HomeMy WebLinkAbout2177 VISTA LA NISA; ; CB153873; Permit11-10-2015
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 153873
Building Inspection Request Line (760) 602-2725
2177 VISTA LA NISA CBAD
PME
2552620500 Lot#: 0
FORSYTHE: REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/10/2015
SLE
11/10/2015
11/10/2015
AFFORDABLE WATER HEATERS AND PLUMBING INC FORSYTHE FAMILYTRUST02-17-12
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087 I 9048
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2177 VISTA LA NISA
CARLSBAD CA 92009
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
I
Inspector: Clearance: ------
$0.00
NCJTlCE: Aea5El ta<e NCJTlCc that woo d }OJI" p-tject irduoos the "lnix,sitioo" d fees, dedcaim;, reseMiiais, cr ctm e.,,a:tials ~ cdledively
retemd to as 'foe&'exa:iim;." Yoo rave 9) cbys fran the date ths panit V10S iSSUld to prctest inix,sition d these fee&'e.,,a:tim;. If P-J prctest then\ ~ truSt
f cilON tt-e prctest p-c.anres sel forth in C?oterrrrent Coda Section fm20(a), and file tt-e prctest and any ether recµ red infooration wth the Oty ~ fcf'
~rg in iD'.Xl"dirrewthCoosta::l Mridpa Coda Section 3.32.030. Failu-eto ijrrelyfcilONthal r:rcxm.re wll ta-any sul:se:µ:lr1 IEgal a::tioo toatt00<.
rENiew, sel asici3, vcid. er aru treir irrµ;sitim
Yoo are herebj A.Rn-ER NCJTlRED that P-Jr rigi to p-ctest the si:edfied fee&'exa::iim; OCES f\KJ1" APPLY tov.ata-and ret-.€< o:rrection fees and ~ty
c:na,ges, ru parrirg, zrrirg, goorg or ctm sirrilar Wication p-ccessirg er sa-vice fees in canrlioo wth ths [Jtjed. 1'.cR OCES IT APPLY to any
f exactims ct wich have been ·va'l a CE sirrila-to ths or to wich ct lirritalims ms • cthe:v.ise 'red.
THE FOLLOVIING APPROVALS REQUIRED PRIOR TO PERNIT ISSUANCE; 0 PLANNING D ENGINEERING □BUILDING □HEALTH D HAZMA TIAPCO
C_cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.8<:) \5 381
IJOBA00R£SS '2. \ l l
CI , JC •
EXISTING USE PROPOSED USE
CITY
PHONf
EMAIL
DESIGN PROFESSIONAi..
AOORES.S
Est. Value
SUITi:11/SPACU/UNITII
Rep Io ce VJ o-te.r-hecH-er-.
~ame \oca-tjon.
PATIOS (Sfl DECKS (SF)
CONTRACTOR BUS. N
ADDRESS
SWPPP
CITY STATE ZIP CITY 28358''5-ennstella'fion Rd.-# I..O
fcP..-H"'O""N""E-----------~F"'AX,,,.------------f.P..-H~O"'NE=-------""l-l·
EMAIL
SlATt UC.•
(Sec. 7031.5, Business and Professions Code: Arr; Oty Of County which requires a permit to con5,truct, alter. improve, demoll~ 0t ,epalr any structure, pno, to Its lssua~. also requires ttie applicant f0t su~ permit to file a signed statement that he 11 liCf!n5cd pursuant to the provisions of the Contr&eto,',-license Law !Chapte, 9, comme.nding with Section 7000 of Division 3 of the Sus.iness and PJofes.slons Code) or Chat he is exempt therefrom, and the basis for the alle&ed e•emption. Arr, violation of Section 7031.5 by any apphcanl fo, a pcrrnit subjects the applicc11nt to a
civil penatty of not mo1e than five hundted dollars($~)).
Worllen' Compenutlon Oedaratlon: I hortby al(,rm ufdr pe~ ol ~ Mt o/ U.. b'JolWlg declitralfoos: 0 l,h1v, and wUI m,lntaln I ceniflute of coount to seff.fnsUl'II for worlc:eR' ~ as ~ by Section 3700 of lht Labor Code, for the ptl'IOtmal'H'.I!: d lhe 'IIIUX for wmth tt,is. pormd is iSS1.Jld
~ have and wWI malnl.lln workl[t' Con'IPfJISatlon, as ~ ~ SEldion 3700 ol lht Labor Code, lor the perlo,mance ol lht work lo, ..-.tlicil this r:Mmlk 15 i$$.Jed. My ~ars' compe11s.adon iMuranct catrilf and ~
...,.,....., 1.,..,,.,.,.c.,1\1(\::\:\GQ ClLD'OWn f\.(tJ,,,io,11o. 0\ 9:>9122 I E,i,raliooOote I . I , v
Jm. sedSon need not be c.ompeted r lhe permil is kJr one l'"u'ldred dolm ($100) ~ ~ LJ Cer\lfica11 of Elltrnpllon: I ciri'y lhat In !he performance ol work fp -.rich this Pffl'!I ls issued, I shat not employ any pe,wi in any ma,ne, so as to become $Ubjea IO the Wo,t.;el"S' C«npensaticr"I Laws d
C•lifomia. WAR.NINO: f aOurt to ~cure worir.ers' col'l'lptttullo cov,trlgt 11),n awful jed an employtf to erJninal ptnaltie& and el~I fin ts up lo ooe t.undre-d thousand doll•• (& I 00,000), In
addition to lht cosl of comptnHtlon, damages as provided for, onj37'' t • I lerut and ~ltomey's fee1,. / • • •
)6 CONTRACTOR SIGHAT\JRE \.., (Sf,.GENT DATE I I f; I I s
I hereby alfilm ltl,fl I a,n ea,,.i k),n CMlradO"I LkwiH Law for the ~ reason:
D I, as Ollll'1ler cl the ~rr, or rrr; emJit,yeel Wllh wagn as lhetr Ide comp,nsation, wil i;k) the wortt and !he strucn.W'e ;s nee lmended or olte-ed kw sale {SK. 704-4, Busl4eSI and Prtltt:$Sions Code: T~ Cml1actor's
□
□
license Law OOH n0I apply IO an own., ol prq,erty who builds or iml)"O'Wes lhenion, and who does such wort! ~ or ltYough hi& <wr1 ~oyee,. ~ lhat iUOI improw,menl.A at1 rd intended or offered for
"81e. tf, howeYM", IN bu~6tig orimprovemc,n1 Is sold within one year d ~oo. t'ha ~-b.Md•,... h1V11t11 tu-den r:I p,OW'I~ t,,at l'ledd not blJid or ,rlprwe for thl: purpo111 01 ule).
I, u. tl#fWdlhl prq,erty. 1m exdusively CM!taC'OOg With licel"l-sed <:mlradtn lo aNtrud the~ 15« 7044. Businese: and Prolmkn c,i:xje· Tht Comr&CtcYs. License law does no1 ~ to Ill'\ aNIWol
,IJ'Ope,ty-.-tlo builds or ~Yes lhen!'M, and a:ntracb for s\Jc:h pr-~edl wiO'I oorrtradtl'(1} 'censed porsual'II to lhe Contractor's. llceMe tawi
Jam eJe,npt under Seaion ____ BuSW!:u Md ~ Code fer 0,:1 1•ea,0t·
1 I~ pan IO piQll'ide lhe major llbct ;,nd mat~ lof W'ISln..lction r:J 1he proposed p,operty l,npr()YCfn('nl. Ove1 Dci
2 I (have I haw: nd) l,igned ,n ilJ)ptealion tor a bJlcling pemil fer the prOJ)OSfld WOlt.
3 I have oon4racted #ith U'le k>lowtng person (l'Hm} \0 prtMde the ptOPO$ed con$lrUC."lia1 {ll'IClucle narM address I phone I oonlradon' lic.eose nu~·
4. I plen IO provoe portions of tht wen, tu: I h&WI hired the lolowlng person to cottdinale, ~se and provide the mejo, won: (IOdui!e name I address I ~• I CU'Ma®"S' Jicanse l'lOfT"C)ff):
S I wil provide M'..lr1W d the WOl'k, but I have conlrec:t8Ci (h" d) ,•f~ pe,sons 10 ptovida the WM indicat•d (lncJude nam• I addteu I phcm I type, of wadi;);
J6 PROPERTY OWNER SIGNATURE DATE
I~ ~
ts lhe &pplicanl 01 f\.111$e 00~ occup&r1I r~f'fJd 10 wbmll a busines.s ~an. aa.118:fy hazardou, material5 regjstration foml or risk management and P,eYenrion i:,og,am under Seclions 25505, 25533 c. 25534 ol fle
Preslcy•hnner H.uardws Subst..-.c.e Accoun11'd:7 0 Vt$ 0 No
ls the appicanl Of Mure btlklng occupeinl req.ared IO obi.WI II pemlll from the iw pol1l."°'1 coortol dlstricl 01 ai, quality ma,iagemenl ~lntti' D Ye$ □ No
Is lhe lacilitylobe con«trudedwil.hin 1,000 feet d tie OJlet boundary o/ a school site? □ Yes O No
If ANY Of THE ANSWERS ARE Yes. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPllCA.NT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DtSTRICT.
1 I hereby affirm that there is a construct.ion lending agency for the perfOl'mance of Uie worl-i lhis pennlt ~ issued (Sec. 3097 (i) CiW Code). I ~-~-I
I al\ifytt.M I hwe read Ole~ and ltBl:e 1hat U'lic ~ h,fom,atiM Is coned and tflat the lnfDffllation on i,,.e plans Is acmr.a~ I ag1ttto con1",Ylfth atl City ofdltianca #Id Slate 1""6 relating ti) building COMtNdion.. f
I hereby auihori2e ~live o1 lhe Cly ol Catlsbad kl enter upa, !he-., rnen.-J IJ<ll)el1Y l:ir h,pedlrn puq,oses, I /lj_SQ AGREE TO SAVE, INOEMNlfY ANO KEEP HAAM£SS THE CITY~ CAR!.SSAO
AGAINST ALL LIABUTIES.JIOGMENTS. COSTSN«l EXPENSES~ MAY N NiVWAY ACCRUE AGAINST SAID CITY IN C~SEOUENCE OF THE GRANfflGOFTHISPERMIT
OSHA: 1'11 OSHA penril ;.~ 1:ir•"""""""'""'5'0' deep and delT'dlion"' oonstn.dionol srucues c,,e, J soones n h,;gt,_
EXffiATION: E,erypeonli""'°" bylhe M<lr,g Ollcial l.Wlder lhe • • ol tis Code shale,ipire bylrril>ti>n andberoner,JI andYOidflhe l>Jid,,gC11-aulhorized by ,ud, penrit is no1"""""1Cedw...,
180daysfromlhedateolsuchpenrilC11llhe~C11-s,oc/l~is edC11-al"'f1meol\erlhe-iswmnencedf<raperiodd1l!Oda)'(Sec:lon1c.;.<.◄lnbmBoi<ingCode) LP • _,g APPLICANT'S SIGNAnJ!!E DATE \ \ s IS
I
Inspection List
Permit#: CB153873 Type: PME
Date Inspection Item
11/23/2015 25 Water HeaterNents
11/23/2015 25 Water HeaterNents
11/23/2015 29 Final Plumbing
11/23/2015 29 Final Plumbing
Monday, November 23, 2015
FORSYTHE: REPLACE. WATER HEATER
Inspector Act Comments
RI
AEK AP
RI
AEK Fl
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