HomeMy WebLinkAbout2712 OLYMPIA DR; ; CB154518; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-21-2015 Permit No: CB154518
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2712 OLYMPIA DR CBAD
PME Status:
Parcel No: 1674322600 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
MINEGAR RES-REPLACE WATER
HEATER
CALIFORNIA DEL TA 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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MIN EGAR FAMILY TRUST 10-12-04
7700 EL CAMINO REAL #201
CARLSBAD CA 92009
ISSUED
12/21/2015
RMA
12/2112015
12/21/2015
$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: /2-J/-/~ Clearance:
$0.00
r-KJTICE: Aease ta<e r-KJTICE that 'llP'(Mi ci )OJ ~Ed ird~ tte "lrrpa;itiorl' ci fee,; cledcaicrs, resavatims, or ctt<r exmicrs h3reefter cdledively
reterred to as 1eee/e>ooicrs." You rave 00 days tra,, tte dale ths pemit""" issued to pretest irrpa;ilion ci these feee/e><a:licro-If you pretest th3n'\ you m..st
fdlc,.vtte prctest proo,d.res set forth in G:Mrrmrt Code Section 66l20(a), a-dfilette pretest a-d anycther r,q.ired infonrelionwthtteOtyMroagerfor
~rg in ao:xmrrewth Ca1sba:I Mridl>i Code Section 3.32.000. Falueto tirrelyfdlc,.vthat Jl'OCS(l.rewll l>'r anySlb;eqJerl legal edion to atta:l<.
revieN, set aside, vdd, er aru trer irrp::siticn
You are rerecy FlR11--ER r-KJTIREDthat )OJ rigt to pretest tte spediedfeas/Ell<edicrs OCESI\Of l'PP\.Ytov.eter a-d ,,._ ocrrernonfees a-d a,pajty
c:t...-g,s, nor plmrg, zairg gacirgorcthersinil..-wicalion ~rg orservcefees in ocrrernonwth ths ~Ed. NCROCES IT l'PP\.Ytoany
fee:;} ·a.s a ·m1e.-totlis v-Aid1 ctlini i has
fHE l'\JLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE :=] PLANNING ENGINEERlNG Dsu1LD1NG CJFiRE CJ HAZMA TIAPCD
(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.carlsbadca.gov
Plan Check No.
JOB ADDRESS SUITE*/SPACetiUNfHI
'"''"""" • . ... . ················ . j'(;'. .
2712 0(:r:a D]""q'~lpe1.t,_01, ~, ,,oc,,s. l""ANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ
Replace 40 gallon gas water heater
SWPPP
EXISTING USE PROPOSED USE GAR!I.GE 1'5F; PATIOS{SF; DECKS ;SF.1 FIREPLACE
YES0,
.\IA CONDITIOl'.ING
No[] YES ONO □
FIRE SPRINKLEflS
v,so,o□
APPLICANT NAME
P~~ll'. Con~frt _
,\DDRESS
CITY
PH◊-~E
Mesa
John Santos
6056 E Baseline Rd #155
S'i'ATF LIP
Az
FAX
85206
866-692-5273 866-692-5275
EM.Ail
DESIGN PR0FESStoNAL
'A.DDREss·
Capermits(@,deltamechanical.com
ZIP
PROPERTY OWNER NAME
CITY
Carlsbad
PHONE
Tom Minegar
2712 Olimpia Dr
ST/\TE ZIP
Ca
F'\,\
760-250-2593 ... EMNL.
CONTRACTOR BUS. NAME
ADDRESS
CITY
Ca Delta Mechanical
6056 E Baseline Rd #155
ST,HE
92010
STATE
PHONE PHONE
Mesa
8666925273
Az
;:,\.\
85206
8666925275
E\11,.l,IL
I STATE-Lie ,
!
EMAIL
ST4Tt'. uc.~
...... Capermits(@.de ltamechanicaLcom
, C!TY SVS. UC.•
811114 C36 1214281
{Sec. 7031.5 Bus,r,ess and Professions Code: A.ny Cit', or Count,, wnich reouires a perrntt tv construct, alter. improve. demo!ir.ri or repair arwstructu'.e. p_r:or to its issu:ance. atso requires U1e .;ppl1can!. tor such pem:1t to t,le a s,gped staterr1en1 that 1,e ,s licensed pursuan: to t!1e prov1s1ons of the Contractors License t,aw j1Chapter ti. co1'!1tr.eridmg with Seci1on 7000 of Dr,1s,on 3 ot t~e Bus,ness 011d Professions Code} or that he ,s e)(empt theret,om. and the basis lor tne alleged e)(empt,on, Anv v1o!at,on of Sect,on 031.5 by any ;ipohcant for a perm a sut11ects the apphc:ant to il
CIVIi pen;ilty of not more ttlll'l five hundreU do!tars [$5001).
Workers' Compensation Declaration: I he:e/Jy affirm ur.dei penal!f of pefiuf'f oni; of the following dedara/;or:s·
□ I havtt and wiU maintain a eartificate of consent to S&lf-insure !or W()(~ers rnrnpt>rsawm :is ;i1ovfde<i by Section 37()0 o1 the Laoor Coce tor the peIT'.lrmance ot '.t'.e il-'Of~ ·o: ,\'!'lie~ lh1s perrr1\ ,s .s;;uec 1
~ ! have and will maintain worltm' compensation. as 'eQUlred b'I Section 3700 of '.he Labor Code, fOf the performance of the work lor which this pt!fmll 1s ISScieo My workers tornpensa1<on ,nsurance earner and poi icy
nurrbe• are lrsurance Co Twin City Fire f'rotec! Policy 'lo 34WEQ1012tl Exp,r<1'•()r'l Da:;, W'912011i
This sect;on 1ee<1 no: t>e complete<! if the pe:m,t is for 011e hur.dred collars ;$ HJ.::, or less. 0 Certificate of Exemption: I cerHy that, '1'o'fllance cf the work !or wtucn this perr>0I1 Is issued. I s~aH not emp1ov any person Sn any manner so as to tieccnw %bjev :c l~e Workers CoMpe~s.,! or laws .-if
Califor,,a WARN1NG: Failure to secure ' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in
a,ddilion to the cost of compenW)ion, da s proYided for in Section 3706 of the Labor code. interest and attorney's fMs •
.65 CONTRACTOR SIGNATUR
I 1'mbf eff,01 lhal ! am 9xempt frorr Contmc:ors L,c11nse L!!w fr;r/1'e loRowmg ,'<Jason
□
□
□
I. as owrier ol !he property or my employees w1t1 wages as tl'e1r sole compensat1or·. will de lhe work and the structure 1s not ;ntendec or ottered for sale \Sec. 1~44 3us11e55 ana Profossinns Code The Contractors
Licen'>I! Law 1loes r10! apply to an owner al prop.•r'y who be..11lris or impm~e5 tl'eroon. af'(J whe does such work h1mS£I! or :hroJgh ms own em;iloyees. provided tt1at w-;~ 1~11lr0¥ernents are not intended or offered for
sa!e. It. hoWever. \l'.e building 01 :rrprovamert ,s ::old w•ttwt one year of ccmD1e:io1 tl'e ow"<er-t>t11\der !MU have tile burden of pro1•:ng tllat he dsd rxit build or 1mpro...-e f9• the purpose 01 saleJ
!. as owrer of \he property. am e~cb5Ne!~ cortrncting >\';tt, l,censed con:'.acwrs :o constru.;t :he Jroject iSec 7D44. Business and Profess,Ofls Code. The Contractors ~:cerse L,1w does riot apply to ar awrier ot
properry who tlllllds or improves there::m. and contracts 10, such proJe<>1s with corwactorisJ liCt."lsed pur:;uant to the CO'ltraC:O(,; License :..aw)
I am execn~ under Sec:,on B~s1'1ess an<:i ;:,rcless1ons Cude for tt1,s reason
1 I personally olan to provide !he ·11a)(X ialJnr 1ml rnat!.'nals for tx1·1s'.n.,;t1on 0i tt1e p1ooosed pr0pen1 imorovernenl OYes Do
2 I (ha1·e ' ~ave no') si9ned an apphcal1on for a buildl!'IJ oennit for th< Jroposed work
3 1 have contracietl wit'! the fottcw,ng ~erscn (firm·; to pr,:r.,de '.'1e cropcsed construcnon ;1rci~de narre addre% ~~one' comrac\ors license nL:rnbef)
4 I plan lo provide portions of !h.i wQrJ<. tiut I have hired the 'ol\owo'lg pe,scn lv coor:linate super✓ise aroc pro~i<ie \he inaJor wor\ (include name, admess µt1ore coi,\r,;clors· license num::ieq
5. I will provide some of lhe wor~. !J\,I I ,ave (.,.ntracied 1h,rej\ thu !ol!owmg owsons to OfOf!lle the >'IOfk maica!eG .. hc\J;:t~ name : address : phone t;pe :;,I ·NQrki
_NS PROPERTY OWNER SIGNATURE □AGENT DATE ----
is !he appl;cart or futJre ou1iding occupam required to submit a business olan, acutely ~azaroous materials reg1s!ration fOfm or ~,sk rna~agement ar,d pre~enbor. progran Jnder Sect,ons 25505 25533 o, 25534 of the
Presley•Tanner Hazardous Subsiance Account Act? CJ Yes n No
ls the appkar.t or future bu1idirg OCC\JPant ffhlWed 1o obtail'\ a pem-11 from the air pollufon control d1st~c1 or ai• qJa;,ty r11aragement '1•slricP 7 Yes :, ~o
is t~e tacJ\lty to be ccnstructed 11;1t/';1n 1.0GD feet of tM 01.1ter bouraary of a sc/1001 site? :7 Yes 7 No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET ORIS MEETING THE REQUIREMENTS Of THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT-
I hereby affirm that there is a constn;ction lending agency for the performance of the work '.his permit is issued (Sec. 3097 (i) Civil Code)
I certify that 1 have read lhe application and state that the above information is correct and that the informatiOO on the plans is accurate. I agree to comply with all City oldinances alld Slate laws !$ting to building COl"lstniction.
I ~ereby auttiaize represen!ative of the City of Cartsbad to en!er upon !he above mentioned JrOoerty for inspertoo purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILJTIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cln' IN CONSEQUENCE OF THE GRANTING OF THIS PER'IIT
OSHA kl OSHA pemllt IS reql!lred for excavatiors over s·o• deep and demohoon'"' C0'1struc00n of slructurm. ever 3 stones ,n tieighL
EXPIRATION: Everyperrrut issued t)y tbe Bwk:ling under me orov,sions of!l1is Code shall expire 'Jy irn,tatJcn and become 'lull ard YOO d tne OOiklJlg Of work. all!honzed by si;ct1 perrn1 is. l'\OI. CC'!lmeoced 'Mltlir,
18C cays TQr:, trie elate of sud1 perrrnt or ii !he b ITl{l ~ authO!'!zed Dy sud'l pennrt IS suspended or aba."idc/led a! any t.rr,e after !l'1e w:)f'I( is commenced for a perod ol 180 days (Section 106.4.4 Uri'orr.-1 Boik:!irig Code)
_I$ APPLICANT'S SIGNATURE DATE 1~/,,, /,r
Inspection List
Permit#: CB154518 Type: PME
Date lnspe_ction l!em
12/31/2015 25 Water HeaterNents
12/31/2015 25 Water HeaterNents
12/31/2015 29 Final Plumbing
12/31/2015 29 Final Plumbing
Monday, January 04, 2016
Inspector
PB
PB
Act
RI
AP
RI
AP
MINEGAR RES-REPLACE WATER
HEATER
Comments
PM PLEASE
PM PLEASE
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