HomeMy WebLinkAbout1463 Buena Vista Way; TP; CBR2018-3439; Permit( City of
Carlsbad
Residential Permit
Print Date: 01/18/2019 Permit No: CBR2018-3439
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1463 Buena Vista Way, Tp
BLDG-Residential
1562317400
$0.00
LEA: TEMP POWER POLE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Owner:
COOWNER LEA RONALD KAND JILLIAN
1453 Buena Vista Way
CARLSBAD, CA 92008
Total Payments To Date: $175.00
Status;
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, 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. lf 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.
Closed -Finaled
12/13/2018
12/13/2018
1/18/2019 2:46:SSPM
$175.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check
Est. Value
PC Deposit -711___. ___ 7..,_, ---
Date ~/ ;;__.(3_,L..J,'----+-f-Y--'.8'. -
Job Address fsv-,-~ vlS~ A. l,,.fa,"\ Suite: APN: ' ---------------
CT/Project#:. __________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ____ -_(;__C_v_✓-\ {)...._. --+R--'-"h,:::..,,.Q..Y"'=-----------------
□ Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ____________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
□ Other: ( 'C,,t ... ,.p /JJ._e v:
APPLICANT (PRIMARY) PROPERTY OWNER <.
Name: K ,-)r-L..e-a:,.. Name: -------"2~.t\-....,-"f?____.,.......:-c:;__ ________ _
Address: I½(,,~ Civ e.----.:1,, {)/<.±A:: t,/0 -'I Address:---~.=--... /'-------------
City: (~:I kh,J State: Ug:: Zi;: Cjl,.2,((' City: _________ State:. __ Zip: ___ _
Phone: 2'2 c) ~1 ) ¥'1 L~ 2. Phone: _______________ _
Email: {2,16 @: ~ J '\., ( ..Et½. l C cJ l.,'V'.. Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: _________________ _ Name: ___________________ _
Address: ________________ _ Address: __________________ _
City: ________ State:. ___ Zip: ____ _ City: _______ State:. ___ Zip: _____ _
Phone: ________________ _ Phone: __________________ _
Email: _________________ _ Email: ___________________ _
Architect State License: ___________ _ State License: ______ Bus. License: ______ _
(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/she is licensed pursuant to the provisions of the Contractor's License Law
{Chapter 9, commending with Section 7000 of Division 3 of t he Business and Professions Code} or that he/she is exempt therefrom, and the basis for t he 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)).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
8-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
D 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.
D I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of t he work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _
Policy No. ______________ Expiration Date: _________ _
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 be come
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: □AGENT DATE: ----------------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I h reby affirm that I am exempt from Contractor's License Law for the following reason:
,.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.
4, 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).
D 1, 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).
D 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. D 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/ 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 t he major work (include name/ address/ phone/
contractors' license number): -----~
5. I will provide some of the work, but liflave contra'ct d (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
DATE: / 2,;/, ~ '/f/
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? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 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 Buildin 1cial u er 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 d ys from th date p such permit 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 day,s (Se 10n 10 .4.4 U · uilding Code).
APPLICANT SIGNATURE: ----+-----,i,<-------------DATE: __.t ..... i ..... l-' :.,.,i.-;..,..1, ...... v:: __ _
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
' ' ' ).'' .
. _ : , PERMIT INSPECTION HISTORY REPORT (CBR2018-3439)
Pormit Type: BLDG-Residential Application Dato: 12/13/2018 Owner: COOWNER LEA RONALD KAND
JILLIAN
Work Class. P/M/E Issue Date: 12/13/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 07/17/2019 Address: 1463 Buena Vista Way, Tp
Carlsbad, CA 92008-1538
IVR Number: 16023
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
01118/2019 01118/2019 BLOG-32 Const. 081706-2019 Passed Tim Frazee Complete
Service/Agricultural(
Temp)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 081707-2019 Passed Tim Frazee Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Electrical Final Yes
January 18, 2019 Page 1 of 1