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Home My WebLink About2261 VISTA LA NISA; ; CB991922; PermitCity of Carlsbad 05/19/1999 Plumbing Permit Permit No:CB991922 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2261 VISTA LA NISA CBAD PLUM 2552701600 Lot #: 0 Construction Type: NEW MOVE GAS LINE FOR BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BARNETT MICHAEL J&LORI J ISSUED 05/19/1999 RMA 05/19/1999 05/19/1999 BARNETT MICHAEL J&LORI J 2261 VISTA LA NISA CARLSBAD CA ~~6~L~:;~ ~: NISA 9876 05/19/99 0001 01 02 92009 92009 C-F'RMT ?7 ~ ·00 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 Inspector: Total Payments To Date: $0.00 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 NOTICE: Please take NOTICE tliat 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 with Ca~sbad 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. qq f q)_ :i__ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. __________ _ Plan Ck. Deposit ____ -rf-r--- (760) 438-1161 Business Name lat this address} Lot No. Subdivision Name/Number Unit No. Phase No. Total ii of units Proposed Use lot Stories I of Bedrooms II of Bathrooms Name Address City State/Zip Telephone II Fax I Name Addreu City State/Zip Telephone I 5. CONTRACTOR • COMPANY NAME : .,, .. , ·-···, .... -·~ ......... ____ . !Sec. 7031.5 Business and Professions Code: Any City or County which requires • 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. commending 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. Any violation of Section 7031. 5 by any applicant for a parmit subJects the applicant to a civil penalty of not more than five hundred dollars I$ 5001}. Name Address City State/Zip Telephone I State License I _________ _ License Cla■s _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afform under penalty of periury one of the following declarations: 0 I have and will maintain a certificate of consent to sell-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. 0 I have and will maintain workers' compensation, as required .by Section 3700 of the Labor Code. for the performance of the work for which this permit 1s issued. My worker's compensation insurance earner and policy number are: Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 18100) OR LESS) 0 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 eny manner so as to become subject to the Workers' Compensation Laws of Celifornia. WARNING: Failure to aecure workera· compena■tion coverage ia unlawful, and ah■II aubject ■n employ■, to criminal pen■ltiea and civil fin■■ up to -hundted thouaand dollars ($100.000). in addition to the co■t of compenaetion. damage■ H provided for in Section 3706 of the Labor code, lnterHt and ■ttomey'a fNa. SIGNATURE _______________________________ _ DATE -----------7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 0 I, as owner of the property or my employees with wages 1s their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to ■n 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 Hie. If. however. the building or improvement i1 sold within one year of completion, the owner•builder will have the burden of proving that he did not build or improve tor the purpose of ule}. ,W I, as owner of the property, am a><ch,sively contracting with locenHd contractors to construct the pro111ct (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts tor such projects with contr■ctorts) licenaed pursuant to the Contractor's License Law}. D 1. 2. 3. 4. I am exempt under Section ______ Business end Professions Code for this reason: I personally plan to provide the major labor end materials for construction of tha proposed property improvement. 0 YES ~O l~ave not} signed an application for • building permit for the proposed work. ~ntract with th to owing rs (firm) to provide the proposed construction (include name / address / phone number / contractors license number}: I have hired the following person to coordinate, supervise and provide the major work (include name / addre■s / phone number/ contractors license ··-------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired I the following persons to provide the work indicated (include name / address / phone number / type of work): __________ -,..-::;:"'-=:'17'7:-,bl-----:-::.-:irt------------------~=....,,-"""".::--+------------ PROPERTY OWNER SIGNATURE -4--.L-+:::...i..:i....==:;..;~=...:......-=...:.... __________ _ COMPLETE THIS SECTION FOR N Is the applicant or future building occupant required to submit • business plan, ■cutely hazardous materials registration form or risk management end 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• permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within t ,000 feat of the outer boundary of• 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 ·' ••. h' ,, ... , .• , .... I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ii 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 repreaentatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGRE.E TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO 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" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: £:very permit issued by the Building Official under the provisioru of this Code ah■II expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of 1uch permit or if the building or work allthorize~b s~ch?,?'1J is suspended or abandoned at any time aft ork is mmenced r a period of 180 days lSection 106.4.4 Uniform Building Code}. s / 7 APPLICANT'S SIGNATURE f-ff::.J.."-"'-...::....-'-=--=-------------------DATE -----4--'--'C....:..------- YELLOW: Applicant PINK: Finance .. City of Carlsbad Inspection Request For: 6/1 /99 Permit# CB991922 Title: MOVE GAS LINE FOR BBQ Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2261 VISTA LA NISA Lot 0 APPLICANT BARNETT MICHAEL J&LORI J Owner: BARNETT MICHAEL J&LORI J Remarks: GAS IN BACK YARD· NO DOGS Total Time: CD Description Act Comments vJ (.,,.. Inspector Assignmen/, Phone: 7609424021 Inspector: ---- Requested By: MIKE Entered By: CHRISTINE 21 23 Underground/Under Floor Gas/Test/Repairs ------------------------4f:_ ________ _ Inspection History Date Description Act lnsp Comments