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Home My WebLink About2218 VISTA LA NISA; ; CB080287; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 02-15-2008 Plumbing Permit Permit No: CB080287 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2218 VISTA LA NISA CBAD PLUM 2552622900 lot #: Construction Type: STOUGHTON RES-GAS TO BBQ, ELECT TO BBQ, FOUNTAIN, LIGHTS 0 NEW Owner: Status: Applied: Entered By: Plan Approved: :ssued: Inspect Area: ISSUED 02/15/2008 LSM 02/15/2008 02/15/2008 Applicant: HERNANDEZ LANDSCAPE STOUGHTON REVOCABLE L!VING TRUST 08-26-04 904 CAMELLIA ST ESCONDIDO CA 92027 760 419 0128 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 Total Fees: lnspecto : $47.00 0 0 0 0 0 1 0 2218 VISTA LA NISA CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Payments To Date: $47.00 Balance Due: FINAL t:PROVAL Date: ✓ IO -() 8 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 •tees/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 :r,formation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will ba1 ~ny 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 esnd 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 City of Carlsbad Plan Check No.(!_£ CJ %0 a--fs'i 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date APN PHASE# # OF UNITS # BEDROOMS # BATHR MS TENANT BUSINE S NAME CON TR. TYPE DESCRIPTION OF WORK: -t-o EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom App/le t) •· ,, fv\-0..1/\, VE..-L ,e ✓\,'\ c._ "'-CA -< l.__ CITY STATE c;+ ZIP 7'lO"L7 FAX 7r.,o 7Y 7 -l. Z · 1 ZIP -+o ~ PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL FIREPLACE YES □#_ NOD STATE FAX CONTRACTO S.NAME c,. ri., .... ,,.., c./'...t; ADDRESS '1ol.i ,:,,.. .... e-r. "-9 r CITY AIR CONDITIONING YES O NOD ZIP ZIP FIRE SPRINKLERS YES O NOD {)C<>ic<.~ STATE C k\ c; l.,,:) 2. 7 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # S ATE LIC.# CLASS CITY BUS. LIC.# 1,vo7 (,-27 /Sec. 7031.S Businm and Profmions Code: Any (icy or County which requim a permil lo conmuc~ aheri improve. demolish or "P.air any nruClure1 prior co iu issuance, also roquim the appliCJnt for such permit to 61e a signed mtement that he is r,c,med .J!Unuant to Ihe pro,isioni of the Contractor's Licens, Law {Chapter 9, commending wi1h Seccion 000 of Division J of Iht Business and Pro1mion1 Code} or that he is exempt thmlrom, and th, bu,s for the .aAelfd exemption. Any violation of Section 703 I.I by any applicant for a permit subjecn the applicant to a civil penalty of not more Ihan five hundred dollm {Sl00)). Workers' Compensation Declaratfon: I hereby affirm IHlder penaffy of perjury one of the following declarations: D f have and will maintain a certificate of consent to •elf-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance ol the work for which this permit is issued. □ I have and wm maintain worker-a' compensation, as required by Section 3700 of the Labor Code, for the pelformance of the work for which lhis permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ ~icy No. ______________ Expiration Dale _________ _ ection need not be completed if the permit is for one hundred dollars ($100) or less, Certificate of Exemption: I certify that in the performance of lhe work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of nia. WARNING: Failure to secure workers' compensatlon coverage is unlawful, and shall subject an employer to criminal penaltl" and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatlo~, da~ages II proJ)ded I Section 3706 Labor code, lnterett and attorney's fe11. ,.iS CONTRACTOR SIGNATURE .__.....~ I hereby affirm that I am e~empt from ContractOf's License Law for the following reason: □ I, as owner of the properly or my employees with wages as their sole compensation, will do lhe work and the structure is nol intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo 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 ooe 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 ol 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 ol 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. □ Yes □ No 2. I (have I have not) signed an application for a building permit ror the proposed worlc. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the worl(, but I have hired the following person to coordinate, 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): ,.iS PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required 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? □ Yes O No Is the applicant or future building occupant required lo obtain a permit from lhe air pollution control district or air quality management district? □ 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. Lender's Address I certity thatl ha\Oll read the application and state that the abcMl information Is oorrectand that the information on the plans is acx:urate. I agree ID oomplywlth all City ordinances and State laws relating ID bulldlng oonstruc:tlon. I hereby authorize representawe of lhe City of Cartsbad lo enter upon the above mentioned property for nspection purposes. I ALSO AGREE TO SAVE, INDEM--llFY AND KEEP HARM.ESS 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 PER'-'T. OSHA: AA OSHA permit is requred for excavations CNef s·o· deep clld ition or construction of structures (Her 3 staies n height. EXPIRATION: Every peimit issued by lhe Building Official underlhe of esha! expre by ~itaoon aod becomenul and void W Ille buildilg or wor1( authoized by'such pem-jtis notcon111e11ced wilhi'l 180 ~ ~ lhe dale of such peimtor W lhe buidilg or wor1< or aba1doned at lll)'tJne aller the wor1< is amneoced for a perod of 180 days (Sectioo 106.4.4 Unifoon Buildilg Code). ~AJ_ICANT'S SIGNATUR~ -..--,...,::;;-___,.~ DATE ..J-/t--08 City of Carlsbad Bldg Inspection Request For: 04/10/2008 Permit# CB080287 Inspector Assignment: PY Title: STOUGH1:ON RES-GAS TO BBQ, Description: ELECT TO BBQ, FOUNTAIN, LIGHTS Type: PLUM Sub Type: Job Address: Suite: Location: OWNER 2218 VISTA LA NISA Lot 0 STOUGHTON REVOCABLE LIVING TRUST 08-26-04 Owner: STOUGHTON REVOCABLE LIVING TRUST 08-26-04 Remarks: Phone: 7~~ lnspect//4-_____ Total Time: Requested By: NESTOR Entered By: KATHY CD 29 39 Description Final Plumbing Final Electrical Act Comment Af,kL Comments/Notices/Holds Associated PCRs/CVs Original PC# lnsQection Histor1 Date Description Act lnsp Comments 02/21/2008 23 GasrresVRepairs AP PY 02/21/2008 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY 02/21/2008 34 Rough Electric WC PY