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HomeMy WebLinkAbout2273 VISTA LA NISA; ; CB983149; PermitB U I L D I N G P E R M I T Permit No : CB983149 Project No: A980409 2 Development No: 09/16/98 14:08 1 Page 1 of 1 Job Address: 2273 VISTA LA NISA Suite: Permit Type: PATIO/DECK Parcel No: 255-270-13-00 Lot#: Valuation: 1,044 Occupancy Group : Reference#: Construction Type : NEW Status : ISSUED Applied: 09/16/98 Apr/Issue: 09/16/98 Entered By: JM Description: 2ND STORY BALCONY 144 SF Appl/Ownr : TERRRA FIRMA 619 558-3112 9550 WAPLES STREET SAN DIEGO CA 92121 *** Fees Required *** C ---------------------------- Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 44.0Q. .00 44 .00 *** Fees Collecte1J.19 of)i~)98s0001 01 *31 ----------------------------------7rrmff ---44.00 Total Cr~dits: Total Pay ents: Balance Due: .00 .00 44.00 Units Fee/tJnit Ext fee Data t) EX~IREID PEi~Jd\T IJA~ ~"P\RED \N ACCORDANCE WITH u.a.c. 26.00 17.00 1. 00 44.00 PERM\T rvw I;/\ • - sEC'OON 106.4.4 ~ _ S\GNAlURE = -----OA'tE-_,;;_..--- FIN AL AF OVAL I j lNSP. _____ DAI E ____ _ I CLEARANCE _________ .,.:_---=======- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJE. CT INFORMATION\ / I -;/\ 2 ·-z.;73 ~. &"ih LA /\J ISA Address (include Bldg/Suite #) FOR OFFICE USE 0 PLAN CHECK Business Name (at this address) LA-CDsr I Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Stt'IIC...le fit1:'L t fkJ JE;.. Assessor's Parcel # Existin~ Us£'.? /'Pf Proposed 1Use -Z MJ)d{aa y /JELK Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from •pplic■ntl WI ~C.-A ·fi ,'f~&-23f l Name Address City State/ ip Telephone# Fax# 3. APPLICANT 18[ Contractor ~P!Z-0 Fi ..C:,'l-t 11 0 Owner O Agent for Owner 1~~ lJ>rf Jes $'f. 0 Agent for Contractor H"[Nl)SLf\? ~ Co Name Address City State/Zip Telephone # t,1)~,2-22co q2 12 J . Name Address City State/Zip Telephone# 5. 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 ex~ption. 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 ($500)1. fe'F¥t! 1Jt?,W'r ~4¥".~ C . 9~-SC> W,'tf?k..~ <,,(J .... ~ D•ic&.<::. CA-'9ZtZ( (~qJ;,5ss-:31(Z Name Address City State/Zip Telephone # license Class (}-e/c -tz/C -Z7 State licen ' , City Business License # _______ _ Address City State/Zip Telephone 6. WORKERS' COMPENSATION 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 permit is issued. ~ 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 f/tLJLA /,~IJX}Cc. {O • PolicyNo. P1JLS0/'177S-Expiration Date l{/,/913 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of lifornia. WARNING: F•ilure to secure w arage la unlawful, •nd shall aubject an employer to crimln•I penalties •nd civil fines up to one hundred thousand dollar• ($ 00,000) compensation, dam•ges as provided for In Section 3706 of the l•~?' code, interest and attorney's fees. DATE 1()4/'!B O I, as ow r o e prope 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, • ess and Prof ·ssions 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). 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 law). 0 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. 0 YES ONO 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./IESIDENT1AL BUILDING PERMITS ONLY 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 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 __ _.M<....:...{)=:........:M::..,l ... ~=------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 Citt 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 O f' ial 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 commen ,thin 365 ays 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 i ;enced f~H 80 days (Section 106.4.4 Uniform BuiidinDgACToEde). tJijj 11 fa a APPLICANT'S SIGNATURE -~.c:;..,::,....-1-___:l::......,u.------------------4-1 c,,{j_ LJ YELLOW: Applicant PINK: Finance PERMIT# CB983149 DESCRIPTION: 2ND STORY TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 09/17/98 BALCONY 144 SF LA NISA STE: INSPECTOR AREA PLANCK# CB983149 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2273 VISTA APPLICANT: TERRRA FIRMA CONTRACTOR: PHONE: 619 558-3112 PHONE: OWNER: REMARKS: C/619/558-3112 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB980315 SFD PHONE: INSPECTOR ---~~..-.---=ffjH--+--- STATUS ISSUED ACT COMMENTS CD 11 ST Ftg/Foundation/Piers f~-------------------- ------------------- ------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS fu ~ , , l l o ~ ~ C: : ' 't - - 3D \ Y- \ 2. " 1 ~E : . E p ~~ , (! ~, s- - r s . :- ~ c; , 'f - h ' ' \~ 1 D ,L, z" · ~ \ o ' \b 1 D . L \ \ 1 ~• \ Sf ~ c. u . . ~ '- f " t l:: : : ) c . ~~ ~✓' - . le :, S D . . ~ ~J " I N -, 4 , 0 > I -- - - - - -- /" 2 . ! 0 ' ' z4L o" 1i ~ ~ 7' I '2 . ! G . " ~ ii i I o l - ~ Vl .. J ~ j ~ -:. ~ 0 C) Z! . ( , , ' I ,, ~ 0 \j \ "' .. . i i ... C? 17 ' V\ ,- ~ G'. , . _ n 'O _' \ . . : . . , / .i: , . 32 1