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Home My WebLink About1401 SAPPHIRE DR; ; CB152832; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-01-2015 Permit No: CB152832 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1401 SAPPHIRE DR CBAD PME 2121904700 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: PROMOTICO: REPLACE WATER HEAT 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: PROMOTICO LISA M 1401 SAPPHIRE DR CARLS BAD CA 92011 ISSUED 08/31/2015 SLE 08/31/2015 08/31/2015 $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: Clearance: $0.00 NOTICE: Please take at approval of your project includes the "Imp ition" o fees, dedications, reservations, or other exactions hereafter collecUvely 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 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 waler 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 exa ion o whi h ou have revi sl been ive a NOTICE imilar to thi or a o which th statue of limita io has r vi usl oth THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Ccityof Building Permit Application Plan Check No.(l .P) \~ ~ -:0, 2_ 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 '2.-~1-le:: lswPPP JOB ADDRESS SUITEI/SPACEI/UNIT# IAPN 1401 saphire dr --- 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 50 Gallon gas water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS YES[)i N<O YES □No □ YES□No□ APPLICANT NAME Aaron Franz PROPERTY OWNER NAME Gary Flynn Prtnarv contact ADDRESS ADDRESS 6056 E Baseline Rd Mesa Az 85206 1401 saphire dr CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Carlsbad CA 92011 PHONE I FAX PHONE I FAX 866-692-5273 Ext 208, 866-692-5275 760-271-07 44 EMAIL 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 PHONE IFAX PHONE I FAX 866-692-5273 866-692-5275 EMAIL EMAIL Capermits@deltamechanical.com 1 STATE LIC. # STATE UC.# I CLASS I c11Y sus. uc.; 21481 811114 C36 (Sec_. 7031.5 Business and Professions Code. Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, p_nor 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 LawJChapter 9, comme_ndingwIth Section 7000 of DiV1s1on 3 of the B_usiness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION 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. [Z] 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 workers' compensation insurance canier and policy number are: Insurance Co Twin City Fire Policy No. 34WEQI0120 Expiration Date 4121116 ~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 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 CaHfomia. 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, damages as provid in Section 3706 of bor code, Interest and attorney's fees. ,k! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 inter.ded 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 wtio does such work himsell or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wjthin one year of completion, the owner-builder wjll 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 lk;ensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property wtio builds or improves thereon, and contracts for such projects wjth contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and Professions Code for 111is reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes 0No 2. I (have/ have not) signed an application for a btJilding permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' lk;ense 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/ phone/ 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/ phone I type of work): Jl:5 PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Penni!#: CB152832 Type: PME Date l_n_seection Item .. 12/17/2015 25 Water HeaterNents 12/17/2015 25 Water HeaterNents 12/17/2015 29 Final Plumbing 12/17/2015 29 Final Plumbing Monday, December 21, 2015 Inspector PY PY PROMOTICO: REPLACE WATER HEAT Act Comments . -------------- RI GC #5314/AM PLEASE AP RI GC #5314/AM PLEASE AP Page 1 of 1