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HomeMy WebLinkAbout1028 BUENA VISTA WAY; ; CB080782; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-29-2008 Miscellaneous Permit Permit No CB080782 Building Inspection Request Line (760) 602-2725 Job Address 1028 BUENA VISTA WY CBAD Permit Type MISC Subtype REPAIR Status ISSUED Parcel No 1551601600 Lot# 0 Applied 04/29/2008 Valuation $0 00 Entered By RMA Reference # Plan Approved 04/29/2008 PC# Issued 04/29/2008 Inspect Area Project Title GOMEZ RES-FIRE DAMAGE REPAIR BEDRM # 4 @ WEST SIDE-LIKE FOR LIKE-NO SISTERING Applicant Owner CHOICE GENERAL CONTRACTORS GOMEZ VIRGINIA B REVOCABLE LIVING 1992 TRUST PO BOX 1983 254 E GLAUCUS ST 92024 CARLSBAD CA 92018 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $260 00 $000 $000 TOT£ L PERMIT FEES $260 00 Total Fees $260 00 Total Payments To Date $260 00 Balance Due $0 00 :X ATTACHED /J s FINAL APPROVAL Inspector I ^ -^ Date ' ^ -U Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations cr other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you muct follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required nformation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul theinmposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water "od sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this projw NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations r-js previous!/ otherwise expired City of Carlsbad ,1635 Faraday Ave Carlsbad CA 92008 760-602 2717 / 2718 / 2719 Fax 760-602 8558 Building permit Application Plan Check No Est Value Plan Ck Deposit PJlotflf. fee* ($£MAcii'"l< PROPERTY OWNER NAME ADDR CONTRACTOR BUS NAME CITY v, 6/rt*. STAKE /, CM- ^v ADDRESS PHONE EMAIL FAX CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC #CLASS CITY BUS 1 1C # (Sec 7031S 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 t/fil/a .igned statement fluffe is licensed pursuant to the provisions of the Contractors 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this pernit is issued "O, I have and will maintain workers compensation as required by Section 370C of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co S-fa^f* GoiMD ~J~i^l, f5^ (• Policy No J ?.$~ ^•^—^~if" -^ £&"*> Expiration Datsj. ? — <i/ r~~ 3~&g& This section need not be completed if the permit is for one hundred dollars ($100) or less O 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 criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensatiarT'tJamage^ as provided forjn_Section^3706 of the Labor code interest and attorney s fees >ef CONTRACTOR Sl(DATE G I hereby affirm that I am exempt from Contractor s License Law for the following reason D 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 noi 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) a 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 D No 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 (he 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) ^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 255 J3 or 25534 of the Presley Tanner Hazardous Substance Account Act' O Yes d No I Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes D No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? a Yes a No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 feS^lfS1' . ^H:: ^^^SPiaP^ I I certify mat 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 represerttatwe 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 constmcton of strictures over 3 stones in height EXPIRATION Every permit issued by thgJ^naOfficial under Ihe 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 perjniror if the buirang or work authonzedbyjajelMermit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 41 Uniform Building Code) ^APPLICANTS SIGNATURE ^- J C /7 // . . . DATE City of Carlsbad Bldg Inspection Request For 07/25/2008 Permit* CB080782 Inspector Assignment PD Title GOMEZ RES-FIRE DAMAGE REPAIR Description BEDRM # 4 @ WEST SIDE-LIKE FOR LIKE-NO SISTERING OF MEMBERS Type MISC Sub Type REPAIR Phone 7606722231 Job Address 1028 BUENA VISTA WY Suite Lot 0 Location Inspecto; APPLICANT CHOICE GENERAL CONTRACTORS Owner GOMEZ VIRGINIA B REVOCABLE LIVING 1992 TRUST Remarks Total Time Requested By DENNIS Entered By KATHY CD Description Act Comments 19, Final Structural Jl Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 06/20/2008 17 Interior Lath/Drywall AP PD 06/20/2008 18 Exterior Lath/Drywall AP PD 06/13/2008 84 Rough Combo AP PD s ° s I I I ~iffl!ir n otn If S I S I S 2 SIII <jq TO <ra III ^ f £ £3 ai u: a £ » jf 1 ft' II ff s- OJ M i: = S S §Wt tO (O CT\ 00 N) t™1 w t/i cnm -- Ti ti ??SS~ 3 5= ^f*s S 2 2 K S S M C/J U5 *I 11 11 •n *n n Area ItemDESCRIPS Sz a f I K ffiil|^ ielfl •nSo -SiS-S i2a iS-^y ffllHsS. {S 1 S. i n I 'f i£ I'» 1 1 ^-j-JO o o o 88 8 . O — M 4* — *^^iro » T3 to —— <-*30O O 00 O § gg 8 O O O O i 88 § 8 oeo o oo oo o ooo •§§g 8 88 88 8 888 D ^3Ji 0 1MonMalham109th Streetnmcs IA 5Vi Sfll ?r it I 8 n no c *e c *. o i - 5os o o 2*M(SI Nil D I Iis • oo Q •*" H I >•ssgs IJfP -" wi~J -j I1 a, 3S< S JB f S D ill! r oo rt w H I >•Hi >Sa *f ff"- 101 3 53 Iiiil i?- O-J -^w S5 r s 5u s D Rf|nil > " 1o 1 1 9 2S- Ss- s 0 If!1 imi ?it ? Check A License Contractor's License Detail Page 1 of2 Skip to CSLB Home | Content | Footer | Accessibility Department of Consumer Affairs •'•"- .GOV Contractors State License Board Searcr CV^i^^P^iiiiiMiiiiMiiiTimiiMiimi iiiii[ijiiifiT!|ii!iiM|iiMTniiiTiii!|iiiirriiTifriiiniii 02 I | 03 I 04 1 05 I 06 I | 07 I PUBLIC WORKS j BUILDWG GFRC1M.S | GENERAL INFOCONTRACTORSi APPLICANTS JOURNEYMEN About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services o Check A License or HIS Registration o Filing a Construction Oompbmt o o CONTRACTOR'S LICENSE DETAIL c Search lot a Surety Bond Insurance Company o Search lor a Workers Compensation Company How to Participate <L=J> DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be awat the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to pu complaint disclosure a link for complaint disclosure will appear below Click on the link oi obtain complaint and/or legal action information • Per B&P 7071 17 only construction related civil judgments reported to the CSLE5 are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of Ihe arbitr, • Due to workload, there may be relevant information that has not yet been entered onto th license database License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding 678354 Extract Date 04/29/21 CHOICE GENERAL CONSTRUCTION INC 614 S CLEVELAND STREET OCEANSIDE CA 92054 Business Phone Number (760) 943 1412 Corporation 10/05/1993 11/06/2007 11/30/2009 This license is current and active All information below should b reviewed GENERAL BUILDING CONTRACTOR •CONTRACTOR'S'BOND . This license filed Contractors Bond number 749211C in the amou $12,500 with the bonding company DEVELOPERS SURETY AND INDEMNITY COMPANY Effective Date 11/06/2007 Contractors Bonding History .BONGTOFQUALIFYING^^INDIVIDUALtS^ 1 The Responsible Managing Officer (RMO) DENNIS THOMAS FRANCES certified that he/she owns 10 percent or more of t voting stock/equity of the corporation A bond of qualifying individual is not required http //www2 cslb ca gov/General-Information/mteractive-tools/check-a-license/License+ 04/29/2008 Check A License Contractor's License Detail Page 2 of2 Workers Compensation Miscellaneous Information Effective Date 11/06/2007 This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 713-0022755 Effective Date 01/01/2008 Expire Date 01/01/2009 Workers Compensation History 11/06/2007 DESCRIPTION??' <** LICENSE REISSUED TO ANOTHER ENTITY Consumers | Contractors | Applicants | Journeymen | Public Works | Building Officials | Geneiallnfo CSLB Home | Conditions of Use | Privacy | Contact CSLB Copyright © 2007 State of California http //www2 cslb ca gov/General-Inforniation/interactive-tools/check-a-license/License+ 04/29/2008 CERTHOLDER COPY SI COMPENSATION NSURANCE PO BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 09-01-2007 GROUP POLICY NUMBER 1756254-2007 CERTIFICATE ID 8 CERTIFICATE EXPIRES 09-01-2008 09-01-2007/09-01-2008 CHOICE GENERAL 254 EAST GLAUCUS ST ENCINITAS CA 92024 SO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 39 days advance written notice to the employer We will also give you 35 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain the insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy (\ VJl/THORIZED REPRESENTATIVE^ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE ENDORSEMENT #1600 - THOMAS DEAN OWEN, PRES - EXCLUDED ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2007 IS .ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER Choice General Construction CA UC ST8354 ' . Insured the right,choice" Dennis Francies ;; :/ •' : General Contractor . > _-• • ' .-- Commercial Res.dent.al and .nsurance ReS»SPec,a..st , Toll Free Message Center;; '' ••''., - 1(866)943-1413 Mobile (760) 672 2231 Telephone (760) 943 1412Faxsimile.(760y,9438414 OWEN, THOMAS DEAN DBA BONDED CARPETS 7276 WAITE DR LA MESA CA 91941 SUPERIOR COVERINGS SO M0408 (REV 2 05)PRINTED 08-17-2007