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Home My WebLink About2891 CAMINO SERBAL; ; CB010033; Permit10-19-200-r City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No:CB010033 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2891 CAMINO SERBAL CBAD PATIO 2552832200 Lot #: $930.00 Construction Type: 0 NEW PARKER - COV PATIO 120 SF GAS & ELEC TO FIRE PIT Applicant: PARKER, DAVID 4911 REFUGIOAV CARLSBAD, CA Status: ISSUED Applied: 01/05/2001 Entered By: JM Plan Approved: 01/05/2001 Issued: 01/05/2001 Inspect Area: SR Owner: LACOSTA VALLEY-CARLSBAD L P C/0 HEARTHSTONE 2515 10/19/01 0002 0116133 VENTURA BLVD #1400 -""^/wi "x ENCINOCA91436 02 41-00 Total Fees: $124.19 Total Payments To Date: $83.19 Balance Due: $41.00 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $21.33 $0.00 $13.86 $0.00 $1.00 $0.00 $0.00 $88.00 $0.00 $124.19 Inspector: FINAL APPROVAL Date: / 6-%3-Q ^l 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 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 OP CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. c 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 # of Bedrooms of Bathrooms Name Address City 3. APPLICANT J^Contractor Q Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone # Fax * Name 4. Address City State/Zip Telephone f Name Address City State/Zip Telephone # B, CONTRACTOR • COMPANY NAME (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 ($5001). Name State License # Address License Class City State/Zip , Telephone # City Business License * /'&~CJ &? £ 2- Designer Name Address City State/Zip Telephone State License * e. WORKERS'COMPENSATION , > . .' , ' =.-.-, , „ • .- -;.• •;,.. ,;,.i;;fe:H f:. "f*'.:KN :O Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company -^ / /G~/C^' s~~ Is *~* /\ Policy No. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to-the Workers/Compensation Laws of California. WARNING: FaiUra to secu^wbrken' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarf ($ 1 orf-pOofc-ln addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's feea. SIGNATURE f\/J~y &${ ^^ DATE / — ^ <97 7. OWNER^UILDERDECLARATION " ; ~~* ~ .""• '. \ "<\ 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, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). C] I arn 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 COMPLETE THIS SECTION FOR /VO/V-«FS/0£V7I4iaUILDINQ«RMrrS ONLY .. :::M-, V..^L^K.:( y : .:T:L:; .. •'. ..^^i.l-^uillOTffi: 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? Q YES Q 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. 8. CONSTRUCTION LENDING AGENCY - , L, ; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) 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 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 construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official underlie provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commencecKvitrtin 180 daysjfbpl 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 j<£-a pariod of 1B(Uays (Section 106.4.4 Uniform Building Code). / ^ .r- , ' O ~Q fAPPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 10/22/2001 Permit^ CB010033 Title: PARKER - COV PATIO 120 SF Description: GAS & ELEC TO FIRE PIT Inspector Assignment: SR Type: PATIO Sub Type: Job Address: 2891 CAMINOSERBAL Suite: Lot 0 Location: APPLICANT PARKER, DAVID Owner: SPADA ALFRED P&JANICE L Remarks: Phone: 7607537615 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical Requested By: NA Entered By: ROBIN Act Comments J Associated PCRs Inspection History Date Description 09/17/2001 29 Final Plumbing 03/15/2001 19 Final Structural 03/15/2001 29 Final Plumbing 03/15/2001 39 Final Electrical 01/08/2001 11 Ftg/Foundation/Piers 01/08/2001 21 Underground/Under Floor 01/08/2001 23 Gas/Test/Repairs 01/08/2001 31 Underground/Conduit-Wiring Act Insp Comments CO RCfe SEE NOTICE ATTACHED AP SR CO SR NEEDS GAS SHUT OFF VALVE AT BBQ AP SR AP SR WC SR AP SR AP SR City of Carlsbad Bldg Inspection Request For: 09/13/2001 Permit* CB010033 Title: PARKER - COV PATIO 120 SF Description: GAS & ELEC TO FIRE PIT Inspector Assignment: SR 2891 CAMINO SERBAL Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT PARKER, DAVID Owner: SPADA ALFRED P&JANICE L Remarks: AFTER 12 NOON PLEASE II Phone: 7607537615 Inspector: Total Time: CD Description 29 Final Plumbing Requested By: JANIS STADA Entered By: ROBIN Act Comments CD Associated PCRs Inspection History Description Act Insp Comments AP SR CO SR NEEDS GAS SHUT OFF VALVE AT BBQ AP SR AP SR WC SR AP SR AP SR Date 03/15/2001 19 Final Structural 03/15/2001 29 Final Plumbing 03/15/2001 39 Final Electrical 01/08/2001 11Ftg/Foundation/Piers 01/08/2001 21 Underground/Under Floor 01/08/2001 23 Gas/Test/Repairs 01/08/2001 31 Underground/Conduit-Wiring NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE I jntO/ TIME. LOCATION PERMIT NO. ^fl O I 03 33 FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER so COMPENSATION I N'SU RANGE FUND P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-O1-01 POLICY NUMBER 229-01 UNIT 0017449 CERTIFICATE EXPIRES: O1-O1-02 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 JOB: # 709501 INCEPTION DATE: O1-01-01 D.O.: SAN DIEGO 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 10 days' advance written notice to the employer. We will also give you 10 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 policies 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 may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO.OO PER OCCURRENCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. EMPLOYER LEGAL NAME DAVID L. PARKER LANDSCAPE US]] REFUGIO AVE CARLSBAD CA 92008 PARKER, DAVID L PRINTED: 12-16-OO P0409 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10265 (REV. 2-95