HomeMy WebLinkAbout2630 SAUSALITO AVE; MULTI-PERMIT FILE; CB133249; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-31-2013 Permit No: CB133249
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2630 SAUSALITO AV CBAD
PME
1675116700
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: NEWSOM: 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:
NEWSOM THOMAS A TRUST
2630 SAUSALITO AVE
CARLSBAD CA 92010
ISSUED
12/31/2013
JMA
12/31/2013
12/31/2013
$33.00
$0.00
$0.00
$62.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTI proval of your project includes the "Im ition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions. You ave 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 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
f i I N Tl E imil r hi h h rm· i v· I
• ~ • • I • J -: .. ,, • .J; .,.,1 i:: ;;_,l.'1·1 1.J
Building Permit Applicction
1'335 Faraday A·,e Car!sbad C/J. 92008
Ph. 760-602-2719 Fax. 760-602-8558
;;mail butld,ng'@carlsbadca gov
www.carlsbadca.gov
, Plan Checl< No, CB (3• '-?)z<.fq
I Est. Value
J Plan Ck. Deposit
I Date 2,.. ~I SWPPP
'.lB ADDRESS
~(p_&)
1 sune,, SPACE•, UNI[•
~-''H:.,'I
~ESCRIPTION OF NORX.
I fENA,T BUSINESS SAME ----
Replace~gallon gas water heater
:OSTING LSE I ?RCPOSED USE I or Cr~: --,--. :r I:,,_, . ., ;, ,,,==---'°
'I =D 1-= ,~;·□ '.~~ □ I" 0~c~~cr,~=o --l~o□•
PPL/CANT ~Mlle 1Plima1y Con DCC/ John Santos ~?PLICANT NA,VlE (Seco11da1y CQn tac C)
---: l...,: .:::. ; .i.:CF~.:..;
6058 E Baseline Rd --. , :3-l -= : ;J :i-, 3-.l-:: ,.,
Mesa Az 85206
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866-692-5273 866-692-527 5 I
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johns@,deltamechanica I .com
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ROP:i'lrl °K'Nc,~ ·:r~IE N..ewS!:l_fh CONT;U CTOR aus. NAME Delta Mecha nical .r.i.S ,n -----: C.: ~3-3
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a1o?>o t:\.Jt. 6056 E Baseline Rd
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Coclsbc.cl
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t'..A ~Jc,/(:) M':sa Az 85206
=, :i•-1:..,,.:: =.1,< -(1'1'.: 7 lof>. L,/ 34. G.~II 866-692-5273 I 866-692-5 27 5
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john3@daltamechanica l.com
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Inspection List
Permit#: CB133249 Type: PME
Date lnspectior,_ Item
01/15/2014 25 Water HeaterNents
01/15/2014 25 Water HeaterNents
01/15/2014 29 Final Plumbing
Thursday, January 16, 2014
Inspector Act
PY
PY
RI
AP
AP
NEWSOM: REPLACE WATER HEATER
Comments
NEWSOM RES, 8-10 AM SIDE GARAGE
DOOR
Page 1 of 1
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-06-2004 Plumbing Permit Permit No: CB040033
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2630 SAUSALITO AV CBAD
PLUM Status:
Parcel No: 1675116700 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: NEWSOM RES NEW H20 HEATER Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
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
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
NEWSOM THOMAS A TRUST
2630 SAUSALITO AVE
CARLSBAD CA 92008
ISSUED
01/06/2004
SB
01/06/2004
01/06/2004
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
FINAL APPROVAL
DATE /~7&'rcLEARANCE __ _
SIGNATURE J1A}'-
FOR OFFICE USE ONLY
PER MIT APPLICATION PLAN CHECK NO. ____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Address (include Bldg/Suite #) Business Name lat this address)
Legal Description Lot No. SFRSubdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
167-511-67-00
Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Water Heater Replacement
12.:~•·i•c~~~g~~ii~~~t.d!!f\lt@ht~Jri!m iP~ll~B;t~f&i~r~~g,~zyf~~~,:rrri~~t,rJ~i~fje,~if~f2~mfi~~1r1~~~~is¥~l,;J~~r:••·~
Name Address City State/Zip Telephone # Fax # '"'I'"'~ -•.· , ···· · · • ·•;;,i,-,r· ,·~· '•""""I"•r::,~~t.' .. ,. .. ,~,.....,....,,,.. .. ,.,,.,.r:i-·• .,..,.,,,,, •. rni .. "'"'""'f~"'"lf.""...,"'"'1''" -•-r.ffl•~-.r111?1'.•·-""•'-'1't.""''"·'•1•".,. ............. 11:f11:'"' "r·• ,.-,,.,, .. , .... ,.,.• \S_A7f~tc;~~~~~~i~~~r if~~ru{9·!"~r~l!8t!:~11'i~~~fi~~~~~[ll,,t±Q,~:5~f{)~)llilfi,f'itf~:t;~;;µ1§216'2f111~f,f g:£9~'11~~~i'~ 11''1111•'f'·
Name Address City State/Zip Telephone#
i4~~~~~;T~~%ij~ij1'3;[!~'1:\!~t;~j}1,r"~~~~~:~~-B~•1];~~~5~7~J:~r~~ift~!l~~~w'~~7r~~~'.t~~~:r:~:;.~~;~6~5M~;b1~~,~~~:~~1?J:~~~j'.i'~J.~~
Name Address City S.tate/Zlp Telephone #
l-fi~~tiur~C.dNlRAtii~R;l~CJilNfPAN~NAfr(E,~!tkr.ll,~1ri1t~~T'!:~~~;;g~l~1L~l~[r.~~~TI1~~~~~t\~§~~~~jf~,Ei~ilFJ~~t.liii~i~Jili~t1if'f.t~~~L
(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 Ille 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 that 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 ($5001).
A & .J Easter PJnmhing 13706 B Hwy ,8 Bus. El Cajon CA, 92021 (619)390-4477
Name Address City State/Zip Telephone #
State License# 6 3 0120 License Class <::.-36 City Business License# 121083 6
Designer Name Address City State/Zip Telephone
State License # --~N.,.~..,A~------
t:J>~t~tJW.OMEFJS.~:c'OM#!rit$AlFJQri:i~;~~H~~~ri~~:~!l~~'.J~j{~~1::~~l~t~~;;t~~i~~~Tut~~~~~t~~I~~~~l~~~t1i~~&mii]:f~~~"?~~~~l,~~?{4f&Jt~~~l!!t~J~l~~~~,~,~~~iiA:;~~f~r~+.~~Jij;~~
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.
~ I have and will maintain workers' compensation, as-required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation Insurance carrier and policy number are:
Insurance Company Stab" Comp Tns . Policy No.467-01 0000713 Expiration Date 04-01-04
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS]
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I 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 co erage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100JM"'ll!W•W1ddltlon mpensatlon, damages as provided for in Section 3706 of the L b r ode, terest and attorney's fees.
SIGNATURE~;Z~~~i~~~~~il'1,",~~i~?i~~~~~iffl~~~~~~~ DATE 0
D I, as owner of the property or my employees with wages as their sole compensation, will do 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 to 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 the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 thereon, and contracts for such projects with contractorls) licensed
pursuant to the Contractor's License Law).
0 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 the proposed property Improvement. 0 YES O 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, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
ICOMit,fr~JiJ;Af${$E¢[i.(QfilF,QllJii/QNFf:tES/QEN;f/4.tij(!1~P.JNG:;pilfi"M)f~;<m~~~~~~~~i'/:i~~,;~,:~rrll;~~fr:m'.Wii~Ji;~'Dt;)!;f~Jt·t:,lJ;i);;\~~''}i~f1'J];~i~;\~l'.1·~
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent end prevention
program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
:at:~(~·q~:~.ft)ltHittQN~.~~NP.)~:G~i~(N~a~~rf~~115jt)~ffJ;:;~~~~~~:l~~i:~f~~:[t/1~11!'.~r~~~~1r.1~itl'[,~~IJ11~i.1il~iliI~~~iHl;1~~Jf:l~tf~~~~:f.~:tt:;1r,~t'.:;!:11i1iili:~:: ;:!:J~fl~)::'?,·,::~~i di,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME N NF; LENDER'S ADDRESS ________________________ _
,9• ,. ~.;tr,,; n;,·,.,,.,.-111;;::·rc8·r--1·f,--,;-,;.-r;0·,.iu•!ll!~f~i.l•:•'.(!~~'!\J>i:r,.1~Ji<:"ff'·~,t.,:.rm1::'l"']''~!!'tl,n~('l:"J;~,rr-.,,~,1111;1;i:~mr~;~:nr,'!'11w!!J"l!J!'!1c,wl';,!!:~,!lili•":i'rt,!l'.!l!~•":•,::;~·tc,;11~mrm-,,,,: .. ,, •. ,.f;,1t,,,c1·1·,,.'!":.·r• 1 ... Fi,a;.il"'\Q,J~L.t~"'· 11<1w¥v~~ 1 • ,v.011,~ . ,ai.Gl.'I' ,J,.1£ ,rt.1.-.111:c. Ll,,ifliLT;.il,~?~~;-.~,A:~~ .. ,~ ... ifiiio,h••lll~. r.Li/';J';t}~i~~~•-..'4••~'-"iigi.1i,1,~.cJ,~;..~-!&l~:;,.~111fil.i~~~~~,J:.;;,1;i:t.,~j!Jaili.~iid!-$~iij!!lU~r!!..'I: ;iliBAL.~ii.!Nill:wJi!Il,• m•J..ti.tt.r<i,41
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 Citt 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.
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 forlexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATfON: Every permit issued by the building Official under the provisions of this Code shall expire by limltallon and become null and void if the building or work
authorized by such permit is not commericed within 180 days from the dale of such permit or If the building or work authorized by such permit is suspended or abandoned
al any time after the work Is commenced f eriod of 180 d ys (Se . 6.4.4 Uniform Building Code). / / 'C) 'o(J
APPLICANT'S SIGNATURE -,~~~~~,c;.,/_~}~-'?~~z~~---------DATE ---<,~Q-.►f __ ::J_-+--------
PINK: Finance
m City of Carlsbad Bldg Inspection Request
. For: 01/27/2004 .
Permit# CB040033
Title: NEWSOM RES NEW H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2630 SAUSALITO AV
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: NEWSOM THOMAS A TRUST
Remarks:
Total Time:
Inspector Assignment:
Phone: 7604346511
Inspector:
Requested By: NEWSOM
Entered By: CHRISTINE
CD Description Act Comment / 1
f'J: _ _,_/vlfl_,_,_--tf(l_...~_.,-'l-<{)Prt1/'-"Q_e_._4~~=1/~d~----25 Water HeaterNents
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments