HomeMy WebLinkAbout1336 CORVIDAE ST; ; CB130365; Permit02-13-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB130365
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PCff
Project Title
1336 CORVIDAE ST CBAD
PME
2156913400 Lot#
CHOW RES= REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
(ssued
Inspect Area
ISSUED
02/13/2013
LSM
02/13/2013
02/13/2013
Applicant
CALIFORNIA DELTA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007
Owner
CHOW KIT M&HONG KEUM-JOO J
1336 CORVIDAE ST
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 00 Balance Due. $0 00
Inspector
INALAPPROVAL
Date > " 2^ ^ Clearance
NOTICE Piease take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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 Govemment Code Section 66020(a), and file the protest and any other required mfomation with the City Manager for
processing in accordance with Carlsbad Muniapal 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 nght lo protest the speafied fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitatior^s has previously otherwise expired
City of Carlsbad
1635 Faraday Ave . Carlsbad. CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
Building Permit Application
Plan Check No.flfi*/ 30 3G?
Est. Value
Plan Ck. Deposit
Date ^ (S. L2)
JOB ADDRESS 1336 Corvidae street
SUITEW/SPACEW/UNITB
CT/PROJECI K
DESCRIPTION OF WORK Include Square Feet of Affected Are a(s)
HBEDROOMS H BATHROOMS TENANT BUS!MESS NAME CONSTR TYPE OCC GROUP
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE jAlR CONDITIONING
YES •# NOH] I YES \ I NO I |
FIRE SPRINKLERS
YES I |N0| I
CONTACT NAME (If Different Fom Applicant) California Delta Mechanical inc APPLICANT NAME Galina Pavlova
ADDRESS
6056 E Baseline Rd#155 ADDRESS
6056 E Baseline Rd#155
CITY
Mesa STATE
Az 85206
CITY Mesa STATE Az
ZIP
85206
PHONE
480-898-0007
PHONE
1-480-218-5645 858-361-6495
FAX
858-240-6677
EMAIL
california^deltamechanlcal com
EMAIL
qalinap^.deltamechanlcal com
PROPERTY OWNER NAME Kit Chow CONTRACTOR BUS NAME California Delta Mechanical Inc.
ADDRESS
1336 Con/ldae street
ADDRESS 6056 E Baseline Rd#155
CITY
Carlsbad
STATE
CA
ZIP
92011
CITY
Mesa
STATE
AZ
ZIP
85206
PHONE
760-931-1713
FAX PHONE
480-898-0007
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
811114 0-36
cm BUS uc #
1214281
(Sec 7031 5 Business and ProfessionsCode Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor to ila issuance also requires the appiicani for such permitto file a signed statement that he is licensed pursuant to the provisionsof the Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or tnat he is exempt therefrom and the basis forthe 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})
Woriters' Compensation Declaration I tiereby atfinv under penalty ol perjury one of the lollowing declarations
1 have and will maintain a certificate of consent to self Insure (or MWtkers'compensalcn as provided by Section 3700 of the LaborCode, for the performance otthe woric for which this permt is issued
1 have and will maintain workers'compensalion as reQLiired by Section 3700 of lhe Labor Code (or the perfomiance of lhe work ior which ihisDennil is issued Myworkers compensation insurance camer and policy
number are Insurance Co Polcy No nmn Expiration Date
This section need nol be completed if Ibe permit is for one hundred dollars (SIOO) or less
K1 Certificaie of Exemplion 1 certify that in the performance ol the work (or which this permit is issued, 1 shail not employ any person in any manner so as to tiecome subject to the Workers' Compensation Laws of
California WARNING Failure to secure wortteis compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to (he cost of compensation, damages as provided lor m Section 3706 of ttie Labor code, interest and attomey's fees / /
,£5" CONTRACTOR SiGNATURE ^O^-"''^^-^ DATE ^/ ^
I hereby atfirm tfiat / am exempt from Contractors License Lew for the lollowing reason
I I 1 as ovmer of the property or my emptoyees with wages as their sole compensation will do the vrork and the slmcture is nollnienbed or offered for sale (Sec 7044 Business and Professions Code The Contractors
License Law does not apply lo an owner ol property who builds or improves thereon and who does such work himself or through his own employees, provided Ihat such improvements are not intended or offered for
sale If, however, the building or impravement is sokJ wiltiin one year of completion the owner bulkier will have the burden of proving that he did not build or imprave for the purpose o( sate)
I I 1 as owner of the property, am exclusively contracting with licensed contractors lo constmct the project (Sec 7044, Business and Prolessions Code The Contractor's License Law does not apply to an owner of
propeny who builds or improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant to the Coniracior's License Law)
• I arr exempt under Section Business and Professions Code for this reason
1 1 personally plan to pravide tfie major labor and matenals for constnxtion of the proposed praperty impravement •Yes I INO
2 1 (have / have not) signed an applcalxm for a buiMing pennil lor the proposed work
3 1 have contracled with the following person (fimi) to provide the praposed conslruclion (Include name address / phone / contractors license numtier)
4 1 plan lo provide portions of the work, but 1 have hired the lollowing person (o coordinate supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 1 will provide some of the work but 1 have coniracled (hired) the foltowing persons to provide the work Indicated (include name / address / phone / type of work)
PROPERTY OWNER SIGNATURE DATF
Is lhe applicant or future building occupant required lo submit a business olan. acuiely hazardous matenals registration forni or risk managemeni and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Subslance Account Acf Yes I iNo
Is the applicant or fulure building occupant required lo oblain a permit Irom the air pollution control distncl or aiijuality rranagemenl distncf Dves O No
Is lhe facility to be constnjcted within 1,000 feel of the outer boundary ol a school site' QYes \ \Uo
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 hereby affirm that there is a construction lending agency for the performance of the vrark this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
1 certify that lhave read the applica&onand state that ttie above Information IS conect and tliatthemlonnatiort on the pl^^ I agieetocomplywith all Cl^ordinancesand State laws letatngto building constiuction
I hereby aulhorze representative of the Oty of CarlsOad lo enterupon the abow menboned properly fa inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA perrml is required for excavations over 5 0 and demolition or construction of sthx:lures over 3 stones in height
EXPIRATION Eveiy permt issued by the BuiWirigOITiaal under Ihe provisions of this Cotte shall ex^^
ISOdays from thedateof such pOTiil or rf the buiHing a wori( authonzed by such pernWtssiisperxied a aiarxk^ 106 4 4LfeiifotmBuik]ingCode)
>£S'APPLICANT'S SIGNATURE DATE
Inspection List
Permit* CB130365 Type PME CHOW RES= REPLACE WTR HTR
Date Inspection Item ''^SP®£*°L Comments
03/22/2013 25 Water HeaterA/ents - Rl
03/22/2013 25 Water HeaterA/ents PB AP
03/22/2013 29 Final Plumbing PB AP
Monday, March 25, 2013 Page 1 of 1