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Home My WebLink About2265 VISTA LA NISA; ; CBR2019-2858; PermitPrint Date: 11/13/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2265 Vista La Nisa BLDG-Residential 2552701500 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: SMITH: REPLACEMENT OF FAU Owner: TRUST SMITH FAMILY 2005 TRUST 09-15-05 2265 Vista La Nisa CARLSBAD,CA 92009 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 (_ City of Carlsbad Permit No: CBR2019-2858 Status: Applied: Issued: Permit Fina led: Inspector: Final Closed -Finaled 10/10/2019 10/10/2019 Inspection: 11/13/2019 ll:49:52A Contractor: WEST COAST APPLIANCES 1256 Fayette St EL CAJON, CA 92020-1511 619-557-0446 Balance Due: $0.00 $175.00 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 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 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 \ 760-602-8560 f I www.carlsbadca.gov ' Building Permit Application Plan Check No. C-BR:.10\q .... Ji5S{ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 I 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 I --l www.carlsbadca.gov Date 10/10/19 -J JOB ADDRESS SUITE#/SPACE#/UNIT# r PN 255 2265 VISTA LA NISA -270 -15 -00 CT /PROJECT # I LOT # -I PHASE # I # OF UNITS _I # BEDROOMS # BATHROOMS r ~ANT BUS~NESS NAME r ONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACEMENT OF FAU EXISTING USE FIREPLACE I PROPOSED USE 2489 I GARAGE (SF) PATIOS (SF) I OECKS (SF) YES[)t !AIR CONDITIONING I FIRE SPRINKLERS NoCJ YES [Z)No□ YES□No□ CONTACT NAME (If Different Fom App/leant) SYNDIE PICH APPLICANT NAME ADDRESS ADDRESS 1256 FAYETTE ST CITY ------STATE ZIP -CITY STATE ZIP EL CAJON CA 92020 PHONE I FAX PHONE ]FAX 619-557-0446 619-448-3708 EMAIL EMAIL westcoastheatcool@,gmail.com PROPERTY OWNER NAME CHRIS SMITH CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE INC. ADDRESS ADDRESS 2265 VISTA LA NISA 1256 FAYETTE ST CITY STATE ZIP CITY STATE ZIP CARLSBAD CA EL CAJON CA 92020 PHONE PHONE I FAX I FAX 760-500-8896 619-557-0446 619-448-3708 EMAIL EMAIL westcoastheatcool@,gmail.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# lcc10, C20 rTYBUS uc.1211147 810930 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter. improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law {Chapter 9, commendmg with Section 7000 of 01v1s1on 3 of the Business and Professions Code) or that he Is e,empt therefrom, and the basis for the alleged e,e111ptIon. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars ($500)). Worlters' Compensation Declaration: I hereby affirm under penalty of perjury one of /he following dedara/ions: D I have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. [Z] I have and will maintain worlters' compensation, as reauired bv Section 3700 of the Labor Code. lor the performance of the worl< for which this permit is issued. My worl<ers' compensation insurance carrier and policy number are: Insurance Co STATE FUND Policy No. 922551~19 Expiration Date 02•20 ~section need not be completed if the permrt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the \YOl1< for which this permi is issued, I shall not employ any person ln any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worlters' compensation coverage is unlawful, a shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the L code, interest and attorney's fees. 10/10/19 25 CONTRACTOR SIGNATURE 12:]AGENT DATE J hereby affirm that I am exempt from Contractor's License Law for /he following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worl< and the structure is not intended or ottered 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 himsett 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 ol 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 improves 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 improvement. O ves O No 2. I (have I have not) signed an application for a building permit for the proposed worl<. 3. I have contracted with the lollowing person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the worl<, but I have hired the following person to coordinate, supervise and provide the major worl< (include name I address I phone / contractors' license number): 5. I will provide some of the worl<, but I have contracted (hired) the following persons to provide the worl< indicated (include name I address/ phone/ type of worl<): 25 PROPERTY OWNER SIGNATURE f □AGENT DATE ---- - r--------.... -..,,,-..,,-,..,,-.,.-~-Lr'Tl----------------rnrnmciJffi~-------~ I Is the applicant or future building occupant required to submit a busineSS..filill), 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 LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a!Lill!aity 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 LJNo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affinm thHI there is a construction lending agency for the perfonmance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 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 autho!ize representative of the City or Carlsbad to enter upon the above mentioned p.-oper1y for inspection 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 pernit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every perrrnl issued by the Bu1ld1ng Official under the pro,,SIOOs or this Cooe shall exp re by hmtalion and become null and void ~ the bu1ld1ng or work authorized by such permt Is not commenced within 180days from the date of such permt or~ the buIldIng or work authonzed by such permt Is suspen~ ~ndoned at anytime after the won< Is commenced for a penod of 180 days (Section 100 4 4 UnWorm Bu1ld1ng Cooe) £S' APPLICANT'S SIGNATURE Lf6 DATE 10/10/19 Permit Type: BLDG-Residential Application Date: 10/10/2019 Owner: TRUST SMITH FAMILY 2005 TRUST 09-15-05 Work Class: P/M/E Issue Date: 10/1 0/2019 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Status: Closed -Finaled Expiration Date: 05/11/2020 Address: 2265 Vista La Nisa Carlsbad, CA 92009-8712 IVR Number: 22366 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 11/13/201 9 11/13/2019 BLDG-43 Air 110556-2019 Passed Tony Alvarado Complete Cond./Furnace Set BLDG-Final 110557-2019 Passed Tony Alvarado Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes November 13, 2019 Page 1 of 1