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HomeMy WebLinkAbout1369 CORVIDAE ST; ; CB162894; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-27-2016 Permit No: CB162894 Budding Inspection Request Line (760) 602-2725 Job Address:1369 CORVIDAE ST CBAD Permit Type:PME Status:ISSUED Parcel No:2156911100 Lot #:0 Applied:07/27/2016 Entered By:JW Reference #:Plan Approved:07/27/2016 PC #:Issued:07/27/2016 Inspect Area: Project Title:HERSHEY: REPLACE WATER HEATER Applicant:Owner: CALIFORNIA DELTA MECHANICAL HERSHEY STEVEN&LISA FAMILY TRUST 08-29-99 STE 155 6056 E BASELINE RD 1369 CORVIDAE ST MESA AZ 85206 CARLSBAD CA 92011 480-898-0007/866-6925273 Plumbing Fees $38.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $60.00 TOTAL PERMIT FEES $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00 FINAL AP ei.1 R VA1. 1Inspector:Date:Clearance: NOTICE Reese take NOTE approval d your project includes the "Irrcsition" cffees, deck:atlas, reservations, or other exactions hereafter collectively referred to as "fees/exactions."Y have 90 days from the date this permit was issued to protest imposition of these fees/exactions.If you priestthem, you must folloN the pretest procedures set forth in Governmentrrri.Section 63020(a), and file the protest aidarty other required information with theQty Manager for processing in acoordaice with Carlsbad Minicipal O.CadeSection 3.32.030.Failure to timelyUlmthat poxeckrre will bar any subsequent legal action to attack, review, set aside, void, or annul their irrpcsition. Youae hereby RRTI-ERNOTIFIED that yourrill to protest the spedfied few/exactions DOES NOT APPLY to water and sewer comedian fees and capacity dune s,ror planning, zoning, gracing or other similarTpication processing or service fees in connection with this project.NOR CCFS IT APPLY to any fees/exadicrs of v‘hich you have previously been civen a NOTICE similar to this. or as to which the statutecf lirritations has pra.riously otherwise expired. --—weimmams THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAIMAT/APCO Building Permit Application Plan Check No.C 13 /47:8411(7City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: buikiing©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 772.7p et - SWPPP JOB ADDRESS isliitte/SPAcEvurefie IAPN1369 Corvidae St . -- ,:.rorphaitr-i-t -.-..61-#PHASE4 oromis it fiEDROPMS *BATHROOMS "MAWBUSINESS RAW CONSTR. TYPE Eld—.Ceotifi i 1 C36 DESCRIPTION OF WORK:Include SE/10/1/11'Ant of Affected Area(s)i Replace 50 gal gas water heater EXISTING VSE PROPOSED USE GARAGE (SF)PATIOS (SP!DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS i YESE:lir NOD YES !ZINO 0 YES ElNOD APPUCANT NAME PROPERTY OWNER NAMEJohn Santos Steve HersheyNimuy.c.9.4.0 ....___._________ ADDRESS ADDRESS 6056 E Baseline Rd #155 1369 Corvidae St I CITY sTATE ZIP CITY STATE ZIP • Mesa Az 85206 Carlsbad Ca 92011 (PHONE FAX PHONE — 866-692-5273 ,866-692-5275 619.807-6855 --- F,I F EMAIL AX —1 EMAIL i Capermits#,deltamechanicalcom 1 , !DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS Ca Delta Mechanical (ADDRESS•6056 E Baseline Rd #155 CITY STATE ZIP CM STATE ZIP • Mesa Az 85206— PHONE —TAX PHONE FAX 866-692-5273 ii 866-692-5275 EMAIL — EMAIL .• Capennits@deltamechanical.com 'r • isrArE L/C STNIErib.:--ci Ass I CITY BUS.UC.* L i 811114 i C36 124281 (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 theapplicant 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 that he is exempt therefrom. and the oasis for the alleged exemption. Any violation of Section 7031.5 by any applicant >or a permit subjects the applicant to a civil penalty of not more than flve hundred dollars (S500)). WORKERS'COMPENSATION `rip.:. - Workers' Compensation Declaration:1 hereby affirm under penally of pequry one of the fonowing declarations: I have and will maiMain a certificate of consent to self-Insure tor workers'. compensation as provided by Section 3700 of the Labor Code. for the performance of thenwitt for which this permitisMead. I have and will maintain workers' compensation.as requited by Section 3700 of the Labor. Code. for the performance of the work for whorl this permit is issued. My workers compensation insurance carder andpolicyEi Bershire Nathavray Hamstate DENICT05141 NMI7number are: Insurance Co.Policy No.Expiration Date rjsection need not be completed if the permitin for one hundred dollars (S100) or less. Certificate of Exemmtion:1 certify that in the performance of the work for which this pennitis 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'—ii •.i ..i.i.coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (5100,000), in addition to the cost of compensation. damages.,..!for in Section 3T06of the Labor code, interest and attorney's fees. .............--7—.-.. ..es*CONTRACTOR SIGNATURE 0 AGENT DATE ..-.in.-uars 011VINIER -1111111„OEft OJECLARATienal I hereby affirm that lam exempt front Contractors License Law for the foaming reason: ElI.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 buildsaimproves thereon, and who does such work himself or through his own employees, provided that such improvements are not ;Mended or offered for -sale.If,however, the building or improvement is solo within one year of completion. the owner-builder wit have the burden of proving that he did not build or improve for the purpose of sale). ElI.as owner of the property, ern exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cordrador's License Law does not apply lo an owner of property vino builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's ljcenee Lawi. 0 I am exempt under Section Business and Professions Code for this reason: 1.1 personalty plan to provide the major labor and materials for Construction of the proposal property imprenemeni.0Yes Dio 2.I(have; have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone1 commas'license number): 4.--1 panto provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name;addressiphoneiconbsclort Noose number): 5.1 wit provide some of the work, but Ihatscontracted (hired) the following persona to prewide the work indicated iinciade name / address Iphone itype of work): J/SPROPERTYOWNER SIGNATURE DAGENT DATE COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required tosanda business plan, acutely hazardous materials registration form or isk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?r3 Yes Ci No Is the applicant or future building occupant required to obtain a permit from lie air pollution corer°. district or as quanty management district.7 Yes No Is the facility to be constructer; within 1,000 feet of the outer boundary of a school site?71 Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the won( this permit is issued ;Sec. 3097 ii) Civil Code). Lenders Name Lender's Address APPLICANT CERTIFICATION I certify thatI have read theapploatbn and state that the above information is coned and that the information on the darts is accurate.Iagree to comply with all City ordinances and State laws relating to building construction. Ihereby aulhorze representative of the City of Cansbad to enter upon tieabove mentioned property for inspection purposes.IALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABLITES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY lie ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING CF 'HISPERMIT.Milk An OSHA pent is required for excavations over 50deep and demoliScri or consimbort of structures over 3 stories in height EXFRATION: Every permit issued by the Buiktirig°total •provisionsonus Code analwire by limitation and become and void (the butting or aukauthorized by suchpem*is not commeruid*Ii' 180 days from the daleofsuch omit or II the •ora.by such perms suspended or abandoned at any Sure alter the work is commencedbr a period of 180 days (Section 10644 UniformSuitingCode)./41WAPSAPPLICANT'S SIGNATURE z;irl DATE IAA Inspection List Permit#:CB162894 Type:PME HERSHEY: REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 08/04/2016 25 Water HeaterNents RI 08/04/2016 25 Water HeaterNents PY AP 08/04/2016 29 Final Plumbing RI 08/04/2016 29 Final Plumbing PY AP Monday, August 08, 2016 Page 1 of 1