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Home My WebLink About1648 CORMORANT DR; ; CB141692; Permit12-30-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141692 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1648 CORMORANT DR CBAD PME 2156500413 Lot #: HANSON RES- REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area WITHDRAW 07/16/2014 LSM 07/16/2014 07/16/2014 Applicant: GALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Owner: HANSON IRENE TRUST 09-16-13 1648 CORMORANT DR CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $33.00 $0.00 $0.00 $62.00 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 refenied to as "fees/exactions." You have 90 days from the date this pemiit 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 information with the City Manager for processing in accordance with Carlsbad IVIunicipal 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenivise 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. [ (^q ^ Est. Value Plan Ck. Deposit Date 1 j lUf JI JOB ADDRESS 1648 Cormorant Dr SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /ncfude Square Feet of Affected Areafs) Replace water heater like for alike. Same location EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESj |# NOQ AIR CONDITIONING YES| |NO| 1 FIRE SPRINKLERS YEsQ NOj 1 CONTACTNAME (If Different Fom Applicant) ^ l^alifornia Delta Mech. finical Inc. APPLICANT NA ME 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@deltamechanlcal.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAME Irene Henson CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS 1648 Cormorant Dr ADDRESS 6056 E Baseline Rd 3155 CITY Carlsbad STATE ZIP CA 92011 CITY Mesa STATE AZ ZIP 85206 PHONE 760-814-8380 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 structure, prior to its issuance, also requires the applicantfor such permit tofile a signed statement that he is licensed pursuanttothe provisions ofthe Contractor's License Law (Cnapter 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}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty ofpetjury one ofthe foilowing declarations: I have and will maintain a certificate of consent fo self-insure for wori(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for wtiich this permit is issued. I have and will n'.aintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonmance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Wesco Ins. Co Policy No. °^588307 Expiration Date """" This sectior need not be completed if the permit is for one hundred dollars ($100) or less. |/| Certificate of Exemption: I certify that in the perfomiance of the wort< for which this permit is issued, I shall not employ any petson in any manner so as to become subject lo the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminai penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatian, damages as provided forin Section 3706 of th^ Ubor code, interestand attomey's fees. JS^ CONTRACTOR SIGNATURE /Jl (AX DATE OWNER-BUILDER DECLARATION / hereby affinn that I am exempt from Confrador's L/cense Lai* for the folbwing reason: I I I, as owner of the property or my employees with wages as Iheir 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 employees, provided that such improvements are not inlended 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 improi/e for Ihe purpose of sale). I I i, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 contraclor(s) licensed pursuant lo 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 materials for constmction of the proposed property improvement. []|]Yes I iNo 2.1 (have / have not) signed an application for a building pemiit forthe proposed work. 3.1 have contracted with the following person (finn) to provide the proposed constraction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone' contractors' license number): 5.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the wort< indicated (include name / address / phone / type of wori<): jgS'pROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILOING PERMITS ONLY Is the applicani or future building occupant required to submit a business plari, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the lir qua! Is the facility to be constracted within 1,000 feet of the outer boundary of a school site? d]Yes I INO 55 plari Presley-Tanner Hazardous Substance Account Act? j j Yes I iNo Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quaiity management district? •ves QNO 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. CONSTRUCTION LENDING AGENCY 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). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceiti^r that I have read the application and state thatthe above infonnation Is conect and tiiatthe infonnation on the plans is accurate. I agree to comply with all City oidinances and State laws relating to building constiuction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required fbr excavatkins over S'O' deep and demolition or constmction of stmctures over 3 stories in height EXPIRATION: Every permit issued by the Buikiing Official under the proviskins of this Code shall expire by limitatton and become null and void if the building or wort< authorized by such permit is not commenced within 180 days from the date of such pemiit or if the buikiing or work authorized by such pemiit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Secdon 106.4.4 Unifomi Building Code). APPLICANT'S SIGNATURE DATE