HomeMy WebLinkAbout2872 CAMINO SERBAL; ; CB133014; Permit12-05-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB133014
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2872 CAMINO SERBAL CBAD
PME
2552813000 Lot#:
BADR RES - REPLACE TANK WITH
TANKLESS WATER HEATER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/05/2013
SKS
12/05/2013
12/05/2013
Applicant:
CALIFORNIA DELTA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007
Owner:
BADR MAGDY E&RIEM E
2872 CAMINO SERBAL
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
EXPIRED PERMIT
PERMIT HAS EXPIRED !H ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE MM SIGNATURE.
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
r-iE FCL.IVVING APPROVALS 3H ;IJPED==;:GR'0 .^SS.VilT iS3UA,-iCE, i_PLAMN!fiO ENGiNEE.RiNG 3L!LDiNG • FiRE _j HEALTH • HAZ.MAT/APCD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov /<?y v
www.carlsbadca.gov /S^V
Plan Check f^o.(j^ | 3 ^ Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov /<?y v
www.carlsbadca.gov /S^V
Est. Value
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov /<?y v
www.carlsbadca.gov /S^V
Plan Ck. Deposit ^ ^
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov /<?y v
www.carlsbadca.gov /S^V Date-H/A7//:J «WfW—' 27wi
SUITE#/SPACE»/UNIT# APN '
;T PROJECT •#
•LOT # CHJ3E » 4 jf ijMITS 1 3E0RC0MS 3AThRC0MS TENANT BUSINESS NAME X^.STR r-PE OCC OPOUP i
1 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE FAT:C3 SFi CECA5 ^SF( -iREPLiCE
rE3[>
AiP CGNCITiOMIHG
YEsOMOn
FiPE SPRINKLERS
/EsQMCn
iPPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
6056 E Baseline Rd
AZDP.ESS
;iTY
Masa
STATS
Az
ZIP
85206
•ziri 3 TATE Z\?
866-692-5273
FA,<
8 56-692-5275
^hCME FA,<
:iMA:L
iohn3@deltamechanical.eom
E.MAIL
'ROPERTY OWNEF? NAME f\A . , 1 ^ i ^ CONTRACTOR BUS. NAME Delta Mechanical
ADCRE3S 6055 E Baseline Rd
STATE
Mesa
STATE
Az
Zl?
85206
FAX PHCNE
865-692-5273 -
F.A,<
866-692.5275
MAIL EMAiL john3@,deltamechanical.com
RCh, DE3iG.\ER ^AME i ADCRE3S 3TATE '-.C.!t
811114
CLASS
C38
CITC SLS. L!C.;»
1214281
f
iec. 7031.5 Business and Professions Code; Any City or County whicli requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
opiicant for 3ucn oermit to file a signed statement that he " ' ' " - .--^ -usiness and Professions Code) or that he is exempt therei vil penalty of not more than five huncred dollars (3500)1.
opiicant for sucn permit to file a signed statement that he is licansed pursuant to the provisions of the Contractor's License Law (Chapter 9. commending with Section 7CC0 of Division 3 of the
usiness and Professions Cod_el or that he is axemotjherefrom. and the Sasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a
Workers' Compensation Declaration: / hsreby affirm undsr penalty ofperfur/ one of'he following Jec/araf/ons.
I I have and will maintain a csrtificats of consent to self-insure for •«crker3 ccirpensaiicn as creviced :y 3ec;:cn 37CG cf '.he L3tcr Ccce. icr :he percrTianca cf ;he ivcrk fcr wi'iich :hi3 permit is saued.
I have and will maintain workers' compensation, as required bv Secticn 37Q0 cf ihe L3l;or Code, fcr :lie percrmarce of 'he wcr'< fcr wnic.'i ihis sermit is issued. M'/ «cr'<er3 ccmpensalian insurance earner and pdicy
nurr.cer are: Insurance Co _ State Fun P;licv Mo. 1597323 -xciraiicn Date
Tus aecScn need nctce eoirpieted if ;he psrmii is 'crone hundred dollars iS'.CO) cr :ess.
I I Cartirlcate of Ejtemption: I csr.if/ '.hat n ;he :encrmanC3 of ;he .vcrk fcr .v.nicn :his :erTit is ssued ' snail .icl amp icy any cerson n any -nanner so as :o secctre subiec; ;o Ihe vVorkers Ccmpensaticn Laws bi
California WAi^NING: Failure to secure 'workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SilOO.OOO), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
JS^ CONTiUCTOR SIGNATURE [7]AGENT DATE
•
•
•
;by aff.TTi that i am exempr rom Contracfcrs Lcense Law fcr the icilowmg reason:
', as pwner :f i.he prccery :r Tiy errpicyees .viti"i .vages as :i'eir -cie pccicer.saiicn. ,viil ::o '.t^e .vers and ;he 3in,c:ure s nol nlended ar affered 'cr sale :3nc 7';44 Sijs.rsss and .^'cfessicns Cede T'^e
L.cer.se La'.v icea -ot apciy to an a'.vrer }f prcpen:y wno cLiics :r :rrprGve3 :nerecn. and .vnc aces SiiCii .vcrK limsaif ;r ihroi-gn nis c.vn empicyees, provided itiat sucn n-.croveniems are .ict niendea :
aale :f. ncneier '.he puiicing or improver.eni is sold *ithin one /ear of oorpleiicn ihe owner-ouilder .vill iave '.he aurben of proving that ie did not Duild or improve fcr '.he purocse of sale).
i. as owner of ;he procery am exclcsi'/eiy ocntraciirg Aith licensed ocnfractors :o ocnsinjc; :he orpiect Sec r:;44 Business and Profess ens Cede; "he Centracior s Lcense Law bees noi apply :o an;
prober"/ .vho Guilds or irrproves fhereon. and ocnrracrs 'cr such projec.s ,vi!h oontracloris) icensed pursuant :o ;he Contracfcr s License La'.vl
i an exempt under Section Business and ^rcfessicns Code 'cr 'iiis 'eascni
1 ' personally plan tc pro'/ide the Tiapr 'accr and ratenais 'cr ocnstructicn of the proposed proce.f/ mprovemem [^''es I |tio
2.1 (have have not) signed an apclicaticn fcr a building oertr.il fcr the proposed »crk.
3 ! have ooniracted .vith Ihe fcllc/iing person (firm) to provide the proposed oonstruction (include name addressphone,' contractors license nuir.cer).
4 ; plan to provide pcrticns of the ,vcrk, but i nave h.red the 'cilcwmg person tc ooordinate, supen/iss and provide the major ,von< (include name address prone contractors license number;
5 I .vill orovide seme of the sicrk. but I have oonlracied -hired) the fcllowing persons to provide the .»ork indicated (include name ' address • phcne ' iyce of '.vorK):
.entraclcr a
r offered 'cr
i3 the applicant or fulure building occupant .-equired to sutiinil a OuOineos plan -acutely r'lazarOcuo .-halan-jlo •egiol.'alicn fcrrr, or .•iui<. Tian.ageinent and preventicn program untfar Ceoliono 255C5 25533 or 25534 of the
P'^eoley-^anrer hazardous jucsiance Acoouni -^cl'' 1 <e?i C3 Ho
is 'he bfciicani .i 'ui^re ouiiomg toojp.jnl -equired 'c retain a periml 'ron -ne air pciluticn ;oniroi Jrulnttt ;r an .juaiit/ -nai:ager»ien! tiu'ihc:'' C3 I'es 3 •''lo
Is the facilih/ !o be oonslructed wilhin 1.000 'eel of Ihe outer boundary of a school site' (3 Yes d No
IF ANY OF IHE ANSWERS ARE 'f ES. 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 OlSTRICT i
I heret}'/ affirm *at there is a constnjction lending agency for the performance of the -/vcrk this permit is issued (Sec. 3C97 (i) Civil Code),
Lenders Name Lenders Address
I'll' V.<
I oertily that I have read the application and state that the above information is conect and that the infomiaticn on the plans is accurate. I agree to comply with all City ordinances and State laws reladng to building constniction.
I hereby aulhcnze representative of the City of Carlsbad to enter upon the above mentioned property fcr inspection purposes. I ALSO AGREE TO SAVE, INDEiVINIFi' AND r<EEP HARMLESS THE CITY CF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AMD EXPENSES V/HICH MAY IN ANY '-WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
G3HA: ,An OSHA pennit s required fcr excavaticns over S'O' deep and demolition or ccnstmction of struciLres aver 3 stories in he^ht
E<P!RA,TION: Ever/ permit issued by the Building Official under the provisions of liis Code shall expire by 'imitation and become null and -/cid if the building cr 'work authorized by such pemiit is not commenced '/vithin
130 days from 'he jateof such peimitcrf he building or flicrl< auihcnzsd by such permit issuscended cr abandoned at any 'jme after J'e .vcrk socmmenced fcr a pencd of 130 days (Secticn 1C6.4,4 Uniform Building Ccdel
DATE