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Home My WebLink About1712 CARISSA WAY; ; CB990040; Permit01/05/1999 City of Carlsbad Plumbing Permit Permit No:CB990040 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: KIMO'S LANDSCAPE 1712CARISSAWAY 92009 760-804-1559 1712 CARISSA WY CBAD PLUM 2158810200 Lot#: 0 Construction Type: NEW GAS AND ELECTRIC LINE-FIRE PIT Owner: Status: ISSUED Applied: 01/05/1999 Entered By: JM Plan Approved: Issued: 01/05/1999 Inspect Area: PACIFIC HOUSING-POINSETT USING INC OBLE#107 92009 Total Fees:$47.00 l Payments To lance Due: $47.00 Plumbing Issue Fee Fixture or Trap *< Building Sewer Roof Drain . Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker -• Other Plumbing Fees Master Drainage Fee Sewer Fee 0 0 0 0 0 1 0 - ~ ~ , '- . - * . " ~ **•«' " - " --~~* ~ r", * - „":£ . ' ;"""* >*£Va -- ~.f~A * ~- --.^ °i^ • '•*&, f ', ^A^. *£~&&<4^£ ' . ' ,^o.oo= Vfoioot.oo .00 .00 -""$0.00 : $7.00 $0.00 . $20.00 7 $0.00 ;r;. $0.00 TOTAL PERMIT FEES PERMIT HAS EXPIRED IN ACCORD SECTION DATE, $47.00 EWTJHIUUX 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 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 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. 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 /•T/2. FOR OFFICE USE PLAN CHECK NO EST. VAL. Plan Ck. Deposit^-"" Validated By_ Date /I. / A Address (include Bldg/Suite *)Business Name (at this address) ZdT- Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total 9 of units Assessor's Parcel *IW/*. Existing Use Proposed Use Description of Work 2. CONTACT PERSON Of dHferaiiffr SOFT.f of Stories f of Bedrooms * of Bathrooms Name 3. APPUCANT "gjcontraetor Address O Agent for Contractor KOwner City Q Agent for Owner State/Zip Telephone *Fax* Name 4. PROPERTY OWNER Address City State/Zip . LA Telephone * Name Address ' City State/Zip Telephone» S. CbNTRACTbR - COMPANY NAME" ": '" ™~ '" — ——-r^r- —™, -™~-*» .,-,..,„..„ r _,-^^,r^,. ^—^ .^ ,_ ™ „.., . ? „ „,.,.,,. .,..„„ (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 end Professions Code! or thst 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). fAAL, Name State License f Address f*2k License Class City < State/Zip City Business License f Telephone * Address City State/Zip TelephoneDesigner Name State License * •6. WORKERS' COMPENSATION ' •" ' ' '"":" '. '"; ". :" "'7T":"";"'''";^~'^:?*'~.~??y%/*T~~•IC-^S"W-"""'i--V™Vi •'TV .''.F/":"•:' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: J&f 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. f^f I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: / / Policy No. t-y7V~?y«r/?f-0/ Expir.tionD.te 31*1 I 91Expiration Date_ COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) ' ' ' ' 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 and civil fines up to one hundred interest and attorney's fees. Insurance Company (THIS SECTION NEED 0 CERTIFICATEOF EXE! to become syoject to the Worriers' Compensation Laws of California WARNING/ Failure to secure/workers' compensation coverage is unlawful, and shaB subject an employer to criminal thousand rfollara (*100.00oYlri addition to the cost of conqienaatipn<jdaiMg»s~M provided for In Section 3706 of the SIGNATURE C ^jP^ .ri^^^^" HlHL ^^—^ °ATE..,/.7. owfr" 1 hereby affirm tnaT I am exempt fronvjhe Contractor's UcenseLawJnt the-foTtewing reeson: n 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 thst such Improvements are not Intended or offered for sale. If, however, the building or Improvement la 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 Lew). [] I am exempt under Section Business snd Professions Code for this reeson: 1.1 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 en 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 COMPLETE THIS SECtiON FOR NOtHtfUDENTUL BUUMNQ *r«itf Wti^r^^^ „.„ ,?,lf ,,r?,.,Vr:,,.r,. 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? D 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. IS." CONSTRUCTION LENDING AGENCY ' """ " -^•--^-f-^—^fl-'"''^"-'"—" -•"-• •" -- - •—-- -.-.^r'.v-.vr--" -y - -••-• .--;;-.-•:..-.• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _^_^__ LENDER'S ADDRESS 18: '-"APPLICANT CERTIFICATION ^r" "' v ':": -~<^"- ?~ 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. JUDGMENTS, COSTS AND EXPENSES-WHtCH 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'Ox'fleap and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permiyfssued by the Buildind Officjal under the provisions of this Code_sMLexpire by limitation and become null and void if the building or work authorized by such permit is not cor/meneeyd wittrfn 305 days from the dategf^acfTpermnor if the building or work authorized by such permit is suspended or abandoned at any tirm/afpflhe worjris comVencefl fc/a period of ISOjJayslSecjiorn06.4.4 Uniform Building Code). APPLICANT'S SIGNATl TSecjiorTfo DATE VELLOW: Applicant PINK: Finance City of Carlsbad 1200 Carlsbad Village Drive Carlsbad CA 92008 Receipt 4987 01/05/99 0001 01 02 47.00 Applicant: KIMO'S LANDSCAPE Description Amount CB990040 / '-"' '•'•"";- •: r*~ ' " '47.00 Bbt -*ajld unless validated by Cash Receipt rfliifeftrf'R0000134 Transactifi^t- Date: 01/05/1999 Pay Type Method Description Jtacrant Payment Check 2015 " 47.00 '47.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB °\ & °DATE ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Docs/Mteforms/Ptannlng Engineering Approvals City of Carlsbad Inspection Request For: 8/31/99 Permit^ CB990040 Title: GAS AND ELECTRIC LINE-FIRE PIT Description: Inspector Assignment: PS Type: PLUM Sub Type: Job Address: 1712 CARISSA WY Suite: Lot 0 Location: APPLICANT KIMO'S LANDSCAPE Owner: Remarks: Phone: 7608041559 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Requested By: DAVID Entered By: CHRISTINE Comments z Inspection History Date Description Act 8/26/99 21 Underground/Under Floor AP 8/26/99 31 Underground/Conduit-Wiring AP 1/14/99 21 Underground/Under Floor WC PS 1/14/99 23 Gas/Test/Repairs AP PS 1/14/99 31 Underground/Conduit-Wiring AP PS 1/7/99 21 Underground/Under Floor CO PS 1/7/99 31 Underground/Conduit-Wiring CO PS 1/6/99 21 Underground/Under Floor NR PS 1/6/99 31 Underground/Conduit-Wiring NR PS Insp Comments DA RESEARCH ELEC AT GAZEBO DA POND OVER 18'INCHES DEEP NEED FENCING City of Carlsbad Inspection Request For: 1/14/99 Permit^ CB990040 Title: GAS AND ELECTRIC LINE-FIRE PIT Description: Inspector Assignment: PS Type: PLUM Sub Type: Job Address: 1712 CARISSA WY Suite: Lot C Location: APPLICANT : KIMO'S LANDSCAPE Owner: Remarks: GATE IS SWINGING Phone: 7608017101 Inspector: Total Time: CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring .42 Requested By: KEN Entered By: CHRISTINE Act Comments InspectionHistory Date Description 1/8/99 1/8/99 1/7/99 1/7/99 Act Insp Comments CO PS CO PS POND OVER 18'INCHES DEEP NEED FENCI NR PS NR PS ACOR& CERTIFICATE OF LIABILITY INSURANCE PRODUCER (209)297-9484 ' .andscape Contractors Insurance Services, Inc. 400 Bullard lovis, CA 93612 Attn: INSURED FAX (209)297-4558 THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE POLICIES Ext: sb COMPANY A COMPANIES AFFORDING COVERAGE Freniont" Compensation Insurance Kimo's Landscaping P.O. Box 230866 Encinitas, CA 92023 COMPANY B COMPANYc COMPANY D COVERAGES ! THE POLICY PpRirSr INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHIT-L CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, Tht INSURANCE AFFORDED BY THE POLICiFS "SSCPIBFD HEREIN IS SUBJECT TO ALL THE TERijl S EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • ^ TYPE OF INSURANCE j POLICY NUMBER GENERAL LIABILITY ! COMMERCIAL GENERAL LIABILITY j CLAIMS MADE i ] OCCUR ! OWNER'S & CONTRACTOR'S PROT ; AUTOMOBILE LIABILITY ANY AUTO ] ALL OWNED AUTOS i SCHEDULED AUTOS ! HIRED AUTOS j NON-OWNED AUTOS j GARAGE LIABILITY i ANY AUTO :: EXCESS LIABILITY '• UMBRELLA FORM } OTHER THAN UMBRELLA FORM :. WORKERS COMPENSATION AND : EMPLOYERS' LIABILITY . ! A THE PROPRIETOR/ ICX98-748497-01 PARTNERS/EXECUTIVE ! OFFICERS ARE: X EXCL ; 1 POLICY EFFECTIVE : POLICY EXPIRATION . u j DATE (MM/DD/YY) : DATE (MM/DD/YY) ' ; ; GENERAL AGGREGATE : : PRODUCTS - COMP/OP AGG j \ • PERSONAL « ADV INJURY ! '. ; EACH OCCURRENCE : : FIRE DAMAGE (Any one fire) i : MED EXP {Any one person) ; COMBINED SINGLE LIMIT ; • BODILY INJURY j : (Per person) : BODILY INJURY1 ! (Per accident) • '• PROPERTY DAMAGE : ! AUTO ONLY . EA ACCIDENT : \ OTHER THAN AUTO ONLY: : EACH ACCIDENT \ AGGREGATE ; : EACH OCCURRENCE ; : AGGREGATE "' : Y WCSYATU- OTH-i : • ^ TORY LIMITS ==> ! 04/01/1998 ! 04/01/1999 ELEACHACC'DENT ; EL DISEASE - POLICY LIMIT : i EL DISEASE - EA EMPLOYEE TS •: $ is is ; $ i S : S S 5 S S S S S * 1,000,00(7] s 1,000,000 J s 1,666.66/1 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMSLicense #418720 fhis Certificate Revises Certificate Dated 03/14/98 CERTIFICATE HOLDER Contractors State License Board Workers Comp Unit P.O. Box 26000 Sacramento, CA 95826 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE?0"6 ™E j EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR T" 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED f° BUT FAILURE TO MAIL SUCH NOTICE SHAIL IMPOSE Nq/eSSieJxTION O« l OF ANY KINO UPON THE CO/PANY?tVAGENTS OR RE AUTHORIZED REPRESENTATIVI