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Home My WebLink About2342 LONGFELLOW RD; ; CB161742; Permit•• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-05-2016 Permit No: CB161742 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2342 LONGFELLOW RD CBAD PME Status: Parcel No: 2121424200 Lot#: 0 Applied: Reference#: PC#: Project Title: Applicant: ROSELL RES-REPLACE WATER HEATER 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: ROSELL JAMES R&DEANA V 2342 LONGFELLOW RD CARLSBAD CA 92008 ISSUED 05/05/2016 RMA 05/05/2016 05/05/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date $98.00 Balance Due: Inspector: FINAL APPROVAL Date: 'S -11-/t, Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this pennit 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING QBUILDING □FIRE QHAZMATJAPCD (city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cartsbadca.gov www.carlsbadca.gov Replace 50 gal gas water heater like for like same location SWPPP 'EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SFt IDECKS1SF1 IFJREPlACE I AIR CONDITIONING I FIRE SPRINKLERS ' I YES0, NcCJ YES □No □ VES□NcCJ iAP,UCANT NAME John Santos PROPERn OWNER NAME -_J!!n~ bJ.L_tb_ ' "'-"""---------·-~------·· -· ---. ------------------ 1 ADDRESS ADDRESS 6056 E Baseline Rd #155 2342 LonQfello Rd ~---_____ .,_ --·-·-·---------'Cm' STATE ZIP CITY STATE ZIP Mesa Az 85206 Carlsbad Ca 92008 ,-PHONE --FAX ---···-----···-··-----PHONE-----;-FAX---------·----·• 866-692-5273 866-692-5275 760-822-2689 --------· ---·-----· -----------· ;EMAIL EMAIL Capermits@.deltamechanical.com , OESIQN PROFUSIONAL CONTRACTOR BUS. NAME Ca Delta Mechanical ADDRESS -----------------------ADDRESS ------------ 6056 E Baseline Rd # 155 an-··-----------·-··srArr ------··---CITY ------·---· STATE---------· ZIP ZIP Mesa Az 85206 ------------------'PHONE FAX PHONE ;FA.i 866-692-5273 866-692-5275 --------------------------------·------· ---__ ,, __ ···--··· ----------··-·· ------'EMAIL f---,.,_ EMAIL I_ --------·---·--Capermits@.deltamechanical.com -----·· ----------------··--1STATE°uc.·-.------811114 T",sscas i=•ust~.1214281--' STA.TE LIC.lf (Sec_. 7031.5 Business and Profe~rons Code: Any City or County which requires a permit to construct, alter. improve, ctemohsh or repair any structure, prior to Its issuance, also r"e(IUlres the applicant for such permit to rue a signed statement that he Is licensed pursuant to the provisions of the Contractor·s License Law JChapter 9, commending wfth Section 7000 of Division 3 of the Business and Professions Code} or that he Is exem11t therefrom. Md the basis for the alleged exemption. Any v1olatIon 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 Workffl' Con'lplnsatlon Dectntio,r I herw-by affirm under penalr1 of perjury one of Ifie following deda,atioris· D I have and wll ma:mtain • C9l'1ffkate of consent to stlf-insure for workers compensation as provided by Sechon 3700 of the Labor Code, for the pelformance of lhe wot1I for which this pemut is issued [!) I havt and will maintain woitm' comi,tnsatlon. as reQUlred by Section 3700 of !he Labor Code. for the performence of the work for which lhis permit Is issued. My worl<e~· compensation insurance earner and policy number are· lnSUf1111Ce Co Berbhn Hathaway HomstaNo Policy No OEWC705H2 E)(pirabon Date "111117 ~ section nffCI not be completitd if the L.J Certffleatl of Exemption: I certify California. WARNING: Falute to addition to thl cost of comptl'IN il is for one hundred dollars {$100) or less. in the performance of the work for which this permit is issued. I shal not employ any person in any manner so as to become subject to the Worke~' Compensation Laws of ,,., compensation coverage is unlaWful, and lhatl ,ubjtct an employer to criminal penaltin and Givll fl"" up to one hundred thounnd dolkn (&100,000), In lded for in Section 3709 of the labor c:ode. interul and attorney'• fees. ,,1$ CONTRACTOR SIGNATU ENT DATE 5 <( /r, BfaENT I hereby afflmt that I am exempt from Contractor's LJC8!1se Law for the ful/owrng reason· D I, as owner oflhe property or my employees with wages as their sole compe11salion, wiH do the WOO. and the structure 1s not Intended or offered for sale (Sec. 7044, Busmess and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, aod MlO does such work himsell" or through h11 own employees, provided that such improvements are not intended or offered for sale. If, however, the bu~ding or improvement is sold within one year of completion. the owner-builder wil have lhe burden of proving that he did not buik:I or Improve for the pwpose of sale) □ □ I, as owner of Ille propeify, Ml exctusively oonlracting with iCensed contractors to construct the project (Sec. 7044, BusITTeSS and Professions Code: The Contractor's LICense Law does nol apply to an owner of property who builds or improves thereon, and tofllracts 101 such l)l'Otetts with Ct)ntracior(SJ ticensed purwant to the Contractor's license Law) I am exempt under Section ..... ____ Bu&iness and ProfeSSlons Code for this reason. 1. I personally plan to provide the major labor and materials for constructicn of !he proposed property improvement. 0Yes Do 2. I (have f have nol) signed an application for a bulkling pemiit lot lhe propo&ed WOO.. 3. I hav& conlracted with lhe fol!Owing person (firm) to provide lhe proposed construction (include name address I phone I contractors· licefls8 number) 4, I plan to provide portions of Iha work, but I have hired the folowing person to coordinate, supervi&e and provide the major wOl1I (include name I address I phone I contractors' icense number)· 5. I wil provide some of the work, DUI I~ mnrui.-t...-t !hir.wt1 the following persons to provide the work indicated (incude name I address I pnone I type of work)' ,6$ PROPERTY OWNER SIGNATUJJ []AGENT DATE ; COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY IS lhe applicant or future building occupant required to subrrit a business plan, acutely hazardous malerials registraUon form or risk managemenl and prevention Pf'0!1im under Sections 25505, 25533 or 25534 of the Prtsley-T amer Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required lo oblain a permit from the air pollulion control district or air quality management district? O Yes D No Js the facility to be coosrructed within 1,000 feet oflhe outer boundary of a school site? □ Yes a No F ANY OF THE ANSWERS ARE YES, A FINAl CERTFICATE 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 affirm that !here 1s a construction lending agency for the periormance of the work this penn1t is issued (Sec 3097 {1) Civil Code). lenders Name Lender's Address APPLICANT CERTIFICATION I celltfy that I have IIMd the applca!Jon and state dtatthe above lflfolmatlol, is COITectand lhatthe infolmation on the plans lsaccul'III. I acr-to comply. al Cit'/ oldinanc:es and State laws relatinC 1D tlildlnC constiuctlon. I hereby aulhonzl>-0,,of•e C>/ of Carlsbad k> onll,rupon fle abcM> -propertyi> o-.,._., IAI.S0 AGREE TO SAVE. NJEM',lfY AND KEEP HARMLESS THE CITY OF CARI.SSAO AGAJNST ALL LIABUTES. JUDGMENTS, COSTS AND EXPENSES WH1CH MAY N ANYWAY ACCRUE AGAINST SAD CITY N CONSEQUENCE OF THE GRANTNG OF THIS PERMIT. OSHA: AA OSHA permit is req.iied lor excavabons OYer 5'0' deep derrdilia'I or oonslrudiln of strucues over 3 stiries in height. EXP!RATkJN: E""f pemil osued ~ lhe BuikJfngO!ldal . . of llis Code shal expce ~ lmi1aliln and becomenuland VOid ,11e buil!ilg o,m aulhcnzed ~such-• noloornmenced..,., 180days ian lhe date of such pem;t o,lfle bu~"'l" ~ such pem;t •suspended., abandoned at any line afterflem • oornmenced i:r a period of 180 days (Seci!on 106.4.4 lkibm 8"kq Code). AS'APPUCANT'SSIGNAT\JRi DATE sj., I,,,, • Inspection List Permit#: CB161742 Type: PME Date ln_sp_ection Item 05/11/2016 25 Water HeaterNents 05/11/2016 25 Water HeaterNents 05/11/2016 29 Final Plumbing 05/11/2016 29 Final Plumbing Thursday, May 12, 2016 Inspector Act RI PB AP RI PB AP ROSELL RES-REPLACE WATER HEATER Comments Page 1 of 1