HomeMy WebLinkAbout1753 VESPER LN; ; CB143494; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-17-2014 Permit No: CB143494
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1753 VESPER LN CBAD
PME
2158810804 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: EDMISTON RES -REPLACE WTR HTR
SAME LOCATION
Applicant:
CALIFORNIA DEL TA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007 /866-6925273
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
EDMISTON L TRUST 12-19-08
1753 VESPER LN
CARLSBAD CA 92011
ISSUED
12/12/2014
SKS
12/12/2014
12/12/2014
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINA
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 ·tees/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
fees/exacti ns of which ou have reviousl been iven a NOTICE similar to this or as to which th statute f limitati ns has reviou I otherwi ex ire .
City of Carlsbad .. Lf c,q . • Plan Check No .
1635 Faraday Ave., Carlsbad, CA 92008 ~-~ Est. Value 760-602-2717 / 2718 / 2719
Fax: 760-602-8558 -s:r-Plan Ck. Deposit I •
Building Permit Application
(i)
~ Date TV 1 -z,,/ I LI I 2S1)-:)
JOB ADDRESS SUITE#/SPACE#/UNIT# I APN 1753 Vesper Ln ---
CT/PROJECT# I LOT. I PHASE# I . OF UNITS -1. BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I CCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace water heater like for alike. Same location
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING I FIRE SPRINKLERS
YES(JI No[] YES □No □ YESO NDO
CONTACT NAME (If Different Fom App/leant) C l'f . D It M h . I I APPLICANT NAME Galina Pavlova a I orn1a e a ec anica nc.
ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd # 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 r AX 858-240-6677
EMAIL EMAIL
california(@,deltamechanical.com galinap@deltamechanical.com
PROPERTY OWNER NAME Linda Edmill)Ston( CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
1753 Vesper Ln 6056 E Baseline Rd 3 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Mesa AZ 85206
PHONE I FAX PHONE IFAX 760-331-7095 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# !CLASS I CITY BUS. LIC.1214281 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 structu, e, 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 fCha'fter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declaralions:
[Z] I have and will maintain a certificate of consent to self-Insure for wor1<ers' compensalion as provided by Seclion 3700 of lhe Labor Code, for the per.onnan.:c of the wor1< for which this permit is issued
[ZJ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for lhe pertormance of the work for which this oermit is issued. My wor1<ers' compensalion insurance carrier and policy
number are: Insurance Co Wesco Insurance company Policy No. 02588307 Expiralion Dale 06/0V1S
P$,•ection need not be completed ii the permit is for one hundred dollars ($100) or less. ILJ Certificate of Exemption: I certify that in the pertonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensat10n Laws of
Calffomia. 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
add~ion to the cost of compensation, damages as provided for in Secti n 706 ft e Labor code, interest and attorney's fees.
25 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 lhe 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 himsett or through his own employees, provided that such improvemenlS are not intended or offered for
sale. If, however, the building or improvement is sold wi1hin one year of complelion, 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 wilh licensed contraclors 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 lhereon, and contracts for such projects with contracto~s) licensed pursuant to lhe Contracto(s License Law).
I am exempl under Section ____ Business and Professions Code for this reason:
1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. O Yes O No
2. I (have/ have nol) signed an application lor a building permit for lhe proposed wor1<.
3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address / phone/ conlractors' license nur.iber):
4. I plan to provide portions of the wor1<, bul I have hired the following person to coordinale, supervise and provide lhe major wor1< (include name/ address I llhone / contractors' license number):
5. I will provide some of the wor1<, but I have conlracted (hired) lhe following persons to provide the work indicated (include name I address/ phone ! lyp., <•f wo~):
25 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required lo submit a busineSS,.QillQ, 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 OCC1Jpant required to obi a in a pennit from the air pollution control district or a~ality management district? 0v es D No
Is the facility to be constructed v,thin 1,000 feet 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and slate that the abolle infonnation is correct and that the infonnation on the plans is accurate. I agree to complyv.ith a!I City ordi,anoes and State laws relating to buildingconst:uction.
I hereby authorize representative of Ille City of Carlsbad to enter upon Ille 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 GMNTl:>IG OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or conslructioo of structures over 3 stores in height.
EXPIRATION: Every permit issued by Ille Building Official under Ille provisions of this Code st0I expire by limitation a,d become null and void ~ Ille building onm authorized by sucn pennft is not commenced IM1hin
180 days from Ille date of such pennit or~lhe building orworl< authorized by such pennit is suspended or abandoned at any bme afterlhe wo!1< is cornmence-j for a period o: 180 days (Section 106.4.4 UMOITTl Building Code).
~APPLICANT'SSIGNATURE DATE _Lto /;..,__ ________ ___,
Inspection List
Permit#: CB143494 Type: PME
Date Inspection Item
12/30/2014 25 Water HeaterNents
12/30/2014 25 Water HeaterNents
12/30/2014 29 Final Plumbing
12/30/2014 29 Final Plumbing
Tuesday, December 30, 2014
Inspector Act
PD
PD
RI
AP
RI
AP
EDMISTON RES -REPLACE WTR HTR
SAME LOCATION
Comments
EDMISTON RES
CALL WETA, GC: 1025
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