HomeMy WebLinkAbout1605 TURQUOISE DR; ; CB121884; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-21 -2012 Permit No: CB121884
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1605 TURQUOISE DR CBAD
PME Status:
Parcel No: 2122012700 Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: WEN RES-REPLACE WATER Inspect Area:
HEATER, SAME SIZE, SAME LOCATION
Applicant:
CALIFORNIA DEL TA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-8 98-000 7
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
WEN HAI BO&SONG LI
1605 TURQUOISE DR
CARLSBAD CA 92011
760-331-9351
ISSUED
09/20/2012
SKS
$31 .00
$0.00
$0.00
$64.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
APPROVAL
Inspector: Date: 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 332.030. 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
Ci~y of Carlsbad __ ............. -,iii l L..JL ~ ~;r ~~ Plan Check No ~~~~ C6
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value . 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 ~~--·,p--:~., Plan Ck. Deposit tfi.1.#i~o,"Sitr
Building Permit Application --qm Date 9,/1fa{/Z-I
JOB ADDRESS SUITE#/SPACE#/UNITll r PN 1605 Turquoise Dr ---
CT/PROJECT# I LOT# I PHASE# 1 • 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 existing like for alike water heater
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING I FIRE SPRINKLERS
YESD NU vEs O No O vESO NoO
CONTACT NAME (If Different Fom Appl/cant) California Delta Mechanical APPLICANT NAME Galina Pavlova
ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 E. Baseline road suite# 155 -CITY STATE ZIP CITY STATE ZIP
Mesa AZ. 85206 Mesa AZ. 85206
PHONE PHONE
480-898-0007 I FAX 1-480-218-5645 858-361-6495 IFAX 858-240-6677
EMAIL EMAIL california@,deltamechanical.com galinap@,deltamechanical.com
PROPERTY OWNER NAME Hibo Wed #lrt e,o we>-1 CONTRACTOR BUS. NAME California Delta Mechanical
ADDRESS ADDRESS
1605 Turauoise Dr 6056 East Baseline rd# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 MESA AZ. 85206
PHONE I FAX PHONE I FAX 760-331-9351 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.#
'
CLASS I CITY BUS. LIC1214281 811114 c-36
(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 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 fhat 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 ($500)).
Worl<ers' Compensation Declaration: I hereby affltm under penalty of perjury one of lhe following declarations:
0 I have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of lhe Labor Code, for the pertormance of the worl< for which this permit is issued.
[Z] I have and will maintain worl<ers' compensation. as required by Section 3700 of the Labor Code, for lhe pertormance of lhe worl< for which this permit is issued. My worl<ers' compensation insurance carrer and policy
number are: Insurance Co Policy No, m7a23 Expiration Date o7,o,ao,3
~section need not be completec ~ the permit is for one hundrec dollars ($100) or less. lLJ Certificate of Exemption: I certify that in lhe performance or the worl< for which this permit iS Issued, I shall not employ any person in any manner so as to become subjecl to the Worl<ers· Compensation Laws ol
California. WARNING: Failure to secure worl<ers' 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 provided for in Section 3706 of the Labor code, interest and attorney's fees.
2S CONTRACTOR SIGNATURE DATE
I hereby affltm fhaf I am exempt from Contractor's License Law for file following reason:
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□
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I, as owner ot lhe property or my empioyees with wages as lheir sole compensalion, will do lhe worl< and the structure is not inlended 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 worl< himsen or through his own empioyees, provided lhat such improvements are nol Intended or offered for
sale. If, however, lhe 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 lhe property, am exclusively contracting with licensed contractors to consuuct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to lhe Conlractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan to provide lhe major labor anc malerials for construe lion of lhe proposed property improvement. 0 Yes O No
2. I (have I have not) signed an application for a building permil for lhe proposed worl<.
3. I have conlractec with the foliowing person (firm) to provide the proposed construction (include name address I phOne / contractors' license number):
4. I plan to provide portions or the worl<, bul I have hired lhe following person to coordinale, supervise and provide the major worl< (include name I address I phOne I contractors' license number):
5. I will provide some of the worl<, but I nave contracted (hired) the following persons to provide the worl< lncicaled (include name I address/ phOne / type of worl<):
,2) PROPERTY OWNER SIGNATURE DATE
Is the applir,;mt or future building occupanl required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aiLll!iality management district? 0 Yes D No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school srte? 0 Yes LJNo
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and Slate that the above information is oon-ectand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Car1sbad to enter upon the above mentioned property for ins~ purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requiroo for excavaoons over 5'0' deep and demolition or constn.dion of structures over 3 stories in height.
EXPIRATION: Every penmit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and loid ff the building or work authorized by such penmit is not commenoed within
180 days from the date of such permit or ff the building or worl< authorized by such permit · suspende:l or abandored at any time after the work is cormienoed for a period of 180 days (Se:lion 106.4.4 UMorm Building Code).
2S APPLICANT'S SIGNATURE DATE 9 /; q L