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Home My WebLink About1676 Fisherman Dr; ; CBR2017-0974; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/08/2017 Residential Permit Permit No: CBR2017-0974 www.carlsbadca.gov Job Address:1676 Fisherman Dr Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2150810300 Lot #:Applied:05/08/2017 Valuation:$0.00 Reference #:Issued:05/08/2017 Occupancy Group:Construction Type:Finaled: #Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:MILLER: WATER HEATER REPLACEMENT, SAME LOC Owner:Contractor: COOWNER MILLER EUGENE J AND CALIFORNIA DELTA MECHANICAL INC. MEZA-MILLER LUZ 1676 Fisherman Dr 6056 E Baseline Rd, 155 CARLSBAD, CA 92011 Mesa, AZ 85206-4803 760-845-4446 480-898-0007 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction."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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. ...........4 MAY/08/2'017/M0N 12:01 PM FAX No,P.002 THE FOLLOWING APPROVALS REQUREI3 PRIOR TO PERMIT ISSUANCE:CLI PLANNING [J ENGINEERING .1-:1 BUILDING D FIRE 0 HEALTH 0 HAZMATIAPCD I Pimb''‘.Building Permit Application Plan Check No.c_15)qa-c5/7-—(-)9 324 k.._City of 1635 Faraday Ave., Carlsbad. CA 92008 Est. Value Ph; 760-602-2719 Fax: 760-602-8558Carlsbademail: buildingQcarlsbadca.gov Plan Ck. Deposit www.catiSbadca.gov Date A-1g /i 3- ISWPPP JOB ADDRESS SURSe/SPACE#/lINIT# tAPN 1676 Fisherman Dr 215 -081 -03 -00 CT/PROJECT #LOT C I PHASE a I C OF UNI IS # StURUOMS C eATHROonie TENANT BUSINESS NAG CONSTR. 'TYPE CCC. GROUP DESCRIPTION OP WORK:Maude Sauare Feet of Affected Aree(a . IInstall Gas Tank Water Heater -Change Out -Same Location 'EXISTING USE 'PROPOSED USE GARAGE (SE)PATIOS (SF)DECKS (SF)FIREPLACE 'AIR CONDITIONING FIRE SPRINKLERS YESOs NOrl YES EINO0 ?ESL]NOD..........I APPLICANT NAME PROPERTY OWNER NAMEStephen Fiore Gene MillerPaean. cOnteOt ADDRESS ADDRESS 6056 E Baseline Road Suite 155 1676 Fisherman Dr 'CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Carlsbad CA 92011 PHONE FAX PHONE FAX (866) 692-5273 (866) 692.5275 (760) 845-4446 EMAIL EMAIL capermits@deltamechanical.com .... DEMON PROFESSIONAL CONTRACTOR BUS. NANIE California Delta Mechanical ADDRESS _ ADDRESS 6056 E Baseline Road Suite 155 CITY STATE ZIP CiTY STATE ZIP Mesa AZ 85206 PHONE FAX PHONE FAX (866) 692-5273 (866) 692-5275 EMAIL -EMAIL capermits@deltamechanicalcom STATE LIC. C STATE LIG.0 CLASS CITY BUS. LICA* ___.._811114 C36 1214281_. (sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to conStrUCt, atter, improve, demolish or repalr any structure, prior to its issuance, also requires theappiiatnt for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Licensewwichapter 9, commend ng_wrth Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, end the oasis /Of the alleged exemption. Any oblation of section 7031.5 by any applicant far a permit subjects the applicant to acivil penalty of not more then five hundred dollars (55001). 1-'ll:-.::-.;-:":'•"'......-----.-.i...1:-----im.5--1 '...--.::,..'...,..'..lii:ililrl•-:-'..-i'-'.'rr','....--_l!•....i':ii.'..:l.i..-"i's....:7:i:.....' '.'.*:. :',..''.l'i.- - :-,.!..':.--"'...."./..:::':-:.,..':.'.1- "."..2s.:::'W.:.C! f..Kgl.,.Rli'...1.-'-g.--117°MrA.f1CX.Ae$:rtq!!t,."__,±L.....:- ...... -.:..._::-_.:-. - _•.__........:.:....-........::-. -;-::....:...-....i..::..h::.-.::::.::::::--..::..:.s:::--:..-„.;:i:::::......„....-r.:....,:-.--„:_...„--......---.:::.::.-:?,......., Workers" ComPensatton Declared's:in: I herebynemunder penafty ofperjory OM Offre fOlklafagdedereOrn: ElI have and will maintain a certificate ofconsent to Salftinsure for workers' compensation as provided by Section 3700of the Labor Code, for the performance of the work fur which (his permit is issued. 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 permitIsissued. N'y workers' compensation insurance carrier and policy number are: Insurance Co.QBE Insurance Corp Poky No.OWC3000839 Expiration Date 10101/2017 his section need not be completed if the permit is for one hundred dollars ($100) or less.Li Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,1 shell riot 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 ahali subject an employerho criminal penalties and civil fines up to one hundred thousand dollars (5100,000), In addition to theCOstofcompensation. damage: as provided for in Section 3706 of the Labor code, Interest and attorney's fees. XS CONTRACTORSIGNATURE.... .i '0 4,-,... orAGENTDATE A ,,-...... rsiP-*#*i;-:•:;*4* C*:1**-.10.*-Ir"t?i1".:.*q- -fif.:-..:'.--:-:::?•..'i'.---.3--.=--.,------,...-.::.,... I hereby affirm The 1ant extinctfrom Contractor's License Law for the following reason:ri I,as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sac. 7044.BUSlneSS end Professions Code: The Contactor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself of through his own employees, provided that such Improvements are not intended or offered for sale.it however, the bulking or improvement is acid within one year of completion,he owner-buider wil have the burden of proving that he did not bold or improve for the purpose of sale). •n I,as owner of the property, am exclusively confronting with licensed contractors to construct the Aro)ect (Sec.70.44, 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 contractors) licensed pursuant to the Contractor's License Law).0 I arn exempt under Section Business and Professions Code far this mason: 1.I personally platto provide the major labor and materiels for construction of the proposed property Improvement ElYes 0No 2.I (have/have not) signed an application fora building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (Include name addressIphone/contractors' license number): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name Iaddress / phone / contractors' license number): 5.I will provide some of the work, but 1 have contracted (hired) the folithYing persons to provide the work indicated (include name / address/phone /type of work): JES.PROPER7 OWNER SIGNATURE 0A0ENT DATE ••••••• MAY/08/017/M0N 12:02 PM FAX No.P.003 L07.L. Is the applicant or future building occupant required to submit a business plan. acutely hazardous materiels registration form orrisk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?0Yea i(M-Ne Is the applicant or Mute building occupant required Io obtaii a permit from the air pollution control disbtlor air quality management district?0 Yes Ablp Is the=Sty re be COhatucted within 1,000 feet of the outer boundary of a echogf site?0 Yes )1..big IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS NET ORISMEETING THE REQUIREMENTS OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. "4.".':-i -4 I hereby affirm that there Is a 00eStrUctIon lending agency for the performance of the work this permit Is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify thatl have read the applcation and statethattheabova information la com3ct and Elamite Informatton on the plans is accurate. I agmeto comply with all Chy ordinances andSte*laws relating in huilcUng construction. I hereby authorize reprasentatide of the City of Carlsbad toenkrupon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, NOEMNFY AND KEE. HARMLESS THE CITY OF CARLSI3AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND D(PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CRYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required far excavalIOna Over FO' deep and dernollion or construction of structures over 3 stories in height. DCPIRATION: Every permit Issued by the Bulking (Adelunder the proviaiQn5 ofthis Code shell expire by linItalion and become MI and void ti the buickig or work authorized by such permit Is not commencedmein 180 daystom thedatedsuch permit orif 'het:lading Ixwork authorized by such permit is suspended or abandoned at any time attar the work is ocrnmeriasdfora period of180 days (Section 106.4.4 Uniform Building Code). AKAPPEJCANTSSIGNATURE ...91t.DATE ...5/H / • IMINNI110111.1101 11•01.1MMINiimmiomi PERMIT. NSFECTION HISTORY REPORT (MR2017-0974) • Permit Type:BLDG-Residential Application Date:05/08/2017 Owner:COOWNER MILLER EUGENE J AND MEZA-MILLER LUZ Work Class:P/M/E Issue Date:05/08/2017 Subdivision:CARLSBAD TCT#00-22 Status:Closed -Finaled Expiration Date:12/05/2017 Address:1676 Fisherman Dr Carlsbad, CA 92011-2647 1VR Number:3581 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/08/2017 06/08/2017 BLDG-25 Water 025610-2017 Passed Paul York Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 025609-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes June 08, 2017 Page 1 of 1