The URL can be used to link to this page

Home My WebLink About2197 VISTA LA NISA; ; CB994657; Permit,I City of Carlsbad 12/16/1999 Plumbing Permit Permit No:CB994657 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2197 VISTA LA NISA CBAD PLUM 2552623900 Lot#: 0 Construction Type: NEW INSTALL GAS LINE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/1999 GMF 12/16/1999 12/16/1999 CALLIHAN MICHAEL L&RUBY M CALLIHAN MICHAEL L&RUBn½_ 12/!6/99 OO0l 0l 2197 VISTA LA NISA CARLSBAD CA 92009 Total Fees: $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 r ,r-• ( ~\. t.. Inspector: 2197 VISTA LA NISA C-PRHT CARLSBAD CA 92009 Total Payments To Date: $0.00 J• 1.C. AL Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 NOTICE: Plea e NOTICE that a proval 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 Ca~sbad Municipal Cede 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 • FOR OFFICE USE ONLY P~RMIT APPLICATION PLAN CHECK NO. C()<t'14CtSJ::: CITY OF CARLSBAD BUILDING DEPARTMEN1 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By...,/2~1-"-'----·------ Date I ,.,1, '-< [..,c, ,-t , _________ _ Address (incl Assessor's Pe;yl I t;>A-£ Existing UH PropoHd UH Description of Work SO. FT. lof Stories I of Bedrooms • I of Bathrooms Name Address City State/Zip Telephone II 'if~Jfi'AAl!Y.DfEl"' (Sec. 7031.6 Buainess and Profeasiona Code: Any City or County which ,.qu;,.. a permit to conatNct, alter, Improve, de~oHsh or repair any stru~ure,_ prbr to Its issuance, also requires the applicant for such permit to file I signed statement that he is licenHd purauant to the provIaIons of the Cont~actor s License Law (Chapter s, commending with Section 7000 of Division 3 of the Bus•ness and Profeasions Code) or that he Is exempt therefrom, and the oasrs for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit aubjecta the 1pplicent to a civil penalty of not more than five hundred dollars I $5001) • Nam■ Addre■s City State/Zip Telephone I State License I _________ _ License Cius _________ _ City Buainus License I _______ _ Designer Name Address City State/Zip State License I €.?.:'1WO.BKERll'IC0MPiNfATfo~:--:!:t~~.:h,~.;;..;:s;:~x~~,:;::t-::-:~:r:..:'l_i~:";t "":;' ·: -• Workers' Compensation Declaration: I hereby .affirm under penalty of perjury one of the following declarations: Telephone O I hive and will mliint1in I cenificate of consent to Hlf-insure for w,,rkers' compenution ■s provided by Section 3700 of the Labor Code, for the performance of the work for which tllis permit i1 iuued. O I have and will maintain workers' compensation, as required by Sl1ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker'■ compensation insurance carrier and policy number 1:·e: lnsurence Company______________ ________ Policy No._____________ Expiration Date. _______ _ (THIS SECTION NEED NOT IE C0MrLETED IF THE PERMIT IS FOR. ONE HUNDRED DOLLARS (t100J OR LESSI O :::~-;;:-;:;.:. :: :..:-~:;~ .. ~;:--nt;i9. i cvniry thiit In tne .,erform■nce ot the work tor which thia permit ia iuued, I ahall not employ ■ny person in any manner ao as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcure worllera' compenutlon cov■r■g■ ii unlawful, and 1haA ■ubject an employer to criminal pen■ltiel end civil fine■ up to one hwldred thousand dollar• 1$100,0001, In addition ta the cost of comp■n11tion, d■rMgU • provided for In Section 3708 of the Labor code, Int-It and attorney'■ fu1. SIGNATURE;:::z.:;::;:::::::;;=:;:;:::;;::;:;;;::;::;::;::=;:::;;;:::;:::::;;::;::;;:::::;;:=:;:;:;:;;::;;;;:;;;:,;;:;;;;:;:;;;::-:;-;;;:::;:::-; DATE _________ _ ; .~!"OWNER~UilDER.'t>EdCAll•11>N.=~~~:,~)"z.,ri.it,·~•t~~ ... W-~:t~·::~~~ )_!\;~.;;:!.":::rt~.~:;·.:~.t~~f.:•~:·;-~,:;;:-F , ,.. ·---... : _,•-: ·-: I hereby affirm that I am exempt from the Contractor'• License Law for the following rea1on: 'SI I, IS owner of the propeny or my employees with wages as their sole comp•nsation, will do the work and the structure is not intended or offered for Hie (Sec. 7044, Business •nd Profeuions Cod■: The Contractor's UcenH Law does not apply to an owner of propeny who build• or improves thereon, and who does such work himself or through his own employeas, provided that 1uch improvements are not intended or offered for Hie. If, however, the building or improvement is sold within one y■ar. of completion, the owner-builder will have the burden of proving that he did not build or Improve for tha purpose of ule). 0 I, ■s owner of the propany, am exclusively contracting with licensed contractors to construct 'Iha project (Sec. 7044, Bu1in■as and Profe11ion1 Code: The Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, ind contract• for such projects with contt1ctor(sl licenHd pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I per1on1lly plan to provide the major labor and materials for constNction of th■ propoHd propeny improvement. 0 YES ONO 2. I (have / have notl signed an 1pplic1tion for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the propo1■d 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, superviH and provide the major work (include name / address / phone number / contractors license numbarl: ______________________________________________ _ 5. I will provide 1ome of the work, but I have contracted (hired) the following peraons to provide the work indicated !include name / address / phone number / type of workl: __________ ::::z::=:---,-.-'7"1----::~---:;n ~;r-=,-------------------------------- PR0PERTY OWNER SIGNATURE ?t12;/L~ -.IZ.,}/Z • DATE /2. . , "i' _q'r COMPlE'TE'l'HIS.'SECTiOP{1=0RrN~QJ,i~~Jl,!-W,~~I:_-::,~~:·.'.:•';·:;~·,·,-;_·.~-: ,~~~ ·::"'' • ... •~ - Is the epplicant or future building occupant required to 1ubmit • buaineu plan, acvtely hazardous materials registration form or risk management and prevention progrem under Sections 25505, 25533 or 26534 of the Pr•ley-Tanner Hazardous Substance Account Act? O YES O NO Is the applicant or future building occupant required to obtain a permit from the 1ir pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 fHt 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 IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. I· .8;:,;.".'CO't-lSTRUCTION'iENDJNG'~-~~1"'~~~m:~~~~~;:;:;-~~"":.,;.;:;;:.~,,;:;t<.r,tt~~;~--~,:; .• I hereby affirm that there is a constructi n lending agency for the performance of the work for which this permit is issued (Sec. 3097Cil Civil Codel. LENDER'S NAME /J. £). LENDER'S ADDRESS -------------------------------:9;: ~APP.UC Am.. CERTIFI CATK> ~,. ~ • -. -~~~~~~&~~~"!"~~~~,t~J;:,:_;,··· ··~.~-· I cenify that I have read the application and state that th■ above Information is correct ind that the information on the plans is accurate. I agree to comply wrth all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above menuoned propeny 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" dHp and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provi1ion1 of this Code ahall expire by limitation and become null and void if the building 0 , work authorized by such permit is not commenced within 365 daya from the dete of 1uch permit or If the building or work authorized by s%h permit ,s suspended or abandoned et any time after th work.Js commen d for peri o 0 ■vs (Section 106.4.4 Uniform Building Code). . _ qv{ APPLICANT'S SIGNATURE .; , DATE / J.-ll ---------------WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/22/1999 Permit# CB994657 Title: INSTALL GAS LINE Description: Type: PLUM Sub Type: Job Address: 2197 VISTA LA NISA Suite: Lot Location: APPLICANT CALLIHAN MICHAEL L&RUBY M Owner: CALLIHAN MICHAEL L&RUBY M Remarks: Total Time: CD Description 21 23 Underground/Under Floor Gas/Test/Repairs Associated PCRs Inspection History Date Description Act Comments Act lnsp Comments Inspector Assignment: ~ Phone: 7609424833 Inspector: W Requested By: RUBY Entered By: CHRISTINE