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Home My WebLink About2174 VISTA LA NISA; ; CB153072; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-17-2015 Permit No: CB 153072 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2174 VISTA LA NISA CBAD PME 2552621900 MEADE: 1 A/C & 40 A CIRCUIT OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: MEADE ROBERT & DIANE 2174 VISTA LA NISA CARLSBAD CA 92009-9342 ISSUED 09/17/2015 SLE 09/17/2015 09/17/2015 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: 11'\. ~ Clearance: ------ $0.00 NOTICE Aease ~ NOTICE that~ ci yax p-qed iruudes the ··1n,:xstion" ci fees, dErlcations, reservations, or ctha" exa:tions rereatta-roledively referred to as "fees'exoctions." Yoo rave 00 days from the date ths pemit = issuoo to pretest in,n;ition ci these fees'exoctions. If >0-J pretest therT\ >O-J rrust fcilON tre pretest j7CXlrlres sa forth in Go.iarmrt C.ooe Section 60020(a), a-d file the pretest a-d ITT-/ ctha" ra::µred inforrration wth the Oty tv'Erager for p-ocessirg in axada-ce wth Ca1sba:J M.lid~ C.ooe Sec:tim 3.32.030. Faih.re to tirrely fcilON that p-oce:ire wll l:B" ITT-/ subsEqJent IE:l!P oc.tion to atta::J<. review, sa aside, vcid, or anJ their in,n;ition. Yoo a-e hereof Fl.Rn-ER NOTIRED that ya.r rigt to pretest the specified fees'exoctions CXES NOT APPLY to Wi!J.a-a-d seNe( wrectim fees a-d ~ty c:ha,gas, ru plcrrirg, :zo-ing, gairg or ctha" sirrila-wication p-ocessirg or service fees in cxmec:tim wth tl"is ptjed. I'm c:x:ES IT APPLY to ITT-/ i tre staue d !irritations ras red. . □PLANNING THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD <--<~ Bulldlng Permit Application Plan Check No.()~ \5 3 0 7 2... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.cartsbadca.gov Date 9-\7-1 l:i ISWPPP JOB.ADDRESS 217 4 VISTA LA NISA $1/ITH/SPACEf/UNIT• IAPN --- CT/PROJECT# ILOT# I PHASE# l#OFUNTTS l#BEOHVV-# BATH"vvMS , ,.....,., BUSINESS NAME I""""' R. •F< IV\,\,. \>KVUP DESCRIPTION OF WORK: Include Squa,e Feet of A1NCNG Alea(1) ADD 1 NEW A/C UNIT & 1 NEW 40 AMP CIRCUIT TO AN A/C PREPPED HOME EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE ' AIR CONDITIONING I FIRE SPRINKLERS YESO. N<O YES □No □ YES□No□ APPLICANT NAME TOM WOOD PROPERTY OWNER NAME DIANE MEADE ---,.-- ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 217 4 VISTA LA NISA CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009 PHONE IFAX PHONE rAX 760 839-8383 760 839-8380 760-436-317 4 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN PROFESSIONAL CONlRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE rAX 760 839-8383 IFAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC.# STATELIC.# I CLASS l CITY eus. uc.1212710 745400 C-20 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh or repair any structure, pnor to its issuance, also requires the applicant 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 Division 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 applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). W0111er1' ~ Dedntion: I hefeby tiffirm under penalty of perjury one cl the ~lowing dedaratioos: 0 I have and will malntllin a certificate or consent to Nlf-lnsuni for workers' compensation as provided by Section 3700 of the~ Code, for the pelformanoe of the work for which this permit is issood. IZJ I have and will malnllin wOlkn' compenullon, as reQUired bV Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My W<il1<els' compensation insuranoe ca-rier and policy number are: lnsuraice Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/01/2016 ~section need not be oompleted n the perm~ is lo< one hundred dollars ($100) or less. LJ Certlflcate of Ex~: I certify Iha! in lhe performance of the work for which this permit is issued, I shalt oot employ any person In any mamer so as to berome subjeCt to the Wor1<ers' Compensation Laws cf caIifomla. WARNING: Fallure to secure wOlken' COll1)ellution~nge Is ful, and lhall IUbject an employer to cr1mlnal penalties and civil fines up to one hundred 71111d dollll'I (&100,000), In addition to the COit of compensation, provided for II), on 3706 the ubor code, Interest and attorney's,-_ ' / Ji$ CONTRACTOR SIGNATURE @AGENT DATE 17 ]'\ I hefeby affirm that I am exempt from Contrllclo(s license Law frx the following reason: D I, as owner cf lhe property or my employees with wages as their sole compensation, wiH do the work and lhe strucl\Jre is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol 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, lhe 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 lhe 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 Contraclor's License Law does not apply to an owner cf property who builds or improves thereon, and contracis for such projects with contractor{s) licensed purauant to the Contractor's Ucense Law). I am exempt under Section ____ Business and P!desslons Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property imi:rovement []Yes [)-lo 2. I (have I have not) signed an applicatlon for a building permit for the proposed work. 3. I have contracted with the following person (finn) 1o provide the proposed construction Onclude name address/ phone I contractors' license numbel): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Onclude name/ address/ phone I contractors' license numbel): 5. I will provide some of the work, but I have contracted (hired} the following persons to pn:Nide the work indicated Onclude name I address / phone I type of WOik): IS PROPERTY OWNER SIGNATURE □AGENT DATE Is 1he applicant or fut\Jre building occupant required to submit a buSiness plan, acutely hazardous materials registration oon or risl( management and prevention program undef Sections 25505, 25533 or 25534 of 1he Presley-Tanner Hazardous Substance Account Act"/ □ Yes □ No Is 1he applicant or future building occupant required~ obtain a permtt from the air pollution control district or air quality management district? □ Yes □ No Is 1he facility to be constructed within 1,000 feet of 1he ouler boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS IIEETING THE REQUIREIIENTS OF THE OFFICE OF EIIERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there is a construction lending agency for the pelformMce of the w011( this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name lender's Address I cer111ylhatl 11M l'lllldlheappllca1lon and slallllhatlheabolle lnlolmatlon lsc:onectandthatlhe lnlolmatlononlhe plans lsacanla. I ~ID~wl1ha11CltrodnanoesandStal8 laws ~ID ~oonslruction. I hereby aulhofize representative of toe City of Ca1sboo r> enJM UIXJll Ile above menooned 1JOPOOY b' r,specoon fXJrposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS 11-IE CITY OF CARLSBAD AGAINST All UABlmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA penni is requred b' excavations over 5'0' deep and demolioon or oonstrucmn of struchlres over 3 sillies i1 height EXPIRAIDN: Bery pe,mit issued by lhe Eukling Ofbll under the provisols of this Code shall expie by lini1alion clld becmle nul and wil Wlhe llJikling orv.ork autoozed by such pe,mit is 1101 OOlllll1el1(J!d Y.itlil 100days tom lhe dale of such pe,mitorfflhe buiklingorv.orka~ by such ~l is suspendedorabaroo'ledatanytime alathev.ork is oommenood b'a JJ!!iod of 100days (Secoon 100.4.4 Unibm Qiilding Code). A$ APPLICANT'S SIGNATURE ~~ • lA(OO'v'\ DATE f 7 ") Inspection List Permit#: CB153072 Type: PME MEADE: 1 AJC & 40 A CIRCUIT Date Ins ection Item Inspector Act Comments 02/10/2016 43 AirCond/Furnace Set RI 02/10/2016 43 AirCond/Furnace Set MC AP 02/10/2016 49 Final Mechanical RI 02/10/2016 49 Final Mechanical MC Fl 01/21/2016 43 AirCond/Furnace Set MC co NOTICE 01/21/2016 49 Final Mechanical MC co Wednesday, February 10, 2016 Page 1 of 1