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Home My WebLink About2270 VISTA LA NISA; ; CB112171; Permit• 10-11-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112171 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2270 VISTA LA NISA CBAD PME Status: ISSUED 10/11/2011 KG 10/11/20 11 10/11/201 1 Parcel No: Reference #: PC#: Project Title: Applicant: 2552701000 Lot#: BAGBY RES REPLACE 2 FURNACES IN ATTIC 0 Owner: Applied: Entered By: Plan Approved: Issued: Inspect Area: MAUZY MECHANICAL BAGBY WILLIAM&MARY JANE TRUST 09-03-99 1551 N CUYAMACA EL CAJON CA 92020 619 583 9545 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOT AL PERMIT FEES 2270 VISTA LA NISA CARLSBAD CA 92009 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: 3 ~ 7.,-I 2-Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval oi your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectivery 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 with Carl,bad 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, gra:ling or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n f wh· h v r vi Tl imil r hi r whi h h f Ii i i n h h rwi ... «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. Cl3 J J, 2 /7 / ~ CITY OF CARLSBAD EXISTING USE APPLICANT NAME (Primary Conta Fax: 760-602-8558 www.carlsbadca.gov STATE LIC. # Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# TENANT BU INE PATIOS (SF) OECKS (SF) FIREPLACE YES □# __ NO □ APPLICANT NAME (Secondary Contact) STATE FAX 17 SWPP AIR CONDITIONING YES □ NO □ ZIP FIRE SPRINKLERS YES □ NO□ JO (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 Contracto(s License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation or 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 Declaration: I hereby affirm under penalty of peljwy one of the following declarations: 0 ve and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the pertormance of the work for which this permit is issued. ve and will maintai~.!~f::!!'ation~~~t~ ~!n 37~ L~, for the pertormanc7~ ~~cij ~~~~~rkers' compenrtKJ~~ ~'"d policy mber are Insurance Co.-\--(;)\~ ~-t::l.4 l.l.Q ~ Polley No\,.\Jc' ~Ll_.x::t:)J1.J;ilp,rat10n Date LO ·DC) ~ This section need not be completed if the permi is for one hundred dollars (SHJO) or less. 0 Certificate of Exemption: I certify In the ormance 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' CompensatKJn Laws of California. WARNING: Failure t e ure workers compensation coverage is unlawful, and shall subject an employer to crimina enalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compe ation a pr ided for in Section 3706 of the Labor code, interest and attorney's fees ~ CONTRACTOR SIGNATUR DATE \ O -l -l I, as owner of the property or my emp oyees with wages as their sole compensatKJn, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and ProfessKJns Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, p,ovided that such imp,ovements are not intended or offered for sale. If, however, the building or improyement 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 imp,oves 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 imp,ovement. □ Yes □ No 2. I (have I 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 I 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 I contractors' license number): 5. I will p,ovide 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 SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submrt a business plan, acutely hazardous materials registration fonm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a penmrt from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above lnfonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State law.i relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentooed property tr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY a= CARLSBAD AGAINST ALL LIABILITIES, JUDGMENT EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE a= THE GRANTING OF THIS PERMIT. OSHA An OSHA pennrt is required bi: xcavations over 'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit • b the Building Ofocia nder the provisions of this Code shall expire by imitaton and become null and void if the building or v.ork aulhorized by such penmrt is not commenced v.ithin 180days from the date of s penm if building authorized by such penmrt is suspended or abandoned at any time after the work is commenced for a period of 180days (Sedoo 106.4.4 Uniform Building Code). /1:5 APPLICANT'S SIGNA DATE ( D----L( -L City of Carlsbad Bldg Inspection Request For: 03/06/2012 Permit# CB112171 Inspector Assignment: ~ Title: BAGBY RES REPLACE 2 FURNACES Description: IN ATTIC Type: PME Sub Type: Job Address: Suite: 2270 VISTA LA NISA Lot: 0 Phone: 7609440913 Location: Inspector: ---- OWNER BAGBY WILLIAM&MARY JANE TRUST 09-03-99 Owner: BAGBY WILLIAM&MARY JANE TRUST 09-03-99 Remarks: A ERNOON INSPECTION PLEASE Total Time: _____ Requested By: WILLIAM Entered By: CHRISTINE CD Description Act Comments 43 49 Date AirCond/Furnace Set Final Mechanical £ _______ _ ..iL----L.d~M~t,,,~@,:J£..JfL...JfL---"'o.__~____,_t.l!!!::..,1:/ld~1__,_-r-..L.3!a~~~......,£=---- --------------------------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Comments 1'