The URL can be used to link to this page

Home My WebLink About1477 TURQUOISE DR; ; CB120256; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-13-2012 Permit No: CB120256 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1477 TURQUOISE DR CBAD PME 2121913900 Lot#: 0 KIS IEL RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/13/2012 KG 02/13/2012 02/13/2012 CALIFORNIA DEL TA MECHANICAL KISIEL FRED&JUDITH FAMILY TRUST 02-03-10 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1477 TURQUOISE DR CARLSBAD CA 92011 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: 3 ,t,. IZ-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 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 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 f x i n f whi h h N Tl imil r hi r whi Ii i i n I h rwi City of Carlsbad Plan Check N~ t3 / 2. OZS-{o 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1477 Turquoise Dr Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# 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) I FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS YES[)I NO□ YES □No □ YES□ NO□ CONTACT NAME (If Different Fom App/leant) 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 I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 EMAIL EMAIL cal iforn ia@,deltamechan ical .com galinap@,deltamechanical.com PROPERTY OWNER NAME Fred Kisiel CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1477 Turauise Dr 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92011 Mesa AZ 85206 PHONE I FAX PHONE IFAX 760-603-0015 480-898-0007 EMAIL EMAIL ARCH/OESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ' CLASS I CITY BUS. LIC.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 per_mit 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 B_usmess and Professions Codt'l) or that 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 c1v1I penalty of not more than five hundred dollars ($500)). Worl<ers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: [Z] 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 carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date 070112012 ~ section need not be completed if the permit is for one hundred dollars ($100) or less. l.:lJ Certificate of Exemption: I certify lhat in the performance of the work for which lhis 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 Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE 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 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 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. 0 Yes 0 No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted witll the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo 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 I phone / type of work): 2$ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 0resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applica111 or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jves O No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 RF.QUIREMENTS OF THE OFFICE OF :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the perfonmance of the work this penmit is issued (Sec. 3097 (i) Civil Code) . . enders Narr.e Lenders Address certify that I have read the application and state that the above information 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 Ca1sbad to enter upon the ab<Ne mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST 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 permt is required for excavations rJ,/er 5'0' deep <l1d demolition or construction of structures [J,ler 3 stories in height. :XPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by !irritation <lld become null and IIOid if the building or work authorized by such permit is not commenced within 80 days from the date of such permt or if the buiding or work authorized by such permtt is suspended or roandoned at any time after the work is commenced for a period of 180 d (Section 100.4.4 Un~orm Building Code). ,g APPLICANT'S SIGNATURE DATE ~ #. d City of Carlsbad Bldg Inspection Request For: 03/05/2012 Permit# CB120256 Inspector Assignment: ..f..L Title: KISIEL RES REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: 1477 TURQUOISE DR Lot: 0 Phone: 7606030015 Location: Inspector: OWNER KISIEL FRED&JUDITH FAMILY TRUST 02-03-10 Owner: KISIEL FRED&JUDITH FAMILY TRUST 02-03-10 Remarks: gate code is 4129 Total Time: CD Description Act Comments ---- Requested By: FRED Entered By: CHRISTINE 25 Water HeaterNents £ ______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments