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