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Home My WebLink About2233 VISTA LA NISA; ; CB112561; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-22-2011 Cogeneration Permit Permit No:CB112561 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2233 VISTA LA NISA CBAD COGEN Sub Type: Lot#: Status: Valuation: 2552702200 $2,400.00 Construction Type: PHOTO 0 NEW Applied: Occupancy Group: Reference #: Entered By: Project Title: MOODY: 6 PANEL ROOF MOUNT PV Applicant: MARK KRAVOHAK STE B 6335 FERRIS SQ SAN DIEGO CA 92121-3249 760-207-4861 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $58.27 $0.00 $40.79 $66.71 $0.00 $1.00 $1.00 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: MOODY FAMILY TRUST 11-11-05 2233 VISTA LA NISA CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOT AL MECHANICAL TOTAL Additional Fees TOT AL PERMIT FEES ISSUED 12/06/2011 JMA 12/22/2011 12/22/2011 Total Fees: $167.77 Total Payments To Date: $167.77 Balance Due: Inspector: ('1, ~ S $0.00 $0.00 $0.00 $0.00 $167.77 $0.00 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 Ca•!~bad 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 treir imposition. You are hereby FURTHER NOTIF!ED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gra1ing or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have revious been iven a NOTI E similar to this or as to which the statute of limitations has r viousl otherwise ex ired. «~~ ~ CITY OF CARLSBAD JOB ADDRESS z 2-'3 '} /PR JECT # Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /..i»f.-~.>..,~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) Plan Check No. Est. Value Plan Ck. Deposit FIREPLACE YES □#_ NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS (.p ADDRESS STATE ZIP CITY STATE C..+ Z...(L PH0N~ I Cot> ... 2.0'1 PHONE FAX PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS 2 z_. > 3 ADDRESS ~3JS- CITY PHONE 1 (J:,() -~) 2,.., ff, 1<' FAX MAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# SWPP AIR CONDITIONING YES O NOD ZIP FIRE SPRINKLERS YES D NO 0 ZIP ., l.(l.. \ CITY BUS. UC.# z. i..qs-o~ (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 {hat 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 ($500)). Worl<ers' Compensation Declaration: I hereby affirm under penalty of pe,ju,y one of the following declara~ons: 0 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. Gl--'Thave and will maintain wo 'compensation, as req • d by Sectio 3700 of Labor C , for the performa!:',8Jlf~ work for !ich this permit is issued. My workers' compensation insurance jarrier and policy numberarelnsuranceCo. II If' PolicyNo. V!:>..ffii l)1,;''{I/ ExpirationDate 3/b,f I :Z. This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ" 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 worl<ers' com sation cove g unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in • ed for in Se , 706 of e Labor code, interest and attorney's fees, ~ENT DATE ( 0 D ( I hereby affirm that I am exempt from Contractor's Ucense 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 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). □ 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). □ 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. □ Yes □ 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 / phone I 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 □AGENT DATE 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 oertify 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 comptywi1h all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentoned property t r inspection pulJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY N'-ID 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 penntt is required tr excavatons over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Code shall expire by limitation and become nul and void if the buikling or 'Ml!k authorized by such pennrt is not commenced v.1thin 180 days from the date of such permit or 1f the building 'Ml!k autho~ such ~nnrt Is suspended or abandoned at any time after the oork is commenred for a per'od of 180 days (Secton 1 ~ 4 4 Uniform Bu1kl1ng Code) A$ APPLICANT'S SIGNATURE LJ ~ DATE / 2. o f.l / ~~- .... ~ CITY OF CARLSBAD DATE: to ,.JA.J "'U>\-z.... PERMIT#: \ \~( £ \, UNSCHEDULED BUILDING INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: _ ____;t;vt:..__~ ___ _ CONTACT: _\\l\~,-..;'-"":-1-&:-.....,...__ ___ _ PHONE#: !:1--l.-'\x> .. 9. 4 ~q \\tY} ~,z... ~ ' JOB ADDRESS: __ 'J..,.,,""""X-.~.._;:,~-"-~'-'"""-"" ..... 1'-l\.,..,. ...... =--4/J_b$~ .. kA""""'--'"'-<'.:..,,,::;__ ---------- DESCRIPTION: ___________________ _ CODE ~9' Bldg Inspection Form DESCRIPTION ~.\le<;..~ Page 1 of 1 ACT f=t COMMENTS %?: f'--::41:J. Rev. 06/09