The URL can be used to link to this page

Home My WebLink About2883 CAMINO SERBAL; ; CB030857; Permit03-25-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB030857 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2883 CAMINO SERBAL CBAD MISC 2552813300 $3,125.00 Subtype: OTHER Lot #: 0 COLSON RES MASONRY FIREPLACE @ REAR YARD Status: ISSUED Applied: 03/25/2003 Entered By: SB Plan Approved: 03/25/2003 Issued: 03/25/2003 Inspect Area: Applicant: ANDERSON'S LA COSTA NURSERY 400 LA COSTA AV ENCINITASCA 92054 760-753-3153 Owner: COLSON KENNETH R&WENDY A 2883 CAMINO SERBAL CARLSBAD CA 92009 1093 03/25/03 0002 01 02 CGP 89-00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $89.00 $0.00 $0.00 TOTAL PERMIT FEES $89.00 Total Fees:$89.00 Total Payments To Date:$0.00 Balance Due:$89.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U AC, SECTION 106.4.4 n&TC Q\-vi SIGNATURE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK N EST. VAL.. Plan Ck. Oeposi Validated B Date *^~ Address (include Bldg/Suite #>Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total » of units Assessor's Parcel *Existing Use Proposed Use Description of Work SQ. FT.#of Stories # of Bedrooms tt of Bathrooms State/Zip Telephone # Fax» (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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more thaiifjve hundred dollars ($5001). M7^7 Name ,—. . . / . . _ Address City State/Zip Telephone # State License # -f^^bl^^j License Class (j-~2'\'- City Business License # \*"7 \ *S "2, M L VVA \Y£> Ui osi.CA-\ Designer Name " Address State License * City State/Zip Telephone , ** ^Al Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: £5 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 fs 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 <?><V <V^ P ffioN Q Policy No. CM - "ZQ °~2- Expiration Date^T - Ql' °^> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 la unlawful, and shad subject an employer to criminal penalties and civil 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: O 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). Q 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. 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 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 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES O 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. 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 I certify that I have reed 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 at any time after the work is commi APPLICANT'S SIGNATURE of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE - 03. City of Carlsbad July 18, 2003 KENNETH & WENDY COLSON 2883 CAMINO SERBAL CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: MISC Building Department Permit Number: CB030857 Issue Date: 3/25/03 ADDRESS: 2883 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 9/21/03. 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. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 - (76O) 602-2700 • FAX (760) 602-8560 City of Carlsbad July 18,2003 Building Department Permit Number: CB030857 Issue Date: 3/25/03 ANDERSON LA COSTA NURSERY 400 LA COSTA AV ENCINTTAS CA 92054 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: MISC ADDRESS: 2883 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 9/21/03. 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. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-270O • FAX (760) 6O2-8560 - <&> "o ^ ° XLcs^. JUL 2.2002 4:25PM NO. 2732 P. 2 POLICYHOLDERCOPY P.O. BOX 4 20807, SAN FRANCISCO, CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPBN5ATION t NSUft ANC.B JULY 2, 2002 CONTRACTORS STATE X.ICSNSB BOARD WORKERS' COMPBKSATIOH ONIT P 0 BOX 26000 SACRAMENTO CA 9582$ GROUP: 000017 POLICY NUMBER: 64-20Q2CERTIFICATE ID: 1CERTIFICATE EXPIRES: 05-01-200305-01-2002/05-01-2003 #704643 05-01-02 LADO This it to cwtffy that we hive tatted a valid Wortwfs Compensation inauwtte policy in a term approved by #>» CaliforniaInsurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to csnceHatton by the Fund except upon 10 days advance written node* to the emptoyv. n<3ti<»*houW TW» cartifkate of ln$uranoe is not an insurance polky and does not anwid, extend or alter the coverage affonjcd by thepoficiee Nst»d hereto. Notwitrtttanding any wo^rement, term or condrfion of any contractor other document wittirespect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policiesdescribed herein is subject to all the terms, exclusions, and conditions, of such policies. nomZGO MWSSMTATM WKWJSNT BMPLOYER'fi LIABILITY LIMIT INCLOTING DEFENSE COSTS; $1,000,000 PER OCCURRENCE EMPbOVBt HIRSCH, MIKE AND H1RSCH, PATRICIA DBA: ANDERSON'S LA COSTA NURSERY 400 LA COSTA AVENUE SNCINJTAS CA 92024 SCIF102SS