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HomeMy WebLinkAbout2709 PARADISE RD; EXPIRED; CBR2020-1131; PermitPrint Date: 07/12/2021 Permit No: CBR2020-1131 PERMIT REPORT Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2709 PARADISE RD, CARLSBAD, CA 92009-3056 BLDG-Residential 2131413200 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 05/27/2020 05/27/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Expired Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:REPAIR SEWER LINE (E-REVIEW) NO WORK IN ROW WITHOUT ROW PERMIT Final Inspection: Bedrooms:Construction Type: Property Owner: JANISSA SARACINO 8753 ESPLANADE PARK LN SAN DIEGO, CA 92123 Contractor: DON MCCOLLISTER PO BOX 460741 ESCONDIDO, CA 92046-0741 (760) 233-5001 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2020-1131 5/27/20 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check --------- Est. Value PC Deposit --------- Date --------- CT/Project#: _________________ Lot#: ___ _ Fire Sprinklers: 0 YES ~NO Air Conditioning: 0 YES ~NO Electrical Panel Upgrade: 0 YES ~ NO BRIEF DESCRIPTION OF WORK: Q-eeu.\\ ~~ LJe.:C l \ /\{__ 0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? 0 Y O N New Fireplace? 0 YON, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use? 0 Y ON 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------- osolar: ___ KW, __ Modules, Mounted:ORoof O Ground, Tilt:O YON, RMA:OYON, Battery:O Y ON, Panel Upgrade: O v ON D Reroof:,--_________________________________ _ ~echanical/Electrical Only: 12.-eqc._ ((' ~ rt> \C..-l (\ ~ e t.Je[ ~ · (\£ D Other: __________________________________ _ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: \ c..C_p( \ l·--yt-e. f Name: --------------------Address: l°toO ..Sv-'1 ~"T Address: ________________ _ City: ~Cc:v\.c:J td D State:M-City: _________ State: ___ Zip: ____ _ Phone: ~"o -'8"oZ--(\0 7 Phone: ________________ _ Email: __________________ Email: ___________________ _ DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State: ___ Zip: ___ _ Phone: ________________ _ Email: _________________ _ Architect State License: __________ _ CONTRACTOR BUSINESS -.--_ Name: A-ro-e<'\ Ca..v\ \ ro.d t -h' Of\ p lv M..0 (./\ 0 Address: I.~ OD 3 v i'\ 5 :e.-t ~ "D i City: \?SC @ cl , c) 0 State: C. f\-Zip: q 2.tl Z.5 Phone: 1 L,,,O -1:L3 3 -Sa'.? I Email: r'\«.f\ i\ l'Y\ef't'c._4. '-f-Bus. License: B L-O S 00 _.___....._=.....,,,i.....:.,:c "1 l-4l -O '1· (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/she is licensed pursuant to the provisions of the Contract9r's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she 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 {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuHding@carlsbadca.gov B-1 Page 1 of 2 Rev. 03/20 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: DI have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work fo~ which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: f:c; \ \:, L-u...V.:f F, I ( Q_ C c__s,, .Jc; \ 1 '-/ Policy No. f L, A: 0 l ?J:12 J 1 0 Q Expiration Date: I \ S \ '2-0 2-\ { D 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 be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, :::::;::::::TURE: :::M~~"N 0vtc( ~~ ~ENT DATE: 5 j <C 7 / 'l() ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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). D 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). D 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. QYES 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 address/ phone/ 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/ 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/ type of work): OWNER SIGNATURE: □ AGENT ---------------------------DATE: --------- CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ____________________ _ Lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING 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? I Yes/ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes/ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes/ 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. 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 representative 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 CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY 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 360 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 commenced for a period of 180 days {AB 2913). APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca .gov Rev. 03/20 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 4/28/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: First Service Insurance ;A~~N,t Extl• 800-591-9692 PAX 215 Estates Dr. Suite 1 iAJc Nol: 800-591-1845 Roseville CA 95678 ft'tJ~ss: certificates@firstserviceweb.com INSURERISl AFFORDING COVERAGE NAIC# INSURER A : Allied World Surolus Lines Ins 24319 INSURED AMERICTR01 INSURER B : Falls Lake Fire & Casualtv 15884 American Tradition Plumbing & Sewer Service INSURERC: P.O. Box 460741 Escondido CA 92025 INSURERD : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2068785518 REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL I:;uBR ,&~Jilg~, ,&~Po%~, LTR TYPE OF INSURANCE l•••~n 1 .. n,n POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY y 50574675 411212020 4112/2021 EACH OCCURRENCE $1,000,000 1 CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED PREMISES IEa occurrence) $50,000 -MED EXP (Any one person) $5,000 -PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 R [_8J PRO-O we POLICY JECT PRODUCTS -COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY fE~~:~~n81NGLE LIMIT $ I- ANY AUTO BODILY INJURY (Per person) $ I--ALL OWNED SCHEDULED -AUTOS -AUTOS BODILY INJURY (Per accident) $ NON-OWNED ip~7:Zc~di;J,l?AMAGE HIRED AUTOS AUTOS $ I-I- $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ I- EXCESSLIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION$ $ B WORKERS COMPENSATION FLA01335700 11512020 11512021 X I ~ffTuTE 1 10TH- AND EMPLOYERS' LIABILITY YIN ER ANY PROPRIETOR/PARTNER/EXECUTIVE 0 N/A E L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERA TIO NS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remar1<s Schedule, may be attached If more space Is required) The City, its officials, employees and volunteers are additional insureds as respects liability arising out of work or operations performed by or on behalf of the Contractor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Carlsbad 1635 Faraday Avenue AUTHORIZED REPRESENTATIVE Carlsbad CA 92008 ~ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD PERMIT INSPECTION HISTORY REPORT () Application Date:Permit Type:Owner: Subdivision:Work Class:Issue Date: 2709 Paradise Rd Carlsbad, CA 92009 Address:Expiration Date:Status: IVR Number: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date July 12, 2021 Page 1 of 1