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Home My WebLink About2217 VISTA LA NISA; ; CB120312; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-22-2012 Permit No: CB120312 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2217 VISTA LA NISA CBAD PME 2552623400 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: BOWMAN: 12FT FIREPLACE-CITY Inspect Area: SPECS//GAS TO FIREPLACE & BBQ//ELECTRIC TO BBQ Applicant: PRO EARTH LANDSCAPE INC STER 2210 ENCINITAS BLVD ENCINITAS CA 92024 760 633-3120 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BOWMAN CHARLES&L YNETTE 2217 VISTA LA NISA CARLSBAD CA 92009 ISSUED 02/22/2012 JMA 02/22/2012 02/22/2012 $150.00 $30.00 $0.00 $118.00 $298.00 Total Fees: $298.00 Total Payments To Date: $298.00 Balance Due: Inspector: FINAL APPROVAL Date: 5 -Z-I Zr 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 '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, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any «~~ ~ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# or b/Ja. Est. Value Plan Ck. Deposit Date CZ L ( , -z. SWPP APN NAME . GR UP PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONOITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX A . Con, STATE UC.# (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 (Char_ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 103 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Worken;' Compensation Declaration:/ hereby affirm under penalty of pe,jury one of the following declara~ons: 0 I ~nd 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. G;;l-'ft,ave and will maintain wo'!~s required by Section 3700 of the Labor Code, for the perfo~a1:e of th~ work for w..t!.ich thi~rmit is is~ed. My workers' compens~tion insurance carrier and policy number are: Insurance Co.~/!.J.1--'-le-'~'-'-'U.."""'"""' _______________ Policy No/VI W ~o OU ?)5lffa f Expiration Date __ , • I z.__ I ' This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollm (&100,000), in addition to the cost of compensation, da s provided for In Section 3706 of the Labor code, interest and attorney'• fees. ~ CONTRACTOR SIGNATURE a,.------□AGENT DATE 2 ' Z '?' / 2,.,, I hereby affirm /hat I am exempt from Contfactor's Ucense Law for the following reason: □ 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 himse~ 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 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 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 ot the proposed property improvement. □ Yes □ No 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 I phone/ 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 I address I phone/ 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 / address/ phone / type of work): ~ 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 □ No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? □ Yes ·o No Is the facility to be constructed v.ithin 1,000 feet of the outer boundary of a school site? □ 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 AND THE AIR POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above infonmation is correct and that the info1TT1atiion on the plans is accurate. I agree to comply v.ith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon'lhe above mentioned property klr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY~ CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE~ THE GRANTING OF THIS PERMIT. OSHA An OSHA permij is required klr excavations over 5'0' deep and demolition or construction of strucl\Jres over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Offcial under the provisions of this Code shall expire by limitaton and become nul and void ~ the building or v.ork authorized by such permit is not commenced wthin 180days from lhe date of such penmij or if the building orv.ork authorized by such permij is suspended or abandoned at any time after the v.ork is commenced for a peri:ld of 180 days (Section 106.4.4 Uniform Building Code). ,6 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/01/2012 Permit# CB120312 Inspector Assignment: PB --- Title: BOWMAN: 12FT FIREPLACE-CITY Description: SPECS//GAS TO FIREPLACE & BBQ//ELECTRIC TO BBQ Type: PME Sub Type: Job Address: Suite: Location: 2217 VISTA LA NISA Lot: 0 APPLICANT PRO EARTH LANDSCAPE INC Owner: BOWMAN CHARLES&L YNETTE Remarks: Total Time: CD~ Description Act Comments Phone: 7606333120 Inspector: /g Requested By: LISA Entered By: CHRISTINE 29 39 Final Plumbing Final Electrical 1JL _________ _ -4L _____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lnsQection Histor)'. Date Description Act lnsp Comments 03/19/2012 68 Fireplace/Tie Straps AP PB 03/14/2012 68 Fireplace/Tie Straps AP PB 03/06/2012 11 Fig/Foundation/Piers AP PB 03/06/2012 21 Underground/Under Floor WC PB 03/06/2012 23 GasfTesURepairs AP PB