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Home My WebLink About2150 VISTA LA NISA; ; CB110315; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB110315 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2150 VISiA LA NISA CBAD MECH 2552625700 $0.00 LABE: 2 NEW A/C ACTION AIR COND.& HEATING--S.D. 2750 S SANT A FE SAN MARCOS CA 760 727 4152 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES Status: Lot #: 0 Applied: 2 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: SAGER PAUL H JR&NANCY T 2150 VISTA LA NISA CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: ISSUED 02/1 1/2011 JMA 02/11/2011 02/1 1/2011 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Inspector: Date: Clearance: _____ _ $0.00 approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y 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 OOES 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 OOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitati ns has reviousl otherwise ex ired. . Building Permit Application Plan Check No . {'P"J l \ o.;i S- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 12719 Plan Ck. Deposit Fax 760-602-8558 www.carlsbadca.gov Date i) \II,, lswPPP JOB ADDRESS SUITE#/~PACE#/UNIT# IAPN 2150 Vista La Nisa --- CT/PROJECT# I LOT# I PHASE# l # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I U\,\,. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 2 A/C Condenser Replacements on 2 HVAC Systems EXISTING USE ! PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING IFIRE SPRINKLERS Single Family Resid. Same YESO NcCJ YES [i]No□ YES□No□ CONTACT NAME (If Different Fom Applicant) Rada Labe APPLICANT NAME Glenn Ostmark ADDRESS ADDRESS 2150 Vista La Nisa 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 San Marcos CA 92069 PHONE I FAX PHONE I FAX (760) 814-0744 (760) 727-4152 (760) 727-0213 EMAIL EMAIL comfort@actionac.net PROPERTY OWNER NAME Rada Labe CONTRACTOR BUS. NAME Action Air ConditioninQ & HeatinQ ADDRESS ADDRESS 2150 Vista La Nisa 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 San Marcos CA 92069 PHONE IFAX PHONE I FAX (760) 814-0744 (760) 727-4152 (760) 727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# !CLASS I CITY BUS. LIC~ 1 9800 509805 C-20 (Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter, improve, demolish or repair anl 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaraffons: D I have and will maintain a certificate of consent to self•insure for wor1(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1( for which this permit is issued. [Z] I have and will maintain workers' compensation, as reouired bv Section 3700 of the Labor Code, for the performance of the wor1( for which this permit is issued. My wor1(ers' compensation insurance carrier and policy number are: Insurance Co California Contractors Netwok Policy No. 4503-093 Expiration Date 12111/2012 ~ section need not be completed rt the permit is for one hundred dollars ($100) or less. l:LJ Certificate of Exemption: I certify that in the performance of the wor1( for which this permit is issued, I shall not employ any person in any manner so as to beccme subject to the Wor1(ers' Compensation Laws of California. 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, damag vided for in Section 3706 of the Labor code, interest and attomey's fees. ,.i!5 CONTRACTOR SIGNATUR ~ • I hereby affirm that I am exempt from Contractor's License Law /or the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1( 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 wor1( himse~ 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 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 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 I have not} signed an application for a building permit for the proposed wor1(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number}: 4. I plan to provide portions of the wor1(, but I have hired the following person to coordinate, supervise and provide the major wor1( (include name / address I phone I contractors' license number}: 5. I will provide some of the wor1(, but I have contracted (hired) the following persons to provide the wor1( indicated [include name / address I phone I type of wori<): _IS PROPERTY OWNER SIGNATURE □AGENT DATE I Is the applicant or future building occupant required to submit a business..ll!fill, acutely hazardous materials regis~ation 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~ality management district? O ves O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O ves 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 certify that I have read the application and state that the above Information is correct and that the Information on the plans is accurate. I agree to comply YAth afl 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 l:lr 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 permit is required for excavations over 5'<Y deep and demolition or construction of structures over 3 stolies in height. EXPIRATION: EV01y permrr issued by the Building Official under the provisions of this Code shall expire by limrration and become null and void if the building or~ authorized by such permit is not commenced within 180 days from the date of such perm~ or if the building or thorized by such permit is suspended or abandoned at any time after the~ is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'SSIGNAT ' ~ DATE ~~ City of Carlsbad Bldg Inspection Request For: 02/15/2011 Permit# CB110315 Title: LABE: 2 NEW AJC Description: Type: MECH Sub Type: Job Address: 2150 VISTA LA NISA Suite: Lot: Location: 0 APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: SAGER PAUL H JR&NANCY T Remarks: only available before 10-am Total Time: CD Description 43 AirCond/Furnace Set 49 Final Mechanical Comments/Notices/Holds nts Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: Inspector: Requested By: NA Entered By: CHRISTINE