HomeMy WebLinkAbout2245 VISTA LA NISA; ; CBR2018-1820; Permit( City of
Carlsbad
Residential Permit
Print Date: 09/18/2018 Permit No: CBR2018-1820
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2245 Vista La Nisa
BLDG-Residential
2552702000
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
07/26/2018
07/26/2018
Plan Check #:
Final
Inspection: 9/18/2018 9:40:32AM
Project Title:
Description: WARD: ADD TWO A/C'S
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
COOWNER WARD PATRICK J AND JILL M
2245 Vista La Nisa
CARLSBAD, CA 92009
Total Payments To Date: $170.00
Contractor:
ASI HASTINGS INC
4870 Viewridge Ave, Ste 200
SAN DIEGO, CA 92123-1671
619-590-9300
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposit ion 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 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 t he
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD I
«
~ ,,. ... Building Permit Application Plan Check NoCAf<;}_f'J/X-J y;:::)/1) -~ . 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date -:-.r/cJ-~ //j lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2245 VISTA LA NISA, CARLSBAD 92009 ---
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR. TYPE
I
occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
add 2 ac's
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1AIR CONDITIONING I FIRE SPRINKLERS
YESD NO□ YES □No □ YES □No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME jill ward "·"'•rv l'nntar+ ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2245 VISTA LA NISA, CARLSBAD 92009
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123 CARLSBAD CA
PHONE I FAX PHONE I FAX 888-991-4377 7605005502
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS 4870 VIEWRIDGE AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE lFAX PHONE
6195909300 I FAX
EMAIL EMAIL
I STATE LIC. # STATE LIC.#
I CC20/C36 I CITY BUS. LIC1200804 513115
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to. construct, alter, improve, demolish or repair anr structure, prior to its iss~ance, also requires the applicant for such per.mIt to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law !Chapter 9, comme_ndIng with Section 7000 of Division 3 of the Business and Professions Code) or lhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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)).
Workers' Compensation Declaration: / hereby affirm under penaffy of perjury one of the following declarations: D 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.
[Z] 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 workers' compensation insurance carrier and policy
number are: Insurance Co. CYPRESSINSURANCE Policy No. ASWC8H703 Expiration Date 911/2018
~section need not be completed~ the permit is for one hundred dollars ($100) or less. LJ 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE (ZlAGENT DATE /,
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 himse~ 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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves therecn, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).
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. O Yes O No
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 I phone / 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/ 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 I phone/ type of work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or futu;~lding 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-Tanne'j~az.araous Substance Account Act? O Yes O No
Is the applicant'br 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 facilitf/o be constructed within 1,000 feet of the outer boundary of a school site? O Yes □ 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.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
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 aulhorize representative of lhe City of Carlsbad to enter upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB/\D
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 penntt is required for excavations CNer 5'0' deep and demolition or construction of structures CNef 3 stories in heighL
EXPIRATION: Every penntt issued by lhe Building Official under lhe provisions of lhis Code shall expire by imitation and become nun and void if lhe building or WOl1I aulhorized by such pennit is not commenced wilhin
180 days from the date of such pennit or if lhe building or WOl1I aulhorized by such penntt is suspended or abandoned at any time after lhe WOl1I is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
-Permit Type: BLDG-Residential Application Date: 07/26/2018 Owner:
Work Class: P/M/E Issue Date: 07/26/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 03/18/2019 Address:
IVR Number: 12780
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
09/18/2018 09/18/2018
September 18, 2018
BLDG-43 Air 070236-2018
Cond./Furnace Set
BLDG-Final
Inspection
070235-2018
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
Passed Andy Krogh
Passed Andy Krogh
COMMENTS
COOWNER WARD PATRICK J
AND JILL M
CARLSBAD TCT#88-03-02 UNIT#02
2245 Vista La Nisa
Carlsbad, CA 92009-8712
Reinspection
Passed
Yes
Yes
Complete
Complete
Complete
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