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Home My WebLink About2205 MASTERS RD; ; CBR2017-0099; PermitPrint Date: 01/18/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2205 Masters Rd BLDG-Residential 2121413900 $0.00 VIZCARRA: REPLACE FAU Owner: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check #: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-0099 Closed -Finaled 01/13/2017 01/13/2017 TRUST VIZCARRA FAMILY TRUST0l-29-10 2205 Masteres Rd AMBIENT HEATING AND AIR CONDITIONING CARLSBAD, CA 92008 PLUMBING,_.ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 3507 Merrimac Ave San Diego, CA 92117-1717 619-454-4975 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. 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. $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE (city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. Est. Value www.carlsbadca.gov Date SUITEf/SPACEI/UNITf LOT# PHASE# # BEDROOMS II BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1<-epU4c-(L f=. (-l.. l(_ , EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME PROPERTY OWNER Primary Co ADDRESS ADDRES220 Cl~ ST~ Cl STL,f't P&,NI FAX 1,0, <Jo,· ~- EMAIL DESIGN PROFESSIONA CONTRACTOR BUS. NAME ADDRESS ADORES-:!; so 1 l't61Ultrlh-c.., CITY STATE ZIP Cl~ /'r-f0 DI fu2«) ST~ PHONE FAX PiNt' 1 _ FAX EMAIL EMAIL STATE UC.# STATE UC.# SbOS'l) ~:.w □HEALTH 0 HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ Atlc: fh)C Zl9 L-/( CITY BUS. UC.# -l't -3 ( {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, commend1ngw1th 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 v1olat1on 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)). WORKERS· COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B 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. 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 workers' compensation insurance carrier and policy number are: Insurance Co ______________________ Policy No ______________ Expiration Date _________ _ need not be completed if the permit is for one hundred dollars ($100) or le ate of Exemption: I certify that in the per1ormance · WARNING: Failure to secur he cost of compensation, d is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of nd shall subject an employer to criminal penalties and civil fines up to one h dred thous d dollars (&100,000), in I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 compleUon, 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 lo 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. 0Yes 0No 2. I (have I have not) signed an application for a OOilding 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 I address/ phone 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/ type of work): /IS PROPERTY OWNER SIGNATURE □AGENT DATE -, COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo 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 Acr? O Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? D Yes □ No ls the facility to be constructed within 1,000 feet of the outer 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. l certify that I have read the application and state that the above lnfonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State I.MS relating to building construction. I hereby authorize representaijve of <J)---'<.• the above mentioned proi:-erty br inspection purposes. I ALSO AGREE TO SAVE, INOEMNI KEEP HARM ESS THE CllY OF CARLSBAD AGIIINST ALL LIABILITIES, JU ,,_,...,='-"' WAY ACCRUE AG.AJNST SAID SEOJENCEOF THE ING OFTHIS ERMIT OSHA An OSHA i:-ermit is requi n EXPIRATION: Every perm rt issu n and beoo kj if the buildil'lQ or 'Ml nnil is not oommenced 'Nithin 100days from the date of such u~~!1lll~ _3tanytime 'M'.lr1<. is commenced fora b,n 100.4.4 Uniform Building Code) ,.I! APPllCANT'S SIGNATURE DATE 1q-- • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) ZIP □MAIL/FAX TO OTHER:---------------~ A! APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STA.TE ZIP Carlsbad CA OCCUPANT'S BUS. LlC. No. □ ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-0099) Permit Type: BLDG-Residential Application Date: 01/13/2017 Owner: TRUST VIZCARRA FAMILY TRUST 01-29-10 Work Class: P/M/E Issue Date: 01/13/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/12/2017 Address: 2205 Masters Rd Carlsbad, CA 92008-3849 IVR Number: 1443 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspectlon Complete 01/18/2017 01/18/2017 BLDG-43 Air 009953-2017 Passed Jonathan West Complete Cond./Furnace Set BLOG-Final 009954-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes January 18, 2017 Page 1 of1