HomeMy WebLinkAbout2044 CORDOBA PL; ; CB122642; Permit12-11-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CBl22642
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2044 CORDOBA PL CBAD
PME
2073003900 Lot#
JENKINS RES-REPLACE
WATER HEATER, SAME SIZE & LOCATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/11/2012
SKS
Applicant
CALIFORNIA DELTA MECHANICAL
STE155
6056 E BASELINE RD
MESA A2 85206
480-898-0007
Owner
HAWKINS FAMILY TRUST 04-14-04
2044 CORDOBA PL
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 00 Balance Due. $0 00
Inspector
FINAL APPROVAL
Date A7'/J Clearance
NOTICE Please take NOTICE ^at approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter coKectively
relerred to as °lees/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 Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
prxessing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure wtll bar any subsequent legal action to attack,
review set aside, void or annul their imposition
You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exaclions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously bfien given a NOTICE similar to, this, or as to which the .statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave . Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax 760-602-8558
Building Permit Application
Plan Check No
Est. Value
Plan Ck Deposit
Date
JOB ADDRESS 2044 Cordoba PI 5UlTE#/SPftCE«/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF| FIREPLACE
YESQ# NOj j
AIR CONDITIONING
YES I INOI I
FIRE SPRINKLERS
YESQNOQ
CONTACTNAME (If0/ffefentfomflppf/cantj Califronia Delta Mechanical Inc APPLICANT NAIVIE Galina Pavlova
ADDRESS
6056 E Baseline Rd#155
ADDRESS
6056 E Baseline Rd3155
CITY
Mesa
STATE
A2
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
californiatS)deltamechanical.com
EMAIL
qalinap^deltamechanlcal com
PROPERTY OWNER NAIVIE James Hawkins CONTRACTOR BUS NAME California Delta Mechanical inc.
ADDRESS
2044 Cordoba PI
ADDRESS 6056 E Baseline Rd#155
CITY
Carlsbad
STATE
CA
ZIP
92008
CITY
Mesa
STATE
Az
ZIP
85206
PHONE
760-729-8923
FAX PHONE
480-898-0007
FAX
EMAIL EMAIL
ARCH/DESIGMER MAME & ADDRESS
811114 c-36
CITY BUS UCH
1214281
[Sec 70315 Business and Professions Code Any Oty or County which requires a permit to construct, alter improve demolish or repair any structure pnorto its issuance also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ot the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 ofthe Business and Professions Code} or that he is exempt therefrom, and the basis forthe alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the foiiowing declarations
m I have and will maintam a certificate of consent to self insure for worlters' compensation as provided by Seclion 3700 of the Labor Code for the performance cf the work for which tiis permit is issued
1 have and will mamtam workers'compensation as required by Section 3700 of the Labor Code for (he perfomiance of Iheworkforwhich this permit is issued My workers'compensation insurance camer and policy
numberare InsuranceCo PolicyNo m7S22 Expiration Dale
This secton need not be compleled if the pemiit is for one hundred dollars ($100) or less
[71 Certificate of Exemption 1 certify lhal m 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 Compensalion Laws of
Califomia WARNING Failureto secure wo rfiers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (Si100,000), in
addition to the cost of compensation, damages as provided form Section 37p6crf the Labor code, interest and attomey's fees
^ CONTRACTOR SIGNATURE /^^O^l DATE
I hereby affirm that I am exempt from Ckintractor's Ucense Law for the following reason
\ I I as owner of the properly or my employees with wages as their sole compensation wiil 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 nol apply to an owner of properly who builds or improves Ihereon and who does such work himself or through his own employees, provided lhat such improvemenls are not intended or offered tor
sale If however ifie building or improvemenl is sold wilhm one year of completion the owner builder will have the burden of proving that he did not build or improve tor the purpose of sale)
I I 1 asownerolthe properly, amexclusivelyconlractng with licensedconlractorsioconstRjctlheprojecifSec 7044 Business and Professions Code The Contractor's License Law does nol apply to an owner of
property who builds or improves thereon and conlracts for such projects with contractor[s) licensed pursuant to the Contractor's License Law)
• 1 am exempt under Seclion. Business and Professions Code for this reason
1 1 personally plan to provide the mapr labor and matenals tor conslruclion ot the proposed property improvement QYes I [NO
2 1 (have / have not) signed an applicalion tor a building perniit for the proposed work
3 I have conlracted with the following person (fimi) lo provide lhe proposed conslruclion (include name address / phone / conlraclors' license number)
4 1 plan lo provide portions of the work, bul I have hired the following person to coordinale supervise and provide the major vn)rt( (include name / address / phone / coniraciofs license number)
5 1 will provide some of lhe work, but 1 have contracled (hired) lhe folkjwing persons to provide the worit Indicated (inclutJe name / address / phone / type of wori<)
^PROPERTY OWNER SIGNATURE DATE
Is Ihe applicant or future building occupanl required lo submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act' "^^^ 1 [No
Is the applicant or future buildinq oxupant required to oblain a perniit from the aii pollution control distncl or air qualitv management distncp QYBS \ |NO
Is the facility to be constructed within 1,000 feel of lhe outer boundary of a school site' QYOS QJNO
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
Icerti^thatl have readthe applicaton aiKlstattthatthe above information iscorrectandtnatthemfomnabon on the plaiB lagreeto comply with all CityonJinancesand State laws nelatingto building construcbon
I hereby aulhon^ representative of the City of Carisbad to enter upon the aix/^ mentoned property for inspecton purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN m WAY ACCRUE AGAIUST SAID CITV IN COHSEQUEMCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pemiit is required for excavations over 50' deep and demolilion or constnjction of structures over 3 slones in height
EXPIRATION Every pemiit issued by the Building Offiaal under the provisions of this Code shall expire by limitation and become null and void if the building or wor1< authonzed by such permit is not commenced within
180 days from Ihe date of such pamit or if the building or wo(1< authonzed by such pennit is suspended or aLiandonedat any lims after the worit is commenced for a penod of 180 days [Section 106 4 4 Uniform Building Code)
-^APPLICANT'S SIGNATURE DATE
Inspection List
Permit# CB122642 Type PME JENKINS RES - REPLACE
WATER HEATER, SAME SIZE & LOCATIO
Datg^ Inspection Item Inspector Act Comments
01/07/2013 25 Water HeaterA/ents - Rl W HEATER OUTSIDE,LEFT SIDE OF
HOUSE WILL LEAVE SIGN-OFF CARD
THERE
01/07/2013 25 Water HeaterA/ents PB AP
01/07/2013 29 Final Plumbing PB AP
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