HomeMy WebLinkAbout2870 AVENIDA CEREZA; ; CB011763; Permit05/f5/200 1
-@> City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
PatiolDeck Permit Permit No:CBOI 1763
Job Address:
Permit Type: PATIO Status: ISSUED
Parcel No: 2552824400 Lot #: 0 Applied: 05/1 5/2001
Valuation: $1,519.00 Construction Type: NEW Entered By: RMA
Reference #: Plan Approved: 05/15/2001
Issued: 05/1 WOO1 Project Title: HOLMEN RES-196 SF PATIO Inspect Area:
2870 AVENIDA CEREZA CBAD
Applicant:
SAVANAH LANDSCAPE
4399 SERENA AV
OCEANSIDE CA 92054
Owner: HOLMEN SCOT A&MICHEL~$ 05/woi 0002 01 02
2870 AVENIDA CEREZA CGP 52.33
CARLSBAD CA 92009
Total Fees: $52.83 Total Payments To Date: $0.00 Balance Due: $52.83
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
$31.41 $0.00
$20.42 $0.00 $1 .oo
$0.00
$0.00 $0.00 $0.00
$52.83
FINAL APPROVAL
Inspector: ,&$cdu Date: l6/3?h/ Clearance:
NOTICE: Please take NOTICE hat approval of your project includes the 'Impmition" of fees, dedications, reservations, or other exadons hereafter collectively
refened to as Yeedexactbns." Yw have 90 davs horn me date his cermk was issued to omtest imoosition of these feeslexadbns. If vw omtest hem. YOU must
follow he protest pr0cea.m~ set lotn in Government Coae Won 66020(a) ana file me protest ana any omer wired nlormalon win the C ry Manager lor
pazssing In acwroanm wnn Carlsoao M.niopal &e Sect on 3 32 030 Fa .re to me y follow mat pmcedure w bar any s.bseq.ent legal aaon IO attack,
rev ew. set as de. vod or annul the r impmdon
Vw are hereDy FJRTHER NOTlF ED that your Wht to protest the specred feeslexaabns DOES NOT APP-Y to water ana sewer conwon lees and capacly
changes. nor plann ng wning. grading or other sidlar applicatan processing or lees in conwon wth this prom hOR DOES 1 APP-Y 10 any
feevexamow of wnicn you nave preui0.s y been qiven a NOTICE em ar 10 Ins, or as b whtch me Slatme of iimitat ow nas preulobs v othem sa expirw
PERMIT APPLICATION
CiTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.
FOR OFFICE USE ONLY
EST. VAL.
Validated By /
Date -, I *// cI;/c7/ I
Address linduds BidglSuits XI Business Name 1st this address)
Assessor's Parcel X Existing Use Proposed Use
Name Address City StatalZip Telephone X
ISsc. 7031.5 Business and Pmfesrions Code: Any City or County which rewires a permit to construct, dter, improve. demolish or repair any structure. prior to ib issuance, also requires the applicant for such Permit to file 0 signed statement that he is liensd PuIsumt to the pmvioims d the comractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Pmfessio Codel or ths he is exempt therefrom, and the basis tor the aileged
to '"if Itv of t more than five hundred dolls 1150011. 44%. mco -b I f r Brmit Ubjsctsthe 3fe-n<*l& City StatelZip %os70 Terphphone X 39 7rlq License Ciass C -J7 City Business License X
Name
State License X ,
Designer Name Address City StatelZip Telephone
Addre
-
[7 I haw and will maintain a certificate of Consent to reif-insure for Workers' compensation as provided by Section 3700 of the Labor Coda. for tb performance of the work for which this permit is issued.
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
Insurance Company Policy No 1 Zj& -CO Expiration oat-2 ijt -OA
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IOlOOl OR LESS1
e inswag
is unlawful. and shall subbn an employe atlon. darnagw M prwlded for in Section 3 0 up to one hundred
0 i. as owner of the property or my employees with wages as their sole compensation, will do the work and the sttructure is not intended or offered for sale ISec. 7044, Business and Professions Cads: The Contractor's License Law does not apply to an Owner of plopertv who builds or improves thereon. and who does
such work himself or through his own omployBes, provided that such improvements are not intended or offered for sale. If, however. the building or improvement io
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 said.
0 I, 8s owner of the property, am exclusively Contracting with licensed Contmctors to construct the project ISsc. 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 contmctorlsl licensed
pursuant to the Contractor's License Law).
1,
2.
3.
4.
number I contractors license number):
5.
i am exempt under Section
I personally plan to provide the mojof labor and materialr for connruction of the proposed property improvement. YES ON0
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following Person (firm1 to provide thn proposed construction linclude name I address I phone number I contractors license number):
I plan to provide portions of the work. but I have hired the following Person to coordinate. supervise and provide the major work lincluds name I address I phone
I will provide some Of the work, but I have contracted lhiredi the following PB~DO~S to provide the work indicated linciude name I address I phone number I type
Business and Rofeasions Code for this reason:
~~~ ~ ~~~
PROPERTY OWNER SIGNATURE DATE
1s 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? 0 YES 0 NO
1s the applicant or future building occupant required to obtain a permit from the air pollution Control district 0, air quality management diStri.5tl 0 YES 0 NO
Is the facility to be constructed within 1,000 feet Of the Outer boundary of a school site7 YES 0 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 AN0 THE AIR POLLUTION CONTROL DISTRICT.
.,,
I hereby affirm that there is a construction lending agency forthe performance of the work for which this permit is issued ISec. 3097lil Civil Codel.
L :a
I Certify that I haw read the application and State that the abova information io COfreCt and that the information on the plans io accurate. I agree to comply with ai1
City ordinances and State laws relating to building canstructian. I hereby authorize representatives of the CitV of Csrlobsd to entw up00 the above mentionsd
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAD AGAINST ALL LlABiLITIES.
UENCE OF THE GRANTING OF THIS PERMIT.
I over 3 stories in height.
of this Code shall expire by
h permit or if the building or
.4 Uniform Building Code).
EXPIRATION: Every permit i
authorized by such permit is n
at any time after the work is c
APPLICANT'S SIGNAT DATE
/flu LM2
City of Carlsbad Bldg Inspection Request
For: 10/29/2001
Permit# CB011763 Inspector Assignment: RCB
Title: HOLMEN RES-I96 SF PATIO
Descrbtion:
Type: PATIO Sub Type:
Job Address: 2870 AVENIDA CEREZA
Suite: Lot 0
Location:
APPLICANT SAVANAH LANDSCAPE
Owner: HOLMEN MICHELLE S
Remarks: DOG - GO TO FRONT DOOR AND KNOCK LOUDLY
Phone: 7608068001
Inspector: f~b
Total Time: Requested By: JASON
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural 4.L i=/AJu3 c
Associated PCRg
wtion History
Date Description Act lnsp Comments
09/19/2001 21 Undergmund/Under Flwr CA RC WRONG PERMIT # ENTERED- THIS JOB DID NOT NEED AN INSPECTION
05/16/2001 11 Ftg/Foundation/Pien AP AR
NEW
LIABILITY' INSURANCE POLICY
PREMIUM DISCOUNT (x 1.0000) 53.157
TOTAL MODIFIED PREMiUM $3.157
*FRAUD SURCHARGE (x 0.002300) 57
* USER FUNDING ASSESSMENT (x 0.001389) $4
* CASURCHARGE (x 0.010000) 532
GRAND TOTAL $3,200
Code Estimated Total No. Annual Remuneration
Minimum Premium : $1,000 Page 1 of 2 Total Estimated Annual Premium : $3.200
Per $100 of Estimated
Remuneration Annual
Quarterly Monthly if Indicated here, interim adjust- ments of premium will be made: 0 Semi-Annually I
Description Class Code Net Audit Rate
Landscape Gardening 0042 I 9.02
Salespersons 8742 (1) 0.83
CCri.-%a 8810 (1) 0.69
Deposit Premium : 51.043
(Including 'Fees)
TOTAL UNMODIFIED PREMIUM $3,693
EXPERIENCE MODlFiCATiON ( NONE) $3,693
SCHEDULE RATING (x 0.8550) 53.158
SEE FOLLOWING PAGE(S)
AGENCY NO. ARM of California (#272085) 6800 Owensmouth Ave. Suite # 260 Canoga Park, CA 91303
(Post, POS300)
Countersigned By
MARKETiNG OFFICE: HOME OFFICE 02-27-2001 PRD