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Home My WebLink About1833 HIGH RIDGE AVE; ; CB152073; Permit• .. 07-06-2015 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: CB 152073 Building Inspection Request Line (760) 602-2725 1833 HIGH RIDGE AV CBAD PME 2073841200 Lot#: 0 GAMBLE RES= REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/06/2015 LSM 07/06/2015 07/06/2015 Applicant: CALIFORNIA DELTA MECHANICAL STE 155 GAMBLE KARAN FAMILY REVOCABLE TRUST 07-02-02 6056 E BASELINE RD MESA AZ 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1833 HIGH RIDGE AVE CARLSBAD CA 92008 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL J\f PROVAL _ Date: ' ],.. 'J. ~ 1 5 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, 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. 1f 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD Ccityof Building Permit Application Plan Check No. CB t.S .Q O 7 3 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.cartsbadca.gov Date 1 /<,/tS lswPPP JOB ADDRESS SUITEf/SPACE#/UNIT# IAPN 1833 HIGH RIDGE AVE --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of A.trected Area(s) Replace 38 Gallon gas water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO "'° YES □No□ YES □No□ APPLICANT NAME Aaron Franz PROPERTY OWNER NAME KAREN GAMBLE Pffl1a ... Contact ADDRESS ADDRESS 6056 E Baseline Rd Mesa Az 85206 1833 HIGH RIDGE AVE Cl1Y STATE ZIP CITY STATE ZIP Mesa AZ 85206 Carlsbad CA 92008 PHONE I FAX PHONE I FAX 866-692-5273 Ext 208. 866-692-5275 760-518-7317 EMAIL EMAIL Capermits@deltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd #155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 PHONE IFAX PHONE I FAX 866-692-5273 866-692-5275 EMAIL EMAIL Capermits@deltamechanical.com I STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC1 21481 811114 C36 (Sec. 7031.5 Business and Professions Code. Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also reciuIres the applicant for such per_mIt 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 B_usiness and Professions Code] or that he rs exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for 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: 0 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 ttie work for which this permit is issued. (Z] I have and will maintain workers' compensation, as reQUired bv Section 3700 of the labor Code, for the performance of the wo!1o:; for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Twin City Fire Policy No 34WEQl0120 Expiration Date 4121/16 This seclk:ln need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify 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 addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. ,..:5 CONTRACTOR SIGNATURE (Z]AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractors License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their so~ 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 em~oyees, 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 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. 0Yes 0No 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 of the work, but I have hired the following person to coordinate, supervise and provide the major wo!1o:; (include name I address I phone I 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 I address I phone I type of work): ,..:5 PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Penni!#: CB152073 Type: PME GAMBLE RES= REPLACE WTR HTR Date Inspection Item Inspector Act Comments 07/23/2015 25 Water HeaterNents RI AM PLEASE 07/23/2015 29 Final Plumbing RI AM PLEASE 07/20/2015 25 Water HeaterNents RI 07/20/2015 25 Water HeaterNents PD AP 07/20/2015 29 Final Plumbing RI 07/20/2015 29 Final Plumbing PD AP Thursday, July 23, 2015 Page 1 of 1