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Home My WebLink About1191 MARIPOSA RD; ; CB130538; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-05-2013 Permit No: CB130538 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1191 MARIPOSA RD CBAD PME 2122213400 GERAGHTY RES - Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: REPLACE WATER HEATER, SAME SIZE, SAME LOCATION 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: GERAGHTY MICHAEL E&KIMBERL YA 1191 MARIPOSA RD CARLSBAD CA 92011 ISSUED 03/05/2013 SKS PY $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: l(, I -rJ Clearance: $0,00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese,vations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wiJJ bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to waler and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i f. i City of Carlsbad • Plan Check No. 1635 Faraday Ave., Garlsbad, CA 92008 ~-~ Est. Value 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 ·•-")')""" ' Plan Ck. Deposit .. Building Permit Application ~ Date c/5'( I~ I JOB ADDRESS SUITE#/SPACE# /UNIT# IAPN 1191 Mariposa Rd --- CT/PROJECT# I LOT# I PHASE# 1#0~ UNI,$ r BEDROOMS # BATHr<OOMS I TEr.ANT BUSh,ESS 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 FIREPLACE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) v,so ~ IAIR CONDITION/NG I FIRE SPRINKLERS "'° YES0No0 YES□No□ CONTACTNAME (ffDlffeNntFomAppJlc,nt/ California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 e Baseline Rd# 155 6056 E Baseline Rd# 155 ~iTY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 !FAX 1-480-218-5645 858-361-6495 !FAX 858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Mike Gerarghty CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 1191 Mariposa Rd 6056 E Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE !FAX PHONE IFAX 760-470-1960 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE LIC.# !"ASS ICIITBUS L/C.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 reqw~es 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 B_usiness and Professions Code) orfhat he is exempt therefrom, and the basls for the alleged exemption. Any violation of Section 031.5 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 penaltyofpetjury one otthe fol/owing dec/8fati0ns: [ZJ I have and will maintain a certificate of consent to self-insure for mrkers' compensaOOn as provided by Section 3700 of the Labor Code, tor the performance of the mrk for which this permit Is tssued, [{] J have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance Of the work tor whieh this permit is issued, My workers' compensation insurance carrier and policy number are: Insurance Co Polk:y No. 1697823 Expiration Date 07101113 ~ secbon need not be completed if the permff Is tor one hundred dollars ($100) or less. l.:lJ Certificate of Exemption: I certify that in the performance of the -.ork for which this permit is ISS(Jed, I shall not employ any person in any manner so as to become subject to the Workers' CompensaHon Laws of Ca/itomla. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll 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 code, interest and attomey's fees. / Jl5 CONTRACTOR SIGNATURE / B I hereby affirm that I am exempt from Conuactor's Ucense Law for the folloWingreason: 0 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 tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appJy to an owner of property who bulk:!s or Improves thereon, and who does such -.ork himse'1 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). 0 I, as owner of the property, am excluslvely conlrac6ng 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). D I am exempt under Section ____ -uslriess and ProfessiOns Code for this reason: 1. I personally plan to provide the majOr labor and materials for construction of the proposed 11(lperty ll!provement OYes []No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3, I have contracted with the lollOWing person (firm) to proyjde the proposed construct.on (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the tollowlng person to coorlfInate, supervise and provide the major mrk (include name I address I phone I ccntractors' license number): 5. I will provide some of the-.ork, but I have contracted (hired) the fallowing persons to provide the work indicated (include name/ address/ i:tione / type of work): ..@5° PROPERTY OWNER SIGNATURE DATE --------------------------------------------- - . . • Is the applicant or future building occupant required to submit a business,.1212Q, acutely hazardous materials registration form or risk management and prevention program under Sectioris25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accourt Al:X? D Yes L.._JNo Is the appl_icant or future building occupant required to obtain a permit from the air pollution control district or a~allty management district? Oves D No Is the facility to be constructed within 1,000 feet ct the outer boundary of a school site? Oves 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 certify that I have read the application and state that the above lnfonnation Is conectand that the lnfoonatlon on the plans Is accurate. J agree to comply with all City oldlnances and State laws relating to btJildlng construction. I hereby authooze representative of the City of Cartsba:l to enter UJ:00 the atx>ve mentiona:I prq>erty for insr:a::tion purposes, I ALSO AGREE TO SA VE, JNDEMNJFY AND KEEP HARMLESS THE CHY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND ExPENSES \'\'HIGH MAY IN Ati'f WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is !'9.'.luire::I fa" excavations over 5'0' deep and demolltioo or ronstructioo cl structures over 3 stories in height EXPIRATION: EYery permit JSSU9j by the Buid"ng Oflbal under the provisions cl th~ Coos shall expire by !irritation and beccme null and ',oi(j if the buik:ling or work arthorized by w:::h permit is not oorrrnerx:ed within 180 days from ~e date cJ such pemil C< I the bu1kf1ng C< worl< authonzed by such pem,1t IS suspendoo C< abandonoo at any'"" after t'1e work IS 00"""""'1 to, r of 180 r (Seciion 100 4 4 Uniorm Buikf1ng Code) ~APPLICANT'S SIGNATURE llJ/,&( ~ ~/411: I 13 ~ ~~~~~~·~ Inspection List Permit#: CB130538 Type: PME Date lnspectio11 Item 03/29/2013 25 Water HeaterNents 03/29/2013 25 Water HeaterNents 03/29/2013 29 Final Plumbing 03/29/2013 29 Final Plumbing Monday, April 01, 2013 Inspector Act PB PB RI AP RI AP GERAGHTY RES - REPLACE WATER HEATER, SAME SIZE, S Comments LATE PM 330 760-470-1960 CALL PRIOR TO Page 1 of 1