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Home My WebLink About2178 VISTA LA NISA; ; CBR2017-1705; PermitPrint Date~OB/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2178 Vista La Nisa BLDG-Residential 2552622000 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: LARSEN: REPLACE WATER HEATER, SAME SIZE AND LOC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: TRUST LARSEN FAMILY TRUST 10-16-12 2178 Vista La Nisa CARLSBAD, CA 92009 760-889-2566 Total Payments To Date: $98.00 Status: Applied: Issued: Fina led: Inspector: Contractor: ALL STAR WATER HEATERS 30300 Puerto Vallarta Way Menifee, CA 92584-9256 800-727-0977 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-1705 Closed -Finaled 07/25/2017 07/25/2017 $0.00 $98.00 «~f • ~ CITY or CARLSBAD JOB ADDRESS # DESCRIPTION OF WORK: ncJ SIIUllte Fut of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Oate7g~ APN Replace existing water heater. Same size and location. SWPPP ~ J EXISTING US£ PROPOSED USE GARAGE (SF) PATIOS(SF) DECKS (SF) FIREPLACE YES[) AIR CONDITIONING NoC) YES □No □ FIRI: PRINKLERS YES0N00 CONTACf NAME (I' DHYerenl Fom Appl/cant) APPUCANT NAME Sierra Sprague AOORESS ADDRESS CITY STATE ZIP 1---------=30]00 Puerto Vallarta CffY STATE ZIP Menifee CA PHONE PHONE rAX ---------951-301-0067 EMAIL PROPERTY OWNER NAME CONTIIACTOR BUS. NAME Cynthia Larsen ADDRESS ADDRESS ---~All.Sla.LWI1le.rl:iut~s. ___ --1 CITY Same a-s~io=b ___ ~ STATE zjj, crfy" 30300 Puerto Vallarta STATE l--,..,~--~!!.!..Ul-lil---~--~cu:i. ____ 92_o_o_9-1------!!..l~en~i~fu~e ___ ~ _ _!;_A PHONE FAA PHONE FAA 92584 760-889-2566 951-301-0067 EMAIL ARCli/DESIGNER NAME & AllOfl ST4TEUC.# STATE uc., Cl.ASS CITY8t.lS llC# 812894 C 36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolisn or repair any structure, prior to its Issuance, also reQuires tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of tM 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 tne 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 ($5001). . . ~ . ,. ........ • ,.,J • '·. ... Worktl'I' Compenullon Declaration: / her&/Jy affirm under pooalty of petju,y one of the following ooclarations. 0 I have and will maintain a certificate of consent to self-insure for workers' compensallon as provided by Section 3700 of the Labor Code, for the performance of lhe work for v.11ich !his permit is issued. 0 I have and will maintain workt1$' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation inS1Jrance carrier and policy oomber are: lnsU'ance Co ACE Policy No. RWCC48818705 Expiration Date 08/01/2018 'j]l!§,sectlon need not be COR'lpleted ii t/l8 permll is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify !hat In the performance of !he work for which this permit Is issued, I shall not emp:oy any person ill any manner so as to beco~ subject to the Workers' Compensation Laws of Cafifomia. WARNING: Failure to secure worlters' compensation coverage Is unlawful, and shall subject an employer lo criminal penalties and CIVIi fines up to one hundr d lhz• dollar11 (&100,000), in addttlon to the cost of compensation, damages as prov ed for in Section 3706 of the Labor code, Interest and attorney's fees. £f CONTRACTOR SIGNATURE □AGENT DATE 7 _;l 'f / 7 I hereby affirm that I am exempt from Contrac/or's Ucense Law for the following reason· D I, as owner of !he property or my employees wilh wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Protessions Code: The ContraC1o(s License Law does not apply to an owner of property whO builds or improves thereon, and whO does such wor1c himseff or through his own employees, provided thal such improvements are not lnteoded or offered for sale. If, however, lhe building or improvement ls sold within one yea, of COll1j)lelion, the owner-builderwiU have !he burden of proving that he did not build or improYO for the purpose of sale) □ □ I, as owner of !he property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an o,mer of property whO builds or improves !hereon, and contracts tor such projeC1s with contractor(s) licensed pursuant to the Contractor's License Law). I am exefrC)I ooder Sectloo ____ B\Jsiness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of lhe proposed property improvement. O ves Qlo 2. I (have I have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the tollowing person (firm) to provide the proposed construction (Include name address/ phone I contraC1ors' license number): 4. I plan to provide portions of the work, but I have hired the foltowlng person to coordinate, supervise and provide the major work (include name I address I phone I contractOIS' license number): 5. I will proooe some of the wor1c, but I have contracted (hired) the foAoY,;ng persons to provide the work indicated Pncfude nane / address f phone I type of wor1c): _£5 PROPERTY OWNER SIGNATURE Is the applicant or future buildITTg occupant required to submit a business~, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac(? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? O Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes LJNo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~ w -.. ' • '~ ...... tf41~t•<j, •• I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I C1!111fylhatl have readtheappllcation and statelhattheaboYelnformation ls correct and that the information on the plans ls aa:ura1B. I agree to comply~th all City ordnances and State laws relating ID building construction. I he!elly au1horize represeotative of the City of Cartsboo to enter upon lhe aoove mentioned propertyb' inspect:on purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABlLITIES, JUDGMENTS, COSTS AND EXPENSES WI-IICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required lo" excavations over 5'0' deep and demoilion or construction of structures CNer 3 stolies in height. EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code sha! expire by limitation and beoome null and 10id if the building or won< authorized by such permit is nol commenced v.ithin 180days from the date of such permit or ff the building or won< authorized by such pennit is suspended or abandoned at anytime after thewor1< is rommenoed 7a pejP of 180 days (Section 100.4.4 Uniform Building Code), JiS APPLICANT'S SIGNATURE ,_./4..-L£oOiv:z._. DATE 7 /47~ /17 PERMIT INSPECTION HISTORY REPORT (CBR2017-1705) Permit T¥pe: BLDG-Residential Application Date: 07/25/2017 Owner: TRUST LARSEN FAMILY TRUST 10-16-12 Work Class: P/M/E Issue Date: 07/25/2017 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Status: Closed -Finaled Expiration Date: 02/05/2018 Address: 2178 Vista La Nisa Carlsbad, CA 92009-9342 IVR Number: 5262 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 08/08/2017 08/08/2017 BLDG-25 Water 0_30945-2017 Passed Andy Krogh Complete HeaterNents BLDG-Final 030946-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes August 08, 2017 Page 1 of 1