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Home My WebLink About2169 VISTA LA NISA; ; CB090101; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-20-2009 Plumbing Permit Permit No: CB090101 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2169 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552620700 Lot #: 0 Applied: Construction Type: NEW Reference #: PC#: Entered By: Plan Approved : issued: Project Title: LIN RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 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 1 0 0 Owner: LIN CHENG&CHEN CHEN 2169 VISTA LA NISA CARLSBAD CA 92009 ISSUED 01/20/2009 KG 01/20/2009 01/20/2009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $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: Date: Clearance: $0.00 pproval of your project includes the "Imposition of fees, dedications, reservations, er other exactions hereafter collectively referred 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 f City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2169 Vista La Nisa CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOM DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No Est. Value SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BU INESS NAME replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (lfDlfferentFomAppllcant) C l"f . D I M h . I I APPLICANT NAME a I ornIa eta ec anica , nc. FIREPLACE YESC}# AIR CONDITIONING N<O YES □No □ Galina Pavlova FIRE SPRINKLERS YES0 N00 ADDRESS ADDRESS 6052 e. Baseline road suite# 155 6052 E. Baseline road suite# 155 CITY Mesa STATE Az ZIP 85206 CITY STATE Az ZIP Mesa 85206 FAX PHONE FAX 480-898-0007 1-480-218-5645 PHONE 480-898-0007 1-858-410-1499 EMAIL california(@,deltamechanical.com EMAIL galiapavlovabg(@,yahoo.com PROPERTY ADDRESS Same as site CONTRACTOR BUS. NAME ADDRESS California Delta Mechanical. Inc-=-. ----1 6052 E Baseline rd# 155 CITY STATE Carlsbad CA ZIP CITY 92009 MESA STATE Az ZIP 85206 PHONE FAX 760-635-3691 PHONE FAX 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# 811114 CLASS c-36 CITY BUS. UC.# (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure, prior 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 {Cha'fter 9, commending with Section 7D00 of Division 3 of the Business and Professions Code) or fhat he is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of lhe following declarations: 0 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 performance of the v.ork for which this permit is issued. 0 I have and will maintain workers' 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 insurance caroor and policy number are: Insurance Co Policy No. 1897823 Expiration Date "'"'~' ~ section need not be completed if the permit is for one hundred dollars ($100) or less. l.{J Certificate of Exemption: I certify that in the performance of the v.ork for which this permit is issued, I shall not employ any person in any manner so as to become subjeet to the Workers' Compensation Laws of California. WARNING: Failure to secure worl<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addijion to the cost of compensation, damages as provided r • Section 3706 of the Labor code, interest and attorney's fees. J!S CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for lhe fol/owing reason: D I, as owner of the property or my employees with wages as their so~ compensation, will do the v.ork and the structure is not intended or offered for sa~ (Sec. 7044, Business and Professicns Code: The Contractor's □ □ License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not intended or offered for sa~. If, however, the building or improvement is sold within one year of comp~tion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sa~). 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. 0 Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed v.ork. 3. I have contracted with the follo>Mng person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major v.ork (include name/ address I phone/ contractors' license number): 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the v.ork indk:ated (include name I address/ phone / type of work): J!S PROPERTY OWNER SIGNATURE CATE Is the applicant~ future building occupant required to submit a business,Q!fill, 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? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a![..9!1ality management distriet? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school srte? 0 Yes 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 AND THE AIR POLLUTION CONTROL DISTRICT. 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 certify that I have read tile application and state tllattlle abo>Je information 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 rep-esentative of the City of Carlsbad to ooter upon the above mentiooed property for ins~ purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, cos_ TS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD cITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. I OSHA: AA OSHA ~ is required for excavaoons (NfJ( 5'0' deep and demoition or oonstruction of structures (NfJ( 3 stories in height. EXPIRATION Every penntt issued by the Building Official under the provisions of this Code shall exl)re by limitation and beoome null and \Od ff the bt.ilding or work authorized by st.dl pennrt is rot commenced within 180 days from the date of such ~ or ff the building or wm authorized by st.dl ~ is suspended or abandoned at any time after the \YOl1( is commenced for a peood of 100 days (Section 106.4.4 Uniform Building Code). -"" ""'"'"'"'"''"" ~ "" / ,/1/ b ~.9' ~J • . . City of Carlsbad Bldg Inspection Request For: 07/02/2009 . Permit# CB090101 Title: LIN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2169 VISTA LA NISA Suite: Lot: 0 Inspector Assignment: 4 Location: Inspector: ---- OWNER LIN CHENG&CHEN CHEN Owner: LIN CHENG&CHEN CHEN Remarks: Please call mr Lin with ETA Total Time: CD Description 25 Water HeaterNents Requested By: CHEN LIN Entered By: CHRISTINE *Commµ ------------ ------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments