State/Zip Telephone# 6. C...ONTRACTOR • COMPANY NAME (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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant erm·t subjects the applicant to a civil penalty of not more than five hun ed dol ars [$5001}. ~ d -D State License # ::J'.1::t) b' 1 Address License ClassC' -2.°I ) £> ) 2,..J City tate/Zip T(]phon City Business License # / 2..1 /'L 1 Designer Name Address City State/Zip Telephone State License # ---------- 8. WORKERS' COMPENSATION rs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 work for which this permit is issued. 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 . My worker's c mpen\ation insurance carrier and policy number are: . ; 1 OO~fi/1 "°] . . J I Insurance Company , \ l\l Policy No. f"'r., :J.J_]_ ~~-Expiration Date $ /I _OJ (TH1s sEcT10N NEED NoT BE coMPLETED 1F THE PERMIT 1s FOR oNE HUNDRED DoLLARs [$1001 oR LEss> r / 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 rkers' Compe tion Laws of California. WARNING: Failure t m naetlon cov8fllge la unlawful. end ahan subject an employer to criminal 0 to t e cost of compensation, damages •• provided for In Section 3706 of the La DATE s 7. I hereby affirm that I am exempt from the C ntractor'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). 0 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 I am exempt under Section ------Business and Professions Code for this reason: 1. 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 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 I address I 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 I 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 I address I phone number I type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTIOt,I FQJl!JON-RES/DENTIAL BUILDING PERMITS ONLY 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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 (Sec. 3097(i) Civil Code). LENDER'S NAME ----------------LENDER'S ADDRESS------------------------- 9. APPLICANT CERTIFICATl.()N 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 Citt 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 AV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excav f ns over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the ulld" g Official nder the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit Is not commen a wit in 180 s from the date of such permit or if the building or work authorized by sue per ·1 is suspended or abandoned at any time alter the work is commence for a 180 ays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DA TE -""4'-'-=-1-.s....i.L.lol!...J------ YELLOW: Applicant PINK: Finance City of C~arlsbad Bldg Inspection Request For: 1 0/ 16/2001 Permit# CB011719 Title: COLSON RES/ FIREPLACE, SINK, Description: GAS & ELEC. TO FIREPLACE & BBQ Type:MISC Sub Type: OTHER Job Address: Suite: Location: 2646 MARMOL CT Lot APPLICANT CONCRETE CREATIONS 0 Owner: COLSON EDWARD I: lll&KAREN J Remarks: GATE CODE IS #1984 (PUSH HARD) Total Time: Act Comments Inspector Assignment: JC --- Phone: 7608018853 Inspector: Requested By: SCOTT Entered By: CHRISTINE CD Description 19 Final Structural .if_....,..._~--+---- 39 Inspection History Date Description Act lnsp Comments 05/25/2001 11 Fig/Foundation/Piers AP TP EXT. F.P. FTN 05/25/2001 12 Steel/Bond Beam AP TP 05/22/2001 11 Fig/Foundation/Piers co JC NEED DRAWINGS I SEE ATIACHED NOTICE 05/18/2001 21 Underground/Under Floor AP JC 05/18/2001 22 Sewer/Water Service AP JC 05/18/2001 31 Underground/Conduit-Wiring AP JC 05/17/2001 21 Underground/Under Floor NR JC NOT HOME 05/17/2001 22 Sewer/Water Service NR JC 05/17/2001 31 Underground/Conduit-Wiring NR JC 05/14/2001 21 Underground/Under Floor co JC GAS ;OME TEST 05/14/2001 22 Sewer/Water Service co JC 05/14/2001 31 Underground/Conduit-Wiring co JC LtC()JlD_ CERTIFICATE OF LIAI ULITY INSURANC~~s I DATE(IIMIDDIYY) 08/17/00 PROOUl:Et . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FRO Insurance Brokers, Inc. HOLDER. THIS CERTIFlCA TE DOES NOT AMEND. EXTEND OR 6130 Stoneridge Kal.l. Rd, 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pl.easanton CA 94588 INSURERS AFFORDING COVERAGE Phone:925-460-6222 Fax:925-460-9484 INSURED INSUAERA: General Security Insurance Co. INSURER&: Red.land Insurance Co ,. Concrete Creations INSURERC: S{~~t Johnaon ~ David Wil.l.i ams 1 Corte Lad~a INSURE.RD: San Marcos CA 2069 I INSURERE: COVERAGES THE POLICIES Of" INSURANCE. LISTED BELOW HAVE IIUH ISSUED TO THE INSURE) NAIi ~D ABOYe FOR ntE POUCY PEIIIOO INOICA Te>. NOTWmfSTANDING Alf'f MQUIRl!IISIT, ffRII Oil CONOf110N OF APff ~ OR OntER DOCU9ENTW fH RESP£CT TO WHICH 11a CERTIFICATE IIAY BE ISSUE) OR IIAY P£RTAIN, THE 1N8U1U1NCE AFFORDED IIY THI POUCll!S DESCtWIEO HEREIN IS SUI! ~ECT TO AU. THE. TE.RIIS, E.XCWSIONS ANO CONDmOHS OIF SUCH POUCIIS. AGGREGAff USR IIHOWN IIAT HAVE BEEM REDUCH> IIY PAID CLAIMS. '""'" TYP£ OF INSURANCE POLICY NUMBER LTR ~LY a'F""' l!Yla DATE ,. , ~ UIIJTS GENERAL LM8IUTY 1:ACH OCCU!Ut!NC! s $300,000 -A X COll•IEIICIAL. GENERAL UABIUlY 22L24000614 04/16/00 04/16/01 f9'£ DAMAGE IAnr -In) s $100 000 I CLAIIIS MADI: GD occ;u11. MED EXP (Airy -....-1 s $5,000 PERSONAL & ADV IUURY • $300,000 ,__ s $600,000 GENERAL AGGREGAff . >- GEN'L AGQREGAT£ LIMIT Al'PUES l'St n PQUCY n ~ n LOC PRODUCTS· COMPIOI' AGG s $600,000 AUTOIIOIIILE UAM.J1Y COW9IED SINGl.E LmlT s $300,000 -A AH'f AUTO 22L24000614 04/16/00 04/16/01 (Ea IICdelenl) ---ALL~AUTOS l!IOOIL y INJURY -IJ>w.--) s SCHEDULED AUTOS -X t9RBJ AIITOS BOOIL Y INJURY ,-{"-acddMt) • X NON-OWNED AUTOS >- ,__ Pffl)fl'!RTY CIAMAGI! s ,,._KddentJ GARAGE LIA8IUTY ©~ ~[¥)'\f AUTO ONLY -EA ACQOBIT I R ANY AUTO OTHERT'HAN l!AACC I IWTOONLY: AGG • EXCESS UAIIIUlY EACHOC~ I ~OCCUR D ClNIIS MADE • ~TE s I R:= • s • WOAICERS COIIP&HSATION AND x, m'uwrsl luu B UPLOYERB" LIA8llJTY "'99982097 OS/11/00 OS/11/01 E.L EACH ACClce,fT , 1000000 E.L DISEASE -EA EMPLOYEI 11000000 IE.L DI~· POUCY UMIT s 1000000 OTHER DESCRIPTION Of' Of'StAllONM..OCAllQNIMMCL.ESIEXQ.USIONS ADDED IIY ,,_ --""°"1SIONS All. Ca1iforn.ia operations and locations. Lie lenee #730613. Cancellation for non-payaent of prmaiua is ten (10) days. . CERTIFICATE HOLDER I N I ADDITIONAL INSUll.£0; IMSURER I..ETIP: CANCELLATION CONTRJ~ SHOULD ANY OF TifE ABOVE DESCRIBED POIJQES BE ~LLED BERlRE lltE EXPIRATIO~ DATE THIERIEOF, lltE ISSU911G INSURER WILL ENDEAVOR TO IIIAIL 30 DAYS WRIT1'9 Contractors State Li cense Brd NOTICE TO THIE CERTIFICATE HOLDER NAMED TO llfE LEFT, IIUT FAIWRIE TO DO 90 9HAU. Dept. of Consumer Affairs IMPOSE NO 08UGAT10N Oil UA81UlY OF AJfY KIND UP'Ofll ntE INSUR!ll, ITS AGBm5 OIi P. 0. Box 26000 Sac:riilllento CA 95826 REPRESENTATMS. I ACORD 25-S (7197) @ACORDCORPORATION1988