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Home My WebLink About2404 La Costa Ave; ; CBR2017-2202; PermitC Print Date: 09/27/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2404 La Costa Ave BLDG-Residential 2161600200 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Description: REPLACE WATER HEATER (40 GAL) LIKE FOR LIKE Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Permit No: CBR2017-2202 Closed -Finaled 09/20/2017 09/20/2017 CO-OWNER MONTALBANO PETER J AND EVELYN D CALIFORNIA DELTA MECHANICAL INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 2404 La Costa Ave CARLSBAD, CA 92009 760-635-1299 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 lim·1tation has previously otherwise expired. $98.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING Q ENGINEERING 0 BUILD1NG OFIRE 0HEALTH 0 HAZMATIAPCD " Plan Check No.~~ 7 -cJdLJ-;)._ ''Ccicyof Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value " ' --.:::T \. I Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit l email: building@carlsbadca.gov www.carlsbadca.gov Dateq _ '::Jrl-l, 19-20-17 JOB ADDRESS SUITEI/SPACU/UNITI rPN 2404 La Costa Ave - -- I CT/PROJECT # r OT # I PMA;)E, ,-OF UNITS ,-BEDROOMS 4 Bi\THROOMS I TENANT BUSINESS N4111E r UNSTR. TYP£ 1 DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) replace 40 gal gas water heater like for like EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO Ne(] YES0 No0 YES0 No0 APPLICANT NAME AJ Diaz PROPERTY OWNER NAME Evelyn Montalbano Drfna~ Co-"-~ ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 2404 La Costa Ave CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Carlsbad CA 92009 PHONE 'FAX PHONE !FAX 866-692-5273 866-692-5275 760-635-1299 EMAIL EMAIL capermits@.deltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 CITY STATE ZIP CITY STATE ZIP Mesa Al. 85206 PHONE PHONE IFAX 480-898-0007 I FAX 480-898-0005 EMAIL EMAIL I ST4TE LIC. 'I STATELJC., ICIASS C36 I CITYBUS. LIC1214281 811114 (Sec. 7031.5 Business and Professions Code: Any Coty or County which requires a permit to construct. alter. improve, demolish or repair any structure. prior to ,ts issuance. also requires the apolicant for such permit to file a signed statement that he tS licensed pursuant to the provisions of the Contractor's License Law {Chapter 9. commend1ogwith Section 7000 of Division 3 of tile Business and Professions Code} or that he is exemgt therefrom. and the basis for tile alleged exemption. Any violation of Section 7031.5 by any apohcant for a permit subiects the applicant to a civt! penalt.Y of not more than five hundred dollars {S500)). Workers' Compensation Declarati011· / hefeby affirm under penalty of perjury one of the following dedarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensatioll as provided by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensalion. as reQUired t,y, Section 3700 of the Labor Code, tor the perfomiance of the wOf1< for which this pennit is issued. My worl{ers' compensation insurance carrier and'policy number ar9: Insurance co QBE Insurance Corp Policy No. QWC3000839 Expiration Date 10.1-17 ll!§.section need not be completed if the permit is for one llundred dollars (S100) or less LJ Certificate of Exemption: l certify lhat in the perfonnance of the woik for which this permtl is issued. I Sllall not employ any person in any manner so as to become sut:ject to lhe WOtl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensaUon 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 compensati011, da ge provided for In Section 3706 of the Labor code, interest and attorney's fees. _I$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from CcntraclP(s License Law for the following reason: D I. as owner of the property or my employees with w~s as their sole compensation, wil do the work and the structure is nol intended or offered for sale (Sec. 7044. Business and Professions Code· The ConltaclOt's License Law does not apply to an owner of property who builds or Improves thereon, and who does such wOl1t himself or throogh his own employees, provided that such inprovements are not intended or offered for sale. If, however. the build~ or improvement is sold within one year of completiOn, the owner-builder wm have the bulden of proving that he did not build or improve for the purpose of sale). D I. as owner of the property, am exciusively cootractiog with llcensed contractors to CO!lstrucl the project {Sec. 7044, Business and Professions Code: The Contracicfs License Law does not apply to an owner of property who builds or Improves !hereon, and contracts for such projects with conlractOf(s) licensed pursuant to the Contractor's Uceose Law). D I am exempt under Section Business and Professions Code for this reason; I. I personally plan to provide the major labor and matellals for construction of the proposed property improvement O ves O o 2. I (have I have nol) signed an application for a building permit for lhe proposed work. 3. I have contracted with the follOwlng person (firm) to provide the proposed construction (include name add111ss I phone I contractors' license numbet): 4. I plan to provide portions of the wo11<. but I have hired the following person to coordinate. sopelV!se and provide 1he major woric (Include name I address I phone I contractors' licellse number): 5, I will provide some of the woric. bot I have contracted (hired) the following persons IO provide the work indicated (indude name I address I phone I type ol woric): _I$ PROPERTY OWNER SIGNATURE QAGENT DATE Is iie apj)litanl or ful\Ke bulding occupant requred to submrt a busmess plan, acutely hazardous materials registration fOlm or risk management and prevenlk>n program under Sections 25505, 25533 or 25534 of Ille Presley-Tanner Hazardous Sobs1a11ee Accoont Act? a Yes a No Is lhe applicant or future building occupant reqlifed to obtain a pem1t tom the .-r pollution conl/OI dlsttict or aa-quality management ~1net? a Yes a No ts the facruty to be constructed wtthin 1,000 feel of the outer boundary of a school s,te? Cl Yes Cl No IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEKTS Of THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I hlMI read theappllcatlon andstate lllatlheab<we infomlation lsconect and that the inbnmation on the plans Is accurae. I agree tocomply~thall City ordinances and State i-relating 1> bulldlngconstruction. I herel1f aufiaize represenlaMtof lheQtyol Cailsbad klenle<~ Ile aoove rnentilned proreity br llS~ purJX)SeS. I ALSO AGREE TOSAvf, INDEMNIFY AND KEEP HARMLESS TrE CllY OF CARlS8AD AGANST AU. UABlUTES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEOUENCE OF THE GRANTWG OF THIS PERMIT OSHA M OOHA permit is re(JJired b' excavations OYeC 5'0' deep and delooim or oonstrucoon of S1rucwles OYeC 3 sk>res 11 height. EXPIRATION: E"1lry perm~ issooo by lhe !bkfing CXfdal under lhe pro-;isions of this Code shal expre by i'n1talion aod bealme nul and \l'.lid if lhe building or l'IOlk atmoriz.ed by SOCh pellT\il IS not conmenced v.itllil 100days from Ile dale of sooi pennior if ord aullorized by such pennt is suspended orabanooned at .r,ytime after Ile 'ltOfk JSaimmena!d tir a peoodof 100days (Secloo 100.4.4 Unibm aiitling Code) . .,.eS' APPLICANT'S SIGNATURE D DATE -i.~ -\ '7 ...... . PERMIT INSPECTION HISTORY REPORT (CBR2017-2202) • Permit Typo: BLDG-Residential Application Date: 09/20/2017 Owner: Work Class: P/M/E Issue Date: 09/20/2017 Subdivision: Status: Closed -Finaled Expiration Date: 03/26/2018 Address: IVR Number: 6454 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 0912712017 09/2712017 September 27, 2017 BLDG-25 Water HeaterNents 035898-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 035897-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS CO-OWNER MONTALBANO PETER J AND EVELYN D LA COSTA-SOUTH UNIT# 1 2404 La Costa Ave Carlsbad, CA 92009-7301 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1