The URL can be used to link to this page

Home My WebLink About2839 CAMINO SERBAL; ; CB022093; Permit07-16-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB022093 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2839 CAMINO SERBAL CBAD PATIO 2552812200 Lot#: $2,837.00 Construction Type: SEDLOCK RES-366 SF PATIO Applicant: ANDERSON'S LA COSTA NURSERY 400 LA COSTA AV ENCINITAS CA 92054 760-753-3153 Status: ISSUED 0 Applied: 07/16/2002 NEW Entered By: RMA Plan Approved: 07/16/2002 Issued: 07/16/2002 Inspect Area: 1336 07/16/02 Owner: SEDLOCK LIVING TRUST 07-07-00 2839 CAMfNO SERBAL CARLSBAD CA 92009 0002 01 COP 02 76-55 Total Fees:$76.55 Total Payments To Date:$0.00 Balance Due:$76.55 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $76.55 Inspector: FINAL APPROVAL Date: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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit. Validated By , / Date i 7// 1 Address Business Name 1st this address! Legal C>e*crtotwn Lot No.Subdivision Mama/Number Unit No.PhMdNo.Totsl * of units *T(0 c&w <f/y/z)X *iMr.MjUAMfc ™"^"^~» r <t»d»«u««buu»Uatli*lb>*^}*.i«.'.*h"i*>>*. .J *-**•">" «fc (Sec. 7031.6 Buaineae and Professions Cods: Any City or County which requires a permit to construct, altar, 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 8, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged examgtion. fXny violation of Section 7031.6 by any applicant for a permit-subjects the applicant to a civil penalty of not more than five hundreddollars 1*5001). 106 faC0?fa '&*<£> LeJL^^U\ C^A- ^XQ^V " ' "" Name . State License t **" O4 O " 3-License Class State/Zip City Business License » / "2> O Tele Designer Name Address City State/Zip Telephone *keraj Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I n*v* and will maintain a certificate of consent to sslf-insura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which thai permit la issued. CT | have and wW maintain workers.' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is tauad. My workers compensation Insurance carriei rand policy number are: . .. -,*/.-, „. •> C*Hl l*IW/+*(*- /U%<^Policy No. It 0 d^ V*? Expiration Date tf~\ '° "Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I ce/tify that in the performance of the work for which this permit is issued, I shall not employ any person in sny manner so ss i Laws of California. i coverage to unlawful, and anal subject en employer to criminal penalties and civil fines up to one hundred jfthe cost of compensation, damage* aa provided for In Section 3706 of the Labqr cede^kiterest and attorney's fees. DATE T*" 1 hereby affirm that I am exempt from the Contractor'* License Law for the following reason: O La* owner of the property or my employees with wages as Their sole compensation, will do the work end the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lsw does not apply to an owner of property who builds or improve* thereon, and who does such work himself or through his own employees, provided that such improvements sre not intended or offered for sale. If, however, the building or improvement ia sold within one veer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I. as owner of the property, em exclusively contracting with licensed contractor* to construct the project (Sec. 7044, Business snd Professions Code: The Contractor's Ucenee Law does not apply to an owner of property who builds or improves thereon, snd contract* for such projects with contractor!*) licanaad pursuant to the Contractor'a Ucenee Law). O 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. O 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 the major work (include name / address / phone number / contractors license number): 6. I win provide seme of the work, but I have contracted (hired) the following persona to provide the work indicated (include name / address / phone number / type of work): • PROFBmr OWNER SIGNATURE DATE to the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sectiona 26605, 26633 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES O NO li tht •pnlirent or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES Q NO tottafACitytoteconetrocted within 1,000 feet of the outer boundary of a school site? O YES Q NO IF ANY Of THC ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE KOJJMEMEftJTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hareey affirm that there to • construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Codel. LENDER'S NAME LENDER'S ADDRESS I certify that I neve reed the application and state that the above information ia 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 Csrisbad to enter upon the above mentioned property for inspection purpose*. 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 to required f o/Ocsvations over 6'0" deep and demolition or construction of structures over 3 stories in height. 1 the building Official under the provisions oJ this Code shall expire by limitation and become null and void if the building or work . eflosdarftMn-iap days from the date of suchpermit or If th«buiWng or wc^ authorized by such pennit is susperxtod or abanrJonedat any fnw aft* the work to cornn^ca^lcfalMMJM 180 days (Section 106.4.4 Uniform Building Code). DATEAmJCANTS SIGNATURE \MHnr- pi|n VPI I nW-PINK- Finsnrn City of Carlsbad Bldg Inspection Request For: 08/15/2002 Permit# CB022093 Title: SEDLOCK RES-366 SF PATIO Description: Inspector Assignment: SR 2839 CAMINO SERBAL Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT ANDERSON'S LA COSTA NURSERY Owner: SEDLOCK LIVING TRUST 07-07-00 Remarks: Phone: 7607030490 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: LOREN Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/1 3/2002 1 1 Rg/Foundation/Piers CO SR ALREADY BUILT/NEED TO VERIFY FTG SIZE SEE NOTICE City of Carlsbad Bldg Inspection Request For: 08/13/2002 Permit# CB022093 Title: SEDLOCK RES-366 SF PATIO Description: Inspector Assignment: Type: PATIO Sub Type: Job Address: 2839 CAMINO SERBAL Suite: Lot 0 Location: APPLICANT ANDERSON'S LA COSTA NURSERY Owner: SEDLOCK LIVING TRUST 07-07-00 Remarks: Phone: Inspector: Total Time: CD Description 11 Ftg/Foundation/Piers Act Comments CO Requested By: ANDERSONS LA COST NURS Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION. PERMIT NO. (760) 602-2700 1635 FARADAY AVENUE TIME 0. YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER *^LafiD*c JD "JUL16Z002 City of CARLSBAD BUILDING DFPT. JUL. 2.2002 4:25PM NO. 2732 P. 2 POLICYHOtDER COPY P.O. BOX 4 20807, SAN FRANCISCO, CA 94142-0807 FU N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPBMSAnONI N»URAN C.B JULY 2, 2002 CONTRACTORS STATE LICENSE BOARD WORKERS' COMPENSATION UNIT P 0 BOX 26000 SACRAMSNTO CA 95826 GROUP: 000017POLICY NUMBER: 64-2002CERTIFICATE 10: 1 CERTIFICATE EXPIRES: 05-01-200305-01-2002/05-01-2003 #704643 05-01-02 LADO This it to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated, This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document withrespect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions, of such policies. AUTHORIZED HEPRfSGNTATNE PRESIDENT ^EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000 PER OCCURRENCE EMPlOYBI HIRSCR, MIKE AND HIRSCH, PATRICIA DBA: ANDERSON'S LA COSTA NURSERY 400 LA COSTA AVENUE SNCINITAS CA 92024 SCJF102S5 ftrpp-lll f, n