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HomeMy WebLinkAbout2904 CLIFF CIR; ; CB992165; Permit06/09/1999 City of Carlsbad Miscellaneous Permil Permit No CB992165 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Valuation Reference # Project Title 2904 CLIFF CR CBAD MISC 1675540100 $000 Subtype Lot# OTHER 0 Status ISSUED Applied 06/09/1999 MDP 06/09/1999 06/09/1999 HERITAGE HOMES CONVERT GARAGE TO TEMP SALES OFFICE Entered By Plan Approved Issued Inspect Area Applicant HERITAGE HOMES STEG2 2420 GRAND AV VISTA CA 92083 760-559-4508 Owner HERITAGE BUILDERS L L 05660 06/09/99 0001 01 4809 DULIN RD C-PRMT FALLBROOK CA 92028 02 75-00 Total Fees $7500 Total Payments To Date :$000 : Balance Due $7500 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT $7500 $000 $7500 Inspector FINAL AP Date Clearance NOTICE Please take NOTICE tffat 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 capactiy changes nor planning, zoning, grading or other similar application processing or service fees in connection wi!h 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 2075 Las Palmas Dr., Carlsbad, CA 92009 (760)438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATION FOR OFFICE USE ONJ.Y PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) Ct,trf Business Name (at this address) Legal Description L-l Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work TmP SAAES off. itJ 2 CONTACT PERSON (if different from applicant) SO FT #of Stories # of Bedrooms of Bathrooms Name 3 APPLICANT Contractor Address City [ Agent for Contractor Q Owner O Agent for Owner State/Zip Telephone # Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone tt Address City State/Zip Telephone #Name 5 CONTRACTOR - COMPANY NAME (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 than five hundred dollars I $5001) Name State License ff '^STjf Address License Class City State/Zip City Business License # / •% «=> Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations fj 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 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 Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~1 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 cnmmal 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 7 OWNER-BUILDER DECLARATION 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 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 awn employees, provided that such improvements are not intended or cffered 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) l~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 improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) [~l 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 O YES 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 n<ime / 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 8 CONSTRUCTION LENDING AGENCY 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 9 APPLICANT CERTIFICATION 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 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 365 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 cfltnmsnced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE O& CuJLc^f Cjl^-« DATE £ • 9 • ? f WHITE File YELLOW Applicant PINK Finance CT- CALAVERA HILLS, VILLAGE L-l R \OOdJ \005120 J3 dwg JL 7rtrt fih JUN-09-1999 15 49 Producer Michael Ehrenfeld Company 2655 Cammo Del Rio North, Suite 200 San Diego, CA 92108 (619) 683-9990 Fax(6l9) 683-9999 MICHflEL EHRENFELD CO g*fe 619 6839999 P 01/01 , THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI6H1 S UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BS.OW COMPANY COMPANIES AFFORDING COVERAGE A UNITED CAPITOL/ SOWERS & BACCALA Insured HERITAGE HOMEBUILDERS.INC SAN LUIS REY PROPERTIES LTD 2420 GRAND AVENUE #G2 VISTA, CA 92083 COMPANY B GENERAL INS CO OF TRIESTE & VENICE COMPANY CALIFORNIA COMPENSATION COMPANY D INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR COIMDmoN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED SlT PAID CLAMS TYPteFKSUHMTCE BAT* (MWDWYV) POLIO EXPIRATION CENERAk IUBIUTY COMMeHCIAL GENERAL LIABILITY GENERAL AGGREGATE GLA1252814 10/15/98 10/15/99 PRODUCTS COWP/OPAGG 'CLAIMS iw»oe OWNER S £ CONTRACTORS PROT PERSONAL S ADV INJURY EACH OCCURRENCE FlftE OAMAGS MEO eXP <Any one penan) $5 000,000 $5,000,000 $3,000 000 35,000 000 50000 5000 i AUTOMOBILE uAtllTTY «HY«JTO ALL. OWNfit) AUTOS COMBINED SINGLE UMfT 5000000 GLA1252814 10/15/98 10/15/99 BODILY INJUf)v {Psr Person) BODILY INJURY (P«r Accident) PROPERTY DAMAGE UABiLrrr ANYW/TO AUTO ONLY - EA ACCIDSNT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXeSJSU&BIUTY B UMKRELLA FORM EACH ACCIDENT AGGREGATE y j WCSTATU"! A) TORY LIMITS IWORKERS COMPENSATION EMPLOYEES- LIAMJTY THEPROPRISTOR/ PARTNSJSSXECLfnvE OFFICERS AR6 W991149354 1/1/99 1/1/00 EL EACH ACCIDENT $1,000,000 SL DISE^SS PQLCYUMfT _S1,000000 EL DISEASE EA EMPLOYEe _$1.000.0001 OTHER B PERSONAL PROPERTY SPECIAL FORM, S1,000 DEO $t06,000 LIMIT 2280468 10/15/98 10/15/99 DESCRIPTION OF OPERAT10N$4.OCATION»VEHia.ES/SPECIAI. ITEMS RE Heritage Cliffs, LLC - Calaveras Hills Project NOTE . notice of .ranceHatiori m .theeyent ^.ri^ City of Carlsbad Building & Inspection Department 2075 Los Palmas Dnve Carlsbad, CA 92009 Fax #760-438-0894 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL SO, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINP UPON THE COMPANY ITS AGENTS OR REPRBSgMTATIVe TOTAL P. 01