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Home My WebLink About18 GREENVIEW DR; ; CB122327; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-05-2012 Permit No: CB122327 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No: ~8 GREENVIEW DR CB.A.D PME 2152313900 Lot#: Status: 0 Applied: Entered By: ISSUED 11/05/2012 SKS Reference#· PC #: Plan Approved: Project Title: GLEASON RES - REPLACE WATER HEATER, SAME SIZE & LOCATION Applicant· CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GLEASON GARY T 18 GREENVIEW OR CARLSBAD CA 92009 Total Fees. $95.00 Total Payments To Date: Inspector: FINAL APPROVAL Date: Issued: Inspect Area: $31 .00 $0.00 $0.00 $64.00 $95.00 Balance Due: Clearance: _____ _ $0.00 NOTICE· Please take NOTICE that approval of your project includes !he 'lmpos~ion' of fees, dedications, reservations, or other exactions hereafter coliectlve1y referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of Ines~ fees/exactions. If you protest them, you must follow the protest procedures set forth 1n Gove;nment Code Section 66020(a). and fiia the protest and any other required information with the City Manager for processin3 in aC(,'Ordance with Carlsbad Municipal Code Section 3.32 030. Failure to timely follow that procedure will bar any subs13quent legal action to attack, review, set aside, void, or ann~I their 1mpos1hon. \'ou are nereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOl::S NOT APPLY to water and sewer connection lees and capacity changes nor plan111ng, toning, grading or other s1mi1ar application processing or service fees In connection with t11is project. NOR DOES IT APPL ( to any f st xa I f w11 · ye previously been aiyen a N~1i1ar to trns. or 11. 1 i · o ,. City of Carlsbad Plan Check No. cA ( z z 3 27- 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 18 Greenview Dr T/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area/s) Est. Value SUITE#/SPACE#/UNIT# # BATHROOMS Replace existing like for alike water heater EXISTING USE NSTR. TYPE OCC. GROUP I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES[J# I AIR CONDITIONING I FIRE SPRINKLERS NcQ YES •No• YES•No• CDNTACTNAME (lfDlfforentFomAppl/cant) C rt . D It M h . 11 APPLICANT NAME Galina Pavlova a I orn,a e a ec anica nc. ADDRESS ADDRESS 6056 E Baseline Rd# 155 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa Az 85206 Mesa AZ 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 IFAX 858-240-6677 EMAIL EMAIL california(@.deltamechanical.com galinap(@.deltamechanical.com PROPERTY OWNER NAME Gary Gleason CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 18 Grenview Dr 6056 E Baseline Rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 85206 AZ 85206 PHONE I FAX PHONE I FAX 760-603-0785 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC .• STATE UC.# I CLASS I CITY BUS. LIC.1214281 811114 c-36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve. demoilsh 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 or the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the allege:! exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declarallon: I he,eby affirm under penally of petjury one of the /oftowing dedaraffons· [Z] 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 or the work ror which this permit is Issued. [Z] I have and will maintain workers' compensation, as reouired bv Section 3700 of the Labor Code. for the perfonnance of the work for l'Alich this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co Policy No. 1691823 Expiration Date 0!131131 ~section need not be completed if the permit Is for one hundred dollars (S100) or less. l{J Certificate of Exemption: I certify that in the perfonnance of the work for which this pennlt Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws or California. 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 dollars (&100,000), in addition to the cost of compensation, damages as provided for in Sectlo 37 of the Labor code, Interest and attorney's fees. L / 2S CONTRACTOR SIGNATURE DATE /tt? /f/ // ..,g I he,eby affirm that I am exempt from Contractor's License Law for the following reason: D 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 offened for sale (Sec. 7044, Business and ProleSSions Code. The Contracto(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 ror 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 or sale). • • I, as owner or the property, am exclusively contracting \\ith licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the ContractOl's License Law). I am exempt under Section ____ .Business and ProfeSSions Code ror this reason: 1. I personally plan to provide the major labor and materials ror construction or the proposed property improvement. O ves O No 2. I (have I have not) Signed an application for a building permtt ror the proposed work 3. I have contracted with the follo\\ing person (firm) to provide the proposed construction (Include name address I phone I contractors' license number): 4. I plan to provide portions or the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some or the work, but I have contracted (hired) the follo\\ing persons to provide the work indicated (Include name/ address/ phone I type or work): 2S PROPERTY OWNER SIGNATURE L DATE - ' , Is the applicant o, future building occupant required to submit a business,Jl!2ll, acutely hazardous materials registration fo,m or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance AcC01Jnt Act? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or al[..9.!;ality management district? O Yes O No Is the facillty to be constructed within 1,000 feet of the outer boundary of a school site? O Yes LJNo 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 work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above infonmation is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereb'f authorize representati'Al cl the City cl Cansba:l to enter upon the abo'Al rnenooned property for inspedi:)1 pulJ:X)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN\' WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. HA An OSHA perrnt is required for excavatiJns <:Ne< 5'0' deep and demolition ()( constl\JClion of structures ol/fJf 3 stories in height. XPIRATION E'Al(Ypermlt issued by the~ Official under the p,'O',isionsd~ Cooe shal expire byirntation and bocoole ooU and -.oid if the bulding ()( work aitrorized byS\dl permit is not oonmexed within 80 days from the date of such penmlt ()( if the building()( woo authonzed by such permit is suspended()( abandoned at any time after the work is comrrerced for a period a 100 days (Sectxln 100.4.4 Uniform Buifcjing Cooe) . .i'.S'APPLICANT'S SIGNATURE M DATE /P ~///~ --tT