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HomeMy WebLinkAbout2281 VISTA LA NISA; ; CB990066; Permit" City of Carlsbad 01 /06/1999 Plumbing Permit Permit No:CB990066 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2281 VISTA LA NISA CBAD PLUM Status: ISSUED 01 /06/1999 OT Parcel No: 2552701200 Reference #: Project Title: GAS LINE Applicant: LORCO 4488 SALISBURY DR 92008 619-434-8945 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES In spector Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: 01 /06/1999 Inspect Area: Owner: 5045 01/06/99 0001 01 STRATTON THOMAS P&KIMBERL YR 2281 VISTA LA NISA CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 Clearance: C-PRMT $27.00 NOTICE: Please take NOT E that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." 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 wtth 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. (,b C\ q_ OoG, 6> CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. --,---=-------- F-~~sit _2"""'°-'1 ____ _ (760) 438-1161 Validated BY, :p:r: Date 1/fu/°f!i__ 1. PROJECT INFORM1 TlpN "L-1...f; I V I ~TA LA Address (include Bldg/Suite #) Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Assessor's Parcel #6:;4. S Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name ./' Address City State/Zip Telephone# Fax# 3. APPLICANT f:'.T Contractor IA~ a Agent for Con,tra;t?r Q Owner D Agent for Owner,~ 'flf~8 ~.AU~~vtY::/-l}.... C D ',20tJB 4:½=B'r% Name Address City State/Zip Telephone# 4. PROPERTY OWNER ~;/f/1,A-rrc, ,u State/Zip Name Address City Telephone# 6. CONTRACTOR • COMPANY NAME (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, co mending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. A y violation of Section 7031.5 by any,appljcant for a permit subjects the applicant to a civil penalty of not more than five hul}d,ep goJla~J;,500)). ,i..u, ~88 ? t?Jµ 1)-... ,-?<r--::rf'"/ Name State license # --=5'-'.3~?e....1<:Z""2Ji>~--- Address City State/Zip Telqhone # City Business license # \ '2.. 0 Co 4 3> Designer Name ~ State license # -------=-------::c..--- 6. WORKERS' COMPENSATION City---- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: state/Zip Telephone 0 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. O I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for w hich this permit is issued. My worker' ompensation insurance carrier and policy number are: Policy No, ____________ _ Expiration Date _______ _ BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) to become subject to WARNING: Failure thousand dollars ( $1 EMPTION: 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 Workers' Compensation Laws of California. ecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal pe alties and civil fines up to one hundred , in addition to the cost of compensation, damages as provided for in Section 3706 of the Lab r cod , I terest and attorney's fees. SIGNATURE. ___ 1------------------------------DATE /, 7. OWNER-BUil I hereby affirm that am exempt from the Contractor's license law for the following reason: 0 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). O 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). 0 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. 0 YES ONO 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 number / 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 number/ 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 / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION 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 relating to building construction. I hereby authorize representatives of the Cit\' 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHI H MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for ex ations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the uilding Official under 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 co enced within 365 days from the date of such permit or if the building or work authoriz d by s ch permit is suspended or abandoned at any time after the work i commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request Permit# CB990066 Title: GAS LINE Description: Type:PLUM For: 5 /21 /99 Sub Type: Job Address: Suite: 2281 VISTA LA NISA Lot 0 Location: APPLICANT LORCO Owner: STRATTON THOMAS P&KIMBERLY R Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7604348945 Inspector: ----- Requested By: LORCO Entered By: CHRISTINE 29 Final Plumbing W _______ _ Inspection History Date Description Act lnsp Comments 1/7/99 21 Underground/Under Floor AP PY 1/7/99 23 GasfTesVRepairs AP PY 1/7/99 31 Underground/Conduit-Wiring AP PY CONDUIT ONLY