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Home My WebLink About1730 CAMASSIA LN; ; CB140877; Permit04-18-2014 City of Carlsbad 1635 Faraday Av Carlsbaci, CA 92008 Piumbing/Mechanical/Electrical (PME) Permit Permit No: CB140877 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1730 CAMASSIA LN CBAD PME 2158810602 Lot#; REYNOLDS RES-REPLACE WTR HTR Status: ISSUED Applied: 04/18/2014 Entered By: LSM Plan Approved: 04/18/2014 Issued: 04/18/2014 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Owner: REYNOLDS GARY H&GALLICE SALLY K 1730 CAMASSIA LN CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $33.00 $0.00 $0.00 $62.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^'^V^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacli, 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING nENGINEERlNG • BUILDING • FIRE • HEALTH • HAZMAT/APCD 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. Qj^lc^Q^II Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS 1730 CAMASSIA LN SUITE*/SPACE*/UNIT* CT/PROJECT # LOT* PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP C36 DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areata) Replace 50 gallon gas water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfl* N0| I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YEsQ NOj I APPLICANTNAME (Primary Contact) John Santos APPLICANTNAME (Secondary Contact; ADDRESS 6056 E Baseline Rd #155 ADDRESS CITY Mesa STATE Az 85206 CITY STATE ZIP PHONE 866-692-5273 FAX PHONE 866-692-5275 EMAIL johns@deltamechanical.com EMAIL PROPERTY OWNER NAME GARY REYNOLDS CONTRACTOR BUS. NAME Ca Delta Mechanical ADDRESS 1730 CAMASSIA LN ADDRESS 6056 E Baseline Rd #155 CITY Carlsbad STATE Ca ZIP CITY 92011 Mesa STATE Az 85206 PHONE 760-518-6622 FAX PHONE 866-692-5273 FAX 866-692-5275 EMAIL Capermits@deltamechanical.com ARCH/DESIGNER NAME & ADDRESS 811114 C36 CITY BUS. LIC.# 1214281 (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 (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031,5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATiON Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: HI have and will maintain a certiflcate of consent to self-insure for worlsers' compensation as provided by Section 3700 of the Labor Code, for Ihe performance of the wori< for which this permit is issued. I have and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy numberare: Insurance Co Twin City Fire Protection PolicyNo. 59WECEX6940 Expiration Date "5/^3/14 This section need not be completed if the permit is for one hundred dollars ($100) or less, I I Certiflcate of Exemption: I certify that in the periu^ice 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 Califomia. WARNING: Failure to swi(S^lpi^yfainjUnsi\ior\ coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatian, damae|^^rM||eiUer-ln Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE ^— QAGENT DATE *///</// ftl O W NE R-B Uri L D R DECLARATION / hereby affimi that I am exempt from Contractor's License Law for the following reason: I I 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 sold 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 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 Conlractor's License Law). I am exempt under Section _ „Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, |^Yes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following pgjsernBraordinate, supervise and provide the major wort< (include name / address / phone / contractors' license number): 5,1 will provide some of the woi*>liut I ha^MQjtracted jtl(pd]Bjel5liowing persons to provide the work indicated (include name / address / phone / type of work): 0AGENT DATE v/w//*/ COMPLETE THIS SECTION FOR N O N - R E S i D E N T I A L BUILOING PERMITS ONLY Is the applicant or future building occupant requiied to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acl? • Yes • No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constnjcted 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, CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agency for the performance of the work this pemiit is issued {Sec. 3097 (i) Civil Code), Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applk^atran and state ttiatttieabove Infomiation Is conect and that the infomi City ordinances and State laws relating to building constmction. I hereby authorize representattve of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIR' 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: An OSHA pemiit is required for excavations over 5'0' deo) and deirxjlition or constructbn ot stmctures over 3 stories in heighl EXPIRATION: Every permit issued by the Buikiing Oflicialufidp-lie provisions ofthis Code shall expire by limitatbn and become null and void If the buikjing or vwrt< authorized by such permit is not commenced within 180 days from the date of such pemiit or If the jiiiKlingy^i| a/horized by such permit is suspended or abandoned at any time after the w(ori< iscommencedfora period of J 80 days (Sectbn 106.4,4 Unlfortn Building Code). APPLICANT'S SIGNATURE DATE dofJ80davs(Se Inspection List Permit*: CB140877 Type: PIVIE REYNOLDS RES-REPLACE WTR HTR Date 05/01/2014 05/01/2014 05/01/2014 05/01/2014 04/29/2014 04/29/2014 04/29/2014 04/29/2014 04/29/2014 Inspection jtem 25 Water Heater/Vents 25 Water Heater/Vents 29 Final Plumbing 29 Final Plumbing 25 Water HeaterA/ents 25 Water Heater/Vents 25 Water HeaterA/ents 29 Final Plumbing 29 Final Plumbing Inspector PB PB PB Act Rl AP Rl AP Rl Rl CA Rl Rl Comments 9AIVI PLEASE 9 AM PLS NOON - 2PM PLS GC 4273 NOON - 2PM PLS GC 4273 Monday, May 05, 2014 Page 1 of 1