HomeMy WebLinkAbout2525 Corte Casitas; ; CBR2016-0222; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/01/2016 Residential Permit Permit No: CBR2016-0222
www.carlsbadca.gov
Job Address:2525 Corte Casitas
Permit Type:BLDG-Residential Work Class:P/M/E Status:Issued -Active
Parcel No:2152504400 Lot #:Applied:11/30/2016
Valuation:$0.00 Reference #:Issued:12/01/2016
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:RALYEA: INSTALL 50 GAL WATER HEATER IN SAME LOCATION
Owner:Contractor:
GORDON F RALYEA CALIFORNIA DELTA MECHANICAL INC.
2525 Corte Casitas
CARLSBAD, CA 92009 6056 E Baseline Rd, 155
Mesa, AZ 85206-4803
480-898-0007
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project.NOR DOES IT APPLYto any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
NOV/30/2016/WED 10:52 AM FAX No,P.002
JTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE!F
--
-1 PLANNING 0 ENGINEERING .,,,72BUILDING r-
i.FIRE Ei HEALTH DHADAT/Apci3
...
Building Permit Application Plan Check No. c_22.2.00.. -tyl.).2.--
t$: City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph'.760-602-2719 Fax 760-602-8558
__-Carlsbad erna II;building@carlsbadca .gov
Plan Ck. Ireposlt
_
www.carfsbadcaLgov Date t k 3 011 b SWPPP
JOB ADDRESS SUITENSPADE0/UNITIF APN
2525 Corte Casitas 215 -250 -44 -00ovpRoiEwillLOT*PHASE0 lit WONITS -0-OzDRoOMS ir BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE Oa.GROUP
..i----'ESC--'.'."1 -It:Include Square Feet of Affected ares(a)
Install 50 Gallon Tank Gas Water Heater •Change Out -Same Location
FASTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDM0NING FIRE SPRINKLERS
SFR SFR YESInt NCrl ONCE]YESI7NO0_._
APPLIC.ANT NAME PROPERTY OWNER NAME
kriVarY Ogritack Stephen Fiore Gordon Rayleh
ADDRESS ADDRESS
6056 E Baseline Road Suite 155 2525 Corte Casitas_.._...
CITY STATE ZIP CITY STATE ZIP .
Mesa AZ 85206 Carlsbad CA 92009
PHONE FAX PHONE FAX
(866) 692-5273 (866) 692.5275 (760) 533-2584
EMAIL .
EMAILcaperrntts@deltamechanical.com
DESIGN PROFESSIONAL CONTRACTOR eu&. NAME
California Delta Mechanical
ADDRESS ADDRESS
6056 E Baseline Road Suite 155
city STATE ZIP CITY STATE ZIP
Mesa CA 85206
PHONE FAX PHONE I FAX
(866) 692-5273 (866) 692-5275
EMAIL EMAIL
capermits@deitamechanicalcom _
STATE UC.#STATE LIC.0 I CLASS CITY 5V5. WC*
811114 1 C-36 1214281-.
(Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, alter, Improve,. dernollsh or repair any otruCture, prior to its issuance, also requires the thapplicant. for such permit to file a signed statement that he Is licensed pursuant to the provtalons OT Vie cOritrldtOf p License Law fehapter-9, commending with Section 7000 of Division 3 of eBusiness and Professions Code) or that he is exemttnererrom, and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more man five hundred dollars (55001).
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Workers' compensation Declaration: I hereby affirm undar pwnafty of parjury oneofthe following deolerationr:
Ihave and war maintain a certificate of consent to self-insure for workers' compenaation as provided by Section 3700 of the Labor Code, for the performance of the work for which this peurit is issued.
E]Ihave and wit maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for*doh this perrnk Is issued. My Workers' compensation insurance carrier and poicy
number are: Insurance co.Berkshire Hathaway liomestate Ins. Co.Policy No.DEWC70$662 Expiration Date 0412112017
This section need not be completed if the permit is for one hunched dollars ($100) or less.El Certificate of Exemption!I certify (hat in the performance of the work for which this permit a issued.I shall riot employ any peraon in any manner so as to become subject to the Work are' Compensation Laws of
Callfornla.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties end chrll flees up to one hundred thousand dollar; (4100,000), in
addition to the cost of compensation, damages as provided for in Sectio,n 3706of the Labor code, Interest arid attorcey'e fees.
AS.CONTRACTOR SIGNATURE
•q1C.0-r-4 0 AGENT DATE i i I Ze I Ito
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' '''aritrai.-'istirI.Latrialaiyiii:olkitiiieWilarirx..aarzr;i-ir5...aiiiigk aaai 'iii.4.aaifaairiar*ikia.a-Tiiltiit Oraa..44:*iiilii.tr(la.arIrtIjfIii"k4iWthlVaa..;tWil'.5:41iii!aal.-.0243ift757,'T#'fa'.,-
;..i.rattli-ir.lIa...... ii'Ait'll;:aiiTaiaTati1.--7.:lNift:74tYardai.4atiVarragiAzili'rtitia. ii..ali;i:Prittallalriarailaila.4arrirrair;.aitaatarar.i.ifa.4.alt:itaaaiaia!ardaza:si.ai:i:..L]i,:iiiziaiiirtlita.taia.aa,aarrir.a.aia.,aaziaa:47
f hereby affirm that1 ern exempt from Contractcfs License Law for the following mason:7 I,as owner of the property or my employees with wages as theirS019 compensation. will do the work end the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code The Contractor's
License Law dose not apply to an owner of property who builds or Improves thereon, and who does Such work himself or through his own employees, provided that such improvementa are not Intended or offered for
sal If,however, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of aele).[I I,es owner of the property. am exclusively contracting win licensed contractors to construct the project (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of
property who bolds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the coottilOiDi'a License Law).0 I am exempt under Section Business and FY0feSSIOnS 0055 for this mason:
i.I personally plan to provide the major labor end materials for construction of the proposed property improvement.1:]Yes [)Jo
2.1 (have I have not) signed an application for a building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (Include name address rphoneIcoatroom'license number):
4.I plan to provide portions Of the Kirk, butI have hired the following person to coordinate, supervise and provide the major work (include name / address I phone Icontractors' license number):
5.1 wil provide some of the work, butI have oontrected (hired) the following parsons lo provide the work indicated (Include name /address /phone /type ofwork):
-RS-PROPERTY OWNER SIGNATURE EIAGEfFf PATE
N0V/30/2016/WED 10:53 AM FAX No,P.003
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Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials reglatration form or risk management and prevention program under Sections 25505, 25533 or 25$34 of the
Presley-Tanner Hazardous Substance Account Act?d Yes )No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'?0 Yes wNo
Is the Facility to be constructed within 1,300 feat of the outer boundary ofa school site?0 Yee 11No
IFANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEDU LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL. DISTRICT.
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i hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 0) Civil Code).
Lender's Name Lenders Address
••L..•••24.14 tk4.*:,4.0_.,,AT:.ZY"?'7;17.-VT.M"'"..
IDell). thatl haw road the appkation and state that the above infomlettOri is comet=tnat toe Infismiatton on the plans isaccurate. lagme to comptywith all Cliyoggriances and State laws relating to builcling=swami.
Ihereby authorize representative of die City of Carlsbad to enter upon the abovernenbormed property far inspection purposes.IALSO AGREE TO SAVE, INDIEMNFY AND KEEP HARNESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAIDcnyIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over60'deep and demolition or construction &structures over3 stories in height
EXPIRATION: Everyperms issued by the Building Official under the proisions ofthis Coda shall expire by Imitates and become /Jul and void if the building or work auttrrized by such permitIsnot commenced mein
180 days from the date of such permit or Ultra buk1trg er work authorized by such permit is suspended or abandoned at any time attar the work is commenced for a period of 180 days (Section 106.4.4 Uniform Bulldog Coda).
jeAPPLICANT'S SIGNATURE LQ DATE 1 13011ii L.
•,;.,-,.,,!
PERMIT INSPECTION HISTORY REPORT (CBR2016-0222)
.!
.,c,.,.
Permit Type:BLDG-Residential Application Date:11/30/2016 Owner:GORDON RALYEA
Work Class:P/M/E Issue Date:12/01/2016 Subdivision:
Status:Closed -Finaled Expiration Date:05/30/2017 Address:2525 Corte Casitas
Carlsbad, CA 92009-5816
IVR Number:538
Scheduled Actual Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
Date Start Date
12/12/2016 12/12/2016 BLDG-25 Water 005015-2016 Passed Andy Krogh Complete
HeaterNents
BLDG-Final 005016-2016 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
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December 12, 2016