HomeMy WebLinkAbout2270 VISTA LA NISA; ; CB153913; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-1 2-2015 Permit No: CB153913
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2270 VISTA LA NISA CBAD
PME
2552701000
BAGBY: ADD 2 A/C & 2 COIL
MAUZY MECHANICAL
1551 N CUYAMACA
EL CAJON CA 92020
619 583 9545
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/12/2015
SLE
11/12/2015
11/12/2015
BAGBY WILLIAM&MARY JANE TRUST 09-03-99
2270 VISTA LA NISA
CARLSBAD CA 92009
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: f\'.:1· ~ FINAL t;f:;/OVAL
Date: 0 lb Clearance: _____ _
$0.00
NOTICE: Rease ta<e NOTICE that cWWal cl pr ~oct irduoos tre "lrrµ:stion'' d fees, da:jccii0'1S, resavcii0'1S, cr cther exa::ti0'1S herea'ter criledivay
retemid to as "fees'exacti0'1S." Yoo rave 00 clay,i fran tt-e date ttis pemit ms iSSLed to prctest ifT'!'.X)Siticri cl these fees'exactions. If PJ prctest then\ PJ m..ist
fdlON tre prctest p-ocsd.res sa forth in C?o,,,mrrert Cod3 Soc.ticri 60020(a), ITT:l file tre prctest ITT:l any cther ra:,...iroo infcrrreticri wth tt-e Oty 11/Erager fer
p-ocessirg in a:xxrdaul wth Ca1sbocl M.ricipii c.aJe Soc.ticri 3.32.030. Failtre to tiirely fdlONthal poorlre wll ber any sw;eq..iert legal a::ticri to attoci<,
review, sa aside, 1.0d, cr crr,j treir ifT'!'.X)Sitim
Yoo ere tierecy FlRll-ER NOTIRED that PJr rig-t to prctest tt-e specifioo fees'exacti0'1S lXES NOT .APPLY to mer ITT:l seM!J' crrnectiO'l fees ITT:l ~ty
c.hrges, ncr plcl'rirg, zrrirg. gcrlrg cr cther sirrila-~icatim p-ocessirg cr savice fees in CXl'TIErtim wth ttis ~oct. r\CR lXES IT APA... Y to any
t~1exacti0'1S rt w-ich •~ rave .-.-...,;oos1v been riven a NOTICE sirrila-to ths cr as to wich tl-P ""'ute cl lirritai0'1S has ~•OJSlv cthawse """"!'00.
. □PLANNING THE F.OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA TIAPCD
«~" Building Permit Application Plan Check No. (.61~~qL~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date \ \ / 12. / JC, lswPPP
JOB ADDRESS SUITEt/SPACEf/UNIT# r PN 2270 VISTA LA NISA -- -
CT/PROJECT# I LOT# I PH""E # r OF UNITS
1
# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR. TYPE
I
U<,~. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area{•)
ADD (2) AC AND (2) COIL. HOME IS PREPLUMBED.
EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING IFIRE SPRINKLERS
YES[)I Nc(J YESO No O YES O NoD
APPLICANT NAME JERMAINE MAEWEATHER n .. --~-••""
PROPERTY OWNER NAME BILL BAGBY
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2270 VISTA LA NISA
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123 CARLSBAD CA 92009
PHONE I FAX PHONE I FAX 888-991-4377 7609440413
EMAIL EMAIL
JERMAINE(@,WEGREEINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME MAUZY HEATING & AIR
ADDRESS ADDRESS 9411 BOND AVE.
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92021
PHONE rAX PHONE I FAX (619) 448-9545
EMAIL EMAIL MA TT(@,MAUZY.COM I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.#
759171 C20
(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 s11!ned statement that he is licensed pursuant to the provisions of the Contractor'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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
Wor1<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/o~ng dedaraNons: 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 perfonnance of the work for Which this permit Is issued.
[Z] I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the perfonnance of the work for Which this permit Is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. OAK RIVER Policy No. 2200064445-141 Expiration Date 2/28/H
~ section need not be completed if the permit Is for one hundred dollars ($100) 01 less. LJ 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
Calffomla. WARNING: Failure to secure worke compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
add~lon to the cost of compensation, damag a P")IX"llllll.lllLilll-Sectlon 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm f/Jat I ~ exempt from COntractor's License Law tor the following raason:
□
□
□
I, as owner of the property or my employees with wages as their scle compensation, will do the work and the structure Is nol 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 himse~ or through his own employees, provided that such Improvements are not Intended or offered 101
sale. If, hOwever, the build Ing or improvemenl is sold within one year of completion, the owner-builder will have the buroen of proving that he di:l not build or improve for lhe purpose of sale).
I, as owner of the property, am exclusively contractlng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply 10 an owner of
property WhO builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant 10 the Contractor's License Law).
I am exe(llpt 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 []No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the follov,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 cooroinate, supervise and provide the major work (include name I address/ phOne / contractors' license number):
5. I will provide scme of the work, but I have ntracted (hired) the following persons to provide the v.ork Indicated (include name/ address/ phOne / type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materlals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ 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? □ Yes □ No
Is the foclllty to be constructed within 1,000 feet of the outer bounda,y 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.
I hereby affinm that there is a construction lending agency for the perfonmance of the work this penmit is issued (Sec. 3097 (i} Civil Code}.
Lender's Name Lender's Address
I certify that I ha\18 read the application and state that the aboYe lnfonnation Is correct and that the Information on the plans Is accurate. I agree to oornplywith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cansbad k> enter upon the above mentoned property l:)r inspecoon purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' dee dem:llition or construction of structures over 3 stories n height.
EXPIRATION: Every permtt issued by the Building Offcial under pro"lisons of this Code shall expire by lmitaoon and become nul and -.od J the buikling or work autrorized by sl.dl permt is not oorrrnenced withn
180daysfrom thedateofsl.dl permtorWthebuiklingorwork thorized by rt issuspeodedoratmdored atanytimeaflertheworl<DisATcornE rreraid l:)r a r:rolof\1~~Secoon 106.4.4 Unibm Buildng Code).
~ APPLICANT'S SIGNATURE \ t )'
Inspection List
Permit#: CB153913 Type: PME
Date Inspection Item
04/04/2016 43 AirCond/Furnace Set
04/04/2016 43 AirCond/Furnace Set
04/04/2016 49 Final Mechanical
04/04/2016 49 Final Mechanical
Monday, April 04, 2016
Inspector Act
RI
MC AP
RI
MC Fl
BAGBY: ADD 2 A/C & 2 COIL
Comments
AM PLEASE
AM PLEASE
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