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Home My WebLink About2122 VUELTA CT; ; CB120370; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-01-2012 Permit No: CB120370 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2122 VUELTA CT CBAD PME Status: Parcel No: 2164921400 Lot #: 0 Applied: Reference #: PC#: Project Title: SHAPIRO RES-REPLACE WTR HTR Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: SHAPIRO MICHAEL&JANE M TRS 2122 VUELTA CT CARLSBAD CA 92009 ISSUED 03/01/2012 LSM 03/01/2012 03/01/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: ~.::z(-FINAL APPROVAL Date: J -1s:-;z.,, Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmpositio~• 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 I x i n f whi h h v r vi n iv n N Tl imil r hi r hi I limi i n h Cit y of Carlsbad 1635 Faraday Ave., Ca rlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2122 Vuelta Ct Plan Check No.(}.B 1 :)f) O 70 Est. Value Plan Ck. Deposit Date ..3 SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHR MS 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) I FIREPLACE IAIR CONDITIONING 'FIRE SPRINKLERS YES[) No□ YES □No□ YES□ NO□ CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline Rd# 155 6056 E Baseline Rd# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX tAX -PHONE 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Mike Shapiro CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2122 Vuelta Ct 6056 East Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa Az 85206 PHONE I FAX PHONE IFAX 760-632-2259 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# !CLASS I CITY BUS. LIC.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. 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: / hereby affirm under penaffy of perjury one of lhe following declarations: 0 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. [Z] I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for whk:h this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Polk:y No. 1697823 Expiration Date 007'°1112 This seclion need nol be completed rt the permit is for one hundred dollars ($100) or less. [2J Certificate of Exemption: I certrty that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo 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 06 o t e Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE DATE 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 the slruclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense 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, 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 lk:ensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with conlractor(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 lo 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 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 /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 indk:ated (include name / address/ phone I type of work): 25 PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business~, acutely hazardous materials registrai,on 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 0 No s lhe 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 REQUIREMENTS OF THE OFFICE OF :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the perfornnance of the work this pernnit is issued (Sec. 3097 (i) Civil Code). _enders Name Lenders Address 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. hereby authorize representative of the City of Ccrlsbad to enter upon the above 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 pernit is required for excavations over 5'0' deep aid demolition or construction of structures over 3 stories in height. :XPIRA TION: Every permit issued by the Building Official under the provisions of this Code shal expire by linilation and become null and void if the building or work authorized by such permit is not commenced within 80 days from the date of such pernit or if the building or work authorized by such pernit is suspended or abandoned at any tirre after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code). ~APPLICANT'SSIGNATURE DATE ~ ~ ?--;1/....<.. . m City of Carlsbad Bldg Inspection Request For: 03/14/2012 . Permit# CB120370 Title: SHAPIRO RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: location: 2122 VUELTA CT lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: SHAPIRO MICHAEL&JANE M TRS Remarks: all w/el.a please Total Time: CD Description Act Comments Inspector Assignment: __M Phone: 7606322259 Inspector: ---- Requested By: MIKE Entered By: JANEAN 25 29 Water HeaterNents Final Plumbing Af!_ ________ _ _AL ______________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments