HomeMy WebLinkAbout2757 HIGHLAND DR; ; CB161116; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
03-22-2016 Permit No: CB161116
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2757 HIGHLAND DR CBAD
PME
1561206800
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: SEELEY RES-REPLACE WATER HEATE
Applicant:
CALIFORNIA DELTA 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
Owner:
SEELEY MARIANNA M TRUST
2757 HIGHLAND DR
CARLSBAD CA 92008
ISSUED
03/22/2016
RMA
03/22/2016
03/22/2016
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: MJ?-, Date: Clearance:
$0.00
"°11CE Rease ta<e "°11CE that~ cJ )OJ IJ'ied irdudes tte "lrrpooitic:.-1' cJ fees, declcalicrs, reservalicm, ex cther El)(>dicrs -a:lledively
referred to as "fees'e>Ca::ticr&" Yoo reveOOda),sfnrntte-ttis pa-rrit""5 issuad to l'(test inµ,sitioo cittesefees'.,,,;dicrs. If )OJ l'(iest therT\ )00 m.ot
fcllONthe l'(test p,oo,cl.res set lath in 0:>1e,nrer1 Gale Sedioo €0020(a), !rd file tte l"iest !rd a,y cther recµroo infarreia1 wth tte aty Mragarfex
proressirg ;, , ax.uda cewth a.istm M.ridpa Gale Sedioo 3.320JJ. Falu-etotirrelyfcllo.vthal ~wll ra-a,ySLblecµ,"l lega ooion to~
reJiEW, set aside, veld, a nu tter irrp:sition.
Yoon herecy FlR!l-ER"-OTlREDthal )OJ ng-t to l'(iest ttespedfiedfees'e>micrs OCES NOr APPLYtov.eter !rd ......,.ooonedicn fees !rd~
chrgel3, ncx ,laTirg, zairg ga:lrg ex cther sinila-wicalicn proressirg ex senAce fees in ooonedicn wth tlis l)tjed. !\CR OCES IT APPLY to a,y
· ·m1 i · ims
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: Q PLANNING D ENGINEERING O eu1LDING QFIRE Q HEALTH D HAZMA T/APC0
I
(city of
Carlsbad
JOB ADDRESS
EXISTING USE
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITU/SPACEf/UNITf
Plan Check No.
SWPPP
replace water heater like for like same location
I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS {SF) I FIREPLACE
YES Qt
I AIR CO''lDITIONING I FIRE SPRINKLERS I
No[] YES□No□ YES□No□
I APPLICANT NAME John Santos PROPERTY OWNER NAME Marianna Seeley Pr!natv Contact •·-ADDRESS ADDRESS 6056 E Baseline Rd #155 2757 Hii:1hland Dr --' --·-· --·· -'CITY STATE ZIP CITY STATE ZIP
Mesa Az 85206 Carlsbad Ca 92008
PHONE FAX ---· PHONE . FAX -·--·· --I
866-692-5273 760-712-2593 I 866-692-5275
·eMAiI. ·----EMAIL
Capermits@,deltamechanical.com
-DESIGN PROFESSIONAL I
CONTRACTOR BUS. NAME Ca Delta Mechanical ---" ADDRESS ADDRESS ! 6056 E Baseline Rd #155 i . CITY -STATE ZIP STATE ZIP CITY
Mesa Az 85206 I ---,FAX --·---PHONE FM PHONE
866-692-5273 i 866-692-5275
reiMiL -----·----EMAIL ---·--·-
Capermits@,deltamechanical.com ---••----··-·--1TEuc:-, STATE LIC.• r-~55C36 I CITY BUS. LIC.1214281 I 81114
(Sec. 7031.5 Business and Professions Code: Any City or Count) which reQuires a perm,t to cons:ruct, alter. improve. demolish or repair any structure, prior to its Issuance. also reQu,res the apphcant for such permit to file a si&necl statement that he ,s hcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 or Division 3 of the
Business and Professions Code) or £hat he ,s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apohcant tor a perrrnt subjects the applicant to a
clVII penalty of not more than fi\/e hundred dollars {$500)).
Workers' Compensation Declaration· I >,sreby affirm under penaffy ol pequry cne of the foliowing declarations: 0 I have and will maintain a certificate of consent to self-insure tor workers· comi:ensalKlll as l)fOVide<J by Section 3700 of lhe Labor Code, for lhe performance ol lhe work for which 1h1s perm11 1s ,ssued
12] I have and will maintain worl<ers' compensation. as reQu1red bv Seeton 3700 of the Labor Code for the performance of the work ror which this oerm,t is issued. My ,.orker$' compensation insurance camer and policy
number are· Insurance Cc Twin City F•• Prottct ---Policy No. 34WE010120 Exp,ratioe Date ,in111s
~section need not be completed ,r U1e permil 1s lor one hundred dollars {S100) or less LJ Certificate of Exemption: I certify that m the rforrnance of the work for which this perm11 is issued, 1 shall not empfoy any person in any manner so as 10 become su~t to the W()(1(ers' Compensation La~ of
California WARNING: Failure lo secure w 'compensation coverage is unlawful, and shall subject an employer to criminal penattles and civil fines up to one hundred thousand dollars (&100,000), ln
s provided to · '3706 of the Labor code, interest and attorney's fees.
~NT
I hereby aff,rm that I am exempt from Contractor's License Law for tne foliow:ng reason.
□
□
□
I, as owner of the property or my emplOyees with wages as their sole compensation. will do the wo.1< and the strueture is not intended or offered ror sale (Sac 7044 Busmess and ProlesSIO!ls Code: The CootraclOf's
L1tense Law does not apply to an owner of property Who builds or improves thereon. and •,mo does such work h1msett er tnrough his own emplOyees, provided that such impro..emems are not intended or offered for
sale. If. however. the blliding or improvement is sole! w1lhin one year of completion. the owner•buidernill have the burden ol proving lhal he did nol bu,ld or ifTIOfove 'or tne l)'Jrpose of sale).
I, as owner of the property, am exdusively coolracbr,g w,th l,censed contracto~ lo construct lhe proiect (Sec. 7044. Business and Professions Cede The Conlractor s License Law dces not apply :o an owner of
property who builds or improves thereon. and conlracts for such projec!S with contractor(s) licensed pursuant to the Coollai1or·s License Law;.
I am eKernpt under SectlOO __ -· Business and Professions Code for this reason.
t. I per;onally plan to provide the maJOI labor and matenals for constructKll\ or the proposed p,openy improvement O ves O o
2. I (have I have not) signed an apphcat,oo for a bll11ding pennit for the PfOposed work
3. I havi, contracted with the fol!O'Mng person {firm) to provide the oroposed construction (include name aadress i pnone I contractors' license number)
4. I ptan lo PfOVide ponions ol lhe wor'!< but I have h,red the lolov,ing person 10 ooordinale, supervise and provide the major work (include name I address : phcne I contractors· license number):
5. I wiU provide some of lhe wor, but I nave coniracloo (hired) tne following persons to pro·11de the wort< indicated (include name/ address I phone I type of w0t1\l
,€!{ PROPERTY OWNER SIGNATURE DATE
-i
. ' .
Inspection List
Permit#: CB161116 Type: PME
Date lnspec_tion Item
0312912016 25 Water HeaterNents
03129/2016 25 Water HeaterNents
0312912016 29 Final Plumbing
0312912016 29 Final Plumbing
Wednesday, March 30, 2016
Inspector Act
AEK
AEK
RI
AP
RI
Fl
SEELEY RES-REPLACE WATER HEATE
Comments
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