HomeMy WebLinkAbout2841 CORTE PAPAYA; ; CB011848; Permit05/23/2001'
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB011848
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2841 CORTE PAPAYA CBAD
PATIO
2553120200 Lot# 0
$1,86000 Construction Type NEW
DODSON-COV PATIO 240 SF
SD STANDARD
Applicant
AZURE POOL CONSTRUCTION CO
7423 EL CAJON BLVD
LA MESA CA 91941
Status ISSUED
Applied 05/23/2001
Entered By JM
Plan Approved 05/23/2001
Issued 05/23/2001
Inspect Area
Owner
GREYSTONE HOMES INC
5780 FLEET ST #300
CARLSBAD CA 92008
0189 05/23/01 0002 01
CGF-
02
61.14
Total Fees $61 14 Total Payments To Date $000 Balance Due $61 14
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
$3645
$000
$2369
$000
$1 00
$000
$000
$000
$000
$61 14
Inspect
FINAL APPROVAL
Date 7//S/6J 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 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
1 PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validated By_
Date
/ /
Y/
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units
Assessor's Parcel tt Existing Use Proposed Use
Description of Work SQ FT #of Stories # of Bedrooms tt of Bathrooms
2 CbNTACT^ERSON (if diffeunt from applicant) ' ''"'"
Aro/e, Cb^WA/-)t1 "Wrs <y\ Qavon ftM
AriHraec ^-*Name
3 APPLICANT Contractor
Address "-1 City
Igen't for Contractor Q Owner C] Agent for Owner** fc . •""- ^ • *"•. ^"^ ** • -frWoi
State/Zip Telephone tt Fax #
Name Address City State/Zip Telephone #
PROPER
€
OWNER
Name Address City State/Zip Telephone tt
jCONf RACTOR- 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 qf Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I $500))
" U(
Name
State License tt
Address
License Class Q\
City State/Zi|
City Business License tt
Telenhone tt
Designer Name Address City State/Zip Telephone
State License tt _
6 WORKERS' COMPENSATION % " .'.. "' ' !i ; '
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
Q 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
Insurance Company J^CQi _ Pol.cv NoCCUC, (DO I "| {Qt\ Expiration Date
-. i
eH j
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
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 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 dollarsfte 100X300), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE VM "(/&£" ' DATE CD\1?1\O}
7 OWNER-BUILDER DECLARATION J -^ ' <
1 hereby affirm that I am exempt from the Contractor's License Law for the 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)
C3 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)
n 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~l 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) __ ________
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 NON-RESIDENTIAL BUILDINGi PERMITS ONLY r_
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? O 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? l~l YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 H:
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 -'..'...'•... -J •:.-..: . " "'""' , ;-\. /: j t. •::' '• :'
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 180 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 DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/13/2001
Permit# CB011848 Inspector Assignment TP
Title DODSON-COV PATIO 240 SF
Description SD STANDARD
Type PATIO Sub Type
Phone 6197973893
Job Address 2841 CORTE PAPAYA
Suite Lot 0
Location Inspector
APPLICANT AZURE POOL CONSTRUCTION CO
Owner
Remarks
Total Time Requested By OSCAR
Entered By CHRISTINE
CD Description Act Comments
19 Final Structural
Associated PCRs
Inspection History
Date Description Act Insp Comments
06/27/2001 21 Underground/Under Floor WC TP ? ON INSP TYPE
06/27/2001 23 Gas^est/Repairs WC TP
06/27/2001 31 Underground/Conduit-Wiring WC TP
05/29/2001 11 Ftg/Foundation/Piers CO TP SAME CORK
05/25/2001 11 Ftg/Foundation/Piers CO TP ND DTL
05/24/2001 11 Ftg/Foundation/Piers CO TP ND DTL
CONSTRUCTION
7453 GL CAJON BLVD LA M£SA. CA 91941 • (619) 697-3363 • FAX (619) 697-379O • LIC #5Oai8l CLASS B-l C-5
RESIDENCE TDHAVE EXIT ALARMS Om ALL DOORS LEADING FROM HOUSE
DIRECTLY TO POOL YARD AREA OR SELF-CLOSING, SELF-LATCHING DOOR
HARDWARE WITH A RELEASE MECHANISM LOCATED NO LOWER THEN 54
INCHES ABOVE THE FLOOR
CONSTRUCTION
May 23, 2000
To Whom It May Concern
Please allow Oscar Pena to act as agents in any capacity necessary to process and obtain
a building permit for the above referenced project
If you should have any questions, please feel free to contact me at, (619) 697-3363
ThankYou,
) •
Connie McConaughey
Office Manager
7423 EL CAJON BLVD LA MESA, CA 91941 • (619)697-3363 • FAX (619) 697-3790 • LIC #502181 CLASS B-1 C-53
TOLL FREE (888) 768-7665
FROM . URTEPIDGE INS.PHONE NO 858 452 6004 Oct 02 2000 11 070M P2
CERTIFICATE OP LIABILITY INSURANCES**»
PRODUCER
Wateridge insurance Services
10525 Vista Sorrento Fkwy #300
n Diego CA 92121
Michael s. Galloway
Phone H9 858-452-2200 F 858-452-6004
Bob Xelly
DBA: Asusre Fool Constraetiasi
7423 El Ceo on Blvd.
La Mesa CA 91941
&ZTJREP1 10/02/00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND COMFtftS NO RIGHTS UPON THE CERTjRCATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXPEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIESAFFQRDING COVERAGE
COMPANY
A IKSCGRS - Ins Corp of MY
COMPANY
B State Ccsp&se at3.cn Fund
COMPANY
C
JLCOVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A6OVE FOR THE POLICV PERIOD
INDICATED NOTMTHSTANOING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CECTFIOTE MAY BE ISSUED OR MAY PERTAJ-J THE CJSLffWNCE AFFOROEC BY THE POLCES OESCRIBED nEREI™ IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AMD CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR TYPE OF WSUfiANCE POLICE NUMBER DATE (MM/OD.VY)
POLICY EXPIRATION
DAT£ (MM/OD/YY)LIMITS
GENERAL AGGREGATE j I 2, 000,000GENERAL LIABILITY
X I COMMERCIAL GENERAL LIABILITY i CAIC10 017209
j | CLAIMS MADE | x] OCCUR
X I OWNER'S £ CONTRACTOR « PROT
X151,000 PD PEP.
I PER OCCORKEH-CE
09/01/00 09/01/01 PRODUCTS - COMP/OP AS6
PERSONAL « ADV INJURY
($2,000,000
EACH OCCURRENCE
sl,OOQ,Ooo
s1,000,000
FIRE DAM AGE (toy one <tos) |S 100,00ft
MED EXP (Any <x>9 person)50,000
AUTOMOBILE LIABILITY• -- 1
AfJVflLT/O
Au. OW«ED «UTOS
SCHEDULED AUTOS
CAIC100I72D&09/01/00
NON-OWNED AUTOS
09/01/01 COMBINED SINGLC LIMIT S1,000,000
SOOJLY INJURYfppr person)
BODILY INJURY
PROPERTY OAMAGE
GARAGE UABIirtY
j ANY AUTO
AUTO ONLY - EA ACCIDENT I
OTHER THAN AUTO ONLY I
EACH ACCIDENT |
^EXCESS UABILITY
1 i UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
PACH OCCURRENCE
ASGRECATE
>NORKERS COMPENSATION AND
EMPLOYERS VIABILITY
•jf WCSTVATU-_* I TORY LI'"-.IMITS I JOTH.
-LE&
EL EACH ACCIDENT
PARTNERS/EXECUTIVE
OWCERS ARE
INO.
EXCL
10/01/00 10/01/01 Is1,000,000
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYE?
11,000,000
11,000,000
OTHEP
DESCRIPTION OF OPERATIONS/LOCAT|ONSJVEHICLES«P£CIRL ITEMS
*BXCBPT 10 DAYS NOTICE FOR UOH-PAYMENT OP PREICCTTK. CERTIFICATE HOLDER IS
KA^D AS ACDITIOI^i IKSmRBg PER ATTACKED FOEK CG2124 WITE EESFECT TO GSKSRAI,LIABILITY OMLY. RB: ALL OPERATIONS PERPORJMED BV OR OH BEHALF OF THE NAMEDXKoutuSD (aacx)
COFSAHD
County of San Diego
Attn: Bldg. Permits Dept.
5201 Rxiffin Road, S-uxfce B
San Diego CA 92123
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF iffe ISSUING COMPANY WILL •••••••MAIL
30* DAYS WRITTEN NOT^E Tb TH£ CERTIFICATE HOLDER NAMED TO THE LEFT
JL