HomeMy WebLinkAbout2186 VISTA LA NISA; ; CB130151; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-23-2013 Permit No: CB130151
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2186 VISTA LA NISA CBAD
PME
2552622200
O'DONNELL: GAS TO FIREPIT/
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ELECT TO ABOVE GROUND SPA & TV
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:
ODONNELL 2011 TRUST 09-23-11
2186 VISTA LA NISA
CARLSBAD CA 92009
ISSUED
01/22/2013
JMA
01/23/2013
01/23/2013
$154.00
$31 .00
$0.00
$0.00
$185.00
Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: J -17-I _J 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
f i n f wh· h I I i hi hi • h i •
..
«~~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
NAME
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
PRO EARTH L NDSCAPE IN . YES □#_ NOD
APPLICA2lffi'~etNITAS BLVD. SUITE K-2 APPLICANT NAME (Secondary Contact)
ADDRESS ENCINITAS, CA 92024 ADDRESS
CITY STATE ZIP CITY STATE
PHONE FAX
STATE UC.#
B SWPP
AIR CONDITIONING
YES D NOD
ZIP
\S
FIRE SPRINKLERS
YES D NOD
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair ant 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 exempt therefrom, and the basis for the alleged exemption. Any violation 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)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarafons: D ~ve and will maintain a certificate of consent to self-insure for workera' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
di have and will maintain wo~ Cj\rn_JJ!!l'Satiori.;is; required by Section 3700 of the Labor Code, for the performance of thAwork forwhict.!hi~ ~js i~~d. My workera' compensation insurance carrier and policy
number are: Insurance Co. w tr._~/Ll::?k Policy No/YI w ~ (JOO :::,.'37...~L Expiration Date 'i· / · /3
This section need not be completed if the permit is tor one hundred dollars {$100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workera' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da ovided for in Section 3706 of the Labor code, interest and attorney's fees.
_,1$ CONTRACTOR SIGNATURE ~z_-----□AGENT DATE • t z . , 3
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D 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 contractora 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 purauant to the Contractor's License Law).
□ I am exempt under Section _____ Business and Professions Code for this reason:
1. I peraonally 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 for the proposed work.
3. I have contracted with the following peraon (firm) to provide the proposed construction (include name address / phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following peraon to coordinate, supervise and provide the major work (include name / address/ phone/ contractora' 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):
_,1$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business pljP,acutely hazardous materials registration fonm or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes ,/ti No /._
Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or aiE:quali anagement district? □ Yes I \'. No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS 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 penmit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read 1he application and statethat1he above infonmation is correct and that 1he information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Car1sbad to enter upon the above mentoned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUCCMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penmrt is required br excavations over 5'0' deep and demolrtion or construction of structures over 3 stores in height.
EXPIRATION: Every penmit issued by the Bllikling Offcial under the provisions of this Code shall expire by imitation and become nul and void if the buikling or v.or1< authorized by such penmrt is not commenced v.1thin
1BO days from the date of such penmrt or if the buiding orv.ork authorized by such penmrt is suspended or abandoned at anytime after the oork is commenced for a period of 1BO days (Section 100.4.4 Unifonm Bllikling Code) •
.JL5 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB130151 Type: PME
Date Inspection Item
03/15/2013 29 Final Plumbing
03/15/2013 29 Final Plumbing
03/15/2013 39 Final Electrical
03/15/2013 39 Final Electrical
01/25/2013 23 Gas/T esURepairs
01/24/2013 21 Underground/Under Floor
01/24/2013 31 Underground/Conduit-Wirin
Monday, March 18, 2013
Inspector
PB
PB
PB
PB
PB
O'DONNELL: GAS TO FIREPIT/
ELECT TO ABOVE GROUND SPA & TV
Act Comments
RI
AP
RI
AP
AP
co
AP
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