HomeMy WebLinkAbout2436 TORREJON PL; ; CB150651; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-02-2015 Permit No: CB150651
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
2436 TORREJON PL CBAD
PME
2162400902
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: BUCKLEY RES=REPLACE WTR HTR
Applicant:
CALIFORNIA DELTA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-000 7 /866-692527 3
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
BUCKLEY SALLY A
2436 TORREJON PL
CARLSBAD CA 92009
ISSUED
03/02/2015
LSM
03/02/2015
03/02/2015
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINAL
Date: '5 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 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 lo 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 ou have reviousl been iven a NOTICE imilar to this or as to which the statut of limitations has r vio sl otherwise ex ired.
l.J\ r-l ~ --0
.
C> .
---r
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING [] ENGINEERING I JBUILDING [.J FIRE [] HEALTH [ I HAZMATIAPCO
(_ City of Building Permit Application Plan_ Check No. Cf> rs-oG::>S'I --1635 Faraday Ave, Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
Date "2.1>1 IS' ISWPPP www.carlsbadca.gov
JOB ADDRESS .;l'f31p '2634-tORlf:GON PL SUITEI /SPACE# /UNITIII IAPN ---
-----"GT/PROJECT# ---
1
,oT. ---
1
PHASE-~ _ r Of UU'1S
1
. BEDROOMS # BATHROOMS I TENAN-T BUSINESS NAME I CONSTR TYP[ ·1 DCC. GROUP
DESCRIPTION OF WORK: lnctuele Square Feet of Affected Area(s)
Replace 40 Gallon gas water heater
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE
:
IAIR CONDITIONING IFIRE SPRINKLERS
YESO, No□ YES □No □ YES □No□
APPLICANT NAME Aaron Franz PROPERTY OWNER NAME sally buckley Prt.Tl~ry gi;mtaQ! ---------------
ADDRESS ADDRESS
6056 E Baseline Rd Mesa Az 85206 2634 TORIEGON PL ---------CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 Carlsbad CA 92009 ----
PHONE !_FAX PHONE IFAX 866-692-5275 760-436-3427 EMAiL_ll66-692-5273 Ex_t208_; __ ----
EMAIL
Capermits@deltamechanical.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
California Delta Mechanical -------ADDRESS ADDRESS
6056 E Baseline Rd #155 ---·-" --CITY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 ---~------·----· -------I FAX PHONE PHONE IFAX 866-692-5273 866-692-5275 -----EMAIL EMAIL
Capermits@deltamechanical.com I STATE UC.# STATELIC# 811114 T"-"SSC-36 ]""'""' '",21481
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which rnquIres a perrrnt to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sI?;ncd 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 Codo) or fhat he Is exempt therefrom. and the basis for the alleged exemption. Any v1olat10n of Section 031.5 by any applicant for a permit subJects the applicant to a
cIvII penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perJury one of the following declarations:
-
Q I have and will maintain a certificate of consent to self-insure for wmkers' compensation as provided by Section 3700 of the Labor Code, for the pe_rtormance of the work for which this_ permit is issued
licy ~ have and will maintain workers' c 1)9 ,_pon reauIre S 11 of the Labor Code, for the .pertormance of the work for which this oermIt IS issued My workeffi compensatI in r ce c ner a
number are: Insurance Co __ _,.__,,__,._._1....=~A.,,..,_l-----l-""1""1---I-------Policy No ______________ Exp1rat1on Date ~IO--l--__ ,..,l----1;,.._,__
~section need not be completed If the permit Is for one hundred dollars ($100) or less
LJ Certificate of Exemption: I certify that in the pertormance 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 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, d ges as provided for in S lion 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
fjreby affirm that I am exempt from Contractor's License Law for the following reason-
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 Prolessions 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 tor the purpose of sale)
I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prolessions 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 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. 0Yes 0No
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 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 I 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 I address I phone I type of work)
_KS PROPERTY OWNER SIGNATURE □AGENT DATE
Inspection List
Permit#: CB150651 Type: PME
Date Inspection Item
07/22/2015 25 Water HeaterNents
07/22/2015 25 Water HeaterNents
07/22/2015 29 Final Plumbing
07/22/2015 29 Final Plumbing
Wednesday, July 22, 2015
Inspector
AEK
AEK
BUCKLEY RES=REPLACE WTR HTR
Act Comments
RI AM PLEASE/ AFTER 9:00
AP
RI AM PLEASE/ AFTER 9:00
Fl
Page 1 of 1