HomeMy WebLinkAbout2164 AVENIDA TORONJA; ; CB122765; Permit12-28-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB122765
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2164 AVENIDA TORONJA CBAD
PME
2552611600 Lot#
SILBER RES- REPLACE WTR HTR
Status ISSUED
Applied
Entered By
Plan Approved
Issued
Inspect Area
12/28/2012
LSM
12/28/2012
12/28/2012
Applicant
CALIFORNIA DELTA MECHANICAL
STE155
6056 E BASELINE RD
MESA AZ 85206
480-898-0007
Owner
CARPENTER HAYLl K
2164 AVENIDA TORONJA
CARLSBADCA 92009
Plumbing Fees
Eiectncal 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 Clearance
NOTICE Please take NOTICE tha/^pproval of your project includes the Imposition" o( fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 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 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/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 whi^h you have previously been given a NOTICE similar lo this, or as to which the statute of limitations has previously othenwise 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. Qfi | 3. QCIC^^
Est. Value
Plan Ck. Deposit
Date |-Z^/<g?g^l^
JOB ADDRESS 2164 Avenida Toronja SUITE#/SPACEff/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK /nc/u(/e Square Feet of ducted Area(5>
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~~1# N0| I
AIR CONDITIONING
YES[ I NO I I
FIRE SPRINKLERS
YES I |NO| I
CONTACT NAME [\f Different Fom Applicant) Cahfornia Delta Mechanical, Inc. APPLICANT NAME Galina Pavlova
ADDRESS
6052 E. Baseline road suite # 155
ADDRESS
6052 E. Baseline road suite # 155
CITY
Mesa
STATE
AZ
ZIP
85206
CITY
Mesa
STATE
AZ 85206
PHONE
480-898-0007 1-480-218-5645 480-898-0007
FAX
1-858-410-1499
EMAIL
cahfornla^.deltamechanical com
EMAIL
qaliapavlovabq@.vahoo.com
PROPERTY OWNER NAME Mark Silber CONTRACTOR BUS NAME Califronia Delta Mechanical inc
ADDRESS
2164 Avenida Toronia ADDRESS 6056 E Baseline Rd#155
CITY
Carlsbad
STATE
CA 92009
CITY
Mesa
STATE
AZ 85206
PHONE
858-354-1614
PHONE
480-898-0007
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
811114 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 pnor to its issuance also requires the applicant for sucfi 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Worters' Compensation Declaration I hereby affirm under penalty otpeijury one ot the kiltowing declarations
m 1 have and will maintain a certificate of consent to self insure for workers' compensalon as provided by Section 3700 of the Labor Code for the performance of the v«rk for which this permit is issued
1 have and will maintain workers' compensation as required by Section 3700 o( the Labor Code for the perfomiance of the work for which this pemiil is issued My wort^ers compensation insurance earner and policy
number are Insurance Co Policy No m7S23 Expiration Date <imw3
This section need not be completed if the permit is for one hundred dollars (S100) or less
|/| Certificate of Exemption I certify that in the perfonnance of the work lor which this peimit is issued 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING Failure to secure woriter^' compensation coverage is unlawful, and shall subject an employerfo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as providedfo» in Section 3706 of the Labor code, interest and attorney's fees
^ CONTRACTOR SIGNATURE /^^-^''^W^ DATE
I hereby aWrm that I am exempt from Contractors bcense Law for Ihe followng reason
I I I as owner ol Ihe property or my employees wift wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 70A4, Business and Professions Code The Contractor's
License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or throjgh his own employees provided lhal such improvements are not intended or ottered for
sale If, however, the building or improvemenl 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 of sale)
I I 1 asownerof theproperty, amexclUEively conlraciing wilhlicensed contractorstoconstnictihe 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 lor such projects with coitractor{s) licensed pursuant to the Contractor s License Law)
I I 1 am exempt under Section _ Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement. •Yes j |NO
2 1 (have / have nol) signed an application for a building permit for the proposed work
3 1 have contracted wilh the following person (firm) to provide the proposed construction (include name address I phone / contractors license number)
4 I plan lo provide portions ot Une work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone / contractors license number)
5 1 will provide some of the vKork, but 1 have conlracted (hired) the following persons to provide the work indicated [include name / address / phone / type of work)
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomiornsk management and prevention program under Sections 25505, 25533 or 25534 ol the
Presley Tanner Hazardous Substance Account Act' [ | Yes I iNo
Is the applicant or future building occupant required to obtain a pennit from the air pollution confrol distnct or apuality management distncf ClYes Q No
Is the facility lo be conslmcled within 1 000 feel of the outer boundary ot a school site'' djYes ]\HO
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
Icerh^that I have read the applicaOonaiidstalBthatlJie above infomiationiscorrectandthatthemtomiaton on the ptar^ I agreetocomplywrth all Ci^ordmancesand State laws relatingto building construcbon
1 hereby aulhoize represerlative of the City of Carlsbad to erter upon the above menlionGd pioperty 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or craistnjction of s&iictures over 3 stones in height
EXPIRATION Every permil issued by Itie Building Offiaal under the provisions of this Code shall expire by limitation and become null and void if ttie buikiing or work authonzed by such pemiit is not commerxsd within
ISO days from the dale of such permit or if the building or work authonzed by such pemiil is suspended or abandoned at any lime alter the work is commertced for a penod of 180 days (Section 106 4 4 Uniform Buikling Code)
APPLICANT'S SIGNATURE DATE
Inspection List
Permits CB122765 Type PME SILBER RES- REPLACE WTR HTR
Date Inspection Item ^"^P^'^I Act Comments
05/20/2013 25 Water HeaterA/ents - Rl AM PI_Z
05/20/2013 25 Water Heater/Vents PY AP
05/20/2013 29 Final Plumbing - Rl
05/20/2013 29 Final Plumbing PY AP
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