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Home My WebLink About2871 CAMINO SERBAL; ; CB153371; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-08-2015 Permit No: CB153371 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2871 CAMINO SERBAL CBAD PME 2552813600 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: MANES: REPLACE WATER HEATER 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: MANES ROBERT S&REBECCA A 2871 CAMINO SERBAL CARLSBAD CA 92009 ISSUED 10/07/2015 SLE 10/07/2015 10/0712015 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: ~ Clearance: $0.00 NonCE: Please take NonCE that appuval of your prqect indudes the "lrrp:sition'' ci fees, dedications, reservations, or other exoctions hereafter oollectively referred to as "fees'exoctions." You have 00 days from the date this pemit V\as issued to protest irrp:sition of these fees' exactions. If you protest them, you ITl.lSl foiiOJVthe protest prcx:edures set forth in Govetnrent Code Section 66020(a), ard file the protest and any other required information Vlith the City rvlanager for processing in accadanoe\1\ith Carlsbad IVl.Jnidr;el Code Section.3.32.030. Failure to tirrelyfoiiOJVthat prcx:edure\1\ill tEr any subsequent legal action to attack, review, set aside, void, or annul their irrp:sition. You are hereby FLRn-IER Non RED that your right to protest the specified fees'exoctions CCES NOT .APPLY to IM3!er ard seNer connection fees ard capacity changes, nor planning, zoning, grading or other sirrilar application processing or service fees in connection Vlith this prqed. NCR CCES IT AFPL Y to any fees' exactions of \1\klich have ·ousl been 'vena NonCE sirrilar to ths or as to Wlich the statute ci !irritations has eviousl otheMise ·red. ENGINEERING City of lsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov ~~~~~?~~~~~~·a.tD .... t .. ro .. ~~ .. -:; r __ Est. Value l8,1 CO\tt1ino Sa..-~~· ! SUITE#/SPACE#/UNIU -00 ~t~~:~~EC'fi .. --····· ••. ~]~~~~················· ........... ······~JPH~S·E~~~~rFOFiifs····c~:~~~~s ; DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ·, 7 S frq \ b"Gt~ VJ G\tev EXISTING USE PROPOSED USE GARAGE 1SFl PATIOS (SF) FIREPLACE YESO AIR CONDITIONING NcO YES0No0 FIRE SPRINKLERS YEsONoO 'APPLICANT NAME ~.ftffi.ftfl'_C.9n.t~lyt 'ADDRESS JENNATRYON 6056 E BASELINE RD #155 STATE MESA AZ -·-·--·---·--·----- CONTRACTOR BUS. NAME 6056 E BASELINE RD #155 ZIP ·-·--l"'c"'w""y-------------=sfft.rE · --· ·"~ "-·-·--··------------··----·---··---··-' MESA AZ 85206 866·692-5275 ........................... EiviAiL capermits@deltamechanical.com ···· siAif'liC:ii ······ · ···· · · · · ··· -....... · -~----· · ct:Ass·· ·· -· fciiYaus. uc.11 - 811114 C36 I 1214281 (Sec. 7031.5 Business and Professions Code: Any City or County whic!1 requires a permit to construct. alter, improve, demolish or repair ant structure. prior to il.s issuance. also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Comractor's License Law {Chapter 9, commending with Section 7000 of Dovision 3 of the Busrness ana Professions Code} or that he is exempt therefrom. and ti1e baSIS for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perrnrt subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self· Insure for workers· compensation as provided by Section 3700 of the Labor Code, for the performance of the work for .vhich this 1J€rmit is issued. I2J I have and will maintain workers' compensation. as required by Section 3700 of the Latwr Code. for the performance of the work for wnich this permit is issued. My workers compensation insurance carrier and polrcy number are: Insurance Co LOCKTOil COMPANIES Policy No. 34WEQlOllO Expiration Date ___ ~4;211_~--- ~sectlon need not be completed ill~e 1J€rmit is for one hundred dollars {S100) or less. LJ Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any fl€rson in any manner so as to become subject to the Workers' Compensation Laws oi California. WARNING: Failure to workers' co ' nlawful, and shall subject an employer to criminal penalties and civil fines up to one hUndred thousand dollars {&100,000}, in addition to the cos! of of the Labor code. interest and attorney's fees. k$ CONTRACTOR I hereby affirm that I am exempt from ConlrJctor's License Law for the following reason: D 0 0 I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale (Sec. 7044. Business and Professions Cede: The Contractor's License Law does not apply to an owner of property who builds or improves :hereon. and who does such work himself or through his own employees. provided that such improv<lments are not mtended or olfered for sale. If. however. ihe 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 salei. I. as owner of lhe property. am exclusively ccntraCiing w:th lice~sed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's license Law). I am exempt under Section .~. .. ........... ~ .... Busrness and Professions COile for lhis reason: 1. I personally plan to provide the major labor and materials for construction of :he proposed property improvement: QYes Oo 2 .. I (have f have not) signed an application for a building permit lor lhe proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include r.ame address r phone 1 contractors' license number)· 4, I plan to provide portions of the work. but I have hired the following person to coordinate. super1ise and provide the major work iinclude name! address i phone/ contractors'license number): 5. I will provide some of lile work, but I have contracted (hired) the following persons to provide lhe work indicated (include name i address! phone 1 type of work): k$ PROPERTY OWNER '0. DATE \ ! certifytllat 1 have read the application and state tllattlle above infonnation is correct and that the infonnation on the plans is accurate, I agree to comply wltll all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspocUon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 permit is required for excavations over s·o· deep and demolition or construclion of struclures over 3 stories in height. EXPIRATION: EvelY permit issued by the Building Official under the previsions of this Code shall expire by lmitalion and become null and void if the building or work authorized by such oermit is not commenced <Mthin 180 days from the dateofstlch permrt building orwori<. authorized by such permit is suspended or abandoned at any limeaflerlhe work is commer;-ced for a period of 180days (Section 106.4.4 Uniform Buildirg Code). Jl5 APPLICANT'S SIGNATURE ~ DATE I pecti n List Permit#: CB153371 Type: PME Date _Jnspec!ign Item __ ~~ __ _ 03/25/2016 25 Water HeaterNents 03/25/2016 25 Water HeaterNents 03/25/2016 29 Final Plumbing 03/25/2016 29 Final Plumbing Monday, March 28, 2016 Inspector Act AEK AEK Rl AP Rl Fl MANES: REPLACE WATER HEATER Comments AM PLEASE AM PLEASE Page 1 of 1