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HomeMy WebLinkAbout2640 VISTOSA PL; ; CB101209; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-30-2010 Miscellaneous Permit Permit No: CB101209 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2640 VISTOSA PL CBAD MISC 2162506400 $0.00 Subtype: OTHER Status: Lot #: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: WALSH RES-RELACE FASCIA, STARTER BOARDS AND RAFTER TAILS, REMOVE & REPLACE Applicant: MILLENNIUM BUILDING SERVICES 1068 LA MIRADA CT VISTA CA 92081 760-*727-5122 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PE RMIT FEES Total Fees: $195.'J0 PERMIT FEES Owner: WALSH CASEY P&BETH 2640 VISTOSA PL CARLSBAD CA 92009 Total Payments To Date: $195.00 Balance Due: Inspector: /111, ll:,t~ Clearance: ISSUED 06/30/2010 LSM 06/30/2010 06/30/2010 $195.00 $0.00 $0.00 $195.00 $0.00 NOTICE: Please take NOTICE that approval o! your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has meviouslv otherwise exoired. . ~ «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. G-5 t O fl {~ ~ CITY OF CARLSBAD F-c Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date C.p 30 j ,o APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME OONSTR. GR UP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING FIRE SPRINKLERS CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE PHONE FAX EMAIL AME {. w ~ s STATE HONE~os--23$'-71 '('1 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP ZIP STATE LIC. # APPLICANT NAME ADDRESS CITY PHONE EMAIL CONTRA<;JOR BUS. NAME ;(lf."'1A 'VvV\ ADDRESS {O 6 8" Le-.. CITY Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: YES O NOD YES D NOD STATE ZIP FAX STATE ZIP ff I have and will maintain a certificate of consent to self-insure f0< workers' compensation as provided by Section 3700 of the Labor Code, fOf lhe perfOfmance of the WOik fOf which this permit is issued. ~ I have and will maintain workers' compensation, as required Section 3700 of the Labor Code, fOf the performance of the WOik fOf which this permit is iSSIJed. My wO!kers' COfnpensation insurance carrier and policy .. number are: Insurance Co. Policy No. 7 ~ 0 0000 0 I O O fs" I Expiration Dale 7 / I J2 This section need not be COfnpleted ff the permit is fOf one hundred dollars ($100) Of less. 0 Certificate of Exemption: I certify that in lhe performance of the wOfk 10< which this permit is issued, I shall not employ any person in any manner so as to beCOfne subject to the WOfkers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doUars (&100,000), In addition to the cost of compensati damages as vidtd for in S Ion 3706 of the Lab c e, Interest and attorney's fHs. _,1$ CONTRACTOR SIGNATURE I hereby affirm tha/ I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property°' my employees wilh wages as their sole COfnpensalion, will do the work and lhe structure is not intended Of offered fOf sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds °' improves thereoo, and who does such wO!k himself Of lhrough his own employees, provided that such improvernenls are not intended Of offered fOf sale. If, however, the building Of improvement is sold within one yea,; of COfnpletion, the owner--0uilder will have the burden of proving thal he did not build Of improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractOfS to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who buUds Of improves thereon. and contracts fOf such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ----~Business and Professions Code fOf this reason: 1. I personally plan to provide the majOf labor and materials fOf construction of the proposed property improvemenl. □ Yes D No 2. I (have / have not) signed an application fOf a building pemiit fOf the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone/ contractOfS' license number): 4. I plan to provide PQftions of the wori(, but I have hired the following person to COOfdinate, supervise and provide the majOf work (include name/ address/ phone/ contraoors· license number): 5. I win provide some d the WOik, but I have contracted (hired) the following persons to provide the wOfk indicated (include name / address / phone / lype of WOik): _,1$ PROPERTY OWNER SIGNATURE □AGENT DATE ~OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe 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 Acri □ Yes □ No Is lhe applicant or future building occupant required to obtain a perm~ from lhe air pollution control district or air quality management district? □ Yes □ No Is lhe facijity to be constructed within 1,000 feet of lhe outer bound81)' 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 certify that I have read the application and state that the above lnlonnation Is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and Stale laws relating to building construction. I hereby autlorize represeotawe of toe City of Caf1sbad l) enter upon toe above mentbned property b' iispecoon puqioses. 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: AA OSHA. pennit is requi'ed b' excavations (1oJ8( 5'0' deep and demolioon or construction of slructures (1oJ8f 3 sbies ri height EXPIRATION: Eve,y penrjt issued by lhe Building Obi under lhe provisms of this Code shall expire by Imitation and become nul and YOKI t toe buidi1g Of' l\lllk autiorized by such penrjt is not oorrrnenced within 180days from toe date of such • ttoe buidi1g ~ by such pennit is SUSl'"""J'°JXabandoned at any tine aflertoe l\lllk is commenced b' a period of 180 days (Sediln 106.4.4 Ll'mrm Buikliig Code). _,15 APPLICANT'S SIGNATURE DATE 6', 3 C) ✓ t 0 City of Carlsbad Bldg Inspection Request For: 07/07/2010 Perm it# CB101209 Inspector Assignment: MC --- Title: WALSH RES-RELACE FASCIA, Descri ption : STARTER BOARDS AND RAFTER TAILS, REMOVE & REPLACE SIDING IN VARIOUS LOCATIONS Type: MISC Sub Type: OTHER Job Address: Suite: Location: 2640 VISTOSA PL Lot: 0 APPLICANT MILLENNIUM BUILDING SERVICES Owner: WALSH CASEY P&BETH Remarks: Total Time: CD Description Act Comments Phone: 7607275122 Inspector: _....,_~_'1,_l, __ Requested By: NA Entered By: CHRISTINE 13 Shear Panels/HD's W~ ____________________ _ 14 Frame/Steel/Bolting/Welding _P!f:._ M 1.JorZ. tz.AF't"\?l. 1""4,,u... l?-~:PAt€. A- Date 07/06/2010 07/06/2010 $~ ·eo.o.~. ~~.A"'-~""s~. -$~Pi,-.(.,~ A...-~tr1Z.:( ~1-\ft-f~. IZM,, k '2A~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Description 13 Shear Panels/HD's 14 Frame/Steel/Bolting/Welding Act lnsp Comments CO MC NO ACCESS CO MC