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Home My WebLink About2701 AVENIDA DE ANITA; ; CB992574; Permitd7/12/1999 .' Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad Miscellaneous Permit Permit No:CB992574 Building Inspection Request Line (760) 438-3101 2701 AVENIDA DE ANITA CBAD MlSC Subtype: REPAIR Status: ISSUED 1670304600 Lot #: 0 Applied: 07/12/1999 $0.00 Entered By: DT Plan Approved: 07/12/1999 .. Issued: 07/12/1999 FIRE DAMAGE REPAIR-CHECK ELEC REPLACE DRYWALL & ADD TWO ELEC HEATERS Inspect Area: Applicant: GATES STEVEN 2735 SPOKANE WY CARLSBAD CA 92009 760-434-4686 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Date: Clearance: , I NOTICE: Please take NOTICE that approval of your project includes the 'Impmilon' of fees, dedications, reservations, or other exactions hereafter wlledvely referred to as 'feeslexadions.' You have 90 days from the date this permit was issued to protest imposition of these feeslexations. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a). and Ole the protest and any other required information wb the City Manager for processing in accordance wlh Carlsbad Municipal Code Section 3.32.030. Failure to lmely 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 light to protest the specified feeslexatiwns DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar applicatbn processing or service fees in connection with this project NOR DOES IT APPLY to any feesiexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othennise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLS'BAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 I FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Legal Oarcriptlon Lot No. Subdivision NamslNumbsr Unit No Phase No Total X Of ""ltS Purer*or'r Parcel X Exlnlng u.* Roposed Use Description of Work SQ. FT. #Of storias X of Bsdmoms X of Bathraamr FIb-PdM*6€ Q-F.~~**LL;~s~E~. 400 rho .g~ra.~-F&S*no~~~~~- 2. Name Address city StateRip Telephone X Fax (I CONTACT PERSON Ill dmamnt tmm .Ppllunt) 3. APPLICANT .&omranor 0 Agem tor cornranor owner 17 Agent lor hr 8 nued n.Qk%a 2735 sPd~cd&~dT LllyH*o GO Liw U& QSQ-&i36 Name Address City Ststelzip Telephone X 4. PROPERTY OWNER Name Address City StateIZip Telephone X 5. CONTRACTOR. COMPANY NAME 1Sec. 7031.5 Business and Professions Code: Any City or County which requires a Permit 10 construct. alter. imPIoYe. demolish or ltlPall any Structure. Prior IO its issuance. also requires th8 applicant for such permit to file a signed statement that ha is licsnrsd PYrsUant to the provisions of the Contractor's License Law IChapter 9. commending with Section 7000 Of Division 3 of the Business and Prolessionr Codal or that he is exempt thenlflom. and the basm for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 8 civil penalty 01 not mors than live hundred dollars 155001). Name i4 €L/ L! ASS0 &/A ?e P. U. PTM 9b S - GLUJO*J GA 9LOz= (76u]7>9ZSO7 Z-735- SPOkdA/e dY Cdlm 2540 c"d9wm 43%-Pa8L Address City Statelzip Telephone X s7evEd &.6m stats License a 3 s I 00 4 ~icsnsa Class B I City Businssr LiceIu* a Designer Name Address city StatelZip Telsphone State License a 6. WORKERS' COMPENSATION Workers' Compensation Odarat10n: I hereby affirm under penalty of perjury OM of th8 toliawing declarations: of the work tor which this permit IS Issued. issued. My worker's compensation in~urance carrier and policy number are: ~ns~rance Company CUP TAJS~N CE- ITHIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l5lOOl OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the p8doimence of the work for Which this permit is issued. I shall not employ any person #n my manner so as to become subject to the Workers' Companaatlon Laws of California. WARNING: Failure to secure workan' sompsnsation coverage is unlaulul. and shall subject an employer to cdmbl w.n.lt(.. mnd civil fims up to me hundrd SIGNATURE DATE ?,?*@ 7. OWNER-BUILDER OECURATION I hereby affirm that I am exempt from the Contractor's License Law for the following reison: I, 85 owner of the property or my employees with wages as their sole compensatian. will do the work and the stwctwe is not intended or olfarsd for 1.1. IS%. 7044. Business and Professi~ns Code: The Contranor's License Law does not nPPlY to In awner 01 PrOFany who builds or improves thereon. and who doer such work himself or through his awn employeeL. provided that such mprovsments are not intended or oflered lor 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 lor the pwpose 01 sale). I, as owner of tho property. am excIuo~veIy contracting with licensed comiactols to Canstruct the Project ISsc. 7044. Business and ProlesY~ns Code: The ComiaCtOr's License Law does not apply to an owner of property who builds or imPIoYes thereon. and contlsctr for such projects with contractorlsl licensed Pursuant to the Cootiactoi's LIMWB Law). 1. 2. 3. 4. number I Contractors license number): 5. I have and will maintain a cmifmte of consent to self-insure for workers' compmsation as provided by Section 3700 of the Labor Code. 10, the performance I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code. lor the peltormance 01 the work for which this Permit is poI#cy NO. WC /4 /24760 9 Expiration Date $/a/z 0~9~ to the cost 01 so-nsation. dampen as providd lor In Section 3706 01 the La Eod.. imum and momy'. Ins. v . I am exempt under Section I parsonally Plan to provide the milor labor and materialo lor ConrtrUction of the Praposed PlOPWty Improvamant. YES I ihave I have not) signed an applicatmn lor a building permit lor the proposed work. I have contracted with the lollowing person llirml to provide the proposed constructinn llnclude name I address I phone number I Commctors license numberl: I plan to provide portions of the work. but I have hired tha lollowing person to conrdinnte. SUP~IV~SB and pravide the malot wart (include name I aMr6rr I P~OM I will provide some of the work. but I have contracted (hired) the following pwsans to provide the work Indicated iinclude name I address I phons number I type Business and Proferrions Code lor this reason: ON0 ~~ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-REslDwML BUlLDlNQ ERMITS ONLY Is the applicant or Iuture building occupant required to submit I business plan, acutely hazardous materials registration lorm or risk management and prevemion program under Sscttlonr 25505. 25533 or 25534 01 tha Pmsiey-Tanner Hazardous Substance Account Act1 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution Control district or air quality management district7 YES NO Is the Iacility to be constructed within 1,000 feet of the outer boundary 01 a school site? YES 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 thwe is a construction lending agency for the padormants of the work for which this psrrnlt is issued ISsc. 30971) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I Cenify that I have read the application and state that tho above information is COI(I)C~ and that the inlofmNian on the plans io accurate. I agree to comply With all City ordinances and State laws relating to building construnion. I hareby authorize represemltivas 01 tho City 01 Carlsbad to mtar upon the above mentioned PloPenv for insPenlon purposei. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIA8ILITIES. JUDGMENTS. COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA parmit is required for excavations over 5'0" deep and demolition or CDnnNction 01 strunufes over 3 stories in height. EXPIRATION Every Permit issued by the Building OltiClal under the provisions 01 this Code shall expire by limitation snd bacoma null and void if the building or work authorized by such parmit IS not commenced within 365 days from the date of such Permit or if the building or work authorized by such permit 1s suspended or abandoned a1 nny tima af lor a patiod of 180 days (Section 106.4.4 Unilorm Building Code). APPLICANT'S SIGNATURE DATE T/$qT? WHITE: File YELLOW: Applicam PINK: Finance - City of Carlsbad Inspection For 8/18/99 Request Permit# CB992574 Inspector Assignment: DH Title: FIRE DAMAGE REPAIR-CHECK ELEC Description: REPLACE DRYWALL &ADD TWO ELEC HEATERS Type: MlSC Sub Type: REPAIR Phone: 7604344686 Job Address: 2701 AVENIDA DE ANITA Suite: Lot 0 Location: Inspector: flj-) APPLICANT GATES STEVEN Owner: HELIX ASSCS Remarks: Total Time: Requested By: STEPHEN CD Description Entered By: CHRISTINE 2 Comments 19 Final Structural Inspection History Date Description Act lnsp Comments 7/28/99 17 interior Lath/Drywall AP DH 7/26/99 16 insulation AP DH 7/26/99 .%Rough Combo AP DH DATE (MMJUONY) CORD CERTIFICATE OF LIABILITY INSURANCE - EE 04/26/99 'RODUCER 1 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. Barrow Group, LLC 636 Exeha&e Place, Suite 300 Lilburn, GA 30047 COMPANIES AFFORDING COVERAGE ComApany CNA Insurance :o .T vsuRM Gates Construction PO Box 2236 . Carlsbad, CA 92018- TYPEOFIWURANCE POLK7 NUMBER GENERAL LlABlLIN -_ WMERCIAL GENEPAL LlABlLlTY -3 CLAIMS MADE OCCUR. OWNERS 6 CONTRACTORS PROT - - Company 0 Company C Comnpaw PROWCTSCOMPIOPAGG EWE- THIS IS TO CERTIFY THAT THE mums OF INSURANCE USTESI BELOW HAVE BEEN ISSUU) TC 5 INDICATtlJ. NOW1 TIISTANDmG ANY REQUIREMENTS. TERM OR CONDnION OF ANY CONTW CtRlIHCATt .WAY BF ISSUED OR .WAY PERTAIN. THE LYSURANCE AFFORDED BY THE WLICIE EXCLCSIONS .AND CONDITIONS OF SllCll P(JL1CIES. LlhllTS SIIOWN MAY tL4\ t BEEN REDUCE[ . .. . . . . .. . .. . . . . . . .. EACH OCCUWNCE , FIRE WGE (hy me Fm) MEDEXP(nymepst~n) COMBINED SINGLE LIMIT BODILY INJURY (PRpstMnI BODILY INJURY (Peraccidml) PROPERTY WOE __ I I f f f f I H I POLICY EFFECTIVE DATE (WW) AUTOMOBILE LlABlLlN ANYAW0 ALL AUTO SCHEWLEDAUTOS HIRED AUTOS NONaWNED AUTOS i I1 1 GARAGE LlABlUN t U I EXCESS LlAQlLIN I UMBRELLAFORM WORKERS COMPENSATION AND EMPLOYERS' UABILIN L THEPROPRETOW INCL PARMERSlEXECUTNE OFFICERSARE EXCL OTHER WC191247009 04/26/1999 IF INSURED NAMFD ABOVE FOR TIE poi.icv PERJOD OR OTHER DOCUM~NT WITH mspt(.T TO wwii Tins E.SCRJBED HEREIN ISSLlBJECl TO ALL THE TERMS. 'PAIDCLAIMS. Urn mucy EXPIRATION DATE(MhWW I GENERAL AGGREGATE If AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLV 04/26/2000 EL EACH ACCIDENT EL DISEPSE. wucv LIMIT $1,000,000 :ERTIFtcATE HOLDER EVIDENCE OF INSURANCE For verification of coverage Call (760) 943-2350 Ext. 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL - 10- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES / 1 AUTHORUW REPRESENTATIVE Robert S. Barrow ACORD CORWWillON 1988