The URL can be used to link to this page

Home My WebLink About2501 VIA SORBETE; ; CB112455; Permit11-18-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112455 Building Inspection Request Line (760) 602-2725 2501 VIA SORBETE CBAD PME 167 4003300 Lot #: 0 GAULARD RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11 /18/2011 LSM 11 /18/2011 11 /18/2011 CALIFORNIA DEL TA MECHANICAL GAULARD KENNETH W&DONNA M SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2501 VIA SORBETE CARLSBAD CA 92010 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL APPROVAL Inspector: Date: /.,2. 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 NOTIF!ED 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 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2 717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2501 Via Sorbete CT/PROJECT# LOT# PHASE# # OF UNITS-# BEOROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. C,8 C ( ~ ~ Est. Value Plan Ck. Deposit Date I l SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) ' FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESD NO□ YES ONO □ YES□ NO□ CONTACT NAME (If Different Fom App/leant) C I 'f , D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. -- ADDRESS ADDRESS 6056 E. Baseline road suite# 155 6056 E. Baseline road suite # 155 -CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE IFAX 480-898-0007 1-480-218-5645 PHONE 858-361-6495 IFAX 858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Ken Gaulard CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2501 Via Sorbete 6056 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92010 Mesa AZ 85206 PHONE I FAX PHONE IFAX 760-522-8760 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ' CLASS I CITY BUS. uc.1214281 811114 c36 (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. A~y violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Wo11ms' Compensation Declaration:/ hereby affirm under penaffy of perjury one of the following declarations: [2J I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [{] I have and will maintain workers' compensation, as required by 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 Policy No. 1697S23 Expiration Date o1io1120,2 ~section need not be completed~ the permit is for one hundred dollars ($100) or less. lLJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall nol 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 Sectio 3 f the Labor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law or the following reason: □ □ □ I, as owner of the 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 owner 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, howe,er, 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 does 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes O No 2. t (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractors' 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 I address I phone I 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 I address I phone I type of work): _,g PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business..ll!2!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Dves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEN1S OF THE OFFICE OF :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the perfomnance of the work this permit is issued (Sec. 3097 (i) Civil Code). _ender's Name Lender's Address oertifythatt have read the application and state that the above infonmation Is correct and that the infonmation on the plans is accurate. I agree to comply with all City ordinanoes and State laws relating to building construction. hereby authorize representative of the City of Carlsbad to enter upon the ab<Ne mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA perrrit is required for excavations over 5'0' deep .rid demolition or construction of structures over 3 stones in height. :XPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by linitation and become null and void if the building or work authorized by such permit is not commenced l\ithin 80 days from the date of such perrrit or if the buiding or work authorized by such permit is suspended or ooandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unijorm Building Code). 2-) APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/05/2011 Permit# CB112455 Title: GAULARD RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: 2501 VIA SORBETE Lot: 0 Inspector Assignment: Location: Inspector: OWNER GAULARD KENNETH W&DONNA M Owner: GAULARD KENNETH W&DONNA M Remarks: AM PLEASE Total Time: CD Description 25 Water HeaterNents 29 Final Plumbing Act Comments Af I Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: KEN Entered By: JANEAN