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Home My WebLink About2611 VIA MASADA; ; CB161115; Permit, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-22-2016 Permit No: CB161115 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 261 1 VIA MASADA CBAD PME Status: Parcel No: 1674132100 Lot#: 0 Applied: ISSUED 03/22/2016 RMA 03/22/2016 03/22/2016 Reference #: PC#: Project Title: Applicant: FOFLESONG RES-REPLACE WATER HEATER CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: FOGLESONG JOHN M&NANCEE C 2611 VIA MASADA CARLSBAD CA 92010 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: ~ FINAL Date: Clearance: ------ $0.00 NOTlCE: Aease ta<e NOTlCE that cWuval ct yo..r ~ect irduoas tre "ln,x:sition" fees, dedcciicns, resavatio,s, ex ether exa:iicns hereetter cdlectively reoooo to as "fees'exadicxls." You t-ave OOdays frcmtredatetlis pemit w:is iSSU3d to prctest in,x:sition ctthesefees'exadicxls. If~ prctest them~ rrust fdlo.vtre prctest p-oced.res set fath in G::Nerrrra-t Cooe Section OO'.l2'.l(a), en:! file tre prctest en:! an; ether req..ired irtc.maion wth tre Qty~ fcx p-ocsssirg in acxndcr ce wth Cmsba'.l MriciP=' Cooe Section 3.32. cm. Failll"8 to tirrely fd lo.v th:i P'l)CErl.re wll ta-an; Sl.b;a:µrt legal cdion to atta::k. 1'81/iew, set aside, l.tid, ex cl'TU trar in,x:sition. You ere hEnli>f R.Rll-ER NOTlRED that yo..r rigt to prctest Ire speofied fees'e>a:tions IXES NOT .IIPFl. Y to \o\E:ter cn:l ':!BNf!r CD11ection fees en:!~ cra,ges, ncx ~aTirg, mrg, gcdrg ex ether sirrila-appicciion p-ocsssirg ex savire fees in CD11ection wth tlis ~ed. I'm IXES IT .IIPFl. Y to an; f v.h • ·m1 ti v.h ct lirri i • • • DJE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE O PLANNING 0 ENGINEERING O BulLDING □FIRE QHAZMATiAPCD ( City of Carlsbad Building Permit Application 1635 Faraday Ave .. Carlsbad. CA 92008 Ph· 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value _/ JI IS- SWPPP JOB ADDRESS 2611 Via Masada j SUITE#/SPACEf/UNIT# <'.1:f-POJE°tl< --r JI• -··-,•~AS:., j'OfUM"i•; l"eEOR:\,\S_J•~-\TH:{J\1S DESCRIPTION OF WORK: Include Square Feet of Affected Area{sJ I TENANT 8USTNESS NAME replace water heater like for like same location EXISTING USE rROP0SED USE I GARAGE 1Sf) PATIOS (SF) I DECKS \Sf1 l FIREPlACE YES0, [ AIR CONDITIOI\ING I FIRE SPRINKLERS No[] YES0No □ YES0 N00 APPLICANT NAME , Prh}nr" Contact AJ0HESS CllY Mesa John Santos 6056 E Baseline Rd #155 STATE --2-IP Az 85206 866-692-5273 866-692-5275 PROPERTY OWNER NAME ADDRESS CITY PHONE Carlsbad 760-434-0497 Nancee Foglesong 2611 Via Masada ZIP Ca FAX EMAIL --EM,\IL- Capermits@,deltamechanical.com DESIGN PROFESSIONAL ADDRESS CITY S'IATC PHONE F,\X CONTRACTOR BUS. NAME ,\DDRESS CITY -PHONC Ca Delta Mechanical -· --· 6056 E Baseline Rd #155 STATf ZIP Az 92010 85206 Mesa 866-692-5273 866-692-5275 EMAIL Capermits@,deltamechanical.com -81 114 rCLASSC36 [cirvauS:Tic1214281 (Sec. 7031.5 Business and ProfeSS1ons Code: Any City or County which re<1uires a permit to construct, alter, improve. demolish or repair any structure. prior to its issuance. also requires the a,>Phcant for sucn permit to file a signed statement that ne s hcensea pursuant to the provisions of v,e Contractor's L!cense Law {Chapter 9. commencing with Section 7000 ot 01\11S10') 3 ot tne Business and Professions Codej or tl1at ht is exempt therefrom. and the basis for the alleged e,emptt<>n. Any v,olat,on of Sect,on 1031.5 by a•1y applicant tor a permit sub1ects t"e apohcant to a cIvII penalty or not more man five hunared dollars {S500)/. Workers' Compensalion Declaration· / h•rooy a/firm unde• penal!'/ of peryt,ry one cf the !cl/o~,ng declara/ror,s: 0 I have and will maintain• certificate of consent to s•~•insure ior \\1lf~e~ compensal,on as oro;!de<! by SocI,on 3700 of tne Labor Code. for the pcrfonrance of :he work for which in,s pe1mII s ,ssu~d 0 I have and will maintain workers' compensation. as roou,red bv SecllOr 3700 of the Labor Code, for lhe cerlormance of ,he work f0< wh ch ttus oermil is issued. My worke~ ccmpensat•on ,esurance earner and pol;cy nuinoerare. lnwranceCo Tw,nC.tyFh,P,o:ect Pol,cyNo 3.\WEQIOilO ___ ExpratJonOate 4121116 ~section need not ba completed ,r the oerm,t ,s fo, one hundrad dollars 1$100) or less LJ Certificate of Exemption: I certify that ,n the perfoM1ance of the work fOI' wnich this perrmt 1s issued, I sr.an not emptoy an)' person in any manner so as to become s1..bJeCt to the Workers' Cornpensat,on Laws of California. WARNING: Failure to socure workers' mpensation coverage is unlawful. and shall subject an employer to criminal p&nalties and civil fines up to one hundred thousand dollars (&100,000), In addition lo the cost of compensation, dama J!S CONTRACTOR SIGNATURE ovidad for in Section 3706 of the Labor code, Interest and attorney's fees. I hereby affirm that I am exempt lrom Ccntroctor's wcense Law 10f the follow:ng reason. D I. as owner ct the prope,1y or my employees with wages as lhen sole compensalion. w:I do the work and \he slrncture s not ,nlended or offered for sale (Se<:. 7044 Bus.ness and Professions Code. The Conuaclo· s License Law does no! apply to dn ownar or proper1y -NhO oc11ds 0/ ,moroves \he'eo<1, and wno does such ,-ork himself or tr.r<x,;h his own employees, proy,ced Iha! S<ICh improverrenls are noI ,nle'lded or offered to, sale If however the buldmg or ,mprn•ement Is sold ,,.,Ihm one yea, cf CO<l'plenon ire o-•ne<-buider will !lave the buroeo of provng lhal he did not bu1lc or 1,npro\le 101 IM P<JrJ)OSe of sale) □ □ I as owner of IM property. am eJ<clus,velt contrachng ·••th l:censeo contractors to coostr,cl the proje<:1 ISec. 7044 Bus,ness a•d Profess,ons Cade: The ConvacIor s l.JCense law does nol apply lo an owner of property who builds or improves !hereon. and conlracls for sucn projects wi:h contrac:or{s) I-censed pursuanl 10 the Cornractor's Liceose Law) I aM e•empl u~, Secll()(l _Blls.,.ss and Profess10ns Cooe 'or th,s ,eason I I personany plan 10 pro'llde the maJOl labor and Ma:enals •or construc110n of lr.e p1oposoo propert1 ,r,pro·,emem 0 Yes Dio 2. I (have I ha,e nol) signed ao apohcalion re, a buiklmg pern~I fo, 11,e proposed work 3. I have con~acled with lhe fol0W1ng person l~""J 10 provde the oroposed construcuon (include name address I phOne I contractors I cense number) 4 I plan to provide porJOns of lhe "Ork but I na,e n,red Jhe fcllow,ng person 10 coordinate super;,se an;: prov,de t,,., maIor wor1< (include name aodress. phone I conIracws· license eu-nber)' S I will p,o,·!de some of tile "'°'"· but I have contracled ;hiredi Jhe follow,ng persons lo provide the wor< ind,cated (include name i addreS$ 1 phone ' type of wvrk) J!S PROPERTY OWNER SIGNATURE DATE 1, lh& applicant o, future building occupant required lo submit a business plan, acutely hazilldous materials registration fonn or risk management and preven!oo program under Sections 25505. 25533 o, 25534 of the Presley-Tarner Hazardous Substance Account Act? 0 Y~ 0 No Is the apolicant o, hllure bcildmg occupanl required to ob!ain a permrl f'on !he air ;,ol'ution co<1trol cistrict or a, quaMy -nanagement district? 7 Yes :J No Is Ille facility 10 be ccoslNCte~ wrth,r 1,000 feet of the OJter boondat)' of a school s,te' ::J Yes ::J 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I CErtify that I haYe read the appr,cation and state that the abo'<e infoomation Is correct and that tile infoomation on tire plans is accurate. I agree to comply with all City ordinances and State law.; r1'1atlng to building construction. I he!eby aut/lor1Ze representalNe ol lhe Oty ol Caosoad to enter upon 1he above mer boned property for 11speci)on puq;,oses. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP I-ARMLESS THE CITY OF CARLSBAD AGAINST All LIABLfTIES. JUOOMEr-/TS, COSTS N-10 EXPENSES WHICH MAY t< ANY WAY ACCRUE AGAINST SAO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA AA OSHA permit is required fO" excavallOnS over s·o· deep and demoitioo or construciion of structures over 3 stofies in height EXPIRA TON: Every permit issued by !he Buiklir,g Official r !he provis1011S of !his Code shall expire by ilmilallOO and booJme nu! and voo d !he buildr,g or wOl1I auttiorized ~y such pem1ll IS not commenced wi'hrl 180days from lhe cateol such pen,~ Of dlhe buldiog authorized by sud1 perr,1 ssusoeroed or abOOdooed at any line after lhe won< is CO!"Y11ef1Ced for a perioo of 180days (Section 106.4.4 lJo.foon Burldr,g Code) ,15 APPLICANT'S SIGNATURE DATE :> Z/ r, Inspection List Permit#: CB161115 Type: PME Date Inspection Item 04/04/2016 25 Water HeaterNents 04/04/2016 25 Water HeaterNents 04/04/2016 29 Final Plumbing 04/04/2016 29 Final Plumbing Monday, April 04, 2016 Inspector Act AEK AEK RI AP RI Fl FOFLESONG RES-REPLACE WATER HEATER Comments Page 1 of 1