HomeMy WebLinkAbout2259 CAMINO ROBLEDO; ; CB153222; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-29-2015 Permit No: CB 153222
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2259 CAMINO ROBLEDO CBAD
PME Status:
Parcel No: 2552726900 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: FUCHS: REPLACE WATER HEATER
Applicant:
CALIFORNIA DELTA 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:
FUCHS FAMILY TRUST 01-21-04
2259 CAMINO ROBLEDO
CARLSBAD CA 92009
ISSUED
09/29/2015
SLE
09/29/2015
09/29/2015
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: Clearance:
$0.00
NanCE Rease take NOll that of your project includes the "lrrpcsition'' of fees, dedicatiors, reservatioos, or other exactioos hereafter oollectively
referred to as "feeslexactioos" You have 9J days from the date this pernit was issued to protest irrpcsitioo of these fees/exactions. If you protest them, you rrust
fallON the protest procedures forth in Goverrvrent Oxle Sectioo 66020(a), and file the protest and any other rEquired infooratioo \Mth the Oty M3nager for
processrv;J in aa:ordance \Mth sbad M.Jnidpal Cede Sectioo 3.32.030. Failure to tirrely fdloothat prooedure \Mil bar any subsequent legal action to attack,
review, set aside, vdd, or annul their irrpcsition.
You are hereby FLJRTHER NOll RED that your right to protest the specified feeslexactioos DOES NOr APR.. Y to water and reNer connectioo fees and capacity
changes, ra plannirv;J, zonirv;J, gradirv;J or other sinilar applicatioo proc.essirv;J or service fees in connectioo \Mth this project. NOR OOES IT APPLY to any
feeslexactioos of V>hidl have viousl been< ·vena NOllCE sinilar to this or as to IIIAlidl the statute of linitatioos has eviousl other\Mse 'red.
SEP/29/2015/TUE 01:29PM FAX No. P. 002
THE FOLLOWIN~ Al'J>R.OVAL$ ~I'!QIJIRel> PRIOR TO PER:MIT ISSUANCE: 0PLANNING 0 ENGINEERING D~>UILDING OFIRI! DHEALTH D HAZMAT/APCD
Ccityof Building Permit Application Plan Cheek No.Qjb \ D ~ z.z.,:z:~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-60.2.-2'719 Fax: 760-602-8558 Plan Ck. Deposit email: b._.ilding@carlsbaclca.gov
www.c;u(&badca.gov Date C~ -.z:_,q -\S jsWPPP
JOEIAbOf!l$5 2259 CAMINC) ROBLEVO I""ITU/OPACEflf'JNinl ll51 -)1) -\94 -00
I ~ 1/~KUJ<I,;I " ,L\11 # rHl\5EII ,, ()F UNITS Iff BEOROOM~ I* BAltiROOMS I TENANT BUSINESS NAME I CONlOTR. riPE I occ. GROUP
DESCI'IIPTION OF WORK: Include S<tJmTe Feet of Alfem~ Arll!a($)
50 GALLON GAS WATER HEATER REPLACEMENT
EXISTING USE II'ROF'OSE!D USE I GARAGf (SF) PATIOS (SI') I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKlERS
m[}'. NoCJ YEsONoD vssONoO
API'LICAN'1 NAME JENNA. TRYON PROPERTY OWNER NAME Michael White I P-rvC••'•ol
AOORfSS ADDRfSS
6056 E BASE:LINE RD 3684 Azure Cir
CITY STATE ZIP CITY STATf ZIP MESA AZ 85206 Carlsbad CA 92008
PHONE rAX PHONE: I FA)( 8666925273 8666925275 760-685-2037
£MAIL EMAIL
jennat@deltamechanlcal.com
DI1S{G~ PIIOI'ESSIOi'I!\L CONtRACTOR BU$. NAME CALIFORNIA DELTA MECHANICAL
ADDRESS ADDRESS 6056 E BASELINE RD
CITY STATE ZIP CITY STATE ZIP
MESA AZ 85206
PHONE PHONE I FAX 866-692·5273 I"AX 866-692-5275
EMAIL_ EMAil. capermits@deltamechanlcal.com
ISTATHIC-11 STATE LIC.!I I CLASS I crrr sus. uc.#
811114 C36
(Sec. 7031.5 Business end Professions Coda. Any Crty or County w•lch ro:<~u•res a pcrm1tto construct, alter, Improve, oemol1sn or repair any structure, prior to It! wouanc!,_a~&o requr~~ !:ho apPIK:;ont for such permit to file ;o sll!ned statement tllat ~~e Ia liCensed pursuantto the provisions of tno Contractor's Ucense Law !Chapterll, commanding With Section 7\JfJO or Dlvl91on 3 t>l'~h\! Su:Jil'1e:5' a'1d Prof§sio!IS Code) or lh~t he is exem.J11, therefrom. and tne ~asls Tor tne alleged exemption. Any violation of Section 1031.!'1 by any appltcanHor a permit subjects tile applicant to~ o!vll penalty of not more ttl;:on fivs hundred dollar,; ($500)).
Workerg' Clll!lpensaiiDII oocJ.jlrai(GI\: I W~l)y l1fflrm ~Mill' p'JJ'Wlty of p91jury coo of thBiiillowing dacfsra~Doo: 0 I haw and wiD maintain a certifielll9 of consent to salf-l1neure fQr wor~~· OO!lll)ell~~ il$ provided by S~dion 3700 of the labor Code, for the performa11ce of the wOII< for which this permit Is Issue~. 0 I have ~~d wl• !>!alnts.ln wol~"''$' ~Qmpen$allon, as (Q(l~lirod by Section ~700 of the Labor Code, for the parform~nca of the WQik fur wtlleh this ~I! IS ISS\! ell, My IWI'i<m' o;Unlpl)nsation inouran"" collier and pofioy
number ar~~: Insurance Co. LOCKTON COMPANIES Po~cy No. l4W~QtOt20 Explra\lon Oabl 4JZ1/t&
~ S<lCtiOn n~ not be o::Qmplsted if tho;a permil i$ tor Qllll hurnted dollsri ('1QO) or Jess. LJ Certlflcata of Exemptlon! I c8!111y lh~\ In me pelfQI'I!lllnce Qf \1\e work for whi~;h this permit is ~&sued, I 'hall not employ S!IY person In any manner $0 a£! It) bec<lme subjeCt oo the Wol'llers' COmP~I'ISation Lavr.5 of
CaDf<llllii. WARNING: Failure to compen!,allon covtragt I~ Uld'IWful, ~nd $11~1 &ubjoct an employer !o criminal pensltlea end civil flne!l up to one hundred thall!lal!ll danars (&100,0001, ill
111idition to the provided for In Jn\*!*$hnd .tt~rnvis ~*•
M "m1T10,,,..,.,,D ,., .. ,..~" u"'""
I hereby sfffrm (hat I~~~~ exa/11111 fi1lm contractor's l.ir:lm!il1 Law'~' ltle following reason: 0 ~ as own.r of \h~ proptrty ot my emploY"~ with wag~ &I! their sole compenaatlon, wiH do the worll and the s!/IJillure Is not lntllhded or offered fur &ale (Sec. 7044. Business and Profasoions Code: The Contractor' a
Licensa Law doea not spply to sn owner of pro~ wno ~~Uil(l$ Ollfll~$ li1mon, and who dQfi such work himseW or through hie awn employees, provldecllhat $IIQ1 ll'llf)IOvemen\b 3ft not lnleJ\dM ur ~d fur
sale. If, ho~v~~t,lhB building ori~rovemenl i& sold wilhi11 one yearofcomplerlon.1)1e owner-bullderWii ha'/$11\e 0\JrcJQO Of prQ\/inglllat he did not bilild or improve for the pu~po&e of!lala). D I, 3£1 own~r of the I)(OP;rt:f, am exclusively o::Qntracting wilh ticenaed contractors to consvucr tile project (Sec. 7044. iiUSIMSS and Profe&SiOII!l CodQ; The Contrattor's LiCMEe Law does not apply to an owner of
property who builds or improves thereon, and ooniTMts lor 5\lc.h pro)ecl:$ With comrecto~s) licen&ed purauant to the Contraclor'a License Law).
0 I em exempt under Sectlon Business and l'rofessions Cods for this reason:
1. I psrsonslly plan to provide the msjor labor and ~'iilaJB tor OOO$IMIIOtl OllhQ propo5td property improvement QYee ONo
2. I (hav~ I havv not) signed sn applil:stkln for a bulldk1g permit 1or the prOOO$~ work.
3. I have oontraciBd with the fo(Jcwing psraon (fl,ml) to pr()lll(le tlle PI'OP0$9(1 C<l!l$11\!clion (111clude name addre&& I phone I oontracrort lloenaa num~)~
4.{ plan to provlde pon!cms of~ work, but I have hly~,d the fOIIQWing pet5on ro ~ooroinate. &upervilie and provide the major work (Include nsme I addre" I phone I COIIImclors' 1aense nUillber):
5. I will provlds some of the wtirk. bu\ I have oontractell (hired) lhQ fOllOWing pQf'Sons to provide the work indicatQd (include name I addrBss I p~one I \YPB Ql WQrl<):
~PROPERTY OWNER SIGNATURE (3AGENT DATE
SEP/29/2015/TUE 01:29PM FAX No. P. 003
F o ;-,;r <> N. n E .s, o t: NT 1 A t.---8--u-IL~> 11'1 G pER Ml is-'oN--LY -_
--~ -~-------------~
IB the applicllnt or future building ocoup~nt ~uired to submH a business plan, acutely l!szardcut mateJtlll$ regrstraijon f1>1111 or ri$11 mana~sment an~ prevention program urnl~r SBclion& 25505, 25533 or 25534 of tne Prva~-Tanner Hazardous Sub&anoe Account ArA? Ol Yes D No
Je theapplloan( or Mille ~UIIdlng occupant noqyi!'<l~ to obtain a pe1111itfrom the air pollullon control (li$1rlct or ~~~~~~lily management din-ict? C Yea C No
Is the facility to be constructed within 1,DOOteetottneouler ~ount.laiY ofuchool site? DYes C No
IF ANY OF THE ANSWERS ARE YES, A FINAl CERTFICATE' OF OetUPAIIICY MAY NOT i!E 1$$llllP IJNLESS THG APPLICANT HAS MET OR IS MEETING THE REQUIR,Ef,IENTS OF THE OFFICE OF
EMERGENCY SE!WICI;:S AND THE AI~ POLLUTION CONTROL OISTRIOT.
1 cetlfti'1hsttllave m$<1 !tie ap~• a'ld $tat, ilnltthnbove ir11'onnation Is corraotand that !,he lnlonn~!J(tn on the Pl~ll$ i5 awur.de, lagJww oomply with all CityonlinanC88 and S!ata IIIWSndallng Ill bulldlngconstJucUon.
I hereby aullmrire repr656!liative of1heCily of Carlsbad IQ enter llllO!l the abov~ mention~ propeey for impection purpow. ! J\LSO AGREE TO SAV~ INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AI.L LIABIUTIES, JUPGMMS, COSTS AND EXPENS!:S WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCI!: 0~ THE! GRAN'nNG OF THIS PERMIT,
OSHA; M OSHA perm~ Is requb'OO furlll<cavagons ovar5'0' d~ep and demolition or ronstruclion ofslructlres owr 3 siOrii$IM height.
EXPIRATION: E!~ry petnJII I55Ued Official under IIJe PfOI'illons ottnls Code shall expl~ by Imitation and becorre null ~nd void if tile building arWOI1< au1hor~ by such permit is not eommenced l'lflhtl
1 BO days !Tom (he dote ofSLlcl\ is sm;pent!ed or abandoned at any tlme after the work Is oommenced tr a period of 180 days (Section 106.4.4 Unifillm Buildi'lg Code),
DATE q '~ q • \