HomeMy WebLinkAbout2696 BRESSI RANCH WAY; ; CB141340; Permit06-13-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB141340
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type;
Parcel No:
Reference #:
PC #:
Project Title:
2696 BRESSI RANCH WY CBAD
PME
2131414300 Lot#:
COLOME RES-REPLACE WTR HTR
Status
Applied
Entered By:
Plan Approved
Issued
inspect Area
ISSUED
06/13/2014
LSM
06/13/2014
06/13/2014
Applicant:
CALIFORNIA DELTA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007/866-6925273
Owner:
COLOME DENNIS M
2696 BRESSI RANCH WAY
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$33.00
$0.00
$0.00
$62.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector: Date Clearance:
NOTICE: Please tal^e NOTICE that approval of your project includes tlie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pemnit 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 infomiation 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othen/vise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: O PLANNING nENGINEERING • BUILDING QFIRE • HEALTH • HAZMAT/APCD
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carfsbadca.gov
Plan Check No. m
Est. Value
Plan Ck. Deposit
Date 6,(ta I 1^ SWPPP
CT/PROJECT # LOT# PHASE # # OF UNITS » BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP
C36
JOB ADDRESS 2696 Bressi ranch way SUITE*/SPACE«/UNIT*
DESCRIPTION OF WORK: /ncfude Square Feet of Affected Area(s)
Replace 50 gallon gas water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~|* N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact) John Santos APPLICANT NAME (Secondary Contact;
ADDRESS 6056 E Baseline Rd#155
ADDRESS
CITY
Mesa
STATE
Az
ZIP
85206
CITY STATE ZIP
PHONE
866-692-5273 PHONE 866-692-5275
FAX
EMAIL
johns@deltamechanical.com
EMAIL
PROPERTY OWNER NAME Dennis Colome CONTRACTOR BUS. NAME Ca Delta Mechanical
ADDRESS 2696 Bressi Ranch Way ADDRESS 6056 E Baseline Rd#155
CITY
Carlsbad
STATE
Ca
ZIP
92009
CITY
Mesa
STATE ZIP
Az 85206
PHONE
760-717-5050
FAX PHONE
866-692-5273 866-692-5275
EMAIL EMAIL
Capermits@deltamechanical.com
ARCH/DESIGNER NAME & ADDRESS
811114 C36
CriY BUS. LIC.»
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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500)).
FORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations:
SI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co. Liberty Surplus Policy No., Q2S88307 Expiration Dale _
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the performance of the work for which this pemiil is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of
Califomia. WARNING: Failure to secure wgjiters'csntoeiyMlion 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 compensation, iamige^miymM^ In Section 3706 of the Labor code, interest and attomey's fees, .
yfiS" CONTRACTOR SIGNATURE C—^'^^J^ [7] AGENT DATE (S>h 1/^
OWNER-BUILDER DECLARATION
/ hereby affinn that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does 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 improvements are not intended or offered for
sale. 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 sale).
I I I, as owner of the property, am exclusively contrxting with licensed contractors to constnjct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law),
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement QYes I iNo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contrxtjii,(hiryythe following persons to provide the work indicated (include name / address / phone / type of work):
veTpROPERTY OWNER SIGNATURE [TJAGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T IA L BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25633 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? • Yes O No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? • Yes • No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 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 there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I cettiiy that I have read the application and state that the above infbrmation is correct and that the infbrmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constniction.
I hereby authorize repiesentatiire ofthe City of Caiisbad to enter upon Sie above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Oflicial under the pro/eions of this Code shall expire by limitation and become null and void if the building or work authorized by such pemiit is not oommenoed within
180 days from the date of such permit or if the building or ws^authotefel by such permit is suspended or abandoned at any time after the work commenced for a period of 180 days (Section 106.4.4 Uniform Building Code),
veTAPPLICANT'S SIGNATURE / J ^"TT DATE
Inspection List
Permit#: CB141340 Type: PME COLOME RES-REPLACE WTR HTR
Date Inspection Item
05/18/2015 25 Water Heater/Vents
05/18/2015 25 Water HeaterA/ents
05/18/2015 29 Final Plumbing
05/18/2015 29 Final Plumbing
Inspector Act
Rl
SP AP
Rl
SP Fl
Comments
COLOME RES