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2837 CORTE PAPAYA; ; CB011930; Permit
06/04/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB011930 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2837 CORTE PAPAYA CBAD ELEC 2553120100 Lot# ASSA - ELEC LINE FOR WTR FOUNT Status ISSUED Applied 06/04/2001 JM 06/04/2001 06/04/2001 Entered By Plan Approved Issued Inspect Area Applicant KIMO'S LANDSCAPING 511 FIRST ENCINITAS, CA 92024 619-436-0359 Owner GREYSTONE HOMES INC 5780 FLEET ST #300 CARLSBAD CA 92008 Total Fees $2000 Total Payments To Date $000 02 20-00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 ACCORDANCE WITH! 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date 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 Description of Work SQ FT #of Stories tt of Bedrooms tt of Bathrooms 2 CONTACT PERSON (if.different from applicant) /XL Name Address City i3. APPLICANT ~~Q Contractor Q Agent for Contractor ; Q.Owner Q Agent for Owner :' State/Zip Telephone #Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # -2ff.3-7 Name Address City State/Zip Telephone tt S CONTRACTOR -COMPANY NAME a 5' f 1 : • - : MY :.:!-•" - ;' ." ••" - L,s ' ,<*;. : : ,„., , ' •.••":'" -:V:- (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 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 I $5001) Name State License ,? "7o Address License Class City State/Zip City Business License # Telephone i 3_ Designer Name Address City State/Zip Telephone State License # 6 WORKERS'COMPENSATION , ' ;' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l I have and will maintain $ 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 l~1 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 £5S£~J&f^-<,7 ft/ATlOKJA L^ Policy No J o OOOO 12-2*1 "~&ft Expiration Date 4* — <9/~" Q "2~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~| 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 theJAtorJjgrs'Compensation Laws of California WARNING Failure to/sesute-worWfs^ compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dnljafrs J^-tOcToooi, jy^aditinn-ttfthe cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ^*--^^jXf~~~--L-. , DATE fa "—ty— O / 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) C] 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) f~l 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 d YES dNO 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY X „• '""' j ''.'.. 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? O YES [H 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES CI 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 tf CONSTRUCTION LENDING AGENCY . ;r ; , 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) LENDER'S NAME LENDER S ADDRESS 9 ...; 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 representatives of the CitV 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 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 time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Building Department November 21, 2001 KIMO'S LANDSCAPING 1260 WHITESANDS DR SAN MARCOS CA 92069 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: ELEC Permit Number Issue Date CB011930 06/04/2001 ADDRESS: 2837 CORTE PAPAYA PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 12/01/2001 The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us .. Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 PAT KELLEY Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 Building Counter • (76O) 602-2719 • FAX (760) 602-8558 City of Carlsbad Bldg Inspection Request For 11/27/2001 Permit# CB011930 Title ASSA - ELEC LINE FOR WTR FOUNT Description Type ELEC Sub Type Job Address 2837 CORTE PAPAYA Suite Lot 0 Location APPLICANT KIMO'S LANDSCAPING Owner ASSA SHLOMO&JULIE Remarks Total Time CD Description 39 Final Electrical Act Comments Inspector Assignment Phone Inspector Requested By SHANNON • Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO (760) 602-2700 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE1? L ' YES FOR FURTHER BUltolNG INSPECTOR PHONE C00E ENFORCEMENT OFFICER ACORD. CERTIFICATE OF LIABILITY INSURANCE S/zvSii JDUCER (559)297-9484 FAX (559)297-4558 mdscape Contractors (Lic#0755906) nsurance Services, Inc. 835 N. Fine Avenue resno,, CA 93727 UREO Kioto's Landscaping 1712 Carissa Way Carlsbad, CA 92009 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Everest National Insurance INSURER B INSURER C INSURER D INSURER E )VERAGES <E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING Vf PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Of SUCH DLtnes AGGREf^TF 1 IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA MS TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER 1 POLICY ( 1 JECT 1 1 LOG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY [ OCCUR | ] CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER 3800001224-011 POLICY EFFECTIVEDATE (MM/DDfYY) 04/01/2001 POLICY EXPIHATIONDATE (MM/DD/YY) 04/01/2002 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one Tire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLF LIMIT (Ea accident) BOD'LY INJURY (Per person) BODILY INJURY (Per acci.leni) PROPERTY DAMAGE(Per accident) AUTO ONLY - EA ACCIDENT CVTHFR THAN EA ACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE Y I WCSTATU I rot'h* i T"PY L'MITS | J ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE - POLICY LIMIT $ s S s $ $ s 5 S 5 S S s s s $ s ' \ s s 1,000,0001 s 1,000,000 s 1,000,000 .CRIPTION OF OPERATION3/LOCATIONS/VEHICI ES'EXCLUSIONS ADDED BY ENDORSEMENHSPECIAL PROVISIONS:ense 418720 RTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION Contractors State License Board Workers Comp Unit P.O. Box 26000 Sacramento, CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLFD BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE S s * Irene Torres/LISA \f(tm^<^M/ ORD 25-S (7/97),©ACORD CORPORATION 1988