HomeMy WebLinkAbout1530 CHESTNUT AVE; ; CB143498; Permit12-17-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB143498
Bulldlng Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1530 CHESTNUT AV CBAD
PME
2051307600 Lot#:
WANG RES - REPLACE WTR HTR
SAME LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area;
ISSUED
12/12/2014
SKS
12/12/2014
12/12/2014
Applicant:
CALIFORNIA DELTA MECHANICAL
STE 155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007/866-6925273
Owner:
WANG TIM
1530 CHESTNUT AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$35.00
$0.00
$0.00
$60.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL/
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed lo 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
follovi 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 Munidpal 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
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise 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,
Est. Value
Plan Ck. Deposit
JOB ADDRESS 1530 Chestnut Ave
SUITE#/SPACE#/UNIT#
CT/PR0JECT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Areafs)
Replace water heater like for alike. Same location
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# NoQ
AIRCONDITIDNING
YES 1 |NO| 1
FIRE SPRINKLERS
YES| |NO| 1
CONTACTNAME (H Different Fom Applicant) ^ [California Delta Mech. anical Inc. APPLICANT NAME Galina Pavlova
ADDRESS
6056 E Baseline Rd# 155
ADDRESS
6056 E 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
858-240-6677
EMAIL
california@deltamechanical.com
EMAIL
galinap@deltamechanical.com
PROPERTY OWNER NAME George Wang CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS
1530 Chestnut Ave
ADDRESS 6056 E Baseline Rd 3155
CITY
Carlsbad
STATE ZIP
CA 92008
CITY
Mesa
STATE
AZ
ZIP
85206
PHONE
702-286-5238
FAX PHONE
480-898-0007
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.#
811114
CLASS
C-36
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 structu. e, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuanttothe provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code} or that 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}).
iRKESS* COMPENSATION
Workers' Compensation Declaration: I hereby affimi under penaity of perjury one of the foliowing deciarations:
S 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 lhe work for which this permit is issued.
I have and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Wesco Insurance company Policy No. 02588307 Expiration Date "'i*^"
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I/I Cerfiflcate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. 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 dallars (&100,000), In
additton to the cost of compensation, damages as provided for in Sectiop 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE DATE
O W N E R - B U. I L. D E R. O E C L Ar< A TI OK
i hereby affirm that I am exempt fmm Contractor's License Law for the foliowing reason:
I I I, as owner of the property or my employees with wages as their sole compensation, viill do the work and the structure 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 «/ho does such work himself or through his own employees, provided that such improvements are not intended or otfered 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 I I, as owner of the property, am exclusively contracting 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 viho builds 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 Professions Code for this reason:
1.1 personally plan to provide the major labor and malerials for construction of the proposed properfy improvemenL •Yes r~|No
2,1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / addressphone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following peisons to provide the work indicated (include name / address / phonetype of work):
jS^PROPERTf OWNER SIGNATURE DATE
COMPLETE THIS SECTIOM FOR M O N - II E S i D E N T I A i. B U I L D I N 6 PERMITS O N t V
Is the applicant orfuture building occupant required to submit a business plari. acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 ofthe
Presley-Tanner Hazardous Substance Account Act? [•Yes I iNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I lYes I I No
Is the facility to be constracted within 1,000 feet of the outer boundaiy of a school site? [•Ves FlNo
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.
iic ON S TR UC Tl O N LB NO ING AGENCY
I hereby affirm that there Is a constnjction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certity that I have read the application and state thatthe above infbnriation is correct and thatthe infomiation on the plans Is are^
I hereby authorize representative ofttie City of Carisbad to enter upon the above menboned property for inspection puiposes. 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 pemt is required for excavatbns over 5'0' deep and demolition or constnidron of structures over 3 stories in heighl
EXPIRATION: Every permit issued by the Buikiing Ofiicial underthe provisions of this Code shall expire by limitation and become null and voki ifthe building orwork authorized by sucn pemiit is not commenced within
180 days from the date of such pemiit or if the buikiing or wori( 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 Unifonn Building Code).
.gS"APPLICANT'S SIGNATURE
Inspection List
Permit*: CB143498 Type: PME WANG RES - REPLACE WTR HTR
SAME LOCATION
Date Inspection^ltem Inspector Act Comments
12/31/2014 25 Water HeaterA/ents - Rl
12/31/2014 25 Water Heater/Vents PD AP
12/31/2014 29 Final Plumbing - Rl
12/31/2014 29 Final Plumbing PD AP
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