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