HomeMy WebLinkAbout2185 VISTA LA NISA; ; CB994372; PermitJ \J, =i>_ -
11/23/1999
City of Carlsbad
Plumbing Permit Permit No:CB994372
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
2185 VISTA LA NISA CBAD
PLUM Status: ISSUED
Parcel No: 2552620300 Lot #: 0 Applied: 11/23/1999
Reference #:
Construction Type: NEW Entered By: RMA
Plan Approved: 11/23/1999
Issued: 11/23/1999
Project Title: NEELY RES-GAS TO Fl REP IT Inspect Area:
6507 U/23/99 0001 01 02
Applicant:
MICHAEL NEELY
760 753-2677
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
TOTAL PERMIT FEES
Inspector:
Owner:
STANDARD PACIFIC CORP
C/O KEN CABLAY
9335 CHESAPEAKE DR
SAN DIEGO CA 92123
Total Payments To Date: Balance Due:
FINAL APPROVAL
Date: ,a j b \q::\ 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
C-PRt1T 27-00
$27.00
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 !hem, 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 IT APPLY to any
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
FOR OFFICE USE ONLY
PERMI~ APPLICATION PLAN CHECK NO. CB qi ~ 3 7 J..
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
EST. VAL. _________ _
Plan Ck. Deposit -----,...-------
(760) 438-1161
Legal Description Phase No. Total II of units
#of Stories II of Bedrooms II of Bathrooms
State/Zip Telephone II Fax II
Name
.l~'OPtfi'tV.Owij(ll "J ••
flr c.J;t{t.e-l ':i 1 "'--a f ':t:O JLf<
Name Addre
1i.~NTifAt!f5C'CC1MlANv"~;!fl,,~=~=~-~-=-
•• •• 7(9()/l S~ ·-
Wo<? • ;u 7)
<sec. 7031.5 Business and Professions Code: Any City or County which requires e 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
[Chaptar 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis tor 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 ($5001).
Name Address City State/Zip Telephone II
State License # _________ _ License Class _________ _ City Business License II _______ _
Designer Name Addresa City State/Zip Telephone
State License II _________ _
·~ 1 -~· .. woRKER!l; C0MPEN$A.110Pl~.;:r:~~-1::.~;x.'l:l:Z,-~~~:!~)~!t~ ;~:r11t~S-.E~~\';~,r:,~--.::;;:.~ ~ ---,~,:-:· .. ,:::~r ';
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 th• Labor Code, tor the performance
of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Sactior> 3700 of the labor Code, for th• performance of the work for which this permit 1s
issued. My worker's compensetion insurance carrier and policy number are:
Insurance Company______________________ Policv No.___________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit is issued, I shall not emplcy any person in any manner so as
to become subject to the Workers' Compensation Laws of CaUfornia.
WARNING: Fe.llure to Hcure workera' compeneatlon coverage Is unlawful, and ahal aubject an emplover to criminal penalties and civil fines up to one hundred
thousand doUara lf100,000), In addition to the coat of compenaation, dan111ges H provided for in Section 3706 of the Labor code, Interest and anorney·• feaa.
SIGNATURE;;;;;:;;;:;::::;::::;;;::::::;;::;;;;;::::;;;:;;::::::;::;:;;;;;::;::::;:;:::;:;:;;:;;:;:;:;:;:;::;;;:;;:;:;::;,::;::;;_:;:;;::;;:~~;;-: DA TE _________ _
·?: ~=~;~~ot:tn)ltdmt,!.cc.tiA~r.;-t;;:-.1-.~..;-,: ~;~~~;-~~:~1t'~~--~~-. /·/~~::~ .. ~' ~~·~-.,.,--~~:~ ... ~~t·,.--:.:-.:·~ .. ..,~ '. ;
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as thoir sole compensation, will do tha work and the structure is not intended or offered for sale
(Snc. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who does
suet, work himself or through his own employees, provided that such improvements are not intended or offered for sale. II, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale).
B I, e.s owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Protossions Code: The
'~tractor's License Law does not applv to an owner of property who builds or Improves thereon, ond contracts for such projects with conttactor(s) licensed
pursuant to the Contractor's License Law).
0 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 tha proposed property improvement. 0 YES ~O
2. I e have notl signed an application for a building permit for the proposed work.
3. I have contracted with tha following parson (firml to provide the proposed construction !include name / address / phone number / contractors license numberl:
4 , I plan to provide nortions of the work, but I have hired the following person to coordinate. supervise and P(OVide the major work (include name / address / phone number/ contractors license number): _________________________________________________ _
5. I will provide soine of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): c
PROPERTY OWNER SIGNATURE -'--'--.=c--'=-',..._,.,_..,;...;.....,.._.....,._<......:==-=-----DATE /(-';?_)_ -YV
COMPI.El'E l"HIS 'SECWN:'R>R ND»~tis~lli~~~Yf~;r.•· ,· :!iT~:?.l!Z'1~.;2S::·t,~~~i,';;, ;-;:~., :::.:.:.:,.. , • I
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prev@ntion
program under Sections 25505, 25533 or 25534 of tha Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant reQuired to obtain a permit from the air pollution control district or air quality management district 7 D 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued [Sec. 3097(i) Civil Code).
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 w ith all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\l of Carlsbad to enter upon the above mentioned
propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HArtMLESS 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" deep and demolition or constructior, of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code sha11 expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 36 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the ork-i& c rimence rio of O ays (S ·,on 108.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE -,t.~~L::::!"=::'.'.:~~~Ji~.L..~,Ll.!,_C..~~~~~"!:::J.'.._ _____ _ DATE ll-2t.-9j
PINK: Finance
..
City of Carlsbad Inspection Request
For: 11/30/1999
Permit# CB994372
Title: NEELY RES-GAS TO FIREPIT
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2185 VISTA LA NISA
Lot
APPLICANT MICHAEL NEELY
0
Inspector Assignment: SR,
Phone: 7607532677
Inspector: ~~
\
Owner: MCNEELY MICHAEL S&RAMONA D
Remarks:
Total Time:
Description CD
23 Gas/T esURepairs
Associated PC Rs
Inspection History
Date Description
Act
~
Requested By: RAMONA
Entered By: BARBARA
Comments
(\p ~ ~-ttr ~~A"\
Act lnsp Comments