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HomeMy WebLinkAbout1485 TURQUOISE DR; ; CB120460; Permit\ . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-14-2012 Permit No: CB120460 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1485 TURQUOISE DR CBAD PME 2121913700 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: ZAPPIA RES-REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: ZAPPIA JOHN J&DOREEN 1485 TURQUOISE DR CARLSBAD CA 92011 ISSUED 03/14/2012 LSM 03/14/2012 03/14/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: -G? a -4 FINAL APPROVAL Date: 3 -l,?-f Z,,, 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 tile 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 tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gradirig or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1485 Turquoise Dr Plan Check No. (1B ( ;){)l.f(p U Est. Value Plan Ck. Deposit Date .3 ,4( Iv SUITE#/SrACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 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 IAIR CCNDITI0NING !FIRE SPRINKLERS YES[); NO□ YES □No □ YES□No□ CONTACT NAME (lfDlfferentFomAppl/cant) C l'f . D It M h , I I APPLICANT NAME Galina Pavlova a I ornra e a ec anrca nc. -ADDRESS ADDRESS 6056 E. Baseline road suite# 155 6056 E. Baseline road suite# 155 -CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 -EMAIL EMAIL california@,deltamechanical.com galinap@,deltamechanical.com PROPERTY OWNER NAME Sam Zappia CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 1485 TurQuoise Dr 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-431-9164 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS I CITY BUS. uc.1214281 811114 c36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any app'1cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: IZ] I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coce, for the performance of the work for which this permil is issued. [ZJ I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date 07101112 This section need not be completed tt the permit is for one hundred dollars ($100) or less. IZ] 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 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, damages as provided for in ection 3706 of the Labor code, interest and attorney's fees. /, / 25 CONTRACTOR SIGNATURE DATE ._5 / µ /'L.!!. I hereby 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 Professions Coce: 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 Coce: 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. O Yes O No 2 I (have I 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 I phone / 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 /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 / address I phone/ type of work): 25 PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business~, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~alily management district? Dves O No s the facility lo be constructed within 1,000 feet of the outer boundary of a school site? O Yes LJNo F 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code) . . ender's Name Lender's Address certify that I have read the application and state that the above inlonnation is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of C<fisbad lo enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAIN ST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pernit is required for excavations <:Ner 5'0' deep and demolition or construction of strudures (Ner 3 stories in height. :XPIRA TION: Every permit issued by the Building Official under the pr(Nisions of this Code shall expire by lirritation and become null and void if the building or work authorized by such pen nit is not commenced within 80 days from the date of such pernit or if the building or work ruthorized by such permrt is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Un~oon Building Code). 2S APPLICANT'S SIGNATURE DATE 3 / b( a City of Carlsbad Bldg Inspection Request For: 03/27/2012 Permit# CB120460 Title: ZAPPIA RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: 1485 TURQUOISE DR Lot: 0 Inspector Assignment: _e___ Phone: 7604319164 Location: Inspector: ---- OWNER ZAPPIA JOHN J&DOREEN Owner: ZAPPIA JOHN J&DOREEN Remarks: GATE 4129 Total Time: CD Description Act Comments Requested By: SAM ZAPPIA Entered By: CHRISTINE 25 Water HeaterNents Af_ ______________ _ Z-1 _ ffP Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments