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Home My WebLink About2261 VISTA LA NISA; ; CB141214; Permit06-03-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141214 Building Inspection Request Line (760) 602-2725 2261 VISTA LA NISA CBAD PME 2552701600 BARNETT RES-REPLACE 2 NC UNITS WI 2 NEW UNITS Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/03/2014 RMA 06/03/2014 06/03/2014 BARNETT FAMILY TRUST 07-07-93 BARNETT FAMILY TRUST 07-07-93 2261 VISTA LA NISA CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2261 VISTA LA NISA CARLSBAD CA 92009 760 942-4021 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE 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 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 f s/exacti ns f whi h h v r vi sl n iv n a N TICE similar o this or t whi h he t t t f limitation h I therwi e ex ire . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD ~. . Building Permit Application Plan Check No./ A / Lf / ~ ) (./ «.~ .. ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~..., . ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov M Plan Ck. Deposit www.carlsbadca.gov Date fu / J / 1 l/ lswPPP Ca.v fr~ kuJ CA-'o/21Xf- SUITEf/SPACEf/UNIU IAPN ---JOB ADDri.~' v~~h L£-t N~"'· CT/PROJECT # I LOT# r HASE # l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Con-tr~ re-moved and vepic«!e-d 2--he,w tt~v-u,,-,o/)17'.rn;/ 8j'Sk.n,,s q~ ca, I~ 1 v,duolt?-5 r,e--w re.-P-riJe..r?'tef /,'r,e.~ Cb,u./,e.Ais""le scrRe-7 s.. se.C.PdAry clv-&(.,ti fq,11~ new 5: /({hs, cuvl ,P; l+or t1lrye,ys, EXISTING USE FIREPLACE rROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO I AIR CONDITIONING IFIRE SPRINKLERS No0 YES □NO□ YES□ NO□ APPLICANT NAME PROPERTY OWNER H, c:h111pJ .:{. 1 ,..,r-~ a,, II" ne--H-Primary Contact ADDRESS ADDRESS J.~/ Vi~~ kt Ni~ CITY STATE ZIP CITY C&<r /~ bad cA-9'?.l){r/ PHONE IFAX PHONE ,.,l:~AX -7 6 b -°/ '12-i/n./ ee,/1 _v:,; .. ~t::tf?' EMAIL EMAIL V')-1 J b4.rne.ffd}('p4druhner .. corn DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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 performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as reQuired by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed tt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I sh~I not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and 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 Labor code, interest and attorney's fees. J!S CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 himse~ 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). [0 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 Yes ~No 2. I r,0r have not) signed an application for a building permit for the proposed work. J../ +' 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): ~ f-1 f / m~;, i!A ' ny 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 I phone I 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/ type of work): J!S PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or futute building9occupant required to submit a business plan, acutely hazardous materiijs registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri Yes No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air Quality management districrl Yes No Is the facility to be constructed within 1,000 feet of the outer boundary 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 affirm that there is a construction lending agency for the performance 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 infonnation is oorrect and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1D building oonstruction. I hereby authorize representative of the City of Carlsbad lo enter upon the aoove mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF C.ARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permn is requred for excavations over 5'0' deep and demolition or oonstruction of slructures over 3 stories i1 heght. EXPIRATION: Every permit issued by the Building Off'Cial under lhe provisions of this Code shall expire by Im nation and become null and vod ff the building or oork authorized by such permit is not oommenced v.1thin 180 days from lhe date of such permn or if lhe buildilg or oork au • b such permn is suspended or abandoned at any time after the oork isoommenoed for a period of 180 days (Section 106.4.4 Uniform Building Code). Ji:S APPLICANT'S SIGNATURE ~ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEHTfFICATE OF OCCUPANCY (Commcrcr,1I PrOJCCtS o 11 r y I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ,f$ APPLICANT'S SIGNATURE DATE lnsp~ction List Permit#: CB141214 Type: PME Date Inspection Item 06/19/2014 43 AirCond/Furnace Set 06/19/2014 43 AirCond/Furnace Set 06/19/2014 49 Final Mechanical 06/19/2014 49 Final Mechanical Friday, June 20, 2014 Inspector Act PY PY RI AP RI AP BARNETT RES-REPLACE 2 A/C UNITS W/ 2 NEW UNITS Comments Page 1 of 1