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Home My WebLink About2237 VISTA LA NISA; MP; CB972465; Permit09/03/97 11:20 Page 1 of 1 B U I L D I N G Job Address: 2237 VISTA LA NISA Permit Type: ELECTRICAL Parcel No: Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB972465 Project No: A9703125 Development No: co Jlli\.89tWJJ ~~b~; Occupancy Group: Reference#: st's--ffig: Applied: N~ Issueb-00 09/03/97 09/03/97 JM Description: ELEC METER PED 100 AMP : SINGLE PHASE ARROYO LA COSTA Appl/Ownr : VILLAGES OF LA COSTA 2300 ALGA RD CARLSBAD, CA 92009 *** Fees Required *** 760 Apr/Issue: Entered By: 929-2705 Fees Collected & Credits *** -------------------------------------------- Fees: Adjustments: Total Fees: Fee description 35.00 .00 35.00 Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 35.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee > Single Phase Per AMP > 100 * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10.00 Y 25.00 35.00 >ERMIT APPLICATION FOR OFFICE USE O~ Y PLAN CHECK NO. 7 7Zf65 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROjECT INFORMATION 2237 Vista La Nisa Business Name lat this address) Address (include Bldg/Suite II Tract 13386 Lot 469 Arroyo La Costa/88-03 2 357 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Totel I of units 255-270-50 Open Space Assessor's Parcel I Electric meter pedestal Existing Use for irrigation controller Proposed Use Description of Work SO. FT. lot Stories I of Bedrooms I of Bathrooms 2. • CONTACT PERSON (If different from apj,licentJ ~t".· i'· 'Jf,{~':';:,"i,'.t,1"';' 1 'r\ 1'','7'' ~. •Wr '•, ~ 1-J~•"<:111•:· -~T~i~·m_;.;_O~'~G=r~a~d~y ___ 2=-=-3~0=0--=.;A=l~g=a=..-.;:R=d=·=-----"'C=a=r~l~s=b=a=d=--C=A:..:...._,.9~2~0'-'-18.-9000 929-2701 -2705 Name Address City State/Zip Telephone I Fax I f:3. APPLICANT • D Conirfcior.f:TI Agent'#oTco1\tri6ioP't□owner::'r.if) ~g~rrt idr Ownert· 'tT-"-j.7~· . •l'.t;silf~;.-~ ~ •• ,,, • • : , K.D. Development 2300 Alga Rd. Carlsbad CA 92018-9000 929~2701 929-2705 Name Address City State/Zip Telephone I 4. 'PROPERTYOWNER >. ·•:i1~N8'l,'!'"1rl,";i11':~'~~f'f:l'-l~.'1'H'i';"C';•-·;.-:-r':".,.,ir.~,fl<:1;?JflVl~rJl 'r•· ••!t'';.ff.'1.:')l•'jj1l!f7,•in::-ri, 4f ·1li··,,;: 1 Villages of La Costa Southwest, L.L.c. 450 "B" St. #620 S.D. 92101 515-5653 Name Address City State/Zip Telephone I 6. CONTRACTOR -COMPANYNAME=•"-l'-=--l"h ".':"!'"t ., • -•-• ''· '' .,.,,-.=., ·•·~-~, • .-•.,, ' ,.,__, __ •·• ' •• "' ;,.:';•.~-:·~ •• ;~,,,.., •. •·"'' t '• (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a 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 Contr■ctor'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 epplicent for• permit subjects the applicant toe civil penalty of not more than five hundred dollars ($6001). Schilling Corporation P.O. Box 719002 Santee CA 92072 448 5392 Name Address City State/Zip Telephone I State License I 4 8 81 5 3 License Class A City Business License I 7 7 0 3 0 0 Exp. 5 / 3 1 / 9 8 Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 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 is issued. My worker's compensation insurance carrier end policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESSI 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 any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaetlon coverage la unlawful, end aheH aubjact an employer to criminal penaltlaa end civil fines up to one hundred thousand dollars 1$100,000). In addition to the coat of compenaation, damage• e1 provided for In Section 3706 of the Lebor code, interaat end attomey·a fee,. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION ·-:. ··I •• • • ·" •• • ... ·.' ,;_,: ,.i. 1:,. • ·•• I -• ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages es their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contrector'1 License Law doH 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 for the purpose of 1111). ]S: 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 contrector(s) licensed pursuant to the Contractor•s License Law). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plen to provid1 the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) slgn·ed 1n application for I building permit for 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): Schilling Corporation (see above) 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 / phone number / contractors license number):, ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following peraons to provide the work Indicated (include name / eddress / phone number/ type of workl: _________ 7 ==,,9--+,f-7-t-----------------------::;;:::;;j'--~-=-':;--------------- DATE ~ 'ZI' tj 'IIE.'NllAIIAIUilblN0 PERMrti ONLYN.1,f{"'tf GV •,:,; "1"(1tl".•i1i~W,,1l ~-tlf:'flJ,!.tM!'if.f'Y•I"', '·~· ¥ I'•, •1· ,. t Is the applicant or future building o ant required to submit a business plan, acutely hazardous m1teriel1 registration form or risk management and prevention program under Sections 26605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future bLildlng occupant required to obtain I permit from the air pollution control district or air quality rt1anagement district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school aite 1 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. ie. • CONSTRUCTION l.ENDING'AGENC~ p•i,w,, .. ,' t-O, •• ..;~: -~:t,:'!-f"":~' '!' !1;-']'~1'".: •''!f~ ... , "':. '7f' ~0 ~· ·" ', ::-!~ ••• I , ,, ._.,,,., • < ,:-·' I hereby affirm that there is a construction lending agency for the performance of the work for wNch this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 19. APPLICANT CERTIFICA tiON•Fif(i"'IT-1'" or~ '·:,"'::jt:J:.;~,.., ~p.:;f F 'T"':"!l'"'~'-?!--~~1;;-,,;z;;...:r :(_x.,'i"'.!: Vf P~~~~ ;~; f.::..i,:.:~ ·,:-.~.::~~ • ~:;~ '.•:.: •• I -; ~,"'." • 1., '. • • • •. ;. I certify that I have reed the application and state that the above Information Is correct and that the Information on the plans la eccurate. I egree to comply with all City ordinances end State Jews relating to building construction. I hereby euthorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property 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 permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code ahall 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 such permit or if the building or work authorized by such permit is. suspended or abandoned et any time after the work Is commenced for a period of 160 days (Section 106.4.4 Uniform Building Code). APPLICANT"S SIGNATURE __________________________ _ DATE CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972465 FOR 04/21/98 DESCRIPTION: ELEC METER PED 100 AMP SINGLE PHASE ARROYO LA COSTA TYPE: ELEC STE: INSPECTOR AREA PLANCK# CB972465 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2237 VISTA LA NISA APPLICANT: VILLAGES OF LA COSTA CONTRACTOR: PHONE: 760 929-2705 PHONE: PHONE: _,// OWNER: REMARKS: C/MIKE/619/884-4012 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION FINAL CD 32 EL Const. Service/Agricultural ------------------ ------------------ ------------------ INSPECTOR ---,,~Ve...:;;_ ________ _ ACT COMMENTS _AP _____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS