HomeMy WebLinkAbout2308 VIA PLATILLO; ; CB130478; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-26-2013 Permit No: CB1 30478
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2308 VIA PLATILLO CBAD
PME
2155832900 Lot#:
LA PIANA RES-REPLACE WTR HTR
0
Applicant: Owner:
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
Total Fees: $95.00 Total Payments To Date:
Inspector: m. ~{
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/26/2013
LSM
02/26/2013
02/26/2013
$31.00
$0.00
$0.00
$64.00
$95.00
$95.00 Balance Due:
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
x i n f whi v r vi I Tl E i ii r hi r whi h h f limi i r vi I h rwi
City of Carlsbad .. ~ .. ,,_
~,,.. "'C~ ~;~~ Plan Check No. Q.8l':> Ol-n'&
1635 Faraday Ave .. Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 • ~-c'il•·•..J,I Plan Ck. Deposit ~.:-:u;,
Building Permit Application -Date )..} ~Ct, I \ 3 I
JOB ADDRESS SUITE#/SPACE#/UNIT# r PN 2308 Via Platillo ---
CT/PROJECT# I LOT. I PHASE. I. OF UNITS I. BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I 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 IAIR CONDITIONING I FIRE SPRINKLERS
YES[]# N<O YES 0ND□ YES□No□
CONTACT NAME (If Different Fom App/leant) C l'f . D It M h . I I a I ornIa e a ec anica nc. APPLICANT NAME Galina Pavlova
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 I FAX 858-240-6677
EMAIL EMAIL
california(@,deltamechanical.com galinap(@,deltamechanical.com
PROPERTY OWNER NAME Matthew La Piana CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
2308 Via Platillo 6056 E Baseline Rd# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa AZ. 85206
PHONE IFAX PHONE I FAX 858-220-9779 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# !CLASS ICITY 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 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 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 civil penalty of not more than five hundred dollars ($500)).
Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
IZJ I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for Ille perfomiance of the work for which this pemilt is issued.
[Z) I have and will maintain worl<ers' compensation, as reQuired bv Section 3700 of Ille Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Poley No. 1897823 Expiration Date 07101113
~section need not be completed if the permit Is for one hundred dollars ($100) or less. l.!'.J Certificate of Exemption: I certify that in Ille perfoonance of the work for which this pemiit is iSSUed, I Shall not emplOy any person in any manner so as to become subject to Ille Workers· Compensation Laws of
California. WARNING: Failure to secure worl<ers' corr.pensation coverage is unlawful, and shall subjec1 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 bor code, I terest and attorney's fees. /
25 CONTRACTOR SIGNATURE DATE ~ ~ ?7 / 0
I hereby affirm that I am exempt from Contractors License Law for /he following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do Ille 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 lllereon, and who does such work hlmsell 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 Profe:;sions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves lllereon, 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 Ille major labor and materials for construction of Ille proposed property improvement. 0 Yes 0 No
2. I (have I have not) signed an application for a building pem,it for the proposed work.
3. I have contracted with the following person (fimi) to provide the proposed construction (Include name address/ phone I contractors' license number):
4. I plan to provide portions of Ille work, but I have hired the follOwing person to coordinate, supervise and provide Ille 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 work indicated (include name/ address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business.,nl§.Q, acutely hazardous matertals registration form or rtsk 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 district or a~ality management district? O Yes D 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.
I hereby affirm that there is a construction lending agency for the performance of the wor11 this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name 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 authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'M-ilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA ~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Buildng Official under the provisions of this Code shall expire by limitation and become null and \tid ~ the bulding or worl\ authorized by such pennit is oot oornmenced within
180 days from the date of such permit or~ the building or work authorized by such permit is suspended or abandoood at any lirre after the work is comrrerced for a period of :ao daJ (Section 100.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE ~ ~ t7 / 8
Inspection List
Permit#: CB130478 Type: PME
Date Inspection Item
04/23/2013 25 Water HeaterNents
04/23/2013 29 Final Plumbing
Tuesday,Ap~23,2013
LA PIANA RES-REPLACE WTR HTR
In spector Act Comments
MC AP EXISTING LOCATION
MC Fl
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