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Home My WebLink About2847 CAMINO SERBAL; ; CB053187; Permit09-09-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB053187 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2847 CAMINO SERBAL CBAD PATIO 2552812000 Lot#: 0 $3,600.00 Construction Type: NEW OGRADY RESIDENCE 400 SF DETACHED PATIO Applicant: THE PALM CO 395 SUNSET DR ENCINITASCA 92024 760 942-2796 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: OGRADY TIMOTHY J 2847 CAMINO SERBAL CARLSBAD CA 92009 ISSUED 09/09/2005 MDP 09/09/2005 09/09/2005 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 $53.49 $0.00 $34.77 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $89.26 Total Fees:$89.26 Total Payments To Date:$89.26 Balance Due:$0.00 EXPIRED PERM! I PERMIT HAS EXPIRED IN ACCORDANCE WFH C.B.C SECTION 106.4.4 AS AMENDED BY C.M.C.1*}.i)4,tfK? PATE /ML* SIGNATURE 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 divan 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 NO. EST. VAL. Plan Ck. Deposit. Validated By Date Address (include Bldg/Suite 9)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units s Parcel Existing Use Proposed Use Description of Work SQ. FT.#of Stories # of Bedrooms # of Bathrooms JM^CfflH^^ •'- - .. -.. :-.-' . V . , " " •'>•,. ^, ^ /!L, \-7i-i «2x-»•faiJLL TllgM£P> -g^ ^uH^fgT •Q^Kirrz^ ^A -^-ZfSZAr CM?*?83$2 Name ~^ Address CityState/Zip Telephone * ~ Fax V QAflem for Contractor O Aa«mt for Owner Name ^dOMM*1 Address City State/Zip Telephone # Name Address City State/Zip Telephone * (Sec. 7031.S 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 bundud dollars ($500]). Name Address State License * O^^^/f^T" License Class ii'Z' City State/Zip Telephone * / City Business License * ( "£*& ~" Sy^O^T"" ' Designer Name Address State License * City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. 5f I have and will maintain workers' compensation, es 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 •^T&TIS F"UNlP Policy No. 1 7^37 \°( - "^>y^> Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100J OR LESS) D 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 to unlawful, and aha! subject en employer to criminal penalties and dvl fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE DATE I 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). O I, aa 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 epply 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q 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 NO 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, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. iiiiiiiiiii^^ •-- ,.,:./ I hereby affirm that there is a construction lending agency for the performance of tha work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read tha application and state that the above information is correct and that the information on tha 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 ' withinlBO days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned of 180 days (Section 106.4.4 Uniform Building Code). authorized by such permit is not commei at any time after the work is APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad February 22, 2006 Building Department Permit Number: CB053187 Issue Date: 9/9/05 TIMOTHY OGRADY 2847 CAMINO SERBAL CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: PATIO ADDRESS: 2847 CAMINO SERBAL PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 4/18/06. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760)602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (76O) 6O2-27OO • FAX (76O) 6O2-856O City of Carlsbad Bldg Inspection Request For: 10/20/2005 Permit* CB053187 Title: OGRADY RESIDENCE Description: 400 SF DETACHED PATIO Inspector Assignment: 2847 CAMINO SERBAL Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT THE PALM CO Owner: OGRADY TIMOTHY J&CHRISTINE L Remarks: AM PLEASE - CONCRETE COMING EARLY Total Time: CD Description 11 Ftg/Foundation/Piers Act Comment Phone: 7607178358 Inspector: Requested By: PAUL Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 4 X ®£ tff\\»j ^*fc4^> £%"°^>•$&•»3^^* ^. i ul'pj ^1 8gz|£ ^§? ^ u)3fr v v 0 W fi'f? ItfS\ ^^> I jf* 1VU J 5 "i J Ul ^ 0 CD MM V .,£M J • • _ll-^TV-S 3 W 3 c^• \ o • « •*54: I 0 \\ 3 l\ « •i\) 3-< ^^^ SD POUCYHOLDER COPY COMPENSATION I NSURAHCE FUND P.O. BOX 807, SAN FRANCiSCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-01-20O5 CONTRACTORS STATE LI CENSE BOARD WORKERS' COMPENSATION UNIT P 0 BOX 26000 <• SACRAMENTO CA 95826 SD GROUP: POLICY NUMBER: 1733718-2005 CERTIFICATE ID: 2 CERTIFICATE EXPIRES: 07-01-2006V) -01-ZOOS/Or?-01-2008 LICENSE NUMBER: #650724 INCEPTION DATE: 07-01-2005 D.O. : SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved b\ the California Insurance Commissioner to the employer named betow for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employe'-. 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 er alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or ether document with respect 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 REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. EMPLOYER LEGAL NAME THE PALM COMPANY • 395 SUNSET OR •'; ENCINITAS CA 92024 TWO TOGETHER, LLC AND/OR COOMES. CARL DOUGLAS AND COOMES, JOANNE SV.3-03!PRINTED: <*/"/*** P0409 1 'el THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SSJUU003 SO Inr