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Home My WebLink About2185 TWAIN AVE; ; CB131344; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-29-2013 Permit No: CB131344 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2185 TWAIN AV CBAD PME 2081803400 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: SENTINA RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATION Applicant: CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: SENTINA FAMILY TRUST 07-01-10 2185 TWAIN AVE CARLSBAD CA 92008 ISSUED 05/29/2013 SKS 05/29/2013 05/29/2013 $31 .00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: '1--Zf -/t.f 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 City of Carlsbad Plan Check No. c,6 l 's \'SL{ er 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2185 Twain ave Est. Value Plan Ck. ~eposlt I SUITE#/SPACE#/UNIT# CT/PROJECT # I LOT# I PHASE# I # OF UNITS I # BEDROOMS ~DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) # BATHROOMS . I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP - Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YES[)t IAIR CONDITIONING I FIRE SPRINKLERS NcQ YES ONO□ YES□ NO□ I CONTACT NAME (If Different Fom App/leant) C l"f . D It M h . I I a I orn1a e a er. amca nc. APPLICANT NAME Galina Pavlova 1ADDRESS ADDRESS I 6056 E Baseline Rd# 155 6056 E Baseline Rd# 155 CITY ____ S_T_A-TE------Z-IP-------+-C-ITY _____________ S_T_AT_E ______ ZI_P ___ _ Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Dasise Sentina CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS 2185 Twain ave ADDRESS 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE 858-204-6334 PHONE I FAX 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS I CITY BUS. uc.1214281 811114 c-36 (Sac. 7031.5 Business and Profess1cns Code: Any City or County which reqwes a permit to construct, alter. improve. demoltsh or repair any structure, prior to ,ts 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 !Cha'f.ter 9, commending with Section 7000 of D,v,sion 3 of the C:.usiness and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a ~1v1I penalty of not mo,e than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of /he following dedaraNons: 0 I have and will maintain a certificate of consent to self-insure for 'Mlrkers' compensation as provided by Section 3700 or the Labor Code, for the perfonnance or the 'Mlrk for which this pennlt Is Issued. 0 I have and will maintain workers' compensation, as required by Section 3700 or the Labor Code, for the perfonnance of the work for which this pennit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. ·•697123 Expiration Date '7"'""" ~section need not be completed if the pennit is for one hundred dollars ($100) or less. L{J Certificate of Exemption: I cenity that In the performance of the 'Mlrk for which this permit is Issued, 1 shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws or 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 addijion to the cost of compensation, damages as provided for in Section 370 f th abor code, interest and attorney's fees. , /, ,2S CONTRACTOR SIGNATURE DATE ~ {;? 3 / 0 I hereby affirm /hat I am exempt from Contractor's Ucense Law for /he lo/lowing reason: D I, as owner or the property or my employees with wages as their sole compensation, will do the 'Mlrk 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 or property whO builds or improves thereon, and who does such work himsen 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}. D I, as owner or 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 or J propeny whO builds or Improves thereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's License Law}. I O I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to pro·1ide the major labor and malerials for constructio:1 or the proposed property improvement. □Yes 0 No 2. I (have I h~ve not) signed an application for a building pennit for the profl(,sed work. I 3. I have contr«:ted with the following person (finn) to provide the propo,;i,d construction (include name address I phone/ contractors' license number): I 4. I plan to provk!e portions of the work, but I have hired the following person to coordinate, supervise and provide the major 'Mlrk (include na:ne / address I phone/ contractors' license number): I 5. I will provide some or the 'Mlr"<, but I have contracted (hired} the following persons to provide the 'Mlrk indicated (Include name I address I phOne I type or work): ,2S PROPERTY OWNER SIGNATURE ______ DA_T_E __________________ _ Is the applicant or future building occupant required to submit a business..ll!fill, 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 dislliet or aiLlll!ality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the ouler boundary of a school site? 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 AND THE AIR POLLUTION CONTROL DISTRICT. f the worl< this permit is issued (Sec. 3097 (i) Civil Code). : certify that I haw read 1:ie application and state that the aoow infonnation Is correctar.~ 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 repre:;entati.-e of the Cify of Cat1sbad to enter upon the above menooned property for inspection purposes. I ALSO AGREE TO SA VE, It ,DEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAltJST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perni1 is required for excavaoons O'lef' 5'0' deep and demolition or construction of structures O'lef' 3 stories in height. EXPIRATION: Every penmit issued by the Buildng Official under the provisions of this Code s.'.all expire by limitation and become null and \\'.lid ~ the building or work authorized by such penmit is rot corrrnenced within 180days from the date of such permit or~the buIld1ng or work authorized by such permit IS suspended or abandoned at any ume after the work 1sCOITY11ellOOd for a period of 180~ (Secticlrl _)l:64 4 Uniform BuIldIng Code) ,es-~'"""'"'"'""' ~ '"' 5 4-5 / -(J' er Inspection List Permit#: CB131344 Type: PME Date Inspection Item 11/27/2013 25 Water HeaterNents 06/14/2013 25 Water HeaterNents 06/14/2013 29 Final Plumbing Monday, April 28, 2014 Inspector Act PB NR PB PB AP AP SENTINA RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATIO Comments Page 1 of 1