HomeMy WebLinkAbout2702 MATEO PL; ; CBR2019-0047; Permit{city of
Carlsbad
Print Date: 07/25/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2702 Mateo Pl
BLDG-Residential
2162513000
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: CROUCH: 200A PANEL UPGRADE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Owner:
LA COST A LOGO LLC
LISA OIXlE CROUCH
760-4 70-1346
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. 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 rightto 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.
Permit No: CBR2019-0047
Closed -Finaled
01/08/2019
01/08/2019
Mcall
7/25/2019 10:14:21AM
$175.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
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RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckCfA.208 -CQ4 l
Est. Value
PC Deposit ---------
Date ~\----'1€,_-......_\_9L--_
,::_~ JobAddress_t'--:"'\_o_L_\\,\...,a.,·..c..ft-c-:"\'_e_-_u_~_\....J_,t""\ ___ l __ L _____ Suite: ___ APN: _______ _
CT /Project#:. __________ Lot#:. ____ fire Sprinklers: yes/ no Air Conditioning: yes/ no
"" ~ BRIEF DESCRIPTION Of WORK: _ ___;;;;E......;Lc__L_t_""'\"_<C_,_l_~_'-;;,;._.,......;..~_-F'\_"-J.;'.....;~;;:...\_=--\.)--=':.....;f:.....;t..=-:.....;~_~_;_c..._~ -~rp;;p~:.=....:-A~_
.,.._,_
=="',./
0 Addition/New: _____ living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes / No New Fireplace? Yes/ No, ifyes how many? __
0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 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: -------------------------------------
□ Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: -------------------------------------
A~PUCANi {PRlMAR.V} PROPERTY OWN!EIR
Name: L\'.;),?'\ t,t.uuL\--\ Name: \_,~~ t{.vul("\
Address: t, C\1_ 'w\\f"\"°tf_u f" uf\ {i Address: 1..,.-'\g,.,_____ \\A~(.~ e'L\A k,
Oty: t~<..L)f)"'°'.) State: ~ Zip: ___ City: t!F'\.o....S&:J State: (~ Zip: ___ _
Phone: '""'\ 'aO -~ ~ 'R -\ ':.)Ar\::. Phone: \ '00 -i\--,-a -\~ a\..\o
Email: \ ..... t.<c\)~\-{ \§ L-~ tc.~•'f-A\..O~ • ~c~ Email: L-litcv~ Q ~ ~""t'\UJCc ~ ti)\,-\
DESIGN PRO!FESSlOil\lAl CONTRACTOR BUSINESS
Name: ________________ _ Name: ___________________ _
Address: ________________ _ Address: __________________ _
City: ________ State:. __ -'Zip: ___ _ City: ________ State:. ___ Zip: ______ _
Phone: ________________ _ Phone: __________________ _
Email: _________________ _ Email: ___________________ _
Architect State license: __________ _ State Ucense:. ______ Bus. License:. ______ _
{Sec. 7031.S Business and Professions Code: Arrv City or Cou11ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires th@ applicant for such permit to file a 5igned statement that he/she is licensed pUrsuant to the provisions of the Contractor's License law
{Chapter 9, commending wttll Section 7000 of Division 3 of the Business and Professions Cade} or that he/she is eJ1:empt tmi!refTom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applica11t for a permit subjects the applicant to a civil penahy of not mOl'e than five hundred dollars {$SOOH.
1635 Faraday Ave carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 · Email: Building@carlsbadca.gov
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I hearby affirm under penalty of perjury Q!!!. of the following declarations: ·
□ I have and will maintain a certif1<:ate of consent to self-insure for worlcers' oompen.ation 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 the work for which this permit is issued.
My workers' compensation insurance carril!T" and policy number are: Insurance Company Name: ___________________ _
Policy No. ____________ Explratian Date: ________ _
□ 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 5eCflflt _._ mmpematlan cavenae ls unlM,(ul, and shall subjed an~ to
criminal penalties and tiwil fines up to $100,000.00, in addition the to the cost of compensation, damaaes as p,ovided far in SettiOn 3~ of the Labor c.ade,
Interest and attorney's flles.
CONTRACTOR SIGNATURE: □AGENT DATE: ---------------------------------
I hereby affirm that I om 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 5tn.icture Is not Intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's Lieense Law does not apply to an owner of property who builds oc improves thereon, and who does such work
himself or through his own l!T"nployees, provided that such improvements are not intended or offered for sale. If, however, the buildlnc 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 ellCluSively 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 proje<:ts with contractor(s} licensed
pursuant to the contractor's License Law).
□ 1 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):
S. I will provide some of the work, · g perSons to provide the work indicated (include name/ address/ phone/ type of work):
DATE: f jg Ir B
I I
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 li) Civil Code).
Lender's Name: ____________________ Lender'sAddnm: ___________________ _
Is the applicant or future building occupant required to submit a business plan, acutely haiardous materials registration form Of" risk management and prevention
program under Sections 2SSOS, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building octupant 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 1,000feet of the outer boundary of a school site? □ Yes □ No
IF ANY Of 'THE ANSWERS ARE \'ES, A FINALCERTIFICATE Of OCCUPANCY MAY NOT BE ISSUE!> UNlES5 THE Al'PUCAMHAS MET OR IS MIEETIN61HE
REQUIREMENTS OF lHE OFFICE Of EMERGENCY SERVltES ANO 1HE AIR POLLUTION CONmOL l>ISlltlCT.
I certify that I have read the application and state that the above information is correct and that the infOflllation on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize repreSl!fltative dthe Oty of Carl!bad to enter upon the aboYe mentinned property for inspection purposes. I AlSO AGREE 10 SAVE. INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST AU. UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHIOt MAY IN ANY WAY MnUE AGAINSTSAID aTY IN CONSEQUENCE OF
lHE GRANTING OFlHIS PERMIT .OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or construetion of structures over 3 stOries in height.
1635 Faraday Ave Carls
B-1
Ph: 760-602-2719 Fax: 760-602-8558
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Email:
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-0047)
Permit Type: BLDG-Residential Applic.ition Date: 01/08/2019 Owner:
Work Class: P/M/E Issue Date: 01/08/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 09/30/2019 Address:
IVRNumber: 16363
Scheduled Actual Inspection Type Inspection No. Inspection Status Date Start Date Primary Inspector
03/12/2019 03/12/2019 BLDG-33 Service 085870-2019 Passed Michael Colllns
Change/Upgrade
Checklist Item COMMENTS
BLDG-Building Deficiency 200 amp main service with driven rods.
EMR emailed to SDGE.
BLDG-Final 086871-2019 failed Michael Collins
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency See back of card for pick up.
BLDG-Electrical Final
03/28/2019 03/28/2019 BLDG-Final 087210-2019 Failed Paul Bumettu
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency See back of card for pick up.
BLOG-Electrical Final
04/01/2019 04/01/2019 BLDG-Final 087435-2019 Failed Michael Collins
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency See back of card for pick up.
BLDG-Electrical Final 410/19, see notes dated 3112/19 & 3/38119
BLDG-Electrical Final
0712612019 07/25/2019 BLDG-Final 098656-2019 Passed Michael Colline
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency 7125119. no card on site for final inspection.
BLDG-Building Deficiency See back of card for pick up.
BLDG-Electrical Final 4/0/19, see notes dated 3112119 & 3/38/19
BLDG-Electrical Final
BLDG-Electrical Final
July 25, 2019
LA COSTA LOGO LLC, TRUST
STAMPER FAMILY
LA COSTA SOUTH #6
2702 Mateo Pl
Carlsbad, CA 92009-8136
Relnspectlon
Passed
Yes
Reinspectlon
Passed
No
No
Reinspection
Passed
No
No
Reinspection
Passed
No
No
No
Passed
Yes
No
No
Yes
No
Complete
Complete
Complete
Complete
Complete
Complete
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