The URL can be used to link to this page

Home My WebLink About2174 VISTA LA NISA; ; CB140322; Permit02-11-2014 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: CB140322 Building Inspection Request Line (760) 602-2725 2174 VISTA LA NISA CBAD PME 2552621900 Lot#: 0 MEADE RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/11/2014 LSM 02/11/2014 02/11/2014 AFFORDABLE WATER HEATERS AND PLUMBING INC MEADE ROBERT J&P DIANE 28372 CONSTELLATION RD 2174 VISTA LA NISA CARLSBAD CA 92009 VALENCIA CA 91355 855-345-9087 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: $33.00 $0.00 $0.00 $62.00 $95.00 $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPR&VAL Date: o-z../2-t l4-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refe/Ted 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 fee I xactions of whi h h v revi usl been iv n a NOTICE simil r to this or as to which th t t e of limitation has revi I otherwise ex ire . «~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No J40:3d"'~ ~ CITY OF CARLSBAD JOB ADDRESS Cl/PROJECl # EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Appl/cant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERTY OWNER NAME~ , ADDRESS Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNll# r Est. Value Plan Ck. Deposit GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING YES O NOD APPLICANT NAM~ -~ ---ADDRESS ZIP CITY STATE ZIP PHONE FAX EMAIL ?~rrw-.i-tS @ Aw t\ A P . C.b h'\ ADDRESS FIRE SPRINKLERS YES O NO □ 2-17 CITY/) _ / ·'2...'.?:B-:?---: G;:,v-.s~\~ ~ ........ CITY STATE =..__,..,Z~l~P=---------l L-~s-C-<7) U~-c._ -'cl ~S:S -------{ PHONE FAX PHONE 7C?0-'13Co-517'{ EMAIL --3H.S ·, ~z=,g-"=t-_...L.......c:~----"-.-_.____._sc.._s-__;e, ___ ~ AROVIJ£SIGNER NAME & ADDRESS SlAlE LIC. # STATE UC,# CLASS Cll'I' BUS. UC.# ~Sc, 1~17~'71 (Sec.: 7031.5 Business and Professions Code: Arr'/ City o, County which requites a permit to construct, alter, Improve, demolish or repair any structure, prior to Its iss)J8nce, also requires the applicant for such permit to file e signed statement that he ls licensed pursuant to the ptovlslons of the Contractor's License Law !Chapter 9, co,nmending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exem9-t therefrom, and the basis fo, the alleged exemption. Arr'/ vlolaUon of Section 7031.5 by any applicanffor a permit subjects the applicant to e civil penalty of not more than five hundred dollars ($500)1. Wortars' Compensallon Declaration: I hereby affirm tnder penalty ol pe,juty OM cl lhe following.dec/ar81ions: 0 I have and wlll m.alnlaln • cortlRcale of consent to self-Insure for wa,t<e,s' compensaUon as provided by Seclion 3700 of the Labo< Code, lo-lhe pertonn;,nce d. Iha 'Ml<t f« whidl this pennil Is Issued. ~ havo and will maintain work~"'i toff>l'~-... 1:cr, as reoui1e,•:,, Secbl 37(W) ol lhe Labor Code, lot .,., perlonn3':"-" cl I',~"""" fnr -...hid, lhi• ONTT1it Is Issued. M-f wc,l(ers· compell$ation lnsuranca ~er ard policy numbefare: lns~arueo.Wo-:;coA.JcJlU/\llON i;t..e:-INS . ....__ __ PdicyNo .. ~,q:3172. U _ ExpirallonDate • I -( -I ·5: __ This section need not be completed l lhe pe<mil is for one hundnid dollalS (S100) or less. 0 Certmcate ol Exempllon: I certify lhat in the performance ol lhe worl< lor which lhls permil is issued, I shall not employ any person in any manner so as lo become subjed 10 Iha WOfl<ers· COtnpensalion Laws of Ca61ornla. WARNING: Failure to ucuro workers' compensaUon·coverago Is unlawfu~ and shall subjact an employer to criminal penalties and clvU llnes up to on• hundred tl\ousand dollars (&100,000), In addHlon to the cost of compensation, damage e f 111 the Labo, code, lnto1est and attorney's lets . • ~ CONTRAClORSIGNATURE 6ceNT I hereby aMtm thal I am exempt from Cooaxlor's Ucens_s_ uw fa Iha /ollov,/ng reeson: 0-I, as-owner d lhe property-or-my-employee$ 'Ml!I wages-a54helr-sole compens.ation. will do lhe wor1t·aod 1'e slrudure Is not lnlended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractor's license La"' does rol apply lo iWI owner ol property >MlO builds or improves !hereon, an($ who does such wOflt himself or llYough his own employees. prCJVlded hat such ~ovemenls are not Wended or offered for sale. If, h<1N9Ver, lhe btitding or lmproveme~ Is sold IOiltin one yeat of completion, lhe owner-builder v.il have the tuden r:J pmvlng lhal he lid rd build or improve to, lhe putp0se of sale). O I, as owne< d lhe property, am exdusively oontracting with licensed conlraclors to conslrucl the project (Sec. 7044, Business and Profession~ Code: The Contractor's Ucenso Law does not appfy lo an owner ot property who buids or improves lllereon, and conlracts for such prlljeds with contractor(s) licensed p.nuant to the Contracior's Ucense Law). D I am exempt under Section ___llusiness and Professions Code Jot this reason: 1. I peisonally plan to pltMde the maj3 labor and materials for CMSlruclion ol lhe proposed property inprovemenl O Yes D No 2. I (have I have noc) signed an appllcallon for a bulding pe,mil for Iha proposed WOl1t. 3. I have cooracted with Iha fono,,.ing pen.on (6rm) lo pi:ovide Iha proposed construc~on Pnclucle name address/ phone/ con~actors• license number): 4.1 plan lo provide portions r:J lhe WOl'it, bul I have hired the k>llowing pe™>O ID coonlinale, supervise and provide lhe major wor1t (lnduda name/ address/ phone/ coruaciDrs' icense number): S. I wil provide some ol the WOl'it, but I have contracted (hired) lhe following pe<SOO$ lo provide lhe wOf1< indicaled (,ndllde name I address / phone I fype of wor1t~ ls the applicant or future buijcf,ng occupant requirad Jo submit a business plan, acutely haiardous materials registralim form or risk management and prevention p,ogram unde( Secfions 25505, 75533 01 75534 ot lhe Presley-Tanner Hazardous Substance Account Ac.t? □ Yes □ No Is the applicant or lulule bu~ding oc.cupant required to obtain a permit from the air pollution conhol district or airquatity management dislli:17 □ Yes D No Is lhe fadity to be constructed 'MIilin 1,000 feet of the outer bounda,y r:J a school sile? D 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 certify that I ha-,,e read the appfl~Uon and state Iha! Ille aba.e lnlonma~on Is correct and lhet the lotomiallon on the plans Is aa:urate.I agree to comply with all Oty ordlnanc,,s and State laws relating to bulldlng construc!lon. _ lhelel1jaulraize represenlalMloflhe Cit,,ofCarlsbad lo enleru~ Ille ab0'Je menooned properly forinspedmJ:UIP()SeS. t ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY a: c:ARI..SBAO AGAINST ALL LIA8UTIES, JUDGMENTS, COSTS AND EXPENSES 'Mi!CH MAY iN N-IYWAY ACCRUE l>llAINST sa.JDCITY IN CONSECIUENCEOFM GR/>NTING OF THIS PERMIT. OSHA: An OSHA perm~ is ~d for excavations ~er 5'0' deep and oemolilion a construdion r:J slnlcllres CNer 3 sbies ii heighl EXPIRA TON: Every permit issued 11/ Iha Bvil:ling Ofl'cial under Iha provisoos of this Code shall expie !1f lrnitalioo and berome rnR and voi:I i' lhe 11Jidi,g or v.alc. aulhaized !1f SU'.h pemit is not commenced IMlhin 180 days flan lhe data of such perm! a ~ the buldirq a v.alt aulh~ -" rl> ,_,,,;u, ... ,,~ed a abandoned at ar1f tine after the v.o,-1,, is canmenced fir a period of 180 days (Secfun 106.4.4 ilifcrm Buikfr,g Code}. ~ APPLICANT'S SIGliATURE DATE Inspection List Permit#: CB140322 Type: PME Date Inspection Item 02/20/2014 25 Water HeaterNents 02/20/2014 25 Water HeaterNents 02/20/2014 29 Final Plumbing 02/20/2014 29 Final Plumbing Friday, February 21, 2014 Inspector Act MC MC RI AP RI Fl MEADE RES-REPLACE WTR HTR Comments Page 1 of 1