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Home My WebLink About1681 DOCENA RD; ; CB120077; Permit01-17-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl20077 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1681 DOCENARD CBAD PME 2159100500 Lot#: CANDAGE RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/17/2012 KG Applicant: CALIFORNIA DELTA MECHANICAL Owner: CANDAGE EDWARD H&BEVERLY H SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 1681 DOCENARD CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $30.00 $0.00 $0.00 $65.00 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 referred to as lees/exactlons." You have 90 days from the date this pemnit 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 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 connectton 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 previously othew/i^ expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check Nol JOBADDRESS 1681 Docena Rd CT/PROJECT # SUITE#/SPACE#/UNIT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: /nc/ude Sguare Feet of Affected Area(s) Replace existing like for alllce water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~|» NOj 1 YESj |NO| 1 YES| 1 NOj CONTACT NAME (If Dltterent Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS 6056 E. Baseline Rd# 155 ADDRESS 6056 E Baseline Rd# 155 CITY STATE ZIP IVIesa AZ 85206 CITY STATE ZIP Mesa AZ 85206 PHONE 480-898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 FAX 1-858-240-6677 EMAIL california@deltamechanical.com EMAIL galiapavlovabg@yahoo.com PROPERTY OWNER NAME Ed Candage CONTRACTOR BUS. NAME «... • . , California Delta Mechanical ADDRESS 1681 Docena Rd ADDRESS 6056 E. Baseline Rd# 155 CITY STATE ZIP Cartsbad CA 92011 CITY STATE ZIP Mesa AZ 85206 PHONE 760-804-9645 FAX PHONE 480-898-0007 FAX EMAIL EMAIL galinap@deltamechanical.com ARCH/DESIGNER NAME & ADDRESS STATE Lie. # STATE LIC.# CLASS CITY BUS. LIC.# 811114 c36 1214281 (Sec. 7031.5 Busmess 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 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 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' CO MP E N S A T I O N Woriters' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: SI have and will maintain a certificate of consent to self-insure fbr workers' compensation as provided by Section 3700 of the Labor C^e, for the performance of the work for which this permit is issued. I liave and will maintain woriters' compensation, as required 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 Policy No. mitli Expiration Date mmaim This section need not be completed it the permit is fbr one hundred dollars ($100) or less. [/] Certificate of Exemptian: I certify that in the performance of the work fbr which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure woriteis' compensation coverage is unlatvful, 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 ^cUpn JTO^f the Labor code, interest and attorney's fees. JS^ CONTRACTOR SIGNATURE DATE •WNieB-BUiLD E R D E C t R A T I O N / hereby affinn that I am exempt from Contractor's License Law for the follomng reason: I I 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 fbr 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. It, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ot proving that he dkl 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 &3de: The Ck)ntractor'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 (;k)ntractor's License Law). • I am exempt under Section. .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I iNo 2. i (have / have not) signed an applicatnn for a buiiding permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include nanne address / phone / contractors' Icense number): 4.1 plan to provide portions of the worts, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): ^PROPERTY OWNER SIGNATURE DATE IS SECTION FOR MON ReSIOENtlAi. BUILDING P K R M I T S O Rj L Y s the applicant or future building occupant ret)uired to submit a business plan, acutely hazardous materials regisJration farm or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? QYes flNn s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [_]Yes ^] No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? FHYes [jNo 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 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. $:TW'Ji;C:'*'i=0 M 'l.-E M O 1 N IS A. G E N C Y tiereby affirm that there is a construction lending agency for ttie performance of the work this permit is issued (Sec. 3097 (1) Civil Code), .ender's Name Lender's Address fLiCAti iHTIFICATION certify that I have read ttie application and slate that the above inlbnnatfon is conect and thatthe inltannatfon on the plans is accurate. I agree to comply with all CHyontinanoes and State laws relating to building construction. hereby authorize representative of the City of Catsbad to enter upon the above mentkjned property for Inspectton 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. )SHA: An OSHA permit is required fbr excavatkins over 5'0' deep and demditton or constiuclion of structures over 3 stories In height. EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Code shall expire by limltatkxi and become null and vokJ If the bulking or worit authorized by such permit is not commenced within 80 days from the date of such permit or If Ihe building or worit authorized by such pemiit is suspended or abandoned at any tme alter the worit is commenced fbr a period of 180 days (Sedkxi 106.4.4 Unifbmi Buikling Code). APPLICANT'S SIGNATURE DATE City ofCarlsbad BIdg Inspection Request For: 01/31/2012 Permit# CB120077 Title: CANDAGE RES REPLACE WTR HTR Description: Inspector Assignment: 1681 DOCENARD Lot: Type: PME Sub Type: Job Address: Suite: Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: CANDAGE EDWARD H&BEVERLY H Remarks: Phone: 7608049645 lnspecto(^ Total Time: Requested By: EDWARD Entered By: CHRISTINE CD Description 25 Water HeaterA/ents Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments