HomeMy WebLinkAbout2225 VISTA LA NISA; ; CB012440; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ,. ..
07/20/2001 Plumbing Permit Permit No:CB012440
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2225 VISTA LA NISA CBAD
PLUM
2552623200 Lot#: 0
Construction Type: NEW
GUESS RES-INCREASE GAS METER
SIZE FOR POOL
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/20/2001
RMA
07/20/2001
07/20/2001
5167 07/20/01 0002 01.
CGP
GUESS HOWARD&FLORENCE G GUESS HOWARD&FLORENCE G
2225 VISTA LA NISA
CARLSBAD CA 92009
2225 VISTA LA NISA
CARLSBAD CA 92009
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $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
Additional Fees
TOTAL PERMIT FEES
Inspector: .~/4/ r! )~/u~
0
0
0
0
0
1
0
FINAL APPROVAL
Date: C//· ~/JI ; .
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the "lmposiLion" of fees, dedicaLions, 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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES 1T APPLY to any
fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenNise exoired.
02
27-00
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No.Q0/ 2 '(4/2)
c·1rY o·F CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit h
Validated By 1 ~ ;f' &:::,
Date ·7;/ ~~/p/ p
1.
Address (include Bldg/Suite #)
Legal ~cription 7'-, c,O e/Number U Total # of units s~ -Zto 7.,,-;;,c..,-
SQ. FT. #of Stories
2. CONTACT PERSON (If dHferant from appUcant)
Name
3.
5.
Addrasa City
0 Agent for Contraft'fr "'Iii. Owne! 'I O Agent fo~ne b ,I 7.,,l.Z.S-t S1"'~ U-,-rvl S'c:1. C...&-i ,,a,,d
Address City
Address City
CONTRACTOR • COMPANY NAME
# of Bedrooms
State/Zip Telephone I Fax I
State/Zip Telephone #
State/Zip Telephone I
!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 Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is e><empt therefrom, and the basis for the alleged
exemption. Any g_la ·on 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)1.
Name Address City State/Zip Telephone#
State License # __________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telaphone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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 and policy number are:
Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
~ CERTIFICATE OF EXEMPTION: t certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to ae ' tion coverage is unlawful, and 1hall 1ubject an employer to criminal penaltiH and civll fines up to one hundred
thousand dollars I$ t of compe ti n, damages as provided for in Section 3706 of the L co a, intareat and attomev·• fees.
SIGNATURE. __ ~..J......!s.-1.-=:::...__::.,__:!!!..,.---'L3oc....:.._-4r,...µa.u.i,i... ___________ _ DATE __ ......,.L.!..Jl.J-'=::....JL-__ _
7. OWNER-BUil
I hereby affirm that I am e><empt from the Contractor's License Law for the following reason:
O 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 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 sale).
"){ I, as owner of the property, am e><clusively 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 contractorls) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1 . I pe,sonally 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 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):
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 contra ed !hired) the following persons to provide the work indicated (include name / address / phone number / type
of workJ: ____________ __,~,H'--AH-+--l-cP~l-l-----,'9-J'-r-H---------------1---1---------------
Is the applicant or future building occupant reQuired to subrnit a business plan, acutely azardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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 district1 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a 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 SERVIC~ AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY ~ ~ ••• •• , •• . ,
I hereby affirm that there is a construction lending agency or the performance of the work for which this permit is issued !Sec. 30970) 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
Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 ANO EXPENSE.S 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 ar>d demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 y from t date of such per it or if the building or work authorized by such ermi is suspended or abandoned
at any time after the work is commence try~ of ays ction 106.4.4 uilding Code).
APPLICANT'S SIGNATURE ( (1/. DATE
PINK: Finance
ltt/1{~1.
City of Carlsbad Bldg Inspection Request
For: 09/17/2001
Permit# CB012440
Title: GUESS RES-INCREASE GAS METER
Description: SIZE FOR POOL
Type: PLUM Sub Type:
Job Address: 2225 VISTA LA NISA
Suite: Lot 0
Location:
APPLICANT GUESS HOWARD&FLORENCE G
Owner: GUESS HOWARD&FLORENCE G
Remarks: WILL BE HOME ALL DAY 10AM TO 5PM
Total Time:
Inspector Assignment: /5 tJ3
Phone: 7606358558
Inspector: f( lf'.J
Requested By: HOWARD
Entered By: CHRISTINE
CD Description
23 Gas/Test/Repairs
Act Comment ~
AL O,K.:C:~~M.f'~
Et ;v Ill--
Associated PCRs
Inspection History
Date Description Act lnsp Comments