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Home My WebLink About2712 VIA JUANITA; ; CB121470; Permit.. .. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-06-201 2 Permit No: CB121470 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2712 VIA JUANITA CBAD PME 1673101800 Lot#: 0 . CERRI: REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/06/2012 JMA 08/06/2012 08/06/2012 CALIFORNIA DEL TA MECHANICAL JOHNSTON DANIEL P&CERRI JUSTINE SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2712 VIA JUANITA CARLSBAD CA 9201 0 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: (1,\. ~S VAL Date: ""o_0'-+-..._._.,......z--__ Clearance: $0.00 NOTICE: Please take NOTICE th;it 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, gracting 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 2712 via Juanita Plan Check No. CB D Est. Value Plan Ck. Deposit Date g SUITE#/SPACE#/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 ' AIR CONDITIONING 'FIRE SPRINKLERS YESD N<O YES □No □ YES□ NO□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Stefan Grozev ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85209 85206 Mesa AZ 85209 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 619-228-6509 I FAX 1-858-410-1499 EMAIL EMAIL california@,deltamechanical.com galinap@,deltamechanical.com PROPERTY OWNER NAME Justine Cerri CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2712 Via Juanita 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 Mesa AZ 85206 PHONE PHONE 760-288-1113 rAX 480-898-0007 I FAX 1-480-218-5645 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC •• STATE UC.# I CLASS 1I CITYBUS. UC.# 811114 c-36, c-~ 1214281 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. improve. demolish or repair any 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 !hat 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 civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the wor1< 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 pertormance of the work for which this permit is issued. My wor1<ers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1mai3 Expiration Date 0710'"3 ~ section need not be completed if the permit is for one hundred dollars ($100) or less lLJ Certificate of Exemption: I certify that in the pertormance 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 Section 3706 of the Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE , DATE I hereby affirm that I am exempt from Contractor's License Law tor the following reason: □ □ □ I. as owner of the property or my employees with wages as their sole compensation. will do the wor1< and the structure is not intended or ottered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wcr1< 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 Code: The Contractor's License Law dpes 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2. I (have/ have not) signed an application for a building permit for the proposed wor1<. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): 4. I plan to provide portions ol the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone / contractors· license number): 5 I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the work indicate<1 (include name I address I phone I type of wor1<): JiS PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business.Jl!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 L]No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management dislrict? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer 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 0~ THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, e of 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 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. I hereby ao1/lorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pt11JJOses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSl ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIC' CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavatoos over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every permn issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ff the building or work authorized by such permit is rot comrnenood within 180days from the date of such permit or ff the building or work authoozed by sueh permit is Suspended or abandoned at anytime after the work is oomrrenced for a period of 180days (Section 106.4.4 Uniform Building Code). -"SC""'-""''""'"" ?: -~ DATE Inspection List Permit#: CB121470 Type: PME Date Inspection Item 08/13/2012 25 Water HeaterNents 08/13/2012 25 Water HeaterNents 08/13/2012 29 Final Plumbing 08/13/2012 29 Final Plumbing Monday,August13,2012 CERRI: REPLACE WATER HEATER Inspector Act Comments RI 1 ST AM OR LAST STOP PM MC AP RI MC Fl Page 1 of 1