The URL can be used to link to this page

Home My WebLink About2877 ANDOVER AVE; ; CB071112; Permit05-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB071112 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2877 ANDOVER AV CBAD MISC 1674801834 $0.00 PC070029 VILLAS OF CALAVERA HILLS 2ND FLR ENTRY DECK REPAIR-2816&2818 Subtype: REPAIR Lot #: 0 Applicant: DEGROODT CONSTRUCTION CO. 21602 SURVEYOR CIRCLE HUNTINGTON BEACH CA 92646 714-375-1325 Status: ISSUED Applied: 04/18/2007 Entered By: KG Plan Approved: 05/02/2007 Issued: 05/02/2007 Inspect Area: Owner: JOHNSON SIGNE R 2877 ANDOVER AVE CARLSBAD CA 92010 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $120.00 $0.00 $0.00 $120.00 Total Fees:$120.00 Total Payments To Date:$120.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: _H 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 lees/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 O PLAN CHECK NO, EST. VAL. ~ .' Plan Ck. Deposit i_ Validated BI Date . Address (include Bldg/Suite #>Business Name (at this address) Legal Description Subdivision Name/Number Phase No. •Total # of units < Assessor's Parcel ft Existing Use Proposed Use Description of ' '— '.'^Z~.~~~ /9Q FT "i # of Bathrooms Address - -City 0"''i'1^!"OSwpwSTO AgentS? CSm State/Zip- Telephone tt Fax 8 City • State/Zip - ' Telephone* Name Address City State/Zip . • Telephone,^ (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 ; IChapter.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 gxemption. Any violationpf Section 7031 .5 by any applicant for a permit subjects the applicant to a civil peneitytrf not more thn five hundred dollars [$500]).. Name '. -i' • st^Hi'K.nJ i^n. . State License'* '"^KH-O^^ ' • Address '• -.. v^. License Class • IK City .- State/Zip . City Business License # ' frt Telephone # _ _ . . „• :.''•/'.-. Designer Name , State License ff • M n Address City ' State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaration: 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. ^3f 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: • .< . . , . •. L i ./. • . " iration Date 6\l [ "-^Insurance Company Policy No.Expirat (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) - : '" '--' ••>•-,. O 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. , . f • WARNING:- Failure to secure workers' compensation coverage Ja unlawful, and shad subject an employer to criminal penahtei and civil fines up to one hundred!; thousand dollaxrld 100,000), inaddltion to theicoat of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE C ^^A^K^f^fC^" _ ' _ DATEw^s3Ss^s^s3K£^SK^&K^JijiJss&^.I hereby affirm that I am exempt from the Contractor's License Law for the following reason: . , Q 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~s"ale, (Sec. 7044, Business and Professions Code: The Contractor's License La"w/does not'apply, to.an owner, of property, who builds or improves thereon,.and:who doeaji 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). •- - .j '':':.'J ' '.-, . f"l 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 impToves thereon, and contracts for such projects with cbntractor(s) licensed pursuant to the Contractor's License Law). ' •' ; < O I am exempt under Section Business and Professions Code for this reason: \ t • • 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): *. •'-' 4lo-"-i '.•',_>:_ i-^J L 5. I wilt 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): _• --_ . "'-'. - •-'• -• '' -" 'Jj-V~ I ._ PROPERTY OWNER SIGNATURE. ; . . '. . «_ DATE ' ^r(j 3 - fcoM^eltHls^lcfidl.^oR^yvoA.g^ ^TLH! Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form oj,risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES-- {^^fto - - -"' Is the applicant or future building occupant required to obtain a permit from the'air pollutto'n control district* or 'air quality management district? O YES Is the facility to be constructed within 1,000 feet.of the outer boundary of,a school site? D ,YES ' ~~ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS ' REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME' LENDER'S ADDRESS 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 CitV 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. 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 commence^for a period^ 180 days (Section 106.4.4 Uniform Building Code). jt></^—-^^CA • DATEJ = — WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 08/15/2007 Permit# CB071112 Title: VILLAS OF CALAVERA HILLS 2ND Description: FLR ENTRY DECK REPAIR-2816&2818 Inspector Assignment: PY Sub Type: REPAIR 2877 AN DOVER AV Lot Type: MISC Job Address: Suite: Location: APPLICANT DEGROODT CONSTRUCTION CO. Owner: JOHNSON SIGNE R Remarks: Phone: 7143885247 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: CHRIS Entered By: JANE AN Comments/Notices/Holds Associated PCRs/CVs Original PC# PC070029 Inspection History Date Description Act Insp Comments 07/24/2007 18 Exterior Lath/Drywall AP PY rvci ADDRESS BUM-DINS I- WINTHROP AVE. BUILDINS 2 WINTHROP AVE. BUILDtNS 3 BUILDINS FAIRFIELD AVE. BUILDINS 5 FAIRFIELED , AVE. BUILDINS 6C.HATSWORTH WAY BUILDINS 1 NEW CASTUfr WAY BUILDINS & NEW CASTLE WAY BUILDINS <1 BROO<FIELD WAY — BUILDINS 10 ENSLEWOOD WAY BUILDINS WAY BUILDING 12 ENSLEWOOD WAY BUILDINS 13 ANDOVER AVE. BUILDINS 14 ANDOVER AVE. BUILDINS 15 ANDOVER • AVE. BUILDINS 16 ANDOVER • AVE. BUILDINS IT «?OVE AVE. BUILDINS 16 ANDOVER" AVE. BUILDINS l«t PROVIDENCE LANE BUILD1NS 2C SOMERSET WAY - BUILDINS 21- SOMERSET WAY - BUILDINS 22 RIDSEWO23D" WAY BUILDINS 23 CEDAR ~ DRIDSE WAY 2S> & 2O 22 1 6ff aO^-jt 2622 2824- 286 '18-2820 apia^' •31 5 - &4O 642 56 %.' gga: fc/\/P 2636^ 2B6O- 2662 2864- gggg^7 PiTbT —2B&2 28332635- 2651 2811 28 28 •3rrr-3511 -3513 5- »»IP- 3520 3526 ?2I-3523 354T UNIT TYPE 4REV A REV £Egy_ REVREV 4- C, REV BREV A REV * 4B REV ^a> REV iBE i iREV g£|V_ ^TRI S REV 4A F<EV * REV *^^fe KEY C REV f<EY BREV A B REV A REV D REV A REV 2ND FLOOR ENTRY DECK TYPE 2R AP 2 AP 2R 2 AP 2R 2 AP 2R 3 2R 2R AP 2R 2 AP 2R 2R AP 2R AP 2R AP 2R AP 1 2 AP 2R 2 AP 2R 2R 2R 2R 2R 2 AP 2R AP 2R AP 2R AP 2R AP 2R 2 AP STAIR TYPE 2ND FLOOR PRIVATE 3ALCONY TYPE B B B B B B C^TtEV BREV A REV p RE^Y A REV SREV B C C2 A REVBREV C C2 A REV BREV CC A REV C C2 _BJ A REV C C-2 C C2 B F4EV REV D REV REV B REV C C2 C C2 A REV A REV PREV. A REV _B_ DREVD A REVBREV C C2 D A REV BREV _B_ C C2 C ,C2 REVA REV C C2 C C2 B REV~ C C2 A REV C C2 REV CC2 B REV p REV _pEV A REV B REV C C2 REV C2 B-f REV- REV C C2 BB REV A REV NOTE. ADDRESSES » INDICATES 00 3g8 ^^<1 "J o in CERTHOLOER COPY SG COMPENSATION I NSURANCE FUND P.O. BOX 420807, SAN FRANClSCO.CA 94142-0807 ! CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE; 04-O5-2007 WESTERN NATIONAL CONTRACTORS. THE IRVINE CO. LLC, THE IRVINE LAND CO. LLC 8 EXECUTIVE CIR IRVINE CA 82614-8746 SG GROUP: POLICY NUMBER: 1481888-2006 CERTIFICATE ID: 85 CERTIFICATE EXPIRES: 06-01-2007 06-01-2008/08-01-20O7 THIS.CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE t 64 DATED 04-03-2O07 JOB:VILLA DORADO 25O7 NORTHSIDE DRIVE SAN DIEGO CA 921O8 This is to certify that we have issued a valid Workers' Compensation insurance policy in A form approved by the California Insurance Commissioner to the employer named below 'of the policy period indicated This policy is not subject to cancellation by the Fund except upon30 days advance written notice to the employer. We will also give you 3Odays advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurants is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AM) WIPE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. ' EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.000.OOO PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' ATTACHED TO AND FORMS A PART OF THIS POLICY. NOTICE EFFECTIVE OB-01-2003 IS ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2007-04-05 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: -WESTERN NATIONAL CONTRACTORS. THE IRVINE EMPLOYER PE GROODT, CHUCK 21BO2 SURVEYOR CIR HUNTINQTON BEACH CA 82646 SG (B10.SC) PRINTED : 04-05-20O7 TOTfiL P.01