HomeMy WebLinkAbout2209 VISTA LA NISA; ; CB990468; PermitCity of Carlsbad j ~~~ {.
02/02/1999 Residential Permit Permit No:CB990468
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
Building Inspection Request Line (760) 438-3101
2209 VISTA LA NISA CBAD
RESDNTL Sub Type:
2552623600 Lot#:
$5,200.00 Construction Type:
28 Reference #:
0 Structure Type:
0 Bathrooms:
GARAGE CONVERSION
RAD
0
VN
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
WORTHING INC, B. A. STANDARD PACIFIC CORP
ISSUED
02/02/1999
MOP
02/02/1999
02/02/1999
C/O KEN CABLAY 6021 02/02/99 0001 01
C-PRMT 690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
Total Fees: $174.66
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Inspector:
7290 CLAIREMONT MESA BLVD
SAN DIEGO CA 92111
Total Payments To Date: $51.08 Balance Due: $123.58
$78.58 Reel. Water Con. Fee $0.00
$0.00 Meter Size
$51.08 Add'I Reel. Water Con. Fee $0.00
$0.00 CFO Payoff Fee $0.00
$0.00 PFF $0.00
$1.00 PFF (CFO Fund) $0.00
$0.00 License Tax $0.00
$0.00 License Tax (CFO Fund) $0.00
$0.00 Traffic Impact Fee $0.00
$0.00 Traffic Impact (CFO Fund) $0.00
$0.00 PLUMBING TOTAL $0.00
$0.00 ELECTRICAL TOT AL $20.00
$0.00 MECHANICAL TOTAL $24.00
$0.00 Housing Impact Fee $0.00
$0.00 Housing lnlieu Fee $0.00
$0.00 Master Drainage Fee: $0.00
Sewer Fee: $0.00
$0.00 TOTAL PERMIT FEES $174.66
Clearance: _____ _
that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
O") .:.
123-58
✓' ~
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONL y G (0
PLAN CHECK NO. q. er-er 0
EST. VAL. ____ ,,_$'°'.___~_c9_,,...U+--,,,,
Plan Ck. Deposit S:/~~ 8-
Validated By ___ ..... Ql~,t-/Y,-::+,~---
Date _____ -Z_{-1-f_"?;_/,_ ...... £"-'--f __
Business ame (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's J:,ar,r;._elJ_,
L.? / -1.,~-Z.--¼
Existing Use Proposed Use
Descr~~r ~d(,kv ~ #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (If differ~lcantl
I
Name Address City
B. _t~PL~Jtuf¥g~r~af~c •0 A~n.tcf.co~r8cit 1514°-rner c.£l~~t.f:r8aner92018
Name Address City State/Zip Telephone #
4. PROPERTY OWNf R Ni\?;:Oµ 1-1....BWi·~
Name
Ct-q-z.at1 1l:LJ -~-3s-o<fw
State/Zip Telephone #
6. 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 violatjon 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)). B.A . Worthing , Inc . P.O. Box 1 041 Clsbd., CA 92018 760-729-3965
Name Address City State/Zip Telephone #
Sta.tit LiCJll\~e # 3 9 8 7 6 4 tffOUKS i~or thing P .O. u, Cl-3 B-1
J3c~n¾_e I tl 4 l C l s b d . , Cjty B11siness License # Ye S CA 9~018 760-~/~2~9~_-3~9~6-5--
Designer Name
State License # _B_-_1 __ 3_9_2_8_9_4_
Address City State/Zip Telephone
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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.
0 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 State Fund Policy No. 2 2 9-9 8uni t 6 5 3 7 Expiration Date 1-1 -9 9
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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 ( 1 , 001, I d itlon to the cost of compensation, damages as provided for in Section 3706 of the L/~o~ code, interest and attorney's fees.
SIGNATURE:....,..~~~~~:...!J~~{).t:::::::::-_________________ DATE _2-L--~-+-&f9_,__-1---:===--
7. R DECLARATION
ontractor's License Law for the following reason:
0 I, as owner of the property or m e ployees 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 Co e: 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).
0 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 I 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 I address I phone number 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 I address / phone
number I 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 I address I phone number / type
of work):, _________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 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 ______________ _ 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 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 365 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 d for a period of 1 80 days (Section 106.4.4 Uniform Building Code)~/ )
APPLICANT'S SIGNATURE ---,,S:Z-.J&,~0£.ljL!J~..jq.----------------DATE -~L-~_,_t .... ·~>-+--------
YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 5/19/99
Permit# CB990468
Title: GARAGE CONVERSION
Description:
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2209 VISTA LA NISA
Lot
C..PPLICANT : WORTHING INC, B. A.
0
Owner: STANDARD PACIFIC CORP
Remarks:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
;;;e_ Comments
I
I
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: PY ---
Phone: 7607293965
Inspector: -----
Requested By: TERESA
Entered By: CHRISTINE
3/29/99 84 Rough Combo AP PY OK TO DRYWALL
3/23/99 11 Ftg/Foundation/Piers AP PY
3/23/99 16 Insulation AP PY
3/22/99 14 Frame/Steel/Bolting/Welding PA PY
PlANNINC/ENCINEERINC APPROVALS
PERMIT NUMBER cB f9o 't6ci ·
ADDRESS d:2 q 9 V,Bd:?<
. G E SI DENT~
RESIDENTIAL ADDITION MINOR
( < $10,000.00) ..
OTHER ~~~£a)
OOCSIMISforms/Plannlng Enotneenng Approvals
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
DATE 11/ff
DATE • 2(~/ 0 1 I