HomeMy WebLinkAbout2650 VISTOSA PL; ; CB071856; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-12-2007 Miscellaneous Permit Permit No: CB071856
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2650 VISTOSA PL CBAD
MISC
2162506500
$0.00
Subtype: OTHER
Lot#: 0
TACKETT RES-REMOVE LIV ROOM
WINDOW, REPLACE WITH BAY WINDOW
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
TACKETT CHARLOTTE R TRUST 1986 TACKETT CHARLOTTE R TRUST 1986
2650 VISTOSA PL
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$60.00
2650 VISTOSA PL
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $60.00 Balance Due:
FINAL AP
Date: 'L Clearance:
ISSUED
07/12/2007
LSM
07/12/2007
07/12/2007
$60.00
$0.00
$0.00
$60.00
$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 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
his r as t whi h th
City of Carlsbad Plan Check No. {!f,() 7 t ~6~
1635 Faraday Ave., Carlsbad, CA 92008
760-t,02-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
DESCRIPTION OF WORK:
EXISTING USE PROPOSED USE
CONTACT NAME (ff Dlfrerent Fom Appl/cant)
ADDRESS
CITY STATE
PHONE FAA
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE
PHONE FAA
EMAIL
ARCH/DESIGNER NAME & ADDRESS
GARAGE (SF)
ZIP
ZIP
STATE UC.#
Est. Value
Plan Ck. Deposit
Date r/ 1~07
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BU INE NAME
PATIOS (SF)
ADDRESS
CITY STATE
PHONE FAA '7~0 -qy,4-'1773
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE
PHONE FAA
EMAIL
STATE UC.# CLASS
AIR CONDITIONING
YES O NOD
ZIP
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YES O NOD
{lee. 7031.5 Busine11 and Profenions Code: Any City or County which requim a permi1 10 con11ruct aherj imprm, demolish or reP.air any muc1urel prior IO in i11uance. also requires the applicanl for such permit to filt a signed s1a1emen1 thai ht is ricensed .11ursuan1 10 1he provisions of 1he Con1rac1or's License Law {Chapter 9. commending wi1h lec1ion 000 of Oi,ision 3 of 1he Business and Pro mions Code} or tha1 ht ~ mmpt thmlrom. and the ba111 for the allegtd mmption. Any ,iolation of ltclion 7031.S by any applicanl for a permil sub~Ct! 1he applican1 10 a civil penalty of nol more than five hundred dollars {$100}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjUty one of the following declarations:
D I have and will maintain a certlflcate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 shalt 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.
fl5 CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D 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 D 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 contr_acted ..(hired) the following persons to provide the work indicated (include name /address/ phone / type of work):
~ L,(.Y (\
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 D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ~r quality management district? □ Yes D No
Is the facility to be constructed within 1,000 feet of the ouler 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
t 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 alt Cityondinanoes and State laws relating to building construction.
J hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for i1spection 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 oc construction of structures over 3 stones 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 ~ the building oc work authorized by such perm\ is not commenced v.ithin
180 days from the date of such permit oc ~ • ing ocwork authorized by such permit is suspended oc abandoned at any time after the work is commenced foc a period of 180 days (Section 106.4.4 Uniform Buildng Code).
fl5 APPLICANT'S SIGNATUR DATE
City of Carlsbad Bldg Inspection Request
For: 12/19/2007
Permit# CB071856
Title: TACKETT RES-REMOVE LIV ROOM
Description: WINDOW, REPLACE WITH BAY WINDOW
Type: MISC Sub Type: OTHER
Job Address:
Suite:
2650 VISTOSA PL
Lot: 0
Inspector Assignment: PY ---
Phone: 7609449773
Location: Inspector: ----
OWNER TACKETT CHARLOTTE R TRUST 1986
Owner: TACKETT CHARLOTTE R TRUST 1986
Remarks: BAY WINDOWS
Total Time:
CD Description
19 Final Structural
~Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lnsgection Histo[Y
Date Description Act lnsp Comments
09/12/2007 17 Interior Lath/Drywall AP PY
09/12/2007 18 Exterior Lath/Drywall AP PY
09/06/2007 14 Frame/Steel/Bolting/Welding AP PY
07/27/2007 14 Frame/Steel/Bolting/Welding NR PY
Requested By: CHARLOTTE
Entered By: CHRISTINE