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2617 Regent Rd; ; CBR2016-0426; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 01/11/2017 Residential Permit Permit No: CBR2016-0426 www.carlsbadca.gov Job Address:2617 Regent Rd Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:1682803200 Lot #:Applied:12/21/2016 Valuation:$0.00 Reference #:Issued:12/21/2016 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:FERDINANDO: WATER HEATER CHANGEOUT it Owner:Contractor: TRUST FERDINANDO SANDI FAMILY TRUST CALIFORNIA DELTA MECHANICAL INC. 05-18-11 2617 Regent Rd 6056 E Baseline Rd, 155 CARLSBAD, CA 92010 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 APPLY to 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD Building Permit Application Plan Check Noc_2.in 4 -042.4c.(City of 1635 Faraday Ave., Carlsbad, CA 92008 Eat. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building©callsbadca.gov Plan Cr.. Deposit wimeadsbedoe.gov Dat•(2.12 -6/1 k'ISWPPP JOB ADDRESS ...sUffult/SPAcisfureff APN 2.411 Kern+EP KVIIIT --- CIANTorEcTI LOT .PHASE 10 0 OF UNITS // BEDROOMS 41BAD-IROOM --WaRS-riiiNiKEIE CONSTR. TYPE OCC.dR C34' DESCRPTION OP WORK:Motu*Square Feet elAA Area(s) Fepleare 38 TA 1etS Lio.4ac heAer EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)-FIREPLACE AIR CONDMONING FIRE SPRINKLERS YESEY.NOC3 YESp NO0 YESE3 NOED APPLICANT NAME STEPHEN FIORE PIM;?:44-clzetar. doMANY Ceetata ADDRESS ADDRESS 6056 E. BASELINE RD # 155 9411 gr2enk itD CITY STATE ZIPTATE ZIP MESA AZ 85206 CrcrukcartS641 u CA--42010 PHONE FAX PHONE 'FAX 866-692-5273 866-692-5275 1ire-1 2.0.3a412 EMAIL EMAIL CAPERMITMDELTAMECHANICAL.COM DESIGN PROFESSIONM CONTRACTOR BUS. NAME CALIFORNIA DELTA MECHANICAL ADDRESS ADDRESS _ 6056 E. BASELINE RD # 155 CITY STATE ZIP 'CITY STATE ZIP MESA AZ 85206 iPHON6 FAX PHONE I FAX1866-692-5273 866-692-5275 !EMAIL EMAIL _.1 i CAPERMITSaDELTAMECHANICAL.COM STATE LC..STATE(JO/CLASS CITY BUS. L/C.1 811114 C36 .1214281 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, Improve, demolish or repair any structure. prior to Its issuance. also requires the applicant for such permit to Me a signed stritement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he N exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7033.5 by any appricorrr for a permit subjects the applicant to acivil penaltyofnot mere than five hundred dollars (5500)). WORKERS'COMPENSATION Workers' Compensation Declaration: TherebyOnouncle( penally oIpenury onetitheblowing decimal:ay. I have and will maintain a=Mate of consent to sof-Insure for workers' compensation as provided by Section 3100 of the Labor Code, for the perfonence of the work towhich this permit is issued._I have and will metro*workers'commotion,as requited by Section 3700 of the Labor Code, for the performance of the work for which this permit Isissued My workers' compensation insurance carrier and polity. monthr are: insurance Co MIMEHATHAWAY HONESTATE ors.co Policy No.osvc7owe2 Expiration Date orrrinei7 TIA,secben need not be completed if the pen*is for one ...dollars (S100) or less. 1 uCertificate of Exemption:Icertify Mat in the .i .'-of the wad for*Nththis pentis issued.Ishall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ofiCalifornia.WARNING:Falunto secure ...coverage is unlawful, and shall subject an employer to criminal penalties and chril lines up to one hundred thousand dollars (4100,000), In addition to the cost of comperreadon....„palfT.:••-Section 3708 of the Labor code, Interest and attorney's fees. Atc CONTRACTOR SIGNATURE '004 0 AGBIT DATE #•..to OW HER -BUILDER DECLo'.RATION 1 I hereby seIrm that1em'twat awn Contreoteee License Lew kw the folloiWig reason: I 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or ofiered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to anowes of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. It, however, the building or improvement is sold viSten one year of completion, the owner-bulklerall have the burden of proving that he did not buid or Improvekx the purpose of sale).0 I,as °liner of the property. em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves hereon, and contracts for such projects with contnictor(s) licensed pursuant to the Contractors License Law).0 Iern pm*under Section Business and Professions Code for this reason: I I,I personally plan to provide the major labor and materials for construction of Be proposed property improvement.1:3Yes Pro 2.I (have/have not)siredan appfication fa a buiding pang for the proposed work, i 3. I have contracted with theloicettg person (firm) to provide the proposed construction (include name address / phoneIcontractors' license number): 4.I plan In provide portions of the work, bul I have hired the following person to coordinate, supervise and provide the major work (include name Iaddress /phone / contractors' license number): 5. I VA provide some of the wort, but lhave contracted (tired) the folloviing persons to provide the work Indicated (include name / address /phone / type of work): AKPROPERTYOWNER SIGNATURE ['AGENT DATE C 0 t.Ti THIt SECTION FOR NON -T:SIC/F.NTIAl BUILDING PERMITS ONLY Itthe spalicant orGrip hiding°camped requiredbsubmit/business Mix,acid*bamidousmated*registradon formor risk management andcrevenion program under%dons25505, 25533 or 25534ofthePresley-Tomer Itizatdous Sittatence Acoaurt Act?C3Yes 0No Is'Newhardor future bidding occupant requiredbobtain a permit from the atpollution control districtor air quality management district?DYes dNois thefaulty to be commuted *Shin 1,000 fast of the outix boundary of a school site?CI Yes 0 No IF ANY OF THE ANSWERS ARE YES,A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS METORSMEETINGTIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESAlNTHE MR POUUTION CONTROL INSTINCT: CONTRUCIION LENDING AGENCY hen*afikmtotthere isaconsOuclico istxruil9 agency for the pOrforinsficeof the wort this permit is issued (See. 3097 (1)Civl Code). Leaders Name Lender's AddieSs AVIILICANT CERTIFICATION IssitifythatIlwrsissdihespplestionoxissitethatheabaseinfoonsike coneatisidllistthebloom**on the plans isactuate. IOastseamplysilbsICIOsidissossi old Slats bros swathe* building construction. I herebyadobesreams**.of be City of Carlsbadb *OruponOmabovementnedpropertybrinspecion purposes.I ALSO AGREE TO SAVE. ININAAVFY AhLi KEEP HARMLESS111ECITY OF CARLSBAD AGANST NJ. UABILITIES,loGnerrs,COSTSAkri EXPB4SE$ WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY INCONSEQUENCE OF THE GRANTING OFMEPERW4T. OSHA: An OSHA permiitrequiredexexcaesSons over 51T(Impend r a or comituctionof*mitresomit 3*desinMOIL EXPIRATICatEmerypermit issued byhe &Ming Oficial under •cf les Code shallamieby knitsfon andher:mealand void to Salivaworkaotorinxiby suchiximitis not commenced withinAMSPINdays bomfiedaledstetmiceiftie toiliing or work •suchpern*issuspendedcratertoned stonyOneAsirthe work is o3mmenzedfirs perkd of 180 daysMerit")108.4A Unitarm Building Code). 25APPUCAIIrS SIGNATURE DATE Phillhas • PERMIT INSPECTION HISTORY REPORT (CBR2016-0426) Permit Type:BLDG-Residential Application Date:12/21/2016 Owner:TRUST FERDINANDO SANDI FAMILY TRUST 05-18-11 Work Class:P/M/E Issue Date:12/21/2016 Subdivision: Status:Closed -Finaled Expiration Date:06/19/2017 Address:2617 Regent Rd Carlsbad, CA 92010-6412 IVR Number:994 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 01/1112017 01/11/2017 BLDG-25 Water 009310-2017 Passed Paul York Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 009311 -2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No January 11, 2017 Page 1 of 1