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Home My WebLink About2180 DICKINSON DR; ; CB130733; Permit03-26-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB130733 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2180 DICKINSON DR CBAD PME 2081821300 Lot#: VUU RES - REPLACE WATER HEATER, SAME SIZE, SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/26/2013 SKS PY Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Owner: VUU HAI D&TUONG KHANH 2180 DICKINSON DR 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: $95.00 Total Paymenl^.TO'aie-' ^vf$!68^00 Balance Due: $0.00 .r^y dv 1 • ,yyy Inspector: FINAL APPROVAL Date: Clearance: NOTICE; Please take NOTICE that approval of your project Includes the Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen-ed 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 requined infonnatlGn 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 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Appiication Plan Check No. Est. Value Pian Ck. Deposit 4iMiy> Date JOB ADDRESS 2180 Dickinson Dr SUITE#/SPACE#/UNIT# APN CT/PROJECT # L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YES| |# AIR CONDITIONIMG YES| |NO| 1 FIRE SPRINKLERS YES| [NO| I CONTACTNAME (If Different Fom Applicant) ^ ::;alifornia Delta Mechi anical Inc. APPLICANT NAME 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@,deltamechanical.com EMAIL galinap@,deitamechanical.com PROPERTY OWNER NAME John Vuu CONTRACTOR BUS. NAME California Delta Mechanical inc. ADDRESS 2180 Dickinson Dr ADDRESS 6056 E Baseline rd # 155 CITY Carisbad STATE ZIP CA 92008 CITY Mesa STATE Az ZIP 85206 PHONE 760-930-1388 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNE;R 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 pursuantto the provisions ofthe Contractor's License Law (Chapter 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 Declaration: / fiereby affim? under penatty ofpeijury one ofthe Iollowing deciarations: ^ I have and will maintain a certificate of consent to self-insure for workers' compensatbn as provided by Section 3700 of the Labor Code, for the perfonnance of the woA tor which this permit is issued. I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this pemilt is Issued. My worisers' compensation insurance carrier and policy number are: Insurance Co Policy No. mim Expiration Dale nmm This section need not be completed If the pernilt is for one hundred dollars ($100) or less. [/| Certificate of Exemption: I certify that in the performance of the work for 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 workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&I00,000), in addition to the cost of compensation, damages as provided for in Section 370fi of the Labor code. Interest and attomey's fees. y/ y ^CONTRACTOR SIGNATURE //IC-'V^ ^ DATE ,^^y/^^'^y'^^d^^ ) hereby affirm that I am exempt from Conlractor's Ucense Law for the foiiowing 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 nol 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 intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have Ihe burden of proving that he did riOt build or Improve for the 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 Professtans 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 contractor(s) licensed pursuant to the Contractor's License Law), • I am exempt under Section _ Jusiness 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 •NO 2,1 (have / have not) signed an application for a building pennit for the propcsed work, 3,1 have contrxted with the following person (fimi) to provide the proposed construction (Include name address / phone / contractors' license number): 4,1 plan to provide portions of the work, but I have hired the following person to cooniinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5,1 will provide some of the work, bul I have contracted (hired) the following persons to provide the vmrk Indicated (Include name / address / phone / type of work): vgTpROPERTY OWNER SIGNATURE DATE Is the applicant or future buiiding occupant required to submil a business plan, acutely hazardous materials registration forni or risk management and prevention program under Sections 25506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I I Yes I iNo Is the applicant or future buiiding occupant required to obtain a permit from the air pollution control district or air quality management district? Is the fxility to be constmcted within 1,000 feet of the outer boundary of a school site? Q^es 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. •ves '"' 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 —ll. I certily that I have read the application and state thatthe above Infomiation Is conect and thatthe Infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN A^ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pemiit is required for excavatbns over 5'0' deep and demolition or constnjdion of staictures over 3 stories in heighl EXPIRATION: Every pemiit issued by the Building Offkaal under the provisions of this Code shall expire by limitation and become null and vokl the building or wori< authorized by such permit is not commenced wilhin 180 days from the date of such permit or if the buikiing or work authorized by such permit is suspended or abandoned al any time after the work is commenced fbr a p§flod of 180 days (Sectkin 106.4,4 Unifonn Building Ckxle), ^APPLICANT'S SIGNATURE ^//^ DATE