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Home My WebLink About1581 CORTE ORCHIDIA; ; CB023628; Permit12-032002 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Patio/Deck Permit Permit No Building Inspection Request Line (760) 602 2725 CB023628 Job Address Permit Type Parcel No Valuation Reference # Project Title 1581 CORTE ORCHIDIA CBAD PATIO 2150732800 Lot# $1 224 00 Construction Type COLLINS RES 96 SF DECK WITH SLIDER LIGHT & SWITCH 0 NEW Applicant OLIVE TREE LANDSCAPE CONSTRUCTION STE 107 40485 MURRIETA HOT SPRINGS RD 92563 909 676 5959 Status Applied Entered By Plan Approved Issued Inspect Area Owner RHONE INC 7204 GLEN FOREST DR #201 RICHMOND VA 23226 ISSUED 12/03/2002 RMA 12/03/2002 12/03/2002 2503 12/03/02 0002 01 02 CGF 94 31 Total Fees $9451 Total Payments To Date $000 Balance Due $9451 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Strong Motion Fee Renewal Fee Add I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $2637 $000 $1714 $000 $1 00 $000 $000 $5000 $000 $9451 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as lees/exactions You haredo 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 mMovernment 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 limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL f_ Plan Ck Deposit. Validated By_12 /_?/(* y:r~* / ' tf Address (include Bldg/Suite #}Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use #of Stones p A'/T ^v/ * of Bedrooms # of Bathrooms '- tf rvT 5"//o/^r Name Address City State/Zip Telephone #Fax# Name v<pil<H Name \s Coffins Address Address City ' City State/Zip O/ State/Zip Telephone # "^S^^^hff-W Telephone # (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 lion 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 ^ State License # &7 Designer Name State License # /».??/ Address rLicense Class ^ Address ^> City ^A CityB City T* 7 usmess Li State/Zip cense # / oL State/Zip [ Telephone # -?£/2 Telephone (y*jg/syiFfl Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 01 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 catqer and policy number are Insurance Company //^f* /T^Tt C/ Policy No ?39'07- 00t5*O Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 coyerajje-Jj unlawful and shad subject an employer to criminal penalties and civil fines up to one hundred thousand dollara tslOO/MIQl in adiBlnn. tn Hin cosJxrCej>»rjjj«rs1itlon Damages as provided for hi Section 3706 of the Labor,code jnterest and attorney » fees DATE 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 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) Q 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) Q 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 Q YES QNO 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 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 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? Q YES Q NO 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 O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 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) LENDERS NAME LENDER S ADDRESS 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 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 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned .at any tame after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) V APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/18/2003 Permit* CB023628 Title COLLINS RES 96 SF DECK WITH Description SLIDER.LIGHT & SWITCH Inspector Assignment JE 1581 CORTE ORCHIDIA Lot 0 Type PATIO Sub Type Job Address Suite Location APPLICANT OLIVE TREE LANDSCAPE CONSTRUCTION Owner COLLINS DENNIS G&CONYERS LOIS M Remarks MAY BE DONE ON TUESDAY Phone 7608041581 Inspector Total Time CD Description 19 Final Structural 39 Final Electrical Act Comment Requested By JESSICA Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/29/2003 19 Final Structural CO JE ALREADY BUILT NO APPVD PLANS ON SITE BRING OUT CITY SET FOR FINAL 1127C5 12/13/2002 11 Ftg/Foundation/Piers AP SR -tl \ Oy ir-*r ir o PO BOX 420807 SAN FRANCISCO CA 94142-0807STATE COMPENSATION INSURANCE PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MAT 31, 2003 0^!S^S!S f fig ^ ^24450 r COSBIACTOR'S STATE juICfHSE BOARD WORKERS COMP UNIT P 0 BOX 26000 SAORAWSNTO CA 95826 L JOB LIC #612391 IHCEPT DATE 04 04-02 ME OAKLAND 00 This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner t6 ttie employer named below for the policy period indicated This policy Is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer We will also give you TEN 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 after the coverage afforded by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document wtth respect to which this certificate of insurance 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 *&**fr&^+~~' AUTHORIZED REPRegSNTATive PRESIDENT IMPLOXBR'S LIABILm LIMIT I8CLUDI8G Ce'SSSB COSTS $1,000,000 PER QCfURBJEaSCE r OLIVE THEE LANDSCAPE 40485-D MURRIBTA HOT iPPTNGS CA 92553 THIS DOCUMENT HAS A BLUE PATTERNED 1ACKGROUND POLICYHOLDZR S C