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Home My WebLink About2256 CAMEO RD; ; CB061332; Permit05-15-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB061332 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2256 CAMEO RD CBAD PLUM 1670802600 Lot#: 0 Construction Type: NEW NESBIT RES REPLACE H2O HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/15/2006 KG 05/15/2006 05/15/2006 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: NESBIT TIMOTHY R&KRISTINE A 2256 CAMEO RD CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0,00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL 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 permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 WON 2256 CAMEO ROAD CARLSBAD, CA 92008 FOR OFFICE USE O PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Address (include BIdg/Suile #) Legal Description Lot No. Assessor's Parcel # Replace standard water heater like for like Description of Work Business Name (at this address) Subdivision Name/Number Unit No. Existing Use SQ. FT. # of Stories Phase No. Proposed Use # of Bedrooms Total # of units # of Bathrooms California Delta mechanical, Inc. 2500S. Power Rd. Suite* 120 Mesa AZ 85209 (480) 89B-0007 (480) 898-0005 Telephone # ROMEL 2500 S. POWER RD # 120 Fax* MESA 480-898-0007 Name Address City State/Zip Telephone # TIM NESBIT 2256 CAMEO ROAD CARLSBAD. CA 92008 760-434-9321 Name Address Cily State/Zip Telephone * (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or thai he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS500]). California Delta Mechanical, Inc. 2500 S. Power Rd. Suite # 120 Mesa 85209 (480) 898-0007 Name Address City State/Zip Telephone # State License* 81 1 1 14 License Class C-36 Citv Business License* 1214281 Designer Name Address Stale License * City Stale/Zip Telephone # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 which this permit is issued. H I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for ihe performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund PolicyNo. 1697823 Expiration Dale 07/01/06 __^_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify thai in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of California. WARNING: 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($100,000), in addition to the coat of compensation, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Romel Maru DATE 05/10/06 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will d the 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 lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the 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 ihe purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors lo construci the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves Ihereon, and contracts for such projects with contraclor(s) licensed pursuani lo ihe Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of Ihe proposed property improvement. D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, bul I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone number / /ontractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide Ihe work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of me Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q NO IF ANY OF THE ANSWERS ARE YES, 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 DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND OSHA: An OS HA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 1 SO days from the date of such permit or if thh building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Urtiforrn BuNding Coqe). APPLICANT'S SIGNATURE DATE.05/10/06 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/07/2006 Permit# CB061332 Title: NESBIT RES REPLACE H2O HEATER Description: Inspector Assignment: 2256 CAMEO RD Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: NESBIT TIMOTHY R&KRISTINE A Rem; Phone: 7604349321 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comment Requested By: CHRISTINE Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments NF COMPENSATION INSURANCE POLICYHOLDER COPY P.O. BOX 807, SAN FRAIMCISCO.CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-01-20O5 GROUP: POLICY NUMBER: 1697823-2005 CERTIFICATE ID: 3 CERTIFICATE EXPIRES: 07-01-20O6 07-01-2005/07-01-2006 C P R C NF JOB: BOX 869006 PLAINO TX 75086 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. ENDORSEMENT #2OB5 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEGAL NAME CALIFORNIA DELTA MECHANICAL, INC 2500 S POWER RD # 8-120 MESA AZ 85208 CALIFORNIA DELTA MECHANICAL, INC (REV.3-03)PRINTED:P0409