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HomeMy WebLinkAbout2181 CORTE ACEBO; ; CB112642; Permit12-15-2011 City of Carlsbad 1635 Faraday Av Carisbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12642 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2181 CORTE ACEBO CBAD PME 2552600400 Lot#: KISHISH RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/15/2011 LSM 12/15/2011 12/15/2011 Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: KISHISH JAMES G&JENNIFER L 2181 CORTE ACEBO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 ^.00 $0.«) TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00 Inspector: INAL APPROVAL Date: '^-( Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively refen'ed to as lees/exactlons." You have 90 days from the date this pemiit was issued to protest in^sltlon 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 Infomiation witti the City Manager for processing In accordance with Carlsbad Municipal Code Section 3.32.030. Faiiure 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/exactrons 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/exactlons of which vou have previously been given a NOTICE similar to this, or as to which the statute of iimitations has previously othemvise 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. C6t I 9> Est. Value Plan Ck. Deposit Date JOB ADDRESS 2181 Corte Acebo CT/PROJECT # SUITE#/SPACE#/UNIT# PHASE # # OF UNITS # BEDROOMS # BATHROOIVIS TENANT BUSINESS NAME DESCRIPTION OF WORK: fncfude Square Faet of Atfected Area(s) Replace existing like for alike water heater CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# AIR CONDITIONING YES| |NO| 1 FIRE SPRINKLERS YESj |NO| 1 CONTACT NAME (If DItferant fom Applicant) California Delta Mec ihanlcal APPLICANT NA ME Galir a Pavlova ADDRESS 6056 East Baseline Rd # 155 ADDRESS 6056 East 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 1-858-240-6677 EMAIL california@deltamechanical.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAME Jim Kishish CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS 2181 Corte Acebo ADDRESS 6056 East Baseline Rd # 155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 858-518-6046 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC # STATE LIC.# 811114 CLASS c36 CITY BUS. UC.# 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 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 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)). •KMBS- COmfSNS ATIOM Workers' Compensation Declaration: t hereby affinn underpenaltyof perjury one of the folbwing declarations: ^ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, lor tlie performance of tlie worli for which this permit is issued. I have and will maintain woriters' compensation, as required bv Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance Co Policy No. mim Expiration Date omimn This section need not be compieted if the permit is for one hundred dollars ($100) or less. f/l Certificate of Exemption: I certify that in the perfbrmance of the work for which this perniit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is uniawfui, and shall subject an employerto 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,SecUon 370S of the Labor code, interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE ^'^^ / /lereby affirm that I am exempt from Contractor's License Law for the foilowing reason: I I I, as owner of the praperty or my employees with wages as their sole compensation, will do fhe work and the structure is not 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 improvenients 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 the burden of proving that he did not 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 Professions 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 I I am exempt under Section _ ^Business and Professions CJode for this reason: 1.1 peisonally plan to provide the major labor and materials for construction of the proposed property improvement. QVes I INO 2.1 (have / have not) signed an application for a building pemiit for the praposed worit. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to pravide portions of the worit, but I have hired the following person to coordinate, supervise and provkJe the major worit (include name / address / phone / contractors' Iteense number): 5.1 will pravide some of the work, but I have contracted (hired) the following persons to provide the worit Indkiated (Include name / address / phone / type of work): >£$'PR0PERTY OWNER SIGNATURE DATE :TE THIS seCTtON roa NOM-fteSfOENTIAL/BUitDINC PERMITS ONLY acutely hazardous materials reglstratbn form or risk managemeni and prevention program under Sections 25505, 25533 or 25534 of the jNo s the applicant or future building occupant required to submit a businessj ^resley-Tanner Hazardous Substance Account Act? \^ Yes s the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? 1 IYRS 1 I No s the fxility to be constructed within 1,000 feet of the outer boundary of a school site? C^Yes IlNo 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. hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code), .ender's Name Lender's Address T CEBTIF ICATiON certify that 1 have read the appiication and state thatthe above Infbmiation is conect and that the infbmiation on the plans is accurate. I agree to complywith all City ordinances and State iaws relatlngto buiiding constnjction. hereby authorize representative of the City of Carisbad to enter upon the above mentioned praperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT )SHft An OSHA pemit is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. iXPIRATION: Every pemnit issued by the Building Official under the provisbns of this Ckxle shall expire by limitatbn and become null and vok) if the building or worit authorized by such pemilt is not commenced within 80 days from the date of such pemiit or if the building or worit authorized by such peimit Is suspended or abandoned at any tme after the work is commenoed for a period of 180 days (Sectbn 106.4.4 Unifbmi Building Code). APPLICANT'S SIGNATURE DATE Cityof Carlsbad BIdg Inspection Request For: 05/01/2012 Permit# CB112642 Title: KISHISH RES- REPLACE WTR HTR Description: Inspector Assignment: 2181 CORTE ACEBO Lot: 0 Type: PME Sub Type: Job Adciress: Suite: Location: OWNER KISHISH JAMES G&JENNIFER L Owner: KISHISH JAMES G&JENNIFER L Remarks: a m please Phone: 8585186046 Inspector: Total Time: CD Description 25 Water HeaterA/ents 29 Final Plumbing Requested By: HOMEOWNER Entered By: CHRISTINE Act Comments ^ Comments/Notices/Holds Date Associated PCRs/CVs/SWPPPs Original PC# CV070009 CLOSED O-B.B. HOOP IN R.O.W.; Inspection Historv Description Act Insp Comments