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Home My WebLink About2624 SAUSALITO AVE; MULTI-PERMIT FILE; CB161522; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-21-2016 Permit No: CB161522 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2624 SAUSALITO AV CBAD PME Status: Parcel No: 1675116800 Lot#: 0 Applied: ISSUED 04/21/2016 JMA 04/21/2016 04/21/2016 Reference #: PC#: Project Title: PINCUS: REPLACE WATER HEATER Applicant: CALIFORNIA DEL TA 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: PINCUS JEFFREY N&GIGI TRUST 06-09-98 2624 SAUSALITO AVE CARLSBAD CA 92010 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Clearance: $0.00 t-.OllCE: Rease ta<e t-.OllCE Iha:~ ct)<JU" prcject irdudes tt-e ""lnµisitiai' ct fees, dedcaicrs, reeav.m,s, or ether E!>Odicrs hereaflEr roledivay raerred to as "feesle>ooiais." Yoo l"al/e 00 days frantt-e-tns pemit v.as issued to prctest irrµ,sitioo ct tt-ese fees/e>ooiais. If )OJ prctest ttan )OJ nu;t fcllo.vtt-e prctest procecues set fath in GcNemnart Code Sedioo OOJ:!J(a). ard filett-e prctest ard any ether req.irad irtonralioo wth tt-e Qty Mn,gerfor proo,ssirg iu amda a,,lith Gaisboo M.lidpa Code SediOl"I 3.32.CID. FailcretotirrelyfcllONlhal ~wll Ila" anySlilseqJert lega ediooto~ reMew, sa. aside, \Od, a anJ their inµ:stioo. Yoo"" t-ffify FlRT1-ER t-.OllRED that )OJ" rigt to prctest tt-e specified fees/E!>Odicrs OCES l\01" APPLY towm ard ,-e, an,ectioo fees ard cai:a:ify ct>rges, ra ptmrg. ming. galrgorethersirrila.-.ppticaioo proo,ssirg c,se,,,;a,fees in OOTlediOl"I wth Ins prcjed. r-cROCES IT APPLY to any dffl ·mt tn wi Ii . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. C]PLANNING D ENGINEERING nsUlLDING U FIRE []HEALTH 0 HAZMATiAPCD ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov i :::~ v:~::k No. CB /(o . IS 2-2. Plan Ck. Deposit Date SWPPP JOB ADDRESS 2624 Sausalito Ave SUITE*/SPACE# /UNIT# C'/i>ROJECT fi. .... It'.,· __ ,,___ IP"~-s~-•i l~"fut--ns Include Square Feet of Affected Area(s) I~ ~,,:Hri1,c~1s ___ · 1TENANT sllSiNESS NAME I 6ce. i.:,,,, Replace water heater like for like same location EXISTING USE PROPOSED USE (iAHAGE ISFj PATIOS ,SF) DECl<S iSFi FIREPLACE YESQ AIR CO!\JDIT!ON.ING ,,oO vesO,oD ff1E :SPRlf'-IKLERS ,cs□,cD APPLICANT NAME -ertnary !l.~ot•ct -- AD'.)Rl:SS PHONE Mesa John Santos 6056 E baseline Rd #155 ST.\TE :z1p·· Az fAX 85206 866-692-5273 J66-692-5275 ---~ EMA.IL Capermits@.deltamechanical.com DESIGN PROFESSIONAL ADDRESS . CITY ST:\TE FAX PROPERTY OWNER NAME cnr Carlsbad PHo'i-JE 949-242-0325 EM,\IL CONTRACTOR BUS. NAME CITY Mesa PHO"JE Jeffery Pincus 2624 Sausalito Ave ZIP Ca Ca Delta Mechanical 6056 E Baseline rd STATE: ZIP Az 92010 85206 PHO~[ EMAIL EMA'.L 866-692-5273 866-692-5275 Capermits@,deltamechanical.com Cl,-1.5$ -,-CriY RuS:. Lic:.t 811114 C36 1214281 1Sec, 7031.5 Busme::;s and Pnlesc.1or:, Code: Any C,ty or County which requires a perm,t to construct. alter, 1mp,o~e. demolish or repair anv str.;cture. i:mor to its Issuance. al!>o requires the applicant for such per_m1t to t.;e a s1gnec statement :11at Ile 15 licensed pursuant ro the pro,;1s;ons of tn!:' Contractor's license Law fh>i;te-1:1. com,r0e,1d1n% wnh Section 7000 of 01v1s,on 3 c! tt-e ~i~~·~:~~l~;gt~gI~';~r:h~~dnJeo;,\~!~~~!13 d~~~~"1~1ljrj)trorn, Olld t!ie basis for tne alleged exemption. Any v1olat1011 of Section 03C.5 0)' any appl1c,.mt. tor a permit subjects the applicart te> a Workers' Compensation Declaration I r:r1eb)· dffirrn under pePail:r of perJury nre of ihe foifow•rrg declar~/1ons: D 1 have and will maintain a c11rtificat1 of consent to self-insure for ,i;or1<.ers coripensation as p•ovKl&d by Section J7DO of the Labor Code. for the pertorrriaoce of the work for which '.h,s oerm1I ;s issJed D I have and will maintain workers' compensation. as reauired tiy S&bon 3700 of the Labor Code for the perforr:iance ol the worll for whiet'I this per<n1t =s ssued My 'Nork er;· corrpensal!011 ~surMce carrier and pci1cy nJmberare lnsc:rarceCo Tw,nC.tyFi,t-Proted ____ PolicyNo ------~~Qtmo__ _ _______ t)p,raUO"Oale Ai.WIS n1s ~echon nee<J not be completed ,f !he :>errM: s fOf une ~undred dollars :_$100) or less. D Certificate of Exemption: i c,,m,t-y ihat 1n t"e perfow,an f tile worK lo• Wh·ch this oorrn,t s ;ssued. I snai noi employ any person i!"t an\'· manner so as to become SUbJe<:l to the ·.vorl<er;' Compensaton Laws o' Cahforma. WARNING: Fail1.1re to s&eure wortctrs· co ation coverage is unlawful, and shall subject an employer to criminal penaltiff and civil fines up lo one hundred thousand dollars \&100,00<l). in addition to the et>!II of comp&nsation, damages a for in S.ct~~n 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE !l!ICl:IIII: ~ENT I tiereby aff1rm fhat I am exempr from Conrractor's L1cer.se ~aw for the foilOWt/11} reasor:· □ □ □ I. as owner of the property or m~ emp10yees w1tr wages as their so1e r,0rnpensatIon. 1•1'11 oo the work aod !he structure ,s not intended or offered for salt! \$e<", 7()44 Sm,hess and Professions Code. The Contractor"; ucense Law does not aoply 10 a~ owner of prope1y ..-1":o bl.1lcs or improve, !he•eo~. M\1 ..-hO does such work h1rrself or chrcugh his own em~lo1ees JJOvidec lhd! s~'l 1mprove~erts are ~ol 1nten-.1ed or offered •or sale II, however the buildwg o· :rrprcverr:Mt 1s sold ,.,1tt-1n one year cf corrpletion. t~e m,,w-builder wrn 'lave tl'e hurden of prov,r,g tr.a: 1e did not :iu1id or 1mpro1e for the: purpc,se ol sale1 I. as owne1 of the property_ am exclJsive11 rnntractmg with kensed <A'lt1tractors to c.-)nslruc1 1h11 pro1ec1 {Sec 7'J'1'1 B,1s!ness ar.d Profp-ssions Gode· The Comrar;tm s LH::ercse Law does rot a~plv :o an owner of properly who builds or improves :hereon and contracts tor such projects with contractorlsJ licensed pursuant to tM Contractors license L,1w; I am exempt under Secticn Bus,ness a~d Pmfesswns Code for 1h1s reasor '. ! oersonaUy pla'l to wcv>de the -najor iabor and rratenals !or Cl)f1$!rll<:l1on of the pr0DOsed properry 1mprovem1mt 0Yes Oo 2 I (have: ha~e no11 Signerl i}n appl1o:;uon fof a tH.111d1ng oerm1: for l~e ;:iroposed wor~. 3. I have con1racted with the foliow,ng ;:iersoo (firm} lo provide the proposed constr~ction (1ndude name address; phone,' ccn(ractors llcel'\se numOOrJ. 4. I plan to provide portion~ of \he work bu! I ha1e !'11red il>e following persor to coorclnate supervise and pro1110,; tr>e napr work (include na'TI;J · ar1oress 'prior.e ' ~ortrat1ors· lkense ~umoeri 5. ! w1H pn:w1ce soma o! 1~1c wor~. t.,~t I !'1ave ~o~tracted i~-roo) the loUow1ng pe,sr.ins to r:,rov,de \tie wcr~ "v:!1cated (i~clude ~11r-ie · an:<ress ohone ty:w. or -,,wk, JiS PROPERTY OWNER SIGNATURE □AGENT DATE Is the appiican1 or future bu•lding occupant required to submit a business plan. acut~y hazardO\Js materials registration 'orm or risk management and p•e~e~lIon program under Secbo~s 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes □ No Is !he i.pp;icanl or future bwlding occupant required to obtain a permit from the a•r poilubJr, control district or air qualitt management distric!? 7 Yes :, No Is ~e facility to be constructed within 1.000 feet of the outer boundary of a school site? '.J Yes '.J No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 1S MEETING Tl-IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERI/ICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatton and state that the above lnfonnatlon Is coirect: and that the infonnadon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building consbuaion. I hereby authorize represen:O!Ne of !he City of Carisbad to e11ter upon the above menooned property for 1nspec00f1 purposes.! ALSO AGREE TC SAVE. INCEMNIFY ANO KEEP HAR.VlESS THE CITY OF CARLSBAD AGI\INST ALL UABllTIES. JUDGMENTS. COSTS MD EXPENSES WHICH MAY flJ f,J,IY WAY ACCRUE AGAINST SA.ID CITY IN CONSEQUENCE OF THE GRANTING o..: THIS PER.V.IT. OSHA kl OSHA perm! Is requred lor excal/atiOOS over 5'0' and demoli~n oc conslruclion of slructures 01/ef 3 stones 1n ~ight. EXPIRATION: Every permit :-ssued by lhe Building C&ia lhe provlsioos of 1t1is Code shaU expire by lmtalioo and become nu~ and void ,f the OllikilflQ or worl\ aut!ionzed by such pertrrt is not oommencecl wi!tlin 180 days from ttie dale of such pemi1t or~ the bu1k:fin au~ by such pemiit is susperded or abandoned at any line after the v,,o,1( 1s coo;menced fer a penod ol 180 days rSection 106.4.4 Unifor'Tl Buik::irg Code), ~ APPLICANT'S SIGNATURE OATE . ' Inspection List Permit#: CB161522 Type: PME Date l_nspe_c_tion lte_m 05/27/2016 25 Water HeaterNents 05/27/2016 25 Water HeaterNents 05/27/2016 29 Final Plumbing 05/27/2016 29 Final Plumbing PINCUS: REPLACE WATER HEATER Inspector Act Comments RI AM PLEASE AEK AP AEK RI Fl AM PLEASE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-22-2008 Plumbing Permit Permit No: CB081810 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2624 SAUSALITO AV CBAD PLUM Parcel No: 0000000000 Lot#: 0 Construction Type: NEW Reference#: PC#: Project Title: PINCUS RES REPLACE WTR HTR Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 Owner: Total Payments To Date: FINA. Date:\ L Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2008 KG 09/22/2008 09/22/2008 $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 $27.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseJVations, mother 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 COOe 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 hv vi I hi f' ir .. FOR OFFICE USE~ , 0-/ C.-/ ") PLAN CHECK NO. w:t)6 / tf / C, PERMIT APPLICATION EST. VAL Plan Ck. Depos;t CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By _ • / Date ------P~_L___,-:....,~_-_:::0~/7 1. PROJECT INFORMATION 2624 Sausalito ave Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No Subdivision Name/Number Assessor's Parcel# Existing Use Replace standard water heater like for like Description of Work SQ. FT. 2. CONTACT Pll~il!f ~lff_,,.~l;lriim•l!Plfl!!ll\!I ._·'• California Delta mechanical, Inc. 6052 E Baseline rd# 155 Name Address 3. APPUCANT GI ~r J:]AgentlorCo:1'~- Galina Pavlova 6052 E Baseline rd# 155 Name Address 4. PROPl;RTV OWll~R Jeff Pincus Same Name Address Mesa City □ .Owner MESA City Carlsbad City Unit No. Phase No. Proposed Use #of Stories # of Bedrooms AZ. 85206 (480) 898-0007 State/Zip Telephone# 0' AgeO!mrQw!!er AZ 85206 480-898-0007 State/Zip Telephone# CA 92010 760-729-0403 State/Zip Telephon~ ·f# Total# of units # of Bathrooms (480) 898-0005 Fax# 5. CON'llb'CTOR, • COMP/IIO' NAME. (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 ne 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). 85206 ( 480) 898-0007 California Delta Mechanical, Inc. 6052 East Bseline rd # 155 Mesa Name Address City State/Zip Telephone# State License# ~8~1 ~I ~11~4'--------License Class _C=---'3"6'----------City Business License# ......,1-=2'-'1~4~2=-8=1 _____ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. "·,1J\'IJltf(ER'SCOMP:ENSA110N Worki;,:s' Compe·~~·i;;~--o~-~,~~~i~~i I h~reby affirm un'der pe~~i'iYot perjury one ~ the following declarations: □ 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 whicl", this permit is issued. fEI I have and will maintain worker's 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 State Compensation Insurance Fund Policy No. 1697823 Expiration Date,00~7~/~0~IL/0~9~------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) □ CE~TIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not emplo1 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 unlawful, and shall subject an employer to criminal penaltios and civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, da e provided for in Section 3706 of the Labor Code, interest ,Ind attorney's fees. SIGNATURE Galina Pavlova . DATE_..,0_,_9/,__.lec8"'/0"8'-------- 7_ OWNER•IIUILOER DECL:ARATION I hereby affirm that I am exempt.from th€! Contractor's L □ 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 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). □ 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 contractor(s) licensed pursuant to the Contractor's License Law). □ ',r, exempt under Section _________ Business and Professions Code for this reason: . kt:rs.:mally plan to p~ovide the major labor and materials for construction of the proposed property improvement. □ YES □ 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 I address I phone number 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 number I /ontractors 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 I 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 Pagfl ?. of 2 CQllll>~ETIV!l:!i!l!l~l;'!l!ll!~i~~!ffl!!!!i!!J~~E!!!!!ll'lli~'.••!c Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES D NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MA V 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. 8. . ~~~~~-A~~- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued LENDER'S NAME _________________ _ LENDER'S ADDRESS __________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plarr-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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA 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 180 days from the date of such permit or if the 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 Uniform Building Code). APPLICANTS SIGNATURE _G_a_l_in_a_P_av_l_o_v_a ___ ~1~«,//=+----------DATE 09/18/08 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/06/2008 Permit# CB081810 Title: PINCUS RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2624 SAUSALITO AV Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: PINCUS TRUST 06-06-98 Remarks: Total Time: CD Description 25 Water HeaterNents d Comments Inspector Assignment: Phone: 9492120325 Inspector: Requested By: JEFFREY Entered By: CHRISTINE ---------"--~··------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments