HomeMy WebLinkAbout2457 LAPIS RD; ; CBR2018-0878; Permit(city of
Carlsbad
Residential Permit
Print Date: 06/08/2018 Permit No: CBR2018-0878
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2457 Lapis Rd
BLDG-Residential
2132300600
$3,082.50
Work Class: Patio
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: ZYGOWICZ: 250 SF PATIO COVER
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
S01473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $100.2S
Owner:
TRUST ZYGOWICZ FAMILY TRUST /ZYGOWICZ
JUDY H TRUST
Total Payments To Date: $1D0.2S '
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
SOUTH COAST LANDSCAPE
44830 Via Pino
Temecula, CA 92590-3318
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 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
04/11/2018
05/02/2018
6/8/2018 11:00:34AM
$0.00
$61.74
$37.01
$1.DO
$0.50
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
r
.; ( Cicyof
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 780-6024719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
co. SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Date
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
0
EXISTING USE PROPOSED USE
ADDRESS
CITY
PHONE c..1, 980~8,
EMAIL
DESIGN PROFESSIONAL NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
GARAGE {SF) PATIOS (SF) DECKS {SF) FIREPLACE
ZIP
STATE UC.#
YES □#~
PROPERTY OWNER NAME
~c),,.,.l JM"'
PHONE
EMAIL
ADDRESS -CITY
PHONE
EMAIL
STATE~s '" ss
STATE • G4-t.f,=
FAX
STATE
FAX
CLA~ c.....-"1
YES □ NOD
FIRE SPRINKLERS
YES □ NO □
0(.U ( c..
ZIP
CITY BUS. UC.#
(Sec: 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a si2ned statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 70_00 of DIvIsIon 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any vmlatton 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 at perjury one of the following declarations:
D 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' compensatio~ required by Section 3700 of the Labor Code, for the _perform a of the work for whic this permit is i ued. My workers' compensation insurance carrie~nd policy
number are: Insurance Co. tJQi'...v::/L,,--' l..., S\Jt\41,,)c::_e CO • Policy No. t:\-WC, '2.,: 0 Expiration Date t;; ... 'l.. "'t. -I~
This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 become 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 one hundred thousand dollars (& 100,000), in
addition 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
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License law for the to/lowing 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 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 buildin
3. I have contracted with the following person (firm the proposed construction (include name address/ phone/ contractors' license number):
f the work, but I following person to coordinate, supervise and provide the major work {include name I address I phone I contractors' license number)
7_:;.p""'f=hi.m_dl!fill following persons to provide the work indicated (include name/ address /phone/ type of work):
□AGENT DATE
...
. OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applica11t 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-Tarmer Hazardous Substance Account Act? D 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? D Yes □ No
Is the facility to be constructed within 1,000 feel 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work this penmt is 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 above Information Is correct and that the infoonation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize "'l"•sentative of the Ciy of Catbad to enter upon the-. mentioned propef1y !or inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABIUTIES. JUDGMENTS. COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavations over 5'0' deep aid d or construction of structures over 3 stories in heghl ,----
EXPIRATION: Every permit issued by · · · I under the p lhis Code shall expre by limitation and become nul and void if the ~~~auttlOfized by such permit is not commenced YAthin
180 days from the date of su':!) or if the 1~ ori.wrk auttl.,,..,,.,,..1,--uch permit is suspended or abandoned at any time after the \YOrk is co,7 ,....,.,. ,..,, a period of days Section 106.4.4 Uniform Building Code).
DA // If!,
' " ' 0' '
· , ,,, PERMIT INSPECTION HISTORY REPORT (C8R2018-0878)
Permit Type: BLDG-Residential Application Date: 04/11/2018 Owner: TRUST 2YGOWICZ FAMILY
TRUST/2YGOWICZ JUDY H TRUST
Work Class: Patio Issue Date: 05/0212018 Subdivision: CARLSBAD TCT#02-23 LA COSTA
GREENS NEIGHBORHOOD 1.08
Status: Closed -Finaled Expiration Date: 10/31/2018 Address: 2457 Lapis Rd
Carlsbad, CA 92009-1704
IVR Number: 10672
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
0510312018 0510312018 BLDG-11 056873-2018 Failed Chris Renfro Reinspection Complete
Foundation/FtglPler
s (Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready No
05/04/2018 05104/2018 BLDG-11 057046-2018 Passed Chris Renfro Complete
Foundatlon/Ftg/Pier
s (Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
06108/2018 06/08/2018 BLDG-Final 060410-2018 Passed Chris Renfro Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
June 08, 2018 Page 1 of 1
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City of Carlsbad
Building Division
MAY O 2 2018 /J;,.
OVED BY __,_(:,,_.·-d(......,_ __ _
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CBR2018-0878
2457 LAPIS RD
ZVGOWCZ 250 SF PATIO COVER
?'i#f'
2132300600
4/19/2018
CBR2018-0878