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Home My WebLink About2166 VISTA LA NISA; ; CB112030; Permit09-20-2011 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: CB112030 Building Inspection Request Line (760) 602-2725 2166 VISTA LA NISA CBAD PME 2552621700 Lot#: JAYNES: REPLACE WTR. HTR. 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/20/2011 JMA 09/20/2011 09/20/2011 CENTRAL PLUMBING HTG & COOLING JAYNES SHARON A 6152 MISSION GORGE ROAD #H SAN DIEGO,, CA 92120 619-283-5531 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2166 VISTA LA NISA CARLSBAD CA 92009 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL APPROVAL Date: 12., Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or 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 . Plan Check No. <!__BI t C) '20-36 j Building Permit Application 1635 Faraday Ave .. Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 www.carlsbadca.gov Date tJ /-z.o/ I I jswPPP JOB ADDRESS I SUIT£#/:;~A<;t#/UNIT# IAPN 255 2166 Vista La Nisa -262 -17 -00 CT /PROJECT II I LOT# I PHASE II r OF UNITS I" BEDROOMS II BATliROOMS I TENANT BUSINESS NAME rONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atrectad Area(s) Replace water heater with like. EXISTING USE I PROPOSED USE l6ARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ' AIR CONDITIONING I FIRE SPRINKLERS YESO . NcQ YES □No □ YES□No□ APPUCAJIIT NAME (Primary Contact) San Diego Central Plumbingd APPLICANT NAME (Seconda ry Contact) s D" I Pl b" an 1eqo Centra um m ca ADDRESS ADDRESS 6152-H MISSION GORGE RD 6152-H MISSION GORGE RD crrv STATE ZIP CITY STATE ZIP San Dieqo CA 92120 SAN DIEGO CA 92120 PHONE 'FAX PHONE 'FAX 619) 283-5531 619) 283-7623 619) 283-5531 619) 283-7623 EMAIL EMAIL centralphac@msn.com centralphac@msn.com PROPERTY OWNER NAME Sharie Jaynes CONTRACTOR BUS. NAME SAN DIEGO CENTRAL PLUMBING. INC. ADDRESS ADDRESS 2166 Vista La Nisa 6152-H MISSION GORGE RD CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 SAN DIEGO CA 92120 PHONE 'FAX PHONE IFAX 760) 554-5781 619) 283-5531 619) 283-7623 EMAIL EMAIL centralphac@msn.com "RCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# 1co6,20dl CllY BUS. uc449600 478128 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anll 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 !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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Wortens' CompenAtion Declaration: / hereby affnn under penalty of perjury one of the following declarations: 0 I have and will maintain I certlftcate of conNflt to self-Insure for WOlkers' compensation as provided by Section 3700 of the Labor Code, k>r 1he perormance of the wor1( for which this permit is issued. ~ I have and will maintain worters' compensllfon, as re<1uired by Section 3700 of the Labor Code, for the pelf(>rTMlce of the wor1< for which this penntt is issued. My WOlkers' compensation insurance calTier and policy number are: Insurance Co Everest National Insurance Company Policy No. 7600007501111 Expiration Date 07/01/12 ~section need not be cof1'4)1eted ~the penntt is for one hundred doNars ($100} or less. LJ Ceftiflclle of Ex~: I certify that in the perfonnance of 1he wOf1( for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of Galifomia WARNING: Failure to secure worters' compenAtion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred tllouu nd dollars (&100,000), In addition to the cost of compensation, damages II provided for In Section 3706 of the Llbor code, Interest and attorney's fees. ~ENT K) CONTRACTOR SIGNATURE DATE I hereby affnn that I am exempt from Confraclor's License Law for the following reason: □ I, as owner of the property Of my employees with wages as their sole compensation, will do the wOf1( and the structure is not intended or offered for sale (Sec. 7044, Business c11d Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, aid who does such work himseff Of through his own employees, provided that such improvements are not intended or offered for sale. If, ~ver. 1he building or improvement is sold within one yeat of completion, the owner-builder wil have the burden of proving that he did not build or improve k>r 1he purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business c11d Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wtth contractor(s} licensed pursuant to the Contractor's License Law). □ I am exempt under Section ___ _.,usiness and Professions Code for this reason: t. I personaly pta,i to provide the major labor and materials for construction of the proposed property improvement [Jv es O o 2. I (have/ have not) signed an application for a building penntt for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address / phone I contractors' license number): 4. I plan to provide portions of the wo,1(, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the work indicated ~nclude name I address / phone / type of work): Is lhe applicant or future building occupant required to submit a business J!!i!l, acutely hazardous materials registratioo form or risk managerrent and prevention program under Sections 25505, 25533 or 25534 ol the Presley-Tanner Hazardous Substance Account /v:KI D Yes LJ No Is the applicant or future building occupant required to obtain a permit from the air pollution oontrol district or ai,tfil!,ality managerrent district? [Jy es O No Is the faciity to be oonstructed within 1,000 feet of the outer bounday ol a school stte? []yes LJNo IF AHY 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 POU.UTIOH CONTROL DISTRICT. I hereby affinn that there is a construction lending agency for the perfonnance of the w011t this penn~ is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I cet'tifythatl have read Ille application and Slate that Ille above Information lsC01111Ctandthat1he lnfonnatlon on Ille plans Is aoourate. I a~to complywtth aH City ordinances and State laws llllallng1D building construction. I hereby aitmze 1ep1esertativeoflheCiyof Calsb<II I> erterl4)00 lhe ab<Ml memooed proper1yninspedioo puposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A~NST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemit is requred n excavatials ~ 5'0' deep and demolition or oonstruction of strudJ.res (1,/f!f 3 staies in heigtt EXPIRATION: Every pemit issued bylhe &ikrg Otii tnler lhe pror,,isols of this Code shall expie by liTitalm and bewne rul and \00 if Ile btildng orwm aJlhorized by such pemit is rd cxmnenced wilhil 1 oo days tan lhe daE of such permit or if lhe buidilg or 'Mllk aithorized by such pemit is suspended or lilanooled at ifff line after lhe 'Mllk is amnenced n a period of 100 days (Section 100.4.4 Uniloon &ikq Code). ,.@$' APPLICANT'S SIGNATURE .,..,_;,,.._,-, DATE ;q I I City of Carlsbad Bldg Inspection Request For: 02/08/2012 Permit# CB112030 Title: JAYNES: REPLACE WTR. HTR. Description: Type: PME Sub Type: Job Address: 2166 VISTA LA NISA Suite: Lot: 0 Location: OWNER JAYNES SHARON A Owner: JAYNES SHARON A Remarks: someone will let you into the garage Total Time: CD Description Act Comments Inspector Assignment: Phone: 7605545781 Inspector: t-1, C. Requested By: SHERI Entered By: CHRISTINE 25 Water HeaterNents ~ ~ ~-rtoJ ~ -------_tl _ _bk ·oe. ~ o4 ~!m'------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comment ~E.-~'-.b -H.O. u:>P"( 0£= f"v-W-,~~- ~,Jk:.s