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HomeMy WebLinkAbout2181 VISTA LA NISA; ; CB072353; PermitCity of Carlsbad 16J5 Far~1ay Av Carlsbad, CA 92008 10-11-2007 Plumbing Permit Permit No: CB072353 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2181 VISTA LA NISA CBAD PLUM Parcel No: Lot#: 0 Construction Type: NEW Reference #: Project Title: HAIFFLEY RES-INSTALL STAND PIPE DRAIN FOR WATER SOFTNER Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 Total Fees: Inspector: $27.00 1 0 0 0 0 0 0 Owner: Total Payments To Date: Fl NAL APPR% AL Date: I 0//1 ° J ' .. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/12/2007 LSM 09/12/2007 09/12/2007 PY $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Balance Due: 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. neo 1 "d-%-63 CITY OF CARLSBAD BUILDING DEPARTMENT 163~· ~araday Ave., Cafls-:bad~ CJt ~2ooa . EST. VAL. _________ _ Plan Ck. Depos~· Validated BY+·--->-c....F-...a....------- Data q/ I o-0 • Addreu (Include Bldg/Suite II • Bu1lneu Nam, (at thla address) Legal Deacrlptlon Lot No, Subdivision ·N1mt/Numbdl' Unit No. Phase No. Total I of unit• . Propqaed UH , lot Stories I of Be.drooms I of Bathroom• (Sec. 7031 ;5 Bualneu and Profeulona Code: Any City or County which requlrH a permit to oonatruct, alter, Improve, d1moll1h or repair any etructure, 'prior to It• luu1nc1, 1110 requlrH the 1ppllc1nt ·tor 1uch pormlt to' tllo a algned atatemont that ha Is licensed pursu.1nt to· tha provlalona of the Conti1ctor'1 UcenH L1w ' Section 7000 of of tha Bual ind the b11l1 for tha 1lleged 01), ~. am, • State Ucensa I tC'f:t 9 0 0ulgner N~m• .-\ddress City St1te/Zlp Telephone St1t1 -Uc1n11 I--------- Worker,• Compenutlon D1clar1tlon: I hereby attlrm under p1n1lty of perNrv _pna of tho following declarations: 0 I hava ind wlll m1lnt1ln I cortlflcate ot consent to aelt•ln1ur1 for workera' compen11tlon 11· provided by Section 3700 ot th• Labor Code, for tfoa perform1nc1 of tha work for whlch thla permit la.l11ued, . D . I have and wlll .maintain worker•• compensation, 11 requl(ed by Section 3700 of the L1bor Code, for th• performance ot the work for_ whllh thl• iermlt Is , lnuod, My worker's c ponsa on· ln,,uranct carrier and policy numqer are: 1 ~ '::) O \ ll . O . . Q I j lnauranca Comp1ny . • r LO . Polley No. L 000 7 OS-0 Expiration Dato 11-01 (THIS SECTION NEED NOT ~E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED 00LLAR9 [♦100) OR LESS) , 0 .CE.J:.111FICA!~.<?F:EXEM~N: I ce,:tl_fy that In tht p1rform_1nc1 ot tha work·for which this permit 11 luued, I 1hall not employ any peraon In any manner 10 .11 to·becoma•aob/,cno th• Workara' Comp1n•1tlon.L1w1 of C1llfornl1. . . . , WARNING: • Fallur~ to 11cur1 workara' co~pariutlon ciiverage ia unlawful, and ·lh1U subject an employer to criminal p1naltl11 and clvU fln11 up to one -hundred \t th91!aand doUara (♦ 00,000), In addition to tha coat of compensation, damag•• •• provided for In Section 3708 of the Labor.coda, lnt1r11t and ettorn~y•a fen. f--SIGNATURE . DATE . ffl . . . . . . ◄ hereby affirm thai I am exempt from th• Con ra.ctor'• Llcenn Lew for th• following ruson: 0 I, 11. owner of th• property or. my 1mploy111 with w.ag11 11 their 1011 comp,nsatlon, wlll do th• work ,nd th•· structure la not Intended or offered for ·aa1e [Sec, 7044, Bu,lneas and Profenlona Code: The Contractor•, Llc1n11 Law do11 not· apply to an owner of property who bullda or lmprovu thereon·, and who does ,uch work hl111ulf or through hi• own employees, provided thit auch lmprovementt are not Intended or offered for 'aafe. If, however, the building· or Improvement la ,old ~lthlil _one year o; coinpletlon, th• owner-builder will have the burd,n of proving that h• did not build or Improve foi the purpon of 11_11). D I, u owner of the property, am ,xcluslvel'( contracting with llc1n11d contractor• to construct tha project (Sac. 7044, Bu1ln111 and Prof1ulon1 Code: The Contractor'• Llcon11 Law doea not apply to an owner of property who build• or lmprovu thereon, end contract• tor auch pro/ecta with contractor(sl llcennd pursuant-to the Contractor'• Uc1na1 Lawl. 0 I am exempt under Section ______ Bualnu~ and Prof1ulon1 Code for thla reason: 1. I peraonally plan to provide the major labor and materlala_for conatructlon of the propoaed property Improvement. D YES ONO 2, I (hive / have not) signed an ·application for a building permit for the propoud work. 3, I have contracted.with the following parson [firm) to provide the proposed construction (Include name /-addr11i / phone number/ contractor1 .llconu.number): 4, _ I plan to provide portions ot thli work, but I have hired the following person to coordinate, auparvlse and provide tho major work (Include name / addreu / phone numbor / c:ontrectora llcenH number): • . · · 6 •. I wlll provide some of tho work, but I have C!)ntracted 0(hlred) the following peraons to provide the work Indicated (Include name / address / ;::h;;ne number / typot of wor!,;):. _____________________________________________________ _ .PROPERTY OWNER SIGNATURE DATE f®fliffiiiJWi'.BWs@i5W®iv~mf&rr71U7\IBJW1l'~ffl'lm~~i,nmnt¥).ffliffl : Is the appilcant or future building occupant required to eubmlt a bualnua plan, acutely hazardous inatorlale ragl1tratlon form or risk management and prevention program under Sections 26505, 25533 or 26534 of~~• Pru!ty•Tc:>ncr ~~:ardci;~ S1:b;~;ncJ A~.:ount Act? 0 Yi:S d r~O • 11 the ,ppllcant or-future building occupant required to obtain. a permlt'from th• air pollution control dlltrlct or air. quality management district? O YES D NO Is tho facility to bo constructed within 1,000 feet of the outer boundary of• achool'alte? 0 YES O NO .. . • • . . 's,·, IF ANY OF THE ANSWERS ARE YES, A FINAL CERTJFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE'AIR POLL!JTiON CONTROL DISTRICT. ~~&M'QeSC:UffiS~~&M®®M•ZUIM®tl·SiJff~NU!UG'JNtit1:l~!m , I hereby affirm that there 11 • construction lending agoncv for tho porformanc~ of tho ~ork for which thla permit I• luued (Seo. 3097(1) Civil Code). LENDER'S NAMEffliiii,iiri,;-;;;:;;;.:;iii;;.ii.i;;;_;;iiiiij_;jfflii;;i; LENDER'S ADDRESS rmmTA'lTh1-ffi'fifmmA%&1111~~Zi#IMW@!52JSrR\RDIIBlt,mt'lli'$WGS@i:!RU\'AMt:lltBfltt!!SMMS1ZC1 I certify that I h6v1 rHd th• 1ppllcatlon arid atata th~t .tho above lntoimatlon 11 correct and that the Information on th• plans la accurate. ·, agree to comply with all City ordinances and Stat, lawa relating to building construction. I hereby 1uthorlze representative.• of the Cltt of. Carlsbad to enter upon the above mentioned ,property tor Inspection purposes •• _I ALS.Q AGREE .TO SAVE, INDEMNIFY ANO KEEP HA~MLESS :rHE CITY OF CARLSBAD AGAINST ALL· LUIJIILIJIES, • JU0G.MENTS, COSTS ANO EXPENSES WHI_CH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE G~ANTING OF THIS PERM.IT. OSHA: An OSHA permit 11 required for excavation, over 5'0" deep and demolltl~n or cQn_structlon of structurea over 3 stories In.height, . E~PIRATION: Every permll Issued by the building Offlclal unqer the provl~lons of this Code shall expire by llmltauon and become null and void It the building or work authorized by-auch permit Is not commenced within 180 days from the date of •~cli permit or II the building or work authorized by auch permll 18 suspendod or abandoned 'l\.:~:~y tlm-lifter the work la com~enced f<it a porfod of 180 days (Section 108.4.4 Uniform Building Code), I) \ \ ~1cA, •• ·s SIGNATURE ~--,1 µ,,,. • 1"¥.:, . · .DATE _,_\...:1-;;..l,..D ... ~.....:...------ • .,, ~T';;Fll• • YELLOW: Applicant PINK: Flnanc·, • City of Carlsbad Bldg Inspection Request For: 10/10/2007 Permit# CB072353 Title: HAIFFLEY RES-INSTALL STAND Description: PIPE DRAIN FOR WATER SOFTNER Type: PLUM Sub Type: Job Address: Suite: Location: 2181 VISTA LA NISA Lot APPLICANT HANNA PLUMBING 0 Owner: CHEN TSUONG K&LEE CHRISTINA H Remarks: Total Time: CD Description Act Comment Inspector Assignment: PY --- Phone: 8587562444 Inspector: ----- Requested By: LACY Entered By: JANEAN 17 Interior Lath/Drywall _k£_ ______ _ 21 Associated PCRs/CVs Original PC# Inspection History Date Description 09/13/2007 24 Roughffopout Act lnsp Comments AP PY