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HomeMy WebLinkAbout2204 Camino Robledo; ; CBR2018-3317; Permit(city of Carlsbad Residential Permit Print Date: 12/27/2018 Permit No: CBR2018-3317 Job Address: Perm it Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2204 Camino Robledo BLDG-Residential 2552613700 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/30/2018 11/30/2018 AKrog Plan Check#: Final Inspection: 12/27/2018 10:03:56AM Project Title: Description: KOVATCH: HOT WATER REPLACEMENT Owner: Contractor: TRUST KOVATCH-NILSEN LIVING TRUST 06-24-09 CALIFORNIA DELTA MECHANICAL INC WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 6056 E Baseline Rd, 155 Mesa, AZ 85206-4803 480-898-0007 Balance Due: 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING D ENGINEERING OBUILOING □FIRE □HEALTH OHAZMATIAPCD {'city of Building Permit Application Plan Check No. cfJl:'...Jiltl ✓3D /1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 171]1? ,~ Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date I JOB ADDRESS 2204 Camino Robledo Carlsbad, CA, 92009 SUl1'£1/SPA\.Ef/UNITI 1-.. --- 11,;T/PRuJ,...,, # IWT# IP,-,E# I# Of UNITS I# HfDR\JVl\>'lv # BATHROO=i I TENANT BUSI""" """'I:: I C~TR. TYPE I OCC. urwuP DESCRIPTION OF WORK: Include Square Feet of Aff'ected Area(s) Replacing 50 gal gas water heater like for like 40k BTU's £)OSTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE . IAIR CONDIT10N!NG I FIRE SPRINKLERS YES0,, N<O YES □No□ YES□NO□ APPLICANT NAME Albie Guadiana PROPERTY OWNER NAME Mike Kovatch .. . -· " ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 2204 Camino Robledo CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Carlsbad CA 92009 PHONE IFAX PHONE l'AX 866-692-5273 866-692-5275 828-774-7067 EMAIL EMAIL capermits@ldeltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 CITY STATE ZIP CllY STATE ZIP Mesa AZ. 85206 PHONE PHONE I 'AX 480-898-0007 l'AX 480-898-0005 EMA.IL EMAIL capermits@ldeltamechanical.com I STATE LIC. # STATE UC.# I CLASS I c,rv BUS uc.1214281 811114 C36 !Sec. 7031.5 Business and Professrons Code. Any City or County which requires a permit tocortStruct, alter, improve, dem0l1sh or repair any structure, pnor to its issuance, aJso requires the applicant for such permit to file a signed statement tfiat he is l~ensed 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 exemP.t therefrom, and the basls for the alleged exemption. Any vlolatlon of Section 1031.5 by any applicant for a permit subJects the appllcantto a civil penalty of not more than five hundred doltar'S ($5001), WORKERS COMPENSATION wortters' Compensation Declaration: I hereby affitm IJJldet penalty of pe,jlJI}' ona of the following declararions: D I have and wlll maintain a certificate of consent to 1elf-lnsure lor\YOmrs' compensalion as provided by Section 3700 of the Lal)o(Code, for lhe performance of the v.ork for which !his permit is Issued. [ZJ I have and wUI maintain wol1(ers' compensation, as reQuired bV Section 3700 of the Labor Code, lor the performaoce of the wonc lor which lhis permit is !sslJed, My workers' compensation insurance carrie< and policy number are: Insurance Co. _____ ,_ Ameritln Home Auuranct Policy No, WC 047019027 CA Expiration Date 7-1-19 J,IJJJ.seclbn need not be completed it the permit is for one hl.lndred dollars ($100) or hlSs. LJ Certificate of Exemption: I cernfy that in Ille performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject kl the Wor11ers· Compensalion 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 hundrtd lh01.1sand dollars (&100,000), In addition to the cost of compenaalion, damagff p for in~ of the Labor code, interest and attorney's fees. JI! CONTRACTOR SIGNATURE / hereby affirm that t am exempt trom convactor's License Law for the fo/lowifriJ reason: □ □ □ l, as owner of the property or my employees ~lh wages as !heir sole compensation, will do lhe work and the structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseH or through his own employees, provided that such improvements 81'8 not intended or offered for sale. lf, however, the bulld!ng or improvement is sok:I within one yearol completion, the owner-builder wm have lhe burden of proving that he dd not bulkl or improve for lhe purpose of sale), 1, as owner of the property, an exclusively contracting with lieensed contractors to construct !he project (Sec. 7044, Business and Professions Code: The Conlractol's License laW does not apply to an owner of property who builds or improves ltlereon, and contracts for such projects with oontrac!Of(s) licensed pursuant to the Contractor's License Law). lam exempt under Section ____ ,Busiless and Professions Code for this reason: 1. l personaly plank) provide !he major labor and materlalS for construction of the proposed property improvement. Oves []No 2. I (have I have not) signed an application for a building permit for the proposed WOtk 3, I have contracted with !he following person (firm) to provide the pro!X)Sed construction {include name address I phone/ contractors' lieense number): 4-I plan to provide portions of the WOtk. but I have hired the followlng person 10 cooldillate, supervise and provide the majar 'Mlrk (include name/ address I phOne / contractors' license number): 5. I will provide some of the~. but 1 have contracted (hired) the following persons to prov~e the work indicated (include name I addfflSS I phane I type of work): llf PROPERTY OWNER SGNATURE □AGENT DATE ------___ ,_ _____ ......... . I COMPLETE' THIS SECTION FOR NON-IIESIDENTIAl BUILDING PERMITS ONLY 1s the applicant or future building OCCtJpantrequired to submit a busioess plan, acutely hazardous matet1.,.s registration form or risk managemenl and Pf8Y8ntiol'I program undef Sections 25505, 25533 Of 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building ocwpant required to obtain a permit from the air pollution control district or air quality mallagement district? □ Yes □ No Is the facitity to be constructed within 1,000 feel of Iha 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 IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DmRICT. i 1 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code). Lenders Ad<lress 1 certttylhatl have read the application and state that the above inbrmation is co1'19Ctand that the Information on the plans is accurate. f agree to compfyYifltl all City OJdinances and Slate laws relating to bulldngconstructtoo. I hereby aolhori2E represen~lil< of the Ci~ of Garlsbad lo enler upon the aw.o mentioned property Ill nspecoon ptlljl(lse$. I ALSO AGREE TO SAVE, INDEMNIFY ,IND KEEP f\>\RMI.ESS TIE CITY OF CPRLSBAD AGAINST ALL Ll~LITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ,>NY WAY ACCRLEAGAINST &\Kl CITY~ CONSEOOENCE OF THE GRANTh'JG OF THIS PERMIT. OSHk AA OSHA pennl o req,;n,d i,r~s<Yl<!l5'0' deep and-orronslruelion olsll\Jctures cwer 3 silries il heght EXPIRATION: E,ery pennl issued by the Eluting Olfl;ial under lhe p,wsb1is of~• Code sllal expie by ~-and beooml nul and \Oil I lhe buiklng or ""1< authorized by such pennl • not O'.llTlmenced \\i~in 180 days from lhe dale of sldl pennl or ii lhe blildi)g or mrk au~ • sus~ or abandooed al any lire after the ""1< is """""'10ld Ill a perm of 180 days (sedm 106.4.4 Urnlllm Buiklng Code). ,es' APPLK:ANT'S&1GNATURE ~ -OAlTe / / -l ~ _,g PERMIT INSPECTION HISTORY REPORT (CBR2018-3317) Permit Type: BLDG-Residential Application Date: 11/30/2018 Owner: TRUST KOVATCH-NILSEN LIVING TRUST 06-24-09 Work Class: P/M/E Issue Date: 11/30/2018 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Status: Closed -Finaled Expiration Date: 06/25/2019 Address: 2204 Camino Robledo Carlsbad, CA 92009-9320 IVR Number: 15744 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Relnspection Complete 12/0712018 12107/2018 BLOG-25 Water 078167-2018 Falled Andy Krogh Reinspection Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency Relocate sediment trap, add insulation to No hot water line BLOG-Final 078166-2018 Failed Andy Krogh Relnspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final No 12/2712018 12127/2018 BLOG-25 Water 079898-2018 Passed Andy Krogh Complete HeaterNents BLDG-Final 079897-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes December 27, 2018 Page 1 of 1 • ' INVOICE (00038422) BILLING CONTACT TRUST KOVATCH-NILSEN LIVING TRUST 06-24-09 2204 Camino Robledo INVOICE NUMBER INVOICE DATE 00038422 11/30/2018 REFERENCE NUMBER FEE NAME INVOICE DUE DATE 11/30/2018 CBR2018-3317 WATER HEATER PERMIT 2204 Camino Robledo Carlsbad, CA 92009-9320 City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008-7314 INVOICE STATUS Due Ccityof Carlsbad INVOICE DESCRIPTION NONE TOTAL $98.00 SUB TOTAL $98.00 TOTAL LI ______ s_9_e.o_o~I 11111111111111111 IIIII 11111111111111111111 111111111111111 IIII IIII Faraday Center 1 Faraday Cashiering Date Time: 11/30/2018 11 :20:AM CARD N8R: **** **** **** 9883 TRANS TYPE: PURCHASE AMOUNT: $98,00 AUTH#: 864853 PAYFILE/CUST: 1833401-1/32 SIGN: _________ _ **************CUSTOMER COPY************* November 30, 2018 10:01 am Citj of Carlsbad Faraday Center Faraday Cashiering 001 1833401-1 11/30/2018 229 Fri, Nov 30, 2018 11:20 AM Receipt Ref Nbr: R1833401-1/0032 ENERGOV -ENERGOV Tran Ref Nbr: 183340101 0032 0034 Trans/Rcpt#: 00038422 SET#: 00038422 Amount: Item Subtotal : Item Total: ITEM(S) TOTAL: Credit Card (Auth# 864853) Total Received: Have a nice day! 1 @ $98,00 $98.00 $98.00 $98,00 $98,00 $98,00 **************CGoTcMc, ::1;y************* Page 1 of 1