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Home My WebLink About2359 TERRAZA RIBERA; ; CBR2017-2769; Permit{_ City of Carlsbad Residential Permit Print Date: 03/16/2018 Permit No: CBR2017-2769 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2359 Terraza Ribera BLDG-Residential 2155823000 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Fina led: Inspector: Closed -Fina!ed 11/17/2017 11/17/2017 AKrog Plan Check#; Final Inspection: 3/16/2018 2:1230PM Project Title: Description: WYSHAK: REPLACE A/C AND FURNACE Owner: Contractor: KEITH WYSHAK 2359 Terraza Ribera CARLSBAD, CA 92009 858-213-5828 ACTION AIR CONDITIONING HEATING AND SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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 t'1mely follow that procedure w"il/ 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 s·1milar applicat"1on 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-731'1 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $170.00 -{_ City of Carlsbad Building Permit Application _Plan ~h_llck N_<>_. Ci)R ¥:>J 7--_ -~ i- Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 76CMl02-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gqv Plan Ck. Deposit Date tf-I + _ J7, JOB ADDRESS CT/PROJECT> ILOT# ~PHASE# · 1#0FUNITSl#BEDROOMS-- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I i EXISTING USE I PROPOSED USE !GARAGE (SFI PATIOS (SF) ! DECKS (SF) [ FIREPLACE IAIR CONDITIONING 1FIRE SPRINKLERS YES O # __ NO O YES O NO □ YES D NOD I APPLICANT NAME (Primary Contact) t"\ It(..\..... 'B\ v\.-1\t\~ _ PROPERTY ~W~ER NA~ ~ !:-~--\k __ _ W~bo--~ \<,:'l-«'"-fDDRESS °3\~1.-~-Lo,.-i'a.;.,_-1);-, ~~\;-----ADDRESS 2 '3'5'j '.f"-.<•~V>-- CITY STATE ___ Z_I_P-------+cc-1_TY _____________ S_T_A_TE ______ Z_IP ________ _ ~ _\rJE:-_~l--~e. ____ {.f--_ ll'Jbz__ __ C~l~lo"'~---C}< Cjz.ooq PHON4 J"j--l 7,5° ~)i 1{ --_rAX----------:i~!_-ZI 3__-5~_2-~ -_]F~X _-~ ~ -= --- EMAIL DESIGN PROFESSIONAL NAME --ADDRESS --CITY STATE EMAIL ZIP EMAIL CONTRACTOR BUS. NAME -------· ---ADDRESS CITY ----__ '5d-"'--IJ\°'-<_C<>'>_ - PHONE ----1(.;,0-_J~'._l.ji?'L. __ EMAIL -7STATEI..IC.#---------STATE LIC.# l\}C_ (Sec, 7031.5 Business and P_rofess1ons 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_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law/Chapter 9, commending with Section 70_00 of D1v1s1on 3 of the Business and Professions Code) or that he 1s exem.P.t therefrom, and the basis for the alleged exemption. Any v1olat1on 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 Declaration: / hereby amrm under penalty of perjury one of tho following declarations: O/have ar,d w~I 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. 121' I have and will maintain wor~rs' compensatiop, as requir~y Seylion. J 37,00 qi t~e Lab9r Code, for the _performa.~~ the work for which this permit is issued. My workers' compensa~nJnsu,ra ce carrier and policy number are: Insurance Co.1!!:i__.___ __L~ ~ --~---""-~1' ___ Policy No. _ _ __ Q20 2 tlJi_2_ ____ ·--Expiration Date _J_ ~-J~f_.,_I,_,_ ____ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this _ermit 1s issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California WARNING: Failure to secure workers' mp nsation coverage is awful, and shall subject an employer to criminal penalties and civil fines up too hundred thousand dollars (&100,000), in addition to lhe cost of compensation, rJr 06 of the Labor code, interesl and auorney's fees/ ,8$ CONTRACTOR SIGNATURE //J ~f-f"iiiitilrJl!I e("AGENT 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 completion, the owner-builder will ,>iave 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 w·1th contractor(s) licensed pursuant lo 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 n No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the follow·1ng 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 ~nd provide the major work (include name/ address/ 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 I address I phone I type of work) ~ PROPERTY OWNER SlGNA TURE □AGENT DATE 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 Act? 0 Yes O No Is the app1'1cant or future build'1ng occupant required lo obtain a permit from the air pollution control district er air quality management district? n Yes l'J No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 relatingto building construction. ! 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 LIABILff/ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~ OSHA An OSHA permit is required for excavations over 5'0' deep and demolrtion or construction of struch.Jres ova-3 stories in height. EXPIRATION: Every permit issued by the Building der 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 days from the date of such permit or if rk authorized by such permit is suspended or abandoned at any time after the work is commen d for a eriod of 180 days (Section 106.4.4 Uniform Building Code} AS APPLICANT'S SIGNATURE '""""""" -DATE (/ 11 '') P:.,T,ll\ ! :rPC: W,,rk Cl, Status. Scheduled Date 02/27/2018 BLDG-Residential .:q,pi:cdlion Date· 1111712017 Owner: PIM/E lssuc Dato: 1111712017 .Su!ldivision: Closed -Finaled Expir~lti(')/l Date: 0911212018 Address: Actual Start Date 02/27/2018 !VR Nurnbur; 7810 Inspection Type Inspection No. BLDG-43 Air Cond./Furnace Set BLOG-Final Inspection BLDG-Building Deficiency 049920-2018 Chock I 1st Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechan·1cal Fina! BLDG-Structural Fina! BLDG-Electrical Final Inspection Status Primary Inspector Failed Andy Krogh COMMENTS Owner not home, person onsite has no knowledge Failed Andy Krogh COMMENTS 03/16/2018 03/16/2018 BLDG-43 Air Cond./Furnace Set 051948-2018 Passed Michael Collins March 16, 2018 BLOG-Final Inspection BLDG-Building Deficiency BLDG-Building Deficiency 051949-2018 Cht:cklii,t ftc1t1 BLDG-Building Deficiency BLDG-Mechanical Fmal COMMENl S Owner not home, person onsite has no knowledge Passed Michael Collins COMMf:.NTS KEITH WYSHAK CARLSBAD TCT#84-41 2359 Terraza Ribera Carlsbad, CA 92009-6634 Reinspection Complete Reinspection Complete Passed No Reinspection Complete Passed No No No No No Complete P;is•;ed Yes No Complete Passed Yes Yes Page 1 of 1