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Home My WebLink About1309 VERBENA CT; ; CB140782; Permit04-08-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140782 Building Inspection Request Line (760) 602-2725 1309 VERBENA CT CBAD PME 2145701600 Lot#: 0 LANGHAM RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/08/2014 LSM 04/08/2014 04/08/2014 Applicant: CALIFORNIA DEL TA MECHANICAL STE 155 LANGHAM NORMA J REVOCABLE 2007 TRUST 03-08-07 6056 E BASELINE RD MESA AZ 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1309 VERBENA CT CARLSBAD CA 92011 $33.00 $0.00 $0.00 $62.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APl?RO AL Date: 5 1 Z--z-1':( Clearance: $0.00 NOTICE: Please take at approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' ou 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 I x i n f w i h h v r vi I n iv n N Tl E i ii r hi whi h h f limi i n r i I h i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD . . Plan Check No. CB I 407 <??-~ Building Permit Application <_(( 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date 4 I '8"11 ~ lswPPP JOB ADDRESS SUITEI/SPACEI/UNIU IAPN 1309 Verbena Ct --- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CON~;;PE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace 40 gallon gas water heater EXISTING USE I PROPOSED USE r ARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING IFIRE SPRINKLERS m o N<Q m □No□ YES□No□ APPLICANT NAME (Primary Contact) John Santos APPLICANT NAME /Secondary Contact) ADDRESS ADDRESS 6056 E Baseline Rd #155 CITY STATE ZIP CITY STATE ZIP Mesa Az 85206 PHONE I FAX PHONE I FAX 866-692-5273 866-692-5275 EMAIL EMAIL johns@deltamechanical.com PROPERTY OWNER NAME NORMA LANGHAM CONTRACTOR BUS. NAME Ca Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd #155 1309 Verbena Ct CITY STATE ZIP CITY $TATE ZIP Carlsbad Ca 92011 Mesa Az 85206 PHONE I FAX PHONE YAX 760-602-7860 866-692-5273 866-692-5275 EMAIL EMAIL Capermits@deltamechanical.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# ' CLASS I CITY BUS. Ll~#214281 811114 C36 (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 ,s licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of D1v1sion 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 affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work 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 earlier and policy number are: Insurance Co Twin City Fire Protection Policy No. 59WECEX6940 Expiration Date 05123/14 ~ section need not be completed if the permit is for one hund, dollars ($100) or less. LJ Certificate of Exemption: I certify th in the ptJ,i;l!!f!l)ilfl(:jof he 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 ol Caltfomia. WARNING: Failure to cure w 'c p tlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in r In ection 3706 o the Labor code, interest and attorney's fees, I hereby a/fim1 that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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 himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is soid 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 ol 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 buiids 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 work. 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 ol the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the wing persons to provide the work indicated (include name I address I phone I type of work}: J!S PROPERTY OWNER SIGNATURE ~GENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonm or risk management and prevention program 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 feel 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. I certify thatl have read the application and state that the above infonmation is conect and that the infonmation on the plans is accurate. I agree to comply 'Mth all City ordinances and State ~ relating to building construction. I hereby autholize representative of the City of Carlsbad to enter u~ the above mentioned~ for nspectioo pulJX)SeS. 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 SA.ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA penmit is required for excavations over 5'0' deep molrtion or construction of structures over 3 stories in hei;Jht. EXPIRATION: Every penmrt issued by the Building Official u visions of this Code shall expi'e by imitation and become nul and void if lhe building or w:ir1< autholized by such penmit is not commenced v.ithin 180days from the date of sudl penmit or if the bui • by such penmrt is suspended or abandoned at anytime after the w:ir1< is commenced for a period of 180days (Section 100.4.4 Unifonm Buildrig Code). Ji!5 APPLICANT'S SIGNATURE DATE lnspeetion List Permit#: CB140782 Type: PME Date Inspection Item 05/08/2014 25 Water HeaterNents 05/08/2014 25 Water HeaterNents 05/08/2014 29 Final Plumbing 04/28/2014 25 Water HeaterNents 04/28/2014 25 Water HeaterNents 04/28/2014 29 Final Plumbing Friday, May 09, 2014 Inspector PY PY PD LANGHAM RES-REPLACE WTR HTR Act Comments RI CALL WITH ET A AP AP RI co No one home at 8:30 RI Page 1 of 1