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HomeMy WebLinkAbout2249 VISTA LA NISA; ; CB993281; PermitCity of Carlsbad ✓•+VI\ I ~ 6 ,-, 09/02/1999 Plumbing Permit Permit No:CB993281 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2249 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552701900 Lot~ 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: FORBER RES-GAS & ELECT TO Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 Plan Approved: Issued: Inspect Area: Owner: STANDARD PACIFIC CORP C/O KEN CABLAY 7290 CLAIREMONT MESA BL VD SAN DIEGO CA 92111 ISSUED 09/02/1999 RMA 09/02/1999 09/02/1999 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 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 TOT AL PERMIT FEES l ~ Inspector: FINAL APPROVAL Date: 5 · \ \ • 00 35-r 09/02/99 0001 01 02 Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 C-PR1-ff -, fl(\, 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 Car1sbad 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Pal mas Dr., Carlsbad, CA 92009 (760) 438-ll 61 FOR OFFICE USE ONLY PERMiTAPPLICATION PLAN CHECK NO. q ~ J J-,Yf CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Or., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Deposit-----,..------ Validated B._,,......---,.----+"-""'-f------ Date __ _.;..~....,__,.._..J..-Jc,q..,_. _______ _ Address linclu;i;; B dg/Suite #) Business Name tat this address) Leg a I Description Lot No. Subdi11ision Name/Number Unit No. Phase No. Total // of units SO. FT. //of Stories II of Bathrooms 2. CONTACT PERSON lit different from eppllcentl Name 3. Name 4. Name 6. CONTRACTOR • COMPANY NAME Address • State/Zip Telephone II Fax II woS Telephone II City (Sec. 7031.5 Business and Professions Code: Any City or County which reciuires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also reciuires the applicant tor 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. y violati'Z,2) Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than f111e hundred dollars 1$5001). Name Address City State/Zip Telephone II State License // ? ) 'J lZ-'8 License Class O City Business License II _______ _ Designer Name Address City State/Zip Telephone State License // _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as reciuired by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: e Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _ NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS·[$100I OR LESS) to become subjec WARNING: Failu thousand dollars F EXEMPTION: I certify that 1n the performance of the work for which this permit is issued, I shall not employ any person in any manner so as the Workers' Compensation Laws of California. to secure workers' compensation coverage i1 unlawful. end shall subject en employer to criminal penalties and civil fines up to one hundred 00,00 I, in addition to the cost of compensation, damages as provided for in Section 3706 of the la~ c ·de. tereat end attorney's tees. SIGNATURE DATE "7 ]._ --+----------------------------------- 7. OWNER-BUI DER DECLARATION I hereby affirm th t I am exempt from the Contractor's License Law for the following reason: 0 I, as owner I the property or my employees with wages as their sole compensation. will do the work and the structure is not intended or offered tor sale (Sec. 7044, Busin ss 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 himself 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 tor the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (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(sl licensed pursuant to the Contractor's License Law). D 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. D YES ONO 2. I (have / have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction {include name / address / phone number / contractors license number): .. 4. I plan to provide portions ot the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number 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 / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY Is the applicant or future building occupant reciu1red to submit a business plan, 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 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 representatives of the Cit~ of Carlsbad to enter upon the above mentioned property for inspection purposes. I AL O AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES W ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for e EXPIRATION: Every permit issued by th work authorized by such permit is not c or abandoned at any time alter the work avations over 5'0" deep and demolition or construction of structures over 3 stories in height. Building Of icial under the provisions of this Code shall expire by limitation and become null and void it the building or menced thin 365 days from the date of such permit or if the building or work author'zed by such permit ts suspended need for a period of 1 80 days {Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -----+-----------------------DATE WHITE· File YELLOW: Applicant PINK: Finance V..\'\- ~'6 ~~·,.._-\ ~"'W\, ~..C!A"'""' cw City of Carlsbad Bldg Inspection Request For: 3/7/2000 Permit# CB993281 Title: FORBER RES-GAS & ELECT TO Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2249 VISTA LA NISA Lot APPLICANT LORCO 0 Owner: FORBER RICHARD A&SHARON D Remarks: Total Time: CD Act Comments Inspector Assignment: SR --- Phone: 7604348945 Inspector:~ • Requested By: LORCO Entered By: CHRISTINE Description 39 Final Electrical A P _____________________ _ _]!i__ ~N~ ~C) +-___________ _ Associated PCRs -+- lnsgection Histor:x'. Date Description Act lnsp Comments 9/7/1999 21 Underground/Under Floor WC SR 917 /1999 23 Gas!TesVRepairs AP SR 9/7/1999 31 Underground/Conduit-Wiring AP SR 9/3/1999 21 Underground/Under Floor WC SR 9/3/1999 23 Gas!TesVRepairs co SR NOT DEEP ENOUGH 9/3/1999 31 Underground/Conduit-Wiring co SR