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Home My WebLink About2766 UNICORNIO ST; ; CB131189; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-13-2013 Permit No: CB 131189 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2766 UNICORNIO ST CBAD PME 2153507100 NGUYEN RES-REPLACE WATER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: 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: SCHWEIKER SUSAN 4539 CHANCERY CT CARLSBAD CA 92010 ISSUED 05/13/2013 SKS 05/13/2013 05/13/2013 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: r'7 ~ ,,, FINAL APPROVAL Inspector: ~ Date: S -J /, Q 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 v vi I n iv n N Tl E imil hi r whi h I' • i n h vi I I I City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB AOORESS 2766 Unicornio street Plan Check No. Est. Value Date SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS • BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE rROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS m,C)# Nc0 YES0 No 0 YESO NoO CONTACT NAME (If Different Fom Applicant) C l'f . D It M h . I . APPLICANT NAME Galina Pavlova a I orma e a ec amca inc. ADDRESS 6056 E Baseline Rd # 155 ADDRESS 6056 E Baseline Rd# 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 858-240-6677 EMAIL california(@,deltamechanical.com EMAIL galinap(@.deltamechanical.com PROPERTY OWNER NAME CONTRACTOR BUS. NAME Bao Nguyen California Delta Mechanical Inc. -ADDRESS ADDRESS 2766 Unicornio street 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-484-4482 480-898-0007 EtMIL EMAIL I AqCH/DESIGNER NAME & ADDRESS california(@,deltamechanical.com I STATE LIC .• STATE UC.# I CLASS rTYBUS. LIC.1 214281 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 ant 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 D1v1sion 3 of the Business and Professions Code) or O,at he Is exempt therefrom, and the basis !or the alleged exemption. Any v1olat1on 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)). Wor1<ers' Compensation Declaralion: I hereby affirm under penalty of perjury one of the following declarations: [Z] I have and will maintain a certificate of consent to self-insure for v.orkers' compensalion as provided by Section 3700 of lhe Labor Code, for the performance or the v.ork for which this permil is iSsued. IZJ I have and will maintain workers' compensation, as recuired 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 Polo:y No. 1697123 Expiration Date 07101113 ~section need not be completed if the permit is for one hundred dollars ($100) or less. L:lJ Certificate of Exemption: I certify that in the pertormance or the work for who:h this permit is issued, I shall not employ any person in any manner so as to oocome subject to the Workers' Compensation Laws of Calilomia. WARNING: Failure to secure worllers' 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 affirm /hat I am exempt from Contractor's License !.aw for the following reason: D I, as owner of tr.e 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 nwrw 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, tiowever, the building or improvement is sold within one year of comple!k>n, the owner-builder will have the burden of proving lhat he did not build or improve for the purpose of sale). I, as owner of the prt'peny, am exclusively contracting with licensed contractors'° construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who buiidz ur improves thereon, and contracts for such projects wi'.~ contractor(s) licensed pursuant to the C:ontractor's License Law). I am exempt under Secti0n ____ .Business and Professions Code for this reason: 1. I personaI:y plan to provide the major labor and malerials for constroction of the proposed property improvement. O v es 0 No 2. I (have/ have not) signed an appl,:ation for a building permit for the proposer work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phOne / conlractors' 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 v.ork indicated (include name/ address/ phOne / type or work]: 2S PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business.,Q!fil), acutely hazardous materials registration form or risk management and prevention program un<1er Sections 15505, 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 pennit from the air pollution control district or ai[..ill(ality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ominances and State laws relating to building construction. I hereby aulhonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perrrit is required for excavatbns Cfo/ef s·o· deep and demoition or construction of structures Cfo/ef 3 stories in height. EXPIRATION: Every perrrnt issued by the Building Official under the provisions of this Code shall expire by limitation and bErnme null and void~ the bl.ilding or work authorized by sueh permit is not oommenoed within 180 days from the date of such perrrit or~ the building or work authorized by sueh permit is suspended or abandoned at any time after the work is oommenoed for a period of 180 days (Section 106.4.4 Un~orm Building Code). _g APPLICANT'S SIGNATURE DATE ~ k, 1/ Inspection List Permit#: CB131189 Type: PME Date Inspection Item 05/30/2013 25 Water HeaterNents 05/30/2013 25 Water HeaterNents 05/30/2013 29 Final Plumbing 05/30/2013 29 Final Plumbing Inspector PB PB Act RI AP RI AP NGUYEN RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATIO Comments 8-10 AM PLS Friday, May 31 , 2013 Page 1 of 1