The URL can be used to link to this page

Home My WebLink About2254 VISTA LA NISA; ; CB110029; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-05-2011 Plumbing Permit Permit No: CB110029 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2254 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552700700 Lot#: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: WALSH RES-REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: WALSH MICHAEL T&LISA M 2254 VISTA LA NISA CARLSBAD CA 92009 ISSUED 01/05/2011 LSM 01/05/2011 01/05/2011 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27 00 Total Payments To Date: $27.00 Balance Due: FINAL A Inspector: Date: _..;:;.b-+->-"-...;....--'-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your pro1ect 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, grarting or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any le s/ex c,ty of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 •• 760-602-2717 / 2718/ 2719 Fax: 760-602·8558 Building Permit Application JOB ADDRESS 2254 Vista La Nisa LOT# PHASE# # OF UNITS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. Est. Value Plan Ck. Deposit Date ~ SUITE#/SPACE#/UNIT# APN # BEDROOMS • BATHROOMS TENANT BUSINESS NAME CONS TR. TYPE \ OCC. GROUP _____ L_.[ Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[)i NO□ YES □No □ YES □ NO□ CDNl ~CT NAME (If Different Fom App/leant/ California Delta Mechanical APPLICANT NAME Galina Pavlova -ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E Baseline rd # 155 ----- CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-410-1499 1-858-410-1499 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Lisa Walsh CONTRACTOR BUS. NAME California Delta Mel,':hanical .. ADDRESS .~DDRESS 2254 Vista La Nisa 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-632-8910 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS l c1rv ous. uc1214281 811114 c-36 --(Sec. 7031.5 Business and ?rofessIons Code: Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure. prior to ,ts 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 1031.5 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 helllby affirm under pena"y of perjury one of (he following declara(ions: [ZJ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect10n 3700 of the Labor Code, for lhe performance of lhe work for which this perm,1 ,s ,ssued [Z] I have and will maintain workers' compensation as reau,red bv Section 3700 of the Labor Code. for the performance of the work for whK:h this permit Is issued My wcrkers' compensation insurance earner and pol,cy number are· Insurance Co Policy No. 1697823 Expiration Date •:~~---- This section need not be completed if the permit Is for one hundred dollars ($100) or less. • • • 0 Certificate of Exemption: I certify lhat in lhe performance of the work for which this permit is issued, I sha I not employ any person in any manner so as lo become subject to lhe Workers' Compensal10n 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 addilion lo lhe cost of compensation, damages as provided or · 06 of the Labor code, interest and attorney's lees. ~ CONTRACTOR SIGNATURE DATE R ,?(9, /P I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of lhe 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 butlds or improves thereon. and who does such work himself or through his own employees. provided lhat such improvements are not intended or ottered 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). I. as owner of the property. am exclusively contracting with licensed contractors to conslruct 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 conlracts 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 pe15onally plan lo provide the major labor and materials for construction of the proposed property improvement. O Yes ONo 2. I (have I have not) signed an application for a building permit for the proposed worlt 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I conlractors' license number): 4. I plan to provide portions of lhe work, but I have hired the following person to coordinale, supervise and provide the major work (include name I 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 I address I phone I type of work): JiS PROPERTY OWNER SIGNATURE DATE s the applicant pr ru.ture building occupant required to submit a business~. acutely hazardous materials registralion rorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Thnner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management distnct? [Jves 0 No s the f;icility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes L.JNo F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEtHS OF THE OFFICE OF :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) . . ender's Name Lender's Address certilythat 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. hereby authorize rel)fesentative of the Cily of C<llsbad to enter upon the aooie mentioned property for insp€COO!l purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ,GAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA permit is required for excavations o;er 5'0' deep and demolitrn or ronslrudion of structures r,,er 3 stories in height. : XPIRA TION. Every permit issued by the Building Official under the prollisions of this Code shall expire by I irritation aid become null and void if the building or work authorized by such permit is not commenced 1.1nth•1 80 days from the date at such permit or if the buiding or work authorized by such permit Is suspended or abandoned at any time after Ille work is commenced for a ~od of 180 days (Seciion 106.4.4 Unttom, Building Code). ~ ,,., 7.-fk~ 25 APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For 06/29/2011 Permit# CB110029 Title: WALSH RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: 2254 VISTA LA NISA Lot: 0 Inspector Assignment: Phone: 6199778910 Location: Inspector: ---- OWNER WALSH MICHAEL T&LISA M Owner: WALSH MICHAEL T&LISA M Remarks: AFTER 1 :30 PM Total Time: CD Description Act Comments 25 Water Heater/Vents ~ 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Requested By: LISA Entered By: JANEAN