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Home My WebLink About2895 CAMINO SERBAL; ; CB162671; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-12-2016 Permit No: CB162671 Building Inspection Request Line (760) 602-2725 Job Address:2895 CAMINO SERBAL CBAD Permit Type:PME Status:ISSUED Parcel No:2552832100 Lot #:0 Applied:07/12/2016 Entered By:JMA Reference #:Plan Approved:07/12/2016 PC #:Issued:07/12/2016 Inspect Area: Project Title:MOSELLE:REPLACE WATER HEATER Applicant:Owner: CALIFORNIA DELTA MECHANICAL MOSELLE WILLIAM M&LAURIE B STE 155 6056 E BASELINE RD 2895 CAMINO SERBAL MESA AZ 85206 CARLSBAD CA 92009 480-898-0007/866-6925273 Plumbing Fees $38.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $60.00 TOTAL PERMIT FEES $98.00 Total Fees:$98.00 Total Payments To Date:$98.00.Balance Due:$0.00 FINAL --Pi APeoOV L Inspector:/5 Date:a/a Clearance: NOTICE Reese take Nan that dyou prcject indudes the "Iripcsiti 'cif dedcatiors, reservations, or cther eiactims hereafter cdledivelyplatedto as "feesedicticre."You have 93 daysfrail the date this pemit yes issued to pitted irrpcsiticn dthese feestaccficrs.If you palest tern you rrust fdlorrtheprotest picuscires set forth in Cevenrrent Code%dial e€023(a),at file the protest ad any cther required iiihiritticnvAth the City Mmager for piccessing in acme:Lancewit Calsbad M.ridpal Code Section 3.32.033.Fakir° to firmly fotlowthat procedre%ill bar any subsequat lap' ediu Itoattack review, set aside, void, Cr ani their inpcsiticn You dehereby FLED-ER NOTIFIED that you right to priest the specified feesioacticns DOES NOT APPLY to water and sever ccnnecticn fees at capacity changes, nor plarring,zairg gracing or cep' simileapplication pcoessing cr service fees in ccmedicn ilh tis pried.NOR11'ES ITAFR_Y to any fees/erections dvilich '.cu have Previously been riven a NOTICE sinil&toills.or as to Withthestare of !irritations has previously thoseeficinid THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING [ENGINEERING 0 BUILDING DFIRE 0 HEALTH QHAZMATIAPCO Building Permit Application I Plan Check No.(City Ph: of 1635 Faraday Ave., Carlsbad, CA 92008 Est Value 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.cadsbadca.gov Cate 7((2.i/jo —1SWPP9 JOB ADDRESS i guntezSPAtEtzUrstte jAPN2895 Camino Serbal CT/PROJECT * I LOT 0 !I PRASE**OF UNITS Is BEDROOMS IS BATHROOMS I MUMItUlikiiiNAME CONSTR TYPE OCC. GROUP •C36 1 •DESCRIPTION OF WORK Include Square Peet of Affectedkerns) •Replace water heater like for like same location .• • EXISTING USE —011000SED USE GARAGE (SF)PATIOS ISF)DECKS ISE:FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD NOO YES ONO CI YES0 N°0 ' APPLICANT NAME PROPERTY OWNER NAMEJohn Santos Will MoselleMann coftiw ADDRESS ADDRESS 6056 E Baseline rd #155 2895 Camino Serbal CITY STATE ZIP IDITh STATE ZIP Mesa Az 85206 Carlsbad Ca 92009 PHONE .FAX 'PHONE FAx 866-692-5273 866-692-5275 858-775-2609 • EMAIL EMAIL Capermitsftdeltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Ca Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Rd #155 CITY ' STATE ZIP CITY STATE ZIP Mesa Az 85206 PHONE FAX PHONE :FAX 866-692-5273 866-692-5275 .EMAIL EMAIL •CapermitsAdeltamechanical.com STATE LIG.*GRIP Mir 1CLASS CITYBLS. blow 811114 C36 1214281 (Sec. 7031.5 Business and Professions Code:Any City or County which requires a permit to construct, after. improve. demolish or repair any structure. prior to its issuance. also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9. commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)), ..„...,......WORKERS'COMPENSATION —• ...-.. Workers' Compensation DeciaratIon.I hereby afdrm under penally of perjury one of the following declarations: AI have and will maintain a certificate at consent to self-Insure for workers compensator as provided by Section 3700 of the Labor Code. for the performance of the work for iMicti this permiti5 issued. I have and will maintainmiters'compensation.as required by Section 3700 of the Labor Cock. far the penbrrnance or the work for which this hefted is issued. My wonters compensation insurance caber and policy Berkshire Hathaway liemslale DEWC705561 Expiration Datenumber are-Insurance Co Policy No. fictionneed not be completed if the permit a for one hundred dollars (5100) or less. Certificate of Exemption:Ice.*Mat in the performance of the work kor which this permit is issued.) shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California.WARNING. Failure to secure workers' compensation coverage is untevrtut and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the past of compensation, damages an provided for in Section 3706 of the Labor code, Interest and.attorney's fees. XES. CONTRACTOR SIGNATURE ElAGENT DATE ••„,.....OWNER.BUILDER. DecLARAttos .•..., fhereby armThat. am exempt hum Contractors LitedSe Law tor the blowing mason. O I,as ownertithe properly or my employees with wages as their sole compensation,MNdome work and the structure 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 himseff or through his own employees. provided that such knproyemento we not Mended or offered for sale.d !mew,the budding 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). O I, as owner of the property. am exclusively contracting with kcansed contractors to construct the protect (Sec. 7044, Business and Professions Coda The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such Prolecle with PArtiectOrW1 licensed pursuant tomeContractor's License Lawl.0 I am exempt under Section Business and Professions Code for Its reason. 1.I personally pion Io provide the major Ube and matenals for construction of the proposed properly improvement.0765 ao 2.1 (haveI have not) signed an applicabon for a building perrat for the proposed work 3.1 have contracted with the following person (firm) tbwrovide the proposed constniction (include name address /phoneicontractors' license number): 4. Iplan to provide portions of the work, but Ihave r:•the xxxxvinapen tocoordinate, supervise and provide the major work(inckide name I addressI phone I contractors' license number): 5.lollprovide some of the work, but I have con tgff nd (hired) the knowing persons to provide the work indicated (Maude nameI address I phone Itype of work):ill ' ASPROPF-RTY OWNER SIGNATURE ir 4 ' A ErA - aoENT DATE 77 v.„ .„. ..COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the appticant afuture building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of thePresley-Tanner Hazardous Substance Account Act?0 Yes 0 No Is the aepticent °Mature bulking occupant required to obtain a permit from the air pollution control district at air quality managementMaid/Yes 0 NoNeer facility to be constructed within 1.000 feet of the outer boundary of a school eta?DYes 0 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED mai THE APPLICANT HAS MET OR IS MEETING THE RECIUMEMENTS OF DE OFFICE OFEMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY • I hereby affirm that Mere 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 Icattythat I haw read the applcaaon and statethattheabwe intonation Mooned andthethe infonnadon on the plansI:aceone. lapeetosomperslh alClescsdNarces and StaleIan Naltrolaidlimconsoudlon. Ihereby auttutze representative ol the City of Carlsbadboderupon We above motored property krinspection purposes,IALSO AGREE TO SAVE NDBVINFY AND KEEP HARMLESS THEcm.OF CAM-SEIM)AGANBT ALL LABLRES.LEGMENTS, COSTSNC e .WHICH MAY NANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA:M OSHA permit is rewired for ext:avalionsover t tt.dentitionor oonsincton of study% over3 sixties in height. EXPIRATION: Every permit issued by the Bukting Cacial -•praisionsate*Code shallswimby Imitalion and becomenulandveilIt*buiiiigor work authateel by such permit's nut commenced va*180 daysIran Se date of such pointy if the bu -•by such permit is suspended or abandcued airytime Aarthe xork is commenced braperiod of 180 days (Sediso 106A.4 UntmthudingCode). AKAPPLICANT'S SIGNATURE 402 DATE / • Inspection List Permit#:CB162671 Type:PME MOSELLE:REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 08/02/2016 25 Water HeaterNents RI 08/02/2016 25 Water HeaterNents PY AP 08/02/2016 29 Final Plumbing RI 08/02/2016 29 Final Plumbing PY AP Wednesday. August 03, 2016 Page 1 of 1