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Home My WebLink About2687 OCEAN ST; ; CB992958; Permit08/OS/1999' City of Carlsbad Miscellaneous Permit Permit No CB992958 Building Inspection Request Line (760) 438-3101 Job Add-ess Permit Type Parcel No Valuation Reference # Project Title 2687 OCEAN ST CBAD MISC 2031403300 $000 TEMITE REPAIR Subtype REPAIR Lot#0 Status Applied Entered By Plan Approved Issued Inspect Area ELEC SVC UPGRD 100 TO 200AMP/ GAS LINE REPAIR ISSUED 08/09/1999 DT 08/09/1999 08/09/1999 Applicant BRIDGEPORT BUILDERS STE210 1954PLCENTIAAV COSTA MESA CA 92627 949-642-3300 Owner RICHARDS DAVID S&ANA M2718 08/09/99 0001 01 2687 OCEAN ST C-PRHF CARLSBAD CA 92008 02 122-00 Total Fees $12200 Total Payments To Date $000 Balance Due $12200 Miscelaneous Fee#1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT ELEC/PLUM $60 00 $6200 $122 00 Inspector FINAL APPROVAL Date Clearance NO! ICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refei red 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 feestexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 L as Palmas Dr, Carlsbad CA 92009 (760)438-1161 jppQj|CT INFORMATION " :i:::W!:s::" --f" FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date dress (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 #Exist™ Use Proposed Use Description of Work SQ FT #of Stories of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address City 3 APPLICANT"1 H Contractor Q Agent for Contractor EHQwner Q Ag'entj for Owner State/Zip Telephone # Fax # Name 4. PROPERTY: OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name rS CONTRACTOR - COMPANY NAME , ,„ : ; iif ...... (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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) &i>itdt£!> , itiL. /W htttu+JA AUi. i-TillD Crtf* Uilllcftl&S Name State License # Address License Class . Q City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # _ 6 WORKERSICOMPENSATION ' . „..; ..... """" '".V •..A.V.., ' .......... I'""" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 0 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 FV Insurance Company £ fc. £/ A/I 1 iJ A l)tK ML J A ^L^L^l Policy No bLl >£>£> 1%#5 Expiration Date tf-Qi *? ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (,$ 1 00 000) in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE Jf>»*t 4^tc([SL __ DATE ?- ^ ' ^ 7 7 DOWNER-BUILDER DECLARATION : \ I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~l 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) l~l 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) t~) 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 l~) YES l~lNO 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 the major work (include name / address / phone number / 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 / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VO/V-fl5S/D£yv7MiBUILbiNG PERMITS ONLY , :„!, .„,....:.,,...,. ? 1, 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? Q YES d 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES C] 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 I3;i " " 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 CERTIFICATION ' .Jj!:-, i/:;SSC;;;i::: ; JE" ":' 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 City 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 work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE C/!°t^- wfl. ^/^ff^ DATE *%' / • WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 3/22/2000 Permit# CB992958 Title TEMITE REPAIR Description ELEC SVC UPGRD 100 TO 200AMP/ GAS LINE REPAIR Inspector Assignment RB Sub Type REPAIR 2687 OCEAN ST Lot Type MISC Job Address Suite Location APPLICANT BRIDGEPORT BUILDERS Owner PATTON M/K FAMILY TRUST 05-22-95 Remarks Phone 7607203755 Inspector Total Time CD Description 39 Final Electrical Act Comments ftp Requested By DAN Entered By ROBIN Associated PCRs Inspection History Date Description Act Insp Comments 10/25/1999 14 Frame/Steel/Boltmg/Weldmg 10/25/1999 24 Rough/Topout 10/25/1999 33 Service Change/Upgrade 10/25/1999 34 Rough Electric 10/25/1999 44 Rough/Ducts/Dampers 8/23/1999 14 Frame/Steel/Boltmg/Weldmg 8/17/1999 14 Frame/Steel/Bolting/Weldmg CO RB COMPLETE EXTERIOR WC RB CO RB SEE NOTICE ATTACHED WC RB WC RB NR RB CONTRACTOR HAD QUESTIONS NR DH City of Carlsbad Inspection Request Inspector Assignment RB For 10/28/99 Permit# CB992958 Title TEMITE REPAIR Description ELEC SVC UPGRD 100 TO 200AMP/ GAS LINE REPAIR Type MISC Sub Type REPAIR Job Address 2687 OCEAN ST Suite Lot 0 Location Inspector APPLICANT BRIDGEPORT BUILDERS Owner PATTON M/K FAMILY TRUST 05-22-95 Remarks Phone 0000000000 Total Time CD Description 23 Gas/Test/Repairs 33 Service Change/Upgrade Act Comments epos Requested By NA Entered By CHRISTINE PC P 100 -ho 3-40 Date 10/25/99 10/25/99 10/25/99 10/25/99 10/25/99 8/23/99 8/17/99 Inspection History Description 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 33 Service Change/Upgrade 34 Rough Electric 44 Rough/Ducts/Dampers 14 Frame/Steel/Boltmg/Welding 14 Frame/Steel/Bolting/Welding Act CO we CO we we NR NR Insp RB RB RB RB RB RB DH Comments COMPLETE EXTERIOR SEE NOTICE ATTACHED CONTRACTOR HAD QUESTIONS City of Carlsbad Inspection Request For 10/25/99 Permit# CB992958 Title TEMITE REPAIR Description ELEC SVC UPGRD 100 TO 200AMP/ GAS LINE REPAIR Inspector Assignment Sub Type REPAIR 2687 OCEAN ST Lot Type MISC Job Address Suite Location APPLICANT BRIDGEPORT BUILDERS Owner PATTON M/K FAMILY TRUST 05-22-95 Remarks Total Time Phone 7607203755 Inspector Requested By DAN Entered By CHRISTINE CD Description 33 Service Change/Upgrade 14 Frame/Steel/Boltmg/Weldmg 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers Act Comments Inspection History Date Description Act Insp Comments 8/23/99 UFrame/Steel/Boltmg/Welding NR RB CONTRACTOR HAD QUESTIONS 8/17/99 14Frame/Steel/Bolting/Weldmg NR DH CITY OF CARLSBAD BUILDING DEPARTMENT DATE. ' ^ ^^ ' " ^^ ^™ LOCATION PERMIT NO (760)438-3550 2075 LAS PALMAS DRIVE TIME U- ^20_ ^ rj 'rf&Wlifrs-s rf ^/r/Srsti/ J^-Lft- f?/^/ (<& ^£S&f^P,S, t f-4-0s^ FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® "AUG 71<BE:DGEFOET BUILDERS*"™ Insurance Agency NO 8106 F 3 OF PBODUCER Rohm Insurance Agency 131 Ho- Glassell, Suite 300 Orange CA 32866 714-516-2960 714-B16-23SS Btidyeporfc Btiildars, lac. 1954 PlacauCla AV«., Suita 210 Coac« Mesa CA 92627 THIS CERTIFICATE 15 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 COMPANIES AFFORDING COVERAGE COMPAm A EVanston Insurance Company COMPANY B Hartford Zn«uraacie Company COMPANY C RLI Insuranca Company Fremont Compensation _ . THIS IS TO CERTIFY THAT THS POLICIES OF INSURANCE LISTED 8EI.OW HAVE BEEN ISSUED TO THE INSURED NAMSO ABOVfi FOR TH6 POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OB CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICI I THIS CSRTIRCATe tftY US (SSUFD OS MAY PFRTAIN, TWF INSUSANCF ACFOflDED BY THS POLICIES DESCRIBED HEREIN IS SyBJFCT TO ALL THE TERMS EXCLUSIONS AND CONUITION3 OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TTPE Of INSURANCE POLICY BTICT1VE DftTE (MMfOQ/Y*> POLICY EXPIRATION UMITS IERAL LIABILITY COMMERCIAL CENBUL LIABILITY CLAIM E MADE [~3t | OCCUR OWNEfl 5 & COMTBACTCP'S "POT GLP100360S 12/01/9B 12/01/99 PftODUCTS - PREONAL ft AdV INJURY 6ACH OCCUWfNCE F1HE OAMAQ5 (4o» me file) MEO EXP (Any en* Mrtoni '2.000,000 •1,000,000 li,000,000 •1,000.000' 50,000 • EXCLUDED lUTOMODIU UABIIOT ANY AUTO ALL OWNED AUTOS SCWBBULSD AUTOS HIRID AUTOS NOIM-OVVNEO AUTOS 72DECGJ400E 12/01/98 12/01/99 COMBINED SINGLE LllUlir »1,000,000 BODILY INJURY (Per p EOPILY INJUPY PROPERTY DAMAGE (ARACC UAIILirr AUtB ONLY EAACCIDENT OTHER 7MAN AUTO ONLV !ACH ACCIOSNT AGGREGATE XCEBS LIABILITY I i WVIPFOLA PO«M ; OTHER THAN UMBNaiA TOflM OUL002951?12/01/98 12/01/99 •2,000,000 ACCREGATE s 2,000,000 X""|W^ffTATU- | I TOUT UM'Tg! EL EACH ACCIDENT lONKEnS COMPENSATION AND MIOVEflS UABIUTY INCL ! Excii 1X3979341001 03/01/99 03/01/AO It OISEAS6 - POLICY UNIT «1,000,_QOO »1,000,OOP" EL DISEASE - EA EMPLOYEE *1, 000,000 ciscrarnoN op^pEw>TiONe/iooATicri$/v«Hicirs/SK€iAL ITEMS "EXCEPT 10 DAYS SOR NpN PAYMENT OF PREMIUM»ON 1 ! CERT JSANCFl LKTKMSS r BLANK 01 ACOI EXP1MTI6N DATE TMWBOP THE ISSUING COMPANY Wilt ENDEAVOR TO MAIL *30 D*« WWTTW NOTICi TO THE CCTTIPICATE MOtOm NAT^IED TO THE LEFT «WT FAILURE TO MmH. Sum NOT1C* (XAULIMBOH NQ OBUGATION OR UBEIUTT O" AMT MNP UPON THI COMPANY m AGOurylSR pi ALTTHa^lD «SP ACOflUCORPOBATlON 1998