The URL can be used to link to this page

Home My WebLink About2457 LAPIS RD; ; CBR2018-0731; Permit(city of Carlsbad Print Date: 06/08/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2457 Lapis Rd BLDG-Residential 2132300600 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: 2YGOWICZ: GAS TO BBQ// ELECTRIC TO OUTDOOR FOUNTAIN PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: TRUST ZYGOWICZ FAMILY TRUST/ZYGOWICZ JUDY H TRUST Total Payments To Date: $170.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Co-Applicant: RAMA LANDSCAPE 970 W Valley Parkway ESCONDIDO, CA 92025 619-980-9873 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 applkation 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. Permit No: CBR2018-0731 Closed -Finaled 03/26/2018 03/26/2018 TFraz 6/8/2018 11:10:16AM $170.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov · (cityof r/j µ ' ')'• ,, J.., I Building Permit Application Plan Check No. ; .,.,,;;, __ ) \,../'I I ' ' 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value Carlsbad Ph: 780-602-,2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov 'I·, ' / I ( Date ,_ C• (_, I ,,-•; ,. JOB ADDRESS ~ r (2-0 (..IO SUITE#/SPACE#/UNIT# IAPN '-\ s l-~\ s ---- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ' I '1d-A--,., ~---~<.J._Y"f"". ' r, ' .. ' . , ,--, Tc.tC "':;,C> • J EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES O NO □ YES O NO □ APP~~Y,~ontatcn'-->~~. --PROPERTYO~~ME ,<?1 -z. '-1 t;o ~lL,-Z.--<JD .JU ADIJl'(t:::,S ADDRESS 'Z '1, s 7 . LA.,qs f2.0 CITY STATE ZIP CITY STATE ZIP (::'..C'.;:,, ~ PHONE I 'AX PHONE I 'AX EMAIL EMAIL DESIGN PR0FESSI0NAt. N~ CONTRACTw;s-NAME I A----.. -'P1 IC.'£., : " _...._ ~o"rb f>,.Mv>< -~ ' ADDRESS ADDRESS~ v ~~ ~~ "-~ 7o (,u -. CITY STATE ZIP CITY ~(?ICc;) STATE ZIP u;::. 0)--z,c,-z s;: PHONE I 'AX PHONE(, "3' ~J _, I$ I .,,o9o1 EMAIL E~ •e~ P.>MC<ID ?,ici<-I V).A.L, (oYl'Yl I STATE UC.# $TATELl~'5 lG\ ss I CLASS C.~"27 I Cl1Y BUS. LICf (, ~- ~I)" J;r I (Sec. 7031.5 Business and P_rofessions Code: Any City or Cqun_ty which requires a permit to.construct, alter, improve, (!emolish or re air an structure, prior to its issuance, ato req~ires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License LawjC~apter ~. comme_nding with Section 7000 of D1v1sion 3 of the Business and Professions Code} or that he is exem.et therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain wo~er:>':'!!Pensalion, as required by Section 3700 of the Lab9r ~e, for the _performance of the work for which this permit is issued. My workers' compensation i uran arrier and policy numberare:lnsuranceCo. ~'1Ll~ IN6". (....C:.;1_ Policy No. f'...c-,(,L.) C..-j S "'2.,(!::J>JI Expiration Date '2L 18 This section need not be completed if the permit is for one hundred dollars {$100) or less. 0 Certificate of Exemption: I certify that in the performance of the wo 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' compensatio is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, da ovided fo 370 he Labor code, interest and altorney's fees. _.,g CONTRACTOR SIGNATU I hereby 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. 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 □ 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 I address I 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 I phone I type of work): _.,g PROPERTY OWNER SIGNATURE □AGENT DATE •toMPLETE THIS 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? □ Yes □ 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 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this perrrnt 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the all<M, lnfonnatlon Is correct and that the infonnation 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 Cily of Carlsbad to enter upon the-., mentioned property for inspecloo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM_ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MA IN NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr. OSHA: An OSHA pennlt is required for excavatioos over 5'0' and dernolitioo,f or:/f,t.ructiD!l of structures over 3 stories in hE!ghl EXPIAA TION: Every pennit issued by lhe Build' uncl e provisions e shall expire by limitation aid become nua and void W lhe building or work authorized by such pennlt is not commenced within 180 days from the date of such pennit ct. building ct authorized by it is at anytime after lhe work is commenced for J period of 180 days (Section 106.4.4 Uniform Buildilg C<Xle). DATE '2,/?,_ (,, ( § t • • . JPERMIT INSPECTIQN HISTORY REPORT (CBR21)18-0731) Permit Type: BLDG-Residential Application Date: 03/26/2018 Owner: Work Class: Status: Scheduled Date 03/28/2018 05(2512018 06/08/2018 June 08, 2018 P/M/E Issue Date: 03/26/2018 Subdivision: Closed -Finaled Expiration Date: 09/24/2018 Address: Actual Start Date 03/28/2018 05/25/2018 06/08/2018 IVR Number: 10340 Inspection Type Inspection No. BLDG-23 Gas/Test!Repalrs 053047-2018 Checklist Item BLDG-Building Deficiency BLDG-31 Underground/Condu it-Wiring 053046-2018 Checklist Item BLDG-Building Deficiency BLDG-Final 059165-2018 Inspection Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-Final 060577-2018 Inspection Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Passed Tim Frazee COMMENTS Passed Tim Frazee COMMENTS Failed Tim Frazee COMMENTS GFCI could not be tested Passed Chris Renfro COMMENTS GFCI could not be tested TRUST ZYGOWICZ FAMILY TRUST/ZYGOWICZ JUDY H TRUST CARLSBAD TCT#02-23 LA COSTA GREENS NEIGHBORHOOD 1.08 2457 Lapis Rd Carlsbad, CA 92009-1704 Reinspection Complete Complete Passed Yes Complete Passed Yes Reinspection Complete Passed No No No No No Complete Passed Yes Yes Yes Yes Yes Page 1 of 1