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Home My WebLink About1618 JAMES DR; ; CB111878; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-30-2011 Plumbing Permit Permit No: CB111878 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1618 JAMES DR CBAD PLUM 1562111100 Lot#: 0 Construction Type: NEW MODZELESKI RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/30/2011 KG CALIFORNIA DELTA MECHANICAL MODZELESKI VINCENT E&JUDITH E TRUST 05-09-01 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 1618 JAMES DR CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: f\'.\ -/c~s FINAL APPROVAL Date: 09/w/ £1 Clearance: $0.00 NOTICE: Please take NOTICE th.:1.t approval of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 arry 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 cha~es, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to arry fe x i ns I hi h h n i n N Tl imil r hi r i h h limi i n h City of• Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718; 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1618 James Dr CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. C{!:f / Jl) f Est. Value Plan Ck. Date SUITE#/SPACE#/UNIT# APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE 1 AIR CONDITIONING 1FIRE SPRINKLERS YES[}. NoO ve.sONoO vESONoC CONTACT NAME (ff Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE IFAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Vincent Modzeleki CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1618 James Dr 6056 East Baselint. rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-729-5612 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS \ STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.1214281 811114 c36 (Sec: 7031.5 Busmess and P_rofess1ons Code: Any City or County which requires a permit to.construct, alter. improve, demolish or repair any structure, pnor to its issuance, also requires the app\1cant for such per_mit to file a sii;!ned st~tement that he is licensed pursu?nt to the provisions oftt:Je Contractor';> Ucense Law {Chapter 9, comme_nding with Secti~n 7qoo of Division 3 of the Business and Professions Code} or fuat he 1s 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}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· 12] 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 the work for which this permit is issued [Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for whlCh this permit is issued, My workers' compensation insurance carrier and polic number are: Insurance Co Policy No. 1697823 Expiration Date 01101f2012 ~section need not be completed if the permit is for one hundred dollars ($100) or less. llJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California WARNING: Fallure 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 code, i erest and attorney's fees. £f CONTRACTOR SIGNATURE I hereby affirm that! am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my empk>yees with wages as their sole compensation, will 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 who does such work himself 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 purpo.;e of sale). 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 who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contracto(s License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property impro~ement. 0Yes ONo 2. I (have I have not) signed an application bra building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction {include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worll (include name I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work ind~ated {include name/ address I phone / type of work): ,a$ PROPERTY OWNER SIGNATURE DATE '01111tPI.IITII! THl'S Sll!CTION FOR l!IOH,·a·JliuDIIN'lifitt7:eu11..DING Pll!RMITS ONLY • -" -,_,' " s the applicant or future building occupant required to sut:tnit a OOsiness~, acute~ hazardous materials registration form or risk maoogement and prevention program under Sections 25505, 25533 or 25534 of the )resley-Tanner Hazardous Substance Account Acr? D Yes LJNo • s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? []yes D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 ':MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,~ 1 z,,r• -'" 1 ~ " I' ,1 " ONSTfll.h:ttON LENDING AGIINC'i! hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) . • ender's Name Lender's Address certify that I have read the application and state that the above Information is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Caisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAIN ST 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 pemit is required for exta1alions over 5'0' deep aid demolition or construction of structures CNer 3 stories in height . .:XPIRA TION: Every pemit iS&Jed by the Building Official under the provisions of this Code shall expire by !irritation aid bocome null and void if the building or v.ork authorized by sudl permit is not oomrnenced within 80 days from the date of such pernit orif the building or work authorized by such perm~ is suspended or abandoned at any time after the v«>rk is rommenced for a period of 180 days (Seclion 100.4.4 U'lifoon Buildilg Code). ,I!$ APPLICANT'S SIGNATURE #£ ~:/ DATE .f /2.5 ~/4 • m City of Carlsbad Bldg Inspection Request For 09/19/2011 . Permit# CB111878 Title: MODZELESKI RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1618 JAMES DR Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Inspector Assignment: Phone: 7607295612 Inspector: fvill, _ _,_ __ Owner: MODZELESKI VINCENT E&JUDITH E TRUST 05-09-01 Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents f \ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Requested By: VINCENT Entered By: CHRISTINE 09/13/2011 25 Water HeaterNents CO MC SEE BACK OF CARO