HomeMy WebLinkAbout1094 Laguna Dr; ; CBC2019-0464; PermitPrint Date: 10/18/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1094 Laguna Dr
BLDG-Commercial
1552721900
$0.00
Commercial Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check #:
Description: LAS VILLAS DE CARLSBAD: REPLACE AC UNIT
Owner:
VS CR E HOLDINGS LLC
9510 Ormsby Station Rd Senior Care Inc.,
101
LOUISVILLE, KY 40223
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
(city of
Carlsbad
Permit No: CBC2019-0464
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Finaled
09/30/2019
10/03/2019
Inspector: MColl
Final
Inspection: 10/18/2019 10:15:40A
$175.00
Balance Due: $0.00
Please take NOTICE that approval of your project includes the 11 lmposition11 of fees, dedications1 reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
' c·cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Chee ..
Est. Value
PC Deposit ------~~-
Date _q_,_,_/---=-3=-(f_,_1"-
JobAddress /O ··~ 4 :l u ~~ ,
Tenant Name:lar ~ J/~=(!q f ;lJ
Suite: ____ APN: __________ _
CT/Project #: _________ Lot#: ___ _
Occupancy:----------, Construction Type:,__ ___ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
@,kt< e,.,t)c L/,,.;f: /~ 'fl,./ ~YA'-vf/4 :. 1J BRIEF DESCRIPTION OF WORK:
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: _____ SF,
______ SF,
Existing Use ______ Proposed Use ______ _
Existing Use Proposed Use ______ _
0 Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: _________________________ _
D Other: ---------------------------------------
APPLICANT (PRIMARY) ..
Name: fltb[C,4 1 fi,,rj(, 6
Addres~~c ~i\AV
Citv: t,b( 4; = Stater:>( Zip:f) 4Sf'
Phone:,~;_ ;7,l;.l /S:f/
Email: (') JJ:;.,e 8) ,eq: ,:.c a4 . .uioC\
Phone:-"lH4-~'-'..,_,.q:.... _ _,..;;,.,__,r::...,~--------Email: ___________________ _
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: _______ State: ___ .Zip: ___ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
CONTRA.AJ:USINESS ,
Name: ~~ lf;Cdq
Addre~~ £)<1J!1:[/
City: {)=1, State¼°' Zip:7 lost'
'ho~,~ m . ,,~ Email: .d· --. c ~1:..a= ·,,;
State Licenselj;i:i Bus. Licens;j}jµt~J/riif
{Sec. 7031.5 Business ::md 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/she 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/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby 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 provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
□ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of
My workers' compensat!on insurance ca_rr4 aTcy number are: Insurance Company ame:
Policy No. 7-2--jtY,(c,.{) £), L Expiration Da e: , .
□ Certificate of Exemption: I certify that in the performance of the work for which this permit is Issued, J shall not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage ls unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the co~t of compensation, damages as provided for in Section 3706 of the Labor Code, :::::.:W4~ □AG>NT ,_,,, ______ _
( OPTION B ): OWNER-BUILDER DECLARA~~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 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).
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. □ 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/ 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/ phone/ type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
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 Name: ______________________ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING 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? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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.
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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AG REE TO SAVE, INDEMNJfY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUOGMENlS, COSlS 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 S'O' deep and demolition or construction of structures over3 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 180 days from the date of such per it or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 Unit Building Code).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
Pcmnrt rype: BLDG-Commercial Application Date: 09/3012019 Owner: VS C R E HOLDINGS LLC
Wori< Class· P/M/E Issue Date: 10/03/2019 Subdivision:
Stc1tus: Closed -Finaled Expiration Dato; 04/15/2020 Address: 1094 Laguna Dr
Carlsbad, CA 92008-1858
IVR Number: 22107
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date ~·~·····-~---··
10/0712019 1010712019 BLDG-44 106711-2019 Failed Michael Colllns Reinspection Complete
Rough/Ducts/Dampe
rs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency See card for pick up No
BLDG-Final 106710-2019 Failed Michael Collins Re inspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final No
BLDG-Electrical Final See card for pick up No
10/18/2019 10118/2019 BLDG-44 107924-2019 Passed Peter Dreibelbis Complete
Rough/Ducts/Dampe
rs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency See card for pick up Yes
BLDG-Final 107923-2019 Passed Peter Dreibelbis Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
BLDG-Electrical Final See card for pick up Yes
. ---•-•··•····---··· -------------------------~--.. ~-·--·~•-"'-'••··-····~·------------
October 18, 2019 Page 1 of 1