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Home My WebLink About2150 VISTA LA NISA; ; CB120697; Permit04-17-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applica nt: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120697 Building Inspection Request Line (760) 602-2725 2150 VISTA LA NISA CBAD PME 2552625700 Lot #: 0 LASE: 2 NEW LIGHTS IN KITCHEN W/ SOME DRYWALL WORK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/17/2012 JMA 04/17/2012 04/17/2012 MARROKAL CONSTRUCTION LASE ANN REVOCABLE TRUST 02-1 7-05 9842 RIVER ST LAKESIDE CA 92040 619 441-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2150 VISTA LA NISA CARLSBAD CA 92009 $0.00 $150.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Clearance : ______ _ $0.00 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 .. ~~~ ¥ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. CB l Z 0 Est. Value Plan Ck. Deposit Date SWPP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES O # __ NO O YES D NO O YES O NO 0 APPLICANT NAME (Secondary Contact} ADDRESS CITY STATE ZIP FAX ~ AIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CITY BUS. UC.# /22. -ro (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'f.ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or (hat 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)). Wori<ers' Compensation Declaration:/ hereby affirm under penalty of pe,jury one of the following declaraYons: 0 e and will maintain a certificate of consent to self-insure for workers· compensation as provided by Section 3700 of the Labor Code, for (he pertormance of the work for which this permit is issued. e and will maintain e, for n rtormance of the ~th,t;rml i~1';J;J workers' compensation insurance ~nd policy ber are: Insurance Co -l~L-l~~~~=:::::.C:...L.---l----1J.,~_L~-!1...L~ No.~( EJcpirat10n Date 1-/ -/ This section need not be co 0 Certificate of Exe California. WARN! rmit is issued, I shall not employ any pers in any manner so as to become subject to the Workers' Compensation Laws of and shall subject an employer to en inal penalties and civil fines up to one hundred thousand dollars (& 100,000), in bor code, interest and attom 's f s. ENT DATE I, as owner of the property or my employees with wages as their sole compensation, will do the work 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 work himsett 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 v.ill 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. □ Yes □ No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following 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, super,ise and provide the major work (include name / address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone / type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonm or risk management and Jl(evention Jl(ogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify 1hat I have read 1he application and state 1hat 1he above infonnation is correct and 1hat 1he infonnation on 1he plans is accurate. I agree to comply with all City ordinances and State law.; relating to building cons1ruction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentoned property br inspecoon pulJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST ALL LIABILITIES, JU[X;MENTS, CO NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA penntt is required br excav and demolition or coostruction of structures over 3 stories in height. EXPIRATION: Every pennit issued ing ·aI under provisions of this Code shall expire by imitation and become nun and void ff the builJing or W'.llk authorized by such penntt is not commenced 1Mthin 180days from the date of such buid' g or oo uthorized by such pe • • suspen or abandoned at any time after the W'.llk is commenced for a peood of 180days (Section 100.4.4 Uniform BuilJing Code). A-{--11 -/ DATE Inspection List Permit#: CB120697 Date Inspection Item 07/26/2012 19 Final Structural 07/26/2012 19 Final Structural 07/26/2012 39 Final Electrical 07/26/2012 39 Final Electrical 06/27/2012 84 Rough Combo Type: PME Inspector PY PY PY Act RI AP RI AP AP LABE: 2 NEW LIGHTS IN KITCHEN W/ SOME DRYWALL WORK Comments Friday, July 27, 2012 Page 1 of 1