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Home My WebLink About2873 SEGOVIA WAY; ; CB000592; PermitCity of Carlsbad 02/22/2000 Miscellaneous Permit Permit No:CB000592 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2873 SEGOVIA WY CBAD MISC 2552804100 $0.00 Subtype: OTHER Lot#: 0 ARBOR HEIGHTS-TEMP SALES OFFIC IN PLAN 1 GARAGE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/22/2000 RMA 02/22/2000 02/22/2000 Applicant: K HOVNANIAN AT LA COSTA VALLEY LL C K HOVNANIAN AT LA COST<SM\~:l'21l<.lOC.0001 01 02 2495 CAMPUS DR IRVINE CA 92612 Total Fees: $75.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: 2495 AMfUS DR IRVINE OA 9261 Total Payments To 0ate: Fl NAL APPROVAL Date: / l-. ,,. J. Lf--o I Clearance: $75.00 $0.00 $75.00 C-PRtiT 75-00 $75.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as •tees/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 Ca~sbad 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 with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. cdtJ(?o c;Cf ?--. ► CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ff~ ~:~:ate~/jYJ2?/ 00£4C_ f7'=t ~ 1. PROJECT 1111FoiiMA'tI0,,1.A R ~ Business Name (at this address) Legal Description ,2.55:-.2. eo-Y 1 Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use fol'?--, 'SAL,e:, C2 FF-.zc E;... Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# 4., f,'IJOPERTY OW!\!l:R . ,_ . . . 'J LJ'-( ,4'ba:'J K-tlo\JNJN+.AN@ARCog.1-(fC-Z-df(T;S JLC.. Name Address City Telephone# 6. Cj)fil:Ml,TOR • 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 t.hat 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 [$5001). Name Address City State/Zip Telephone # State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State License # _________ _ 6. WORKl;RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. []V'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) 0 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 shall 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 l, OWNER-BUILDER DECLARATION . -"·-• ~ .,,.' -:--;;:;;;;;;;;:::;;;:-:::;;;;:::::::::;;;;:;;;::::::-; I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 1, 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). O 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). 0 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. 0 YES ONO 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 I address I phone number I 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 I phone number I type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDIN~ eERMln:.2,=-.,.__ ... 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 8.. C,0.r,ISTRUCTION LENDING "GENCY _____ _....,_N_.....,.,__ " . I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ f9. AeP&,,ICANT CERTIFIC"TION 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 Cit\' 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 permil 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 wilhin 180 days from lhe date of such permit or if the building or work authorized by such permit is suspended or abandoned al any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATU~E --=jF~=-:::.~~;::::~::::S:::::S.:=:t=;>-j;;~---=---------DATE ..::...2_::=._-_,..2=...2-.-....JQ?........, ____ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/07/2001 Permit# CB000592 Title: ARBOR HEIGHTS-TEMP SALES OFFIC Description: IN PLAN 1 GARAGE Type:MISC Sub Type: OTHER Job Address: Suite: Location: 2873 SEGOVIA WY Lot APPLICANT K HOVNANIAN AT LA COSTA VALLEY LL C Owner: K HOVNANIAN AT ARBOR HEIGHTS LL C Remarks: Total Time: CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lns(leQtiQn Histo[l( Date Description Act lnsp Comments 11/20/2001 18 Exterior Lath/Drywall AP RB 11/19/2001 17 Interior Lath/Drywall AP RB 11/19/2001 18 Exterior Lath/Drywall NR RB ONCO 11/16/2001 17 Interior Lath/Drywall NR RB Inspector Assignment: RB --- Phone: 6198433954 Inspector: lJF Requested By: RUDY Entered By: CHRISTINE 11/16/2001 18 Exterior Lath/Drywall co RB NAIL@6 IN OC 11/15/2001 17 Interior Lath/Drywall PA RB 1ST LAYER IN CEILING OK 11/14/2001 14 Frame/Steel/Bolting/Welding AP RB CONVERTING SALES BACK TO GARAGE 11/14/2001 16 Insulation AP RB