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Home My WebLink About2174 VISTA LA NISA; ; CB090736; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-05-2009 Plumbing Permit Permit No: CB090736 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2174 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552621900 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: PC #: Project Title: Applicant: MEADE RES-GAS LINE TO FIRE PIT MEADE ROBERT J&P DIANE 2174 VISTA LA NISA CARLSBAD CA 92009 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 0 1 0 Plan Approved: Issued: Inspect Area: Owner: MEADE ROBERT J&P DIANE 2174 VISTA LA NISA CARLSBAD CA 92009 ISSUED 05/04/2009 RMA 05/05/2009 05/05/2009 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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: Clearance: $0.00 at approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' ou 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/ex cti n f whi h u have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl oth rwis x ir City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 ' 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application y LOT# DESCRIPTION OF WORK: Include Square Feet of A~ cted Area(s) EXISTING USE PROPOSED USE CONTACT NAME (If.Different Fom Appl/cant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERTY ARCH/OESIGNE L< 1VuC..H- # OF UNITS # BEDROOMS TIie GARAGE (SF) ZIP Plan Check No Est. Value SUITE#/SPACE#/UNIT# ff BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE FIREPLACE YES □#_ NOD STATE FAX STATE FAX CLASS CQNSTR. TYPE OCC. GROUP AIR CONDITIONING YES O NO 0 ZIP ZIP CITY BUS. UC.# FIRE SPRINKLERS YES O NO 0 (Sec. 703 I .S Buiinm and Prolmioni Code: Any CiIy or Counti which requim • permit to construct. ahe~ improve, demolish or rtP.air any !lructure, prior to iu i!luance, also requim the applicant for such wmit to file a iign,d mtement that he ii ricensed _pursuanl to the provisions of the Contractor's license L,w {Chapter 9. commending with Section ,ODO of D1vi1ion l of the Buiinm and Pro,mions Code} or that he ii exempt there from. and the basis for the alleged exemption. Any violation of Section 703 I.S by any applicant for , permit iubjecu the applicant to a civil penally of not more chan five hundred dollars {SSOO}). • Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of /he following declarations: D 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 pertormance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed ii the permit is for one hundred dollars ($ t 00) or less. D Certificate of Exemption: I certify that in the pertormance 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 Calilornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. £S CONTRACTOR SIGNATURE DATE fh eby affirm /hat I am exempl from Conlraclor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (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 who does such work himself or through his own employees, provided that 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 ol sale). t.:,/,, 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 exempt 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. □ Yes -JNo 2. le/ have not) signed an application for a building permit for the proposed work. r 3. I ~ave contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): ?OU c..E( or {J;_R ft :t' _A) 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone / contractors' license numb~ - 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley• Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 lending agency for the pertormance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I 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. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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 pennrt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennrt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ij the building or work authorized by such pennrt is not commenced within 180 days from the date of such pennit or if the building or work authorized by such pennrt is suspended or abandoned at any time after the wor1< is commenced for a period of 180 days (Section 106.4.4 UnifOITTI Building Code). £SAPPLICANT'SSIGNATURE P, }i,a.-e._ U{~-(_,,,_ DATE 5-'f, Q • City of Carlsbad Bldg Inspection Request For: 09/04/2009 Permit# CB090736 Title: MEADE RES-GAS LINE TO FIRE Description: PIT Type: PLUM Sub Type: Job Address: Suite: Location: 2174 VISTA LA NISA Lot: 0 APPLICANT MEADE ROBERT J&P DIANE Owner: MEADE ROBERT J&P DIANE Remarks: Total Time: Inspector Assignment: PY --- Phone: 7604363174 Inspector: ---- Requested By: DIANE MEADE Entered By: CHRISTINE CD Description 29 Final Plumbing ----------- ~ ;f-o-m_m_e_n_ts _________________ _ ------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 08/04/2009 16 Insulation Act lnsp Comments WC PY 06/03/2009 23 GasrresURepairs AP PY