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Home My WebLink About1019 WHIMBREL CT; ; CB130680; Permit03-19-201 3 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 130680 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1019 WHIMBREL CT CBAD PME Status: ISSUED 03/19/2013 LSM 03/19/2013 03/19/2013 Parcel No: 2157202700 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Inspect Area: Project Title: WILLINGHAM RES=REPLACE WTR HTR Applicant: 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 Owner: WILLINGHAM FAMILY TRUST 07-30-04 1019 WHIMBREL CT CARLSBAD CA 92011 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: Date: tf ~1-/::1 , 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 f f whi h h v r vi I n iv n N T E imil r hi r whi h h f limi i n h I City of Carlsbad ~-..-1 ..... -- Flan Check No. C.8 t ~ O (I')~ (~] 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Plan Ck. Deposit ~.-,__.. Building Permit Application - Date ~ I 1'1 I 13 I JOB AOORESS )Olq SUITE#/SPACE#/UNIT# IAPN Whimbrel Ct -- - CT/PRuJE<;1 # r OT • 1 PHASE. 1 . OF UNITS 1 . BEDROOMS # BATHROOMS I TENANIT BUSINESS NAME I <-VNSTR. TYPE I occ. GROUP 'oEsCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE l°ARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESD N<O YES □No□ YES□No□ CONTACT NAME (If Different Fom Appl/cant) C l'f , D It M h , I I APPLICANT NAME Galina Pavlova a I ornIa 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 I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california(@.deltamechanical.com galinap(@.deltamechanical.com PROPERTY OWNER NAME Don Willingham CONTRACTOR BUS. NAME Califronia Delta Mechanical Inc. ADDRESS ADDRESS 1019 Whimbrel Ct 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ 85206 PHONE I FAX PHONE I FAX N/A 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS I CITY BUS. UL.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 an~ 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 (Cha'f.ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Ar.y 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: I hereby affinn under penalty of perjury one of the ,bl/owing declarations: 0 I have and will maintain a certificate of consent to self-insure f0< wor1<ers' compensation as provided by Section 3700 of 1l1e Labor Cod~. for 1l1e performance of 1l1e wor1< for which this permit is Issued. 0 I have and will maintain workers' compensation, as reQUired by Section 3700 of 1l1e LabO< Code, for 1l1e performance of 1l1e wor1< 10< which this permit is issued. My wor1<ers' compensation insurance carrier and policy number are: Insurance Co POiey No. n97123 Expiration Date o7.o,n3 ~section need not be completed tt the permit is for one hundred dollars ($100) or less. b'.'..J Certificate of Exemption: I certify that in 1l1e performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to 1l1e Wor1(ers' Compensation Laws of California. WARNING: Failure to secure wor1<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Sectio 7 of Labor code, interest and attorney's fees. ,g CONTRACTOR SIGNATURE DATE 3 I hereby affinn that I am exempt from Contractor's License Law for the following reason: D I, as owner of 1l1e property or my employees with wages as lhelr sole compensation, will do 1l1e work and the structure is not intended or offered for sale (Sec. 7044, Business and Professicns Cc.de: The Contractor's License Law does not apply to an owner of property who blJilds 0< Improves lhereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended 0< offered 10< sale. If, however, 1l1e building or Improvement Is sold within one year of completion, 1l1e owner-blJilder will have 1l1e burden of proving that he did not build Of improve fO< 1l1e purpose of safe). □ □ I, as owner of 1l1e property, am exclusively contracting wi1h licensed contractors to constnx:t 1l1e project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who blJilds 0< improves lhereon, and contracts for such projects with contractor(s} licensed pursuant to 1l1e Contractor's License Law). I am exempt under Section _____ .Business and Professions Code for this reason: 1. I personally plan to provide 1l1e major labor and materials for constnx:tion of the proposed property Improvement. 0 Yes 0 No 2. I (have I have not) signed an application for a buiiding permit for 1l1e proposed work. 3. I have contracted with the following person (firm) to provide 1l1e proposed construction (include name address/ phone I contractoo' license number}: 4. I plan to provide portions of the wor1<, blJt I have hired 1l1e following person to coofdinate, supervise and provide the major wor1< (include name/ address / phone/ contractors' license number}: 5. I will provide some of the work, blJt I have contracted (hired) the following per.;ons to provide 1l1e wol1< indicated (include name/ address/ pllO'le I type of wor1<}: ,g PROPERTY OWNER SIGNATURE DATE Is lhe applicant oc Mure building occupant required to subrrit a business~. acutely hazardous materials registration fonn o, risk management and prevention program under Sections 25505, 25533 oc 25534 of the Presley.Tanner Hazardous Substance Account Pd/ D Yes LJNo Is the appl_icant oc future building_occupant required to obtain a pennit from the air pollution control district or a!Lll!!ality management distriet? 0 Yes O No Is the facility to be constructed within 1,000 feet of lhe outer boundary of a school stte? 0 Yes LJNo IF AJ,jy 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 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 infonnation is conect and that the infonnation on the plans is accorate. I agree to comply with all City oldinances and State laws relating to building construction. I hereby au1hooze representative ri the City ri Car1sba:l IO enter upon the above merooned property~~ p,.xposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS8A.D AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'r WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemit is requiroo ~ excavaoons CNe< 5'0' deep and demoition ()( construction ri stndures CNel' 3 stories in height EXPfRA TION: E"31Y pemit issued by the aJildilg CXticial under the )'.ro\100llS ri this Code shall expire by !irritation and becoole ool and l.00 ~ the blildr;J ()( WOO( author2oo by such pemit is not coomerced within 180days frtm the dale ri such pemit ()(~the buiding ()(wor1( authorized by such pemit is suspended()( ab.mooed at any tirre after the wor11 isoormienced; a ; ; :-days(~// ;,oo.4.4 l)jfO(m Blikling Code). _gAPPLICANT'SSIGNATURE DATE ,,__). /<:...../ / 6 Inspection List Permit#: CB130680 Type: PME Date Inspection Item 04/05/2013 25 Water HeaterNents 04/05/2013 25 Water HeaterNents 04/05/2013 29 Final Plumbing 04/05/2013 29 Final Plumbing Monday,Ap~OB,2013 Inspector Act RI PB AP RI PB AP WILLINGHAM RES=REPLACE WTR HTR Comments 8-10 AM PLS Page 1 of 1