HomeMy WebLinkAbout2213 VISTA LA NISA; ; CB153655; Permit-
11-24-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB153655
Building Inspection Request Line (760) 602-2725
2213 VISTA LA NISA CBAD
PME
2552623500 Lot #: 0
PAXTON RES-REPLACE 2 A/C UNITS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
PAXTON ROBERT C&DIANA L
ISSUED
10/27/2015
RMA
10/27/2015
10/27/2015
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
2213 VISTA LA NISA
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOT AL PERMIT FEES
Total Fees: $163.00 Total Payments To Date:
FINAL APP
Inspector: f'V'\. ~-; Date:
$0.00
$0.00
$163.00
$0.00
$163.00
$163.00 Balance Due:
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
THE fOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMA TIAPCD I
«,~ Building Permit Application Plan Check No. (l,fi /1 7i½
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value --..., '
~ CIT Y 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov ~J--
www.carlsbadca.gov Date (0 /'J.--, ft, l SWPPP ..
JOBAODRESS SUITEt/SPACEI/UNITt
t PN
I I -2213 VISTA LA NISA ---
CT/PROJECT # I LOT# I PHASE# r OF UNITS
1
# BEDROOM S # BATHROOMS I TENANT BUSINESS NAME I ~ONSTR. TYPE I occ. <;ROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) I
<CHB ffij ■ lfl'J ee .ti& SOie
CM O\tNo ~ ov+-Ll.,,) AL q'v\6_ lf\ <'. ct \\
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING !FIRE SPRINKLERS
YES[); N<O YES □No □ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME BOB PAXTON D~--~••>-••
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2213 VISTA LA NISA
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92123 CARLSBAD CA 92009
PHONE I FAX PHONE I FAX 619-590-9337 7607109949
EMAIL JERMAINE@,WEGREENINC.COM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas
ADDRESS ADDRESS 4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92131
PHONE tAX PHONE I FAX 619-590-9337
EMAIL EMAIL
I S T ATE LIC. # STATE LIC.# ICLASS I CITY BUS, LIC.1200804 513115 c20
(Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter, improve, demolish or repair an~ structure. prior to 1ts 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 !hat 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 afflnn under penalty of perjury one of /he lollov.ing declarations: D 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 work for which this permit is issued.
[Z] I have and will maintain workers' compensation. as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. CYPRESS INSURANCE COMPANY Poliey No. ASWC605204 Expiration Date 9/112016
~ section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I cenify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' 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
addttion to the cost of compensation, damages as pro ed for in Section 3706 of lhe Labor code, lnleresl and attorney's fees.
JiS CONTRACTOR SIGNATURE
•
I heraby afflnn that I am exempt from Contractor's Ucense Law for /he lollov.ing raason: D 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 Contracto(s
License Law does not apply to an owner of property who builds or Improves thereon, and who does such work hlmseff or through his own employees, provided that Sl.Ch 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 bulden 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 Contracto(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. 0Yes []No
2. I (have I have not) si<Jned 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. 1 plan to provide portions of the work, but I have hired the following person to cooldinate, supervise and provide the major work (include name I address I 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 I phone I type of work):
,/iS PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materlals registration form or risk management and p<evention p<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 permit from the air pollution control district or air quality management district? □ Yes □ No
Is the focllity to be constructed within 1,000 feet of the outer bound.ry of a school site? D Yes D 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 have read the application and state that the above Information Is conectand that the infonnatioo on the plans is aca,rate. I agree to comply with all City ordinances and State laws relating to bllilding oonstrudion.
I hereby autholize representative of the City of Car1sb00 kl enter upon the above mentbned property b' inspectbn 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: AA OSHA permtt is required for excavations 01/fl( 5'0' deep and demolition Ci construction of structures 01/fl( 3 stories i1 height.
EXPIRATION: Every permtt issued by the Buikling Offcial under~bns of this Code shan expire by ~ttation and becane nul and \00 w the buikling Ci WOO( autt-orized by such permit is not oom:neoced withi'l
180 days from the dale of such permit Ci KIile buikling Ci wor1( au • permtt is suspended or abandoned at any line after the wor1( isoornmenced b' a perod of 180 days (Section 106.4.4 Unronn Buikli'lg Code).
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153655 Type: PME
Date Inspection Item
12/31/2015 43 AirCond/F urn ace Set
12/31/2015 49 Final Mechanical
Thursday, December 31, 2015
PAXTON RES-REPLACE 2 A/C UNITS
Inspector Act Comments
MC AP
MC Fl
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