Loading...
HomeMy WebLinkAbout2843 CAMINO SERBAL; ; CB091695; Permit10-09-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB091695 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2843 CAMINO SERBAL CBAD MISC 2552812100 $0.00 Subtype: OTHER Lot #: 0 COLTON RES 9FT OUTDOOR FIREPLACE/CITY STD. Applicant: LOS CABOS POOLS 253 WOODLAND DR VISTA CA 92083 760518-1528 Status: ISSUED Applied: 10/09/2009 Entered By: KG Plan Approved: 10/09/2009 Issued: 10/09/2009 Inspect Area: Owner: COLTON JEFFREY M&DEBRA M 2843 CAMINO SERBAL CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $89.00 $0.00 $0.00 $89.00 Total Fees:$89.00 Total Payments To Date:$89.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: »"S I ttU«>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. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE#/UNIT# 2/ CT/PROJECT #PHASE # I # OF UNITS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES|~]# N0| | AIR CONDITIONING YES | |NO| | FIRE SPRINKLERS CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE Z1P PHONE FAX PHON EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP (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 theBusiness 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 ($500)). :Wli/ir. .!*.*.* 9 ' C O M P f'NI! A:f l:O:«t Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: LLkhave 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. \*' I h^e aid "ill maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performarjce of th&work for which this permit is issued. My workers' compensatiogjyjrarjce jarrier and policy number are: Insurance Co ^M-A" Policy No. "•^Qpft^'j &~i>O S" 7"7 f'^±- Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($100) or less. I I 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 (8,100,000), in addition to the cost of compensation, damages as provided faejn-Section 3706 of the Labor code, interest and attorney's fees. DATECONTRACTOR SIGNATURE OWNER - B U I L D E it u E C L A NATION / hereby affirm that I am exempt from Contractor's License Law for the following reason: kj | I, as owner of the property or my employees with wages as their sole compensation, will do thpwbrk'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). 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). I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I |No I I 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business'toracutelv hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? | I Yes J/^tNo Is the applicant or future building occupant required to obtain a permit frfen the air pollution control district or airguality management district? LjYes Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes [gNo 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. CONSTR u cT i ON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address . c E « T I-P i e *'Tt o 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 com ply with all City ordinances and State laws relating to buildingcnnstnjcton. I hereby authorize representative 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). x£f APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/11/2010 Permit* CB091695 Title: COLTON RES 9FT OUTDOOR Description: FIREPLACE/CITY STD. Inspector Assignment: MC 2843 CAMINO SERBAL Lot: 0 Type:MISC Sub Type: OTHER Job Address: Suite: Location: OWNER COLTON JEFFREY M&DEBRA M Owner: COLTON JEFFREY M&DEBRA M Remarks: Phone: 7605216731 Inspector: Total Time:Requested By: JAVIER Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing Act fl Comments Uk. Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 10/19/2009 66 Grout 10/19/2009 10/16/2009 10/14/2009 10/14/2009 68 Fireplace/Tie Straps 66 Grout 11 Ftg/Foundation/Piers 68 Fireplace/Tie Straps Act Insp Comments AP RB PRE GROUT INSP. AP RB NR TP AP MC WC MC NO DTL FOR FIREBOX & CMU REINF. FOOTING & STEEL FOR FIREPLACE ONLY APPR OCT 09^2009 ;Jiry of CARLSBAD BUILDING DEPT. w K o cz wia I2 0 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 Department of Consumer Affairs "ge*-y^ IGOV Contractors State LicenieBoard Contractor's License Detail - License # 883865 /i.\ DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124 6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disclosed. - Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. > Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Expire Date: License Status: Additional Status: Classifications: Bonding: 883865 Extract Date: 10/09/2009 LOS CABOS POOLS INC 253 WOODLAND DRIVE VISTA, CA 92083 Business Phone Number: (760) 908-3443 Corporation 09/09/2006 09/30/2010 This license is current and active. All information below should be reviewed. The license may be suspended on 10/28/2009 if the workers' compensation insurance policy is not filed with the CSLB. CLASS DESCRIPTION C53 SWIMMING POOL CONTRACTOR'S BOND This license filed Contractor's Bond number 100052582 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 08/11/2008 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) JAVIER MALDONADO certified that he/she owns 10 percenter more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 06/08/2007 This license has workers compensation insurance with the PMA CAPITAL INSURANCE COMPANY Workers' Compensation: Policy Number: 2008010065771Z Effective Date: 09/22/2008 Expire Date: 09/22/2009 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Conditions of Use | Privacy Policy Copyright © 2009 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 10/09/2009