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Home My WebLink About2181 VISTA LA NISA; ; CB111517; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2011 Plumbing Permit Permit No: CB111517 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2181 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552620400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: CHEN RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 0 0 0 0 1 0 0 Owner: CHEN TSUONG K&LEE CHRISTINA H 2181 VISTA LA NISA CARLSBAD CA 92009 ISSUED 07/11/2011 KG $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: ~....L....1.~ 1'-~----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 Plan Check NoCC>{ /-/ f)/7 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2181 Vista La Nisa CT/PROJECT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Est. Value Plan Ck. Deposit Date 7-/ / -/ SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater ·occ. GROUP EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[JII No□ YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova -------ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 East Baseline rd# 155 --CITY --STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE I FAX I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galiapavlovabg(@,yahoo.com PROPERTY OWNER NAME Tom chen CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2181 Vista La Nisa 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 760-27 4-6396 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS l CITY Bus. uc1214281 811114 c36 (Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to. construct. alter, improve. demolish or repair any structure. prior 19 its issuance. also requires the appltcant 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 D1v1s1on 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)). Worller.1' Compensation Declaration: I hereby affirm under penaMy of perjury one of the following declarations: [2J I have and 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 lhis permit is issued. 0 I have and will maintain worller.1' compensation. as reQuired bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Dale 01~1121>12 This section need not be completed if lhe permit is for one hundred dollars ($100) or less. [2] Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worllers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar.1 (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor c~? in1re t and attorney's fees. 2$ CONTRACTOR SIGNATURE /l-£,,l DATE ?'-~ r /11 I hereby affirm /hat I am exempt from Conlractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or lhrough his own employees, provided thal 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 exempl 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. 0 Yes 0 No 2. I (have I have not) signed an application for a building permil for the proposed work. 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 work. but I have hired lhe following person to coordinate, supervise and provide the major worl( (include name I address I phone I contractors' license number): 5. I wi!I provide some of lhe work. but I have conlracted (hired) the following persons to provide the work indicated {include name I address I phone I type of work): _g PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business.Jl!fill, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jy es D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo F 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) . . ender's Name Lender's Address certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Ca1sbal to enter upon the abcNe mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is required for excavations over 5'0' deep aid demolition or construction of structures ove,; 3 stones in height. :XPIRA TION: Every pemit issued by the Building Official unde,; the provisions of this Code sh~I expire by !irritation c11d become null and void if the building or work authorized by such pe!TT1it is not commenced within 80 days from the date of such pemit or if the building or work autholized by such permit is suspended or aiandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Un~orm Building Code). 7-/7-/11 ,@$ APPLICANT'S SIGNATURE DATE • • . City of Carlsbad Bldg Inspection Request . For: 07/2 5/2011 . Permit# CB111517 Title: CHEN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2181 VISTA LA NISA Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: CHEN TSUONG K&LEE CHRISTINA H Remarks: CALL W/ETA PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone, £0225 Inspector: Requested By: KEN Entered By: JANEAN 25 29 Water Heater/Vents Final Plumbing /L _______ _ L------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments