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Home My WebLink About1014 BEACON BAY DR; ; CB112327; Permit10-28-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12327 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1014 BEACON BAY DR CBAD PME 2145300800 Lot#: DORE RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/28/2011 LSM 10/28/2011 10/28/2011 Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: DORE NICOLE 1014 BEACON BAY RD CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00 Inspector: FINAL Date MAPPROVAL • Afi /-z Clearance: NOTICE: Please take NOTICE that approval of your project Includes the "Imposition" of fees, dedicattons, resen/ations, or other exactions hereafter collectively refen-ed to as lees/exactions." You have 90 days from the date this pemilt was issued to protest imposition of these fees/exacttons. If you protest them, you must follow the protest procedures set forth in Govemment 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 t)ar any subsequent legal actton 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 connectton fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivtee fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of Hmitattons has previously othenvise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Appiication Plan Check No. Oi?^ / [ 3^'?>90 Est. Value Plan Ck. Deposit JOB ADDRESS 1014 Beacon Bay Dr SUITE#/SPACE#/UNIT# CT/PROJECT # # OF UNITS # BEDROOH/IS # BATHROOI^S TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) Replace existing lil^e for alit^e water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~l# AIRCONDITIONING YESj |NO| 1 FIRESPRINKLERS YESj |NO| 1 CONTACT NAME (If Different Fom Applicant) California Delta Mec ihanical APPLICANT NA ME Galina Pavlova ADDRESS 6056 e. baseline road suite #155 ADDRESS 6056 East Baseline rd # 155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE 480'898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 FAX 1-858-240-6677 EMAIL california@deltameclianical.com EMAIL galiapavtovabg@yahoo.com PROPERTY OWNER NAME Nicliole Dore CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS 1014 Beacon Bay Dr ADDRESS 6056 E Baseline rd # 155 CITY Carlsbad STATE ZiP CA 92011 CITY Mesa STATE AZ ZIP 85206 PHONE 4760-214-0125 FAX PHONE 180-898-0007 FAX 480-218-5645 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 811114 CLASS c36 CITY BUS. LIC.# 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 appiicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any vioiation of Section 7031.5 by any appiicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5(X)}). WO RKERS' COMI>ENSATION Workers' Compensation Declaration: //lerebyaffiiTn underpenaltyof perjury one ofthe foitowing declarations: I have and will maintain a certificate of consent to self-Insure for worl<ers'compensation as provided bySection 3700 of tiie Labor Code, for the performance of ttie worl( for whicti this permit is issued. bU I have and wilLmaintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. ^^^^ Expiration Date °™™" This section need not be completed if the permit is for one hundred dollars ($100) or less. F/l Certificate of Exemption: I certify that in the perfbnnance 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 codeJnterest and attomey's fees. ^ ^eS" CONTRACTOR SIGNATURE J^'^^^A DATE AA / hereby affinn that I am exempt from Contractor's License Law for the follomng reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 emptoyees, 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 bunJen of proving that he dkl not build or improve fbr the purpose of sale). I I I, as owner ofthe praperty, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Prafessions Clode: The Contractor's License Lav; does not apply to an owner of praperty who buikis or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professtons Code for this reason: 1.1 personally plan to provide the major labor and materials for constraction of the proposed praperty improvement. I lYes I iNo 2. i (have / have not) signed an appltoatton Ibr a buiiding permit for the praposed wori<. 3.1 have contracted with the following person (finn) to provide the proposed construction (include name address / phone / contractors' Itoense number): 4,1 plan to provide portions ofthe work, but I have hired the following person to coordinate, supen/ise and pravkle the major work (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have contracted (hired) the fbllowing persons to pravide the work indtoated (include name / address / phone / type of work): XSTPROPERTY OWNER SIGNATURE DATE OMPLETE THiS SECTION FOB NON-f?ESIDENTIAL BUILDING PERMITS ONLY s the applicant or futute buikiing occupant required to submit a business plan, acutely hazardous materials registratton form or risk management and prevention program under Sections 25505, 25533 or 25534 of the air qua! s the faciiity to be constmcted within 1,000 feet of the outer boundary of a school site? ^Yes QNO 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 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ssplan. ^resley-Tanner Hazardous Substance Account Act? ^^Yes I iNo s the appitoant or future buiWing occupant required to obtain a pemiit from the air pollution control district or air qualitv management disfrict? •Yes r~lNo NSTRUCTION LENDINQ AGENCY hereby affinn that there Is a constniction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (1) Civil Code), .ender's Name Lender's Address I •:^#i|i;|:<;,A NT..CERTIFICATION certifythat I have read the application and state thattlie above intbmiation is conect and thatthe inforniation on the plans Is accurate. I agree to comply with all City onllnances and State laws relatlngto building constmction. hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property fbr inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMU^SS THE CITY OF CARLSBAD \GAINST 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 pemiit Is required fbr excavafons over 5'0' deep and demolition or constmclkxi of stmctunes over 3 stories in height iXPIRATION: Every pemilt issued by the Building Official under the provistons of this Code shall expire by limitatton and become null and void if the buikling or wori< authorized by such pennit is not commenced within 80 days from the date of such pennit or if the building or wort; authorized by such pennit Is suspended or abandoned at any time after the wori< is commenced for a period of 180 days (Sectton 106.4.4 Unilbmi Building C^ode). APPLICANT'S SIGNATURE DATE City of Carlsbaci BIdg Inspection Request For: 11/30/2011 Permit# CB112327 Title: DORE RES- REPLACE WTR HTR Description: Inspector Assignment: Type: PME Job Adciress: Suite: Location: OWNER DORE NICOLE Owner: DORE NICOLE Remarks: CALL W/ETA Sub Type: 1014 BEACON BAY DR Lot: 0 Phone: 7602140125 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comments Requested By: NICHOLE Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments