HomeMy WebLinkAbout2877 SEGOVIA WAY; ; CB150808; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-18-2015 Permit No: CB150808
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2877 SEGOVIA WY CBAD
PME
2552804000 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: CRAVETS RES-REPLACE WTR HTR
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:
CRAVETS FAMILY TRUST 02-17-11
2877 SEGOVIA WAY
CARLSBAD CA 92009
ISSUED
03/18/2015
LSM
03/18/2015
03/18/2015
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: Clearance:
$0.00
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 lega! 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
fe s/exac i ns of whi h ou hav revlousl en iv n NOTI similar this or to whi h the s te f limitation has revi usl h r.vise i ed.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING , □BUILDING OFIRE □HEALTH D HAZMATIAPCD
•
(°'city of Building Permit Application Plan Check No. (Tp..,\ '5'1"'1'0')8
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date 31187 IS' lswPPP
JOB ADDRESS 2877 SEGOVIA WAY SUITEf/SPACEI/UNITI IAPN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace 75 Gallon gas water heater
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS
YES0, NO□ YES0No □ YES □No□
APPLICANT NAME Aaron Franz PROPERTY OWNER NAME MATTHEW CRAVETS Prfn--, Contact
ADDRESS ADDRESS
6056 E Baseline Rd Mesa Az 85206 2877 SEGOVIA WAY
:r CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 Carlsbad CA 92009 ~ PHONE IFAX PHONE I FAX 866-692-5273 Ext 208:. 866-692-5275 858-361-8982
EMAIL EMAIL )o Capermits@deltamechanical.com ~ DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical
, ADDRESS ADDRESS
6056 E Baseline Rd #155 c;::,
::t:
CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206
PHONE IFAX PHONE !FAX 866-692-5273 866-692-5275
EMAIL EMAIL
Capermits@deltamechanical.com I STATE LIC. # STATE UC.# ICLASC:36 ! CITY BUS. LIC.#
811114 121481
(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 per_mIt 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 that he is eliemP.t therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 1031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500)).
WORKERS. COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to Hlf•insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for wtlich this permit is issued 0 l have and will maintain workers' comDtnsation, as required bv Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numt-.• · ·a nee Co We&tco Policy No. WWC3094467 Expiration Date 6-2•15
~sectio 1 completed if the permit is for one hundred dollars ($100) or less LJ Certlhcate OT .. xemption: I certify that in the perfonnance of the work for wtiich this permit ls issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workerl' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damag r.irovldld for In Section 3 of the Labor code, interest and attorney"s fe~. / rJ /q
,8$ CONTRACTOR SIGNATURE '1Z]AGENT J
I hereby affirm that I am exempt from Contractor's l..icen .e Law for the following reason
□
□
□
I, as owner of the property or my employees with v. :1ges as their soK! compensation, will do the work and ttie 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 propert: who builds or improves thereon, and wtio 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-buik.ler will have the burden of proving that he did not build or improve for the purpose of sale)
I, as owner of the property, am excl.Jsivefy' contrac~fl;J 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 contractor{s) licensed pursuant to the Contractor's License Law),
I am exempi 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. OYes 0No
2. I (have I 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 I 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 I address I phone/ contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name/ address I phone/ type of work):
85 PROPERTY OWNER SIGNATURE □AGENT DATE
i
Inspection List
Permit#: CB150808 Type: PME
Date lnspe_ction_ Item
4/10/2015 25 Water HeaterNents
4/10/2015 25 Water HeaterNents
4/10/2015 29 Final Plumbing
4/10/2015 29 Final Plumbing
Inspector
SP
SP
CRAVETS RES-REPLACE WTR HTR
Act Comments -
RI
AP
RI
Fl
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