HomeMy WebLinkAbout2400 ALTISMA WAY; ; CB163106; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-12-2016 Permit No: CB163106
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2400 AL TISMA WY CBAD
PME
2152401701
PICHNARCIK, WATER HEATER
LIKE FOR LIKE
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
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ANTHONY PICHNARCIK
2400 ALTISMA WAY UNITE
CARLSBAD CA 92009
ISSUED
08/12/2016
jw
08/12/2016
08/12/2016
$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: 1-IIJ~ /7 Clearance:
$0.00
I'>DTJCE: Rease take CE thl:t ~ d yw:: ~ indudes tt-e "lll1XS!iai' d fees, deda:tia-s, resEli\IBkrs, a dher ea:Jia1s ~ <Diedivay
referred to as "fees'ea:Jials. • Yoo haYe 00 days fran tt-e date ttis perrrit WiiS issued to prttest ill1XS!i01 d these fees'ea:Jials. If }OJ prttest tl1erT\ }OJ rrust
fdlo.vtt-e prttest poonres set fath in QMmrert Code Sedialam:J(a), li'KI file u-e prttest li'KI arrt dher ~red i~01 wth the aty Mcnagerfa
~~in can eta re Wth Ca1sl:lEii Mrid~ Code Sedi01 3.32.<m. Faih.re to tirrely fdlo.vthl:t ~ wll bEr arrt Slb!eqJert lega a:ii01 to attcd<,
n:Mew, set aside, \dd, a an.i tt'eir ill1XS!icn
Yoo n 1Be17i F\..RTl-ER NJTlAED that yw:: rigt to prttest tt-e specified fee&'exa:ii01S !XES NOT .APPLY to Wit.er li'KI F11J1B amedi01 fees li'KI ~
cha1ges, ra plaTi~, zr.:rillJ, gcd~ a dher sirrilar applia:ti01 ~~a service fees in amedi01 Wth ttis pqecl l'lR !XES IT .APPLY to arrt . VIH . . . . . . . .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT 1$SUAHCE: 0 PLANNING 0 EMGINEERlNG 0 Btlll.DIIIG 0 FIRE 0 HEAl. Ttl CJ IIAZM4TIAPCD
Plan Check No. C81~~1D6
Ccicyof
Carlsbad
Building Permit Application ·······-···-···--···-····<>--····--·
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.a~rlsblldca.gov
I JOB ADDRESS 2400 Altisma Wy · 1 r-· -I'"'~. I"""T-r:-::J=.-.... -r.\1,..... ....... -~~~~--....... -.. =-·-·_-~-TI~ I::J
fDESCRIPTiON OF WOilliMIIHflt 5qum ,_Ill At1e«N ~
Replace water heater like for like same location
John Santos
..... ···-·----··-·····-·········-····----
i 6056 E Baseline rd #155 icnv ···-···~······· ·-----ZIP ~oNe ----Mesa ··----l;:iili-··
. 866-692-s.~n ............. L_ --~92·~~7~.
Az 85206 ·---
fEi.wL
!DESIGN PltCIFESSICIHAI
:AODRESS--
[CITY
'PHONE
Capermits@deltamechanicalcom
---······-··············
············. ·····························-·····--·· .. · [EMAIL
Carlsbad Ca PHONE ___ ¥ .. H-·~····----if:c\X···· ········-···--
. ...1---~--~~-8-~1·1:..::.:88:..::..9 _ _:_1.
EMAIL
BUS. NAME
········-···----······-·~sr=ATE~LIC"".It,.-----+s=TATELIC.ii .... ·······--~apermi ·---ciiYiiUS:LiC.»
811114 1214281
(Sec. 7031.5 Business and Professions Code: /Icy City or Count¥ which requires a permit to construct. alter, Improve, demolish or repair any structure, p_rior t() i1s issuanoe7 • aJsofre~ireS the
3
of ... A liJiplicarrt tor such permit to file a sil!ned statement that he iS liCensed pursuarrt to the pr011lslons of the ContraCtor's Ucense Law !Chapter 9, C001mepdmg With Section QOO o Otv1$10n ~"' BuSiness and Profilsslona Code) or !hat he is~~ therefrom, and the basiS for the alleged exemptiOn. Any violation of Section 7031.5 by any applmrrt for a permit subjects the appUcant to a eM! penalty of not more than fiVe hundred dollars {~500}).
WORKERS' COMPE:NSATION
Wolbn' Complnullon Otdlration: 1 hflfby dm llllfer penllly rl ptqu1y one Di the following decllralfons: D I have and will n~tintlln 1 Ctdllicate of COIIMRI to a~Nnsule forworters' compensalion as provided by Sedion 3700 of the Labor Code. for the perlomtance of the~ for wllic:h this pemlit i5 issued. I!:J I have and wiU n~tlntaln woricers' ~ as reQUired by Section 3700 of the labor Code, for the perlomtance of the~ fur which this oermil is issued. My -ms· compensation tnsurance carrier and policy
tllimbef an~: IIISUiliiiCe Co. llert<olti,. ,.,-...,. ~ -······-··---Polley No. DI!WC705162 Expiration Dale 01117
~sec1i0n need not be completed dthe penni! is one hundred dalals ($100) or less.
U Ctt1fficaW of Eatmptlon: I cernfy that of the WOik for wh1cll thiS pemlit Is issued. I shall not~ any person in any manner so as to become subject to the Workers' ~ laws of
California. WAAHING: Failure • unlawM and thd IUbject an ~to criminal penellltl and civil flnet up to -hundnd thousand dolln {&140,QOOI, In
addition lo1he cost of compenHIIol1, for in Sec:tlon 3706 of lhe Labor cod., intltrut and allomey'a filM •
./15 CONTRACTOR SIGNATURE
I hen!by afflrm tllat I am exempt WIIS& Law for the fiJik1wlng -· 0 l,asownerol the propel1y «my employees with wages as thehcle compensation. wil do the~ and theSrudureis not intended or offered for sale {Sec. 7044. Business and Proles$ions Code: The Con1ractcr's
Ucense Law doe& not apply to an owner of property woo buids or improves thereon. and who doe& such work hlmsef or throUgh his own~. ~ thet such ~~ n not inlended or offered for
sale.lf, oowever. the building or improvemenl is sold within one year of completion, the owner-outder'Ml have the burden d proving that he did not build or improve !or the j)lltp0$8ofsale). 0 I. as owner of the property. am exdusMI!y oontrading With tiCent8d contniCIOrS to consiTUct the project (Sec. 7044, Business and Professions Code: The Contractor's UC:eMe Law does not apply Ill an owner of
property who bl4ls or improves themln, and oonllaets for such~ with wntractlll(s) liceose<i pursuant to the Conlractor's License Law). · 0 I am exempt under Secticn -....... .._Business and ProleAions Code for this reason:
1. I personally plll1 to provide the major labor and materials for oonsttuc1ion of the proposed property imptl)118!11e11!. DYes Qo
2. I (have I have not) ~ an ll!llllic81ion for a bu4ding permit for the proposed work.
3. I have contrac:led With the fclowing person {firm) to pNMde the ptopoSild ~ Ondude neme addle$$/ phone 1 CQillral:loiJ' llcellse number):
4. I plan to provide portiorls of the work, but I have hired the following person to coordinate, lliiiMlMie and provide the majo< WOik (indude name I address i phone I conlraclor$'1itense number):
5. I will pNMde Sllllle of the WOik. but I ha.e contracted (hired) the following persons to provide the ~ indialle<l(indude neme I address I phone I type af WOik~
DATE
COMPL£TE THIS SECTION f"OR NON-RESIDENTJAL BUilDING PERMITS ONLY
DATE
PERMIT INSPECTION HISTORY REPORT (CB163106)
Permit Type: BLDG-Residential Application Date: 08/12/2016 Owner: ANTHONY PICHNARCIK
Work Class: P/M/E Issue Date: 08/12/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 02/08/2017 Address: 2400 Altisma Wy
Carlsbad, CA 92009
IVR Number: 716406
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
01/10/2017 01/10/2017 BLDG-25 Water 009085-2017 Passed Jonathan West Complete
HeaterNents
BLDG-Final 009086-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
January 10, 2017 Page 1 of 1