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Home My WebLink About2218 MASTERS RD; ; CB130914; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-08-2013 Permit No: CB130914 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2218 MASTERS RD CBAD PME 2121412100 KINGSTON RES - Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: REPLACE WATER HEATER, SAME SIZE, SAME LOCATION Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: KINGSTON FAMILY TRUST 03-20-07 2218 MASTERS RD CARLSBAD CA 92008 ISSUED 04/08/2013 SKS $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APP,ROV L Inspector: Date: $0 Z.013 Clearance: $0.00 NOTICE: Please take N t approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions: ou have 90 days from the date this permit was issued to protest imposition of these fees/exactions. !f 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 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 service fees in connection with this project. NOR DOES IT APPLY to any f f h v i I N Tl i ii r hi r h' h limi i rwi City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2218 Masters Rd Plan Check No. Est. Value Plan Ck. Deposit SUITE#/SPACE#/U NIT# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so,, N<O ves□No □ YES □No□ CONTACT NAME (If Different Fom Applicant))-.~ Delta Mechanical Inc APPLICANT NAME Galina PAvlova -t'M - ADDRESS V ADDRESS 6056 E Baseline rd# 155 6056 E Baseline Rd # 155 r.lTY -STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa Az 85206 I PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-64!)5 858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Brian Kingston CONTRACTOR BUS. NAMl) M..;\ ~ . Delta Mechanical Inc. ADDRESS ADDRESS -2218 Masters Rd 6056 E baselien Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad. CA 92008 Mesa AZ 85206 PHONE I FAX PHONE I FAX 408-887-6132 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICL'~-361 !CITYBUS.UC1214281 811114 ✓ (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 re~ui~es the applicant for such permit to file a sIi;!ned statement that he Is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 .:Jf D1vIs1on 3 oft'le Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensaticn Declarcition: I hereby affirm under penalty of peljuf'/ one of the following declarations: [Z] I have and will maintain a certificats of consent to self-insure for w:irkers' compensation as provkled by Section 3700 of the Labor Code, for the performance of the 'Mlrk for wtllch this permit is issued. ···- 0 I have and will maint11in workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for wtli:.:n this !M!rmit is issued. My workers' compensa~on insurance carrier and policy numt>er are: Insurance Co Poliey No 1697823 Expiration Date 0710112013 v"' ~section need not be completed if the permit is for one hundred dollars ($100) or less. LtJ 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 employer to criminal prn11:Ues and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 37 6 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will de the 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 improvements are not inter.ded 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 bulid or improve for the purpose of sale) I, as owner of the property, am exclusively contrac~ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Lieense 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 ______ Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ have oot) signed an application for a building permit for the proposed work. 3. I have co:1tracted with the followl~g person (flrm) to provide the proposed construction (inclllde name address/ phone/ contractors' license number) 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number)· 5, I will provkle some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work)· J Ji5 PROPERTY OWNER SIGNATURE DATE ~---------------------------------------~ ------------------- I certify that I have read the application and state that the above infonnatlon is oonect and that the lnfonnation on tne plans is accurate. I agree to oomply with all City ordinances and State laws relating to bulldlng oonstructlon. I hereby authorize representaUve of the City of Car1sb00 to enter urx:in the above rnentionoo property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA J):!l'TTlit is ~uire:::1 for excavations over 5'0' deep and demolrtion or construction of structures over 3 stories in height. EXPIRATION: Every permit :SSl.i8d by the &lildng Official under the provisions of this Co::le shall expire by limitation and becoole null and -.,:iid if the building or work authorized by such permit is rot commenced within 1b0 days from the date of such permi: or if the Wilding or work authoriZOO by such permit is suspended or abandoned at any tirre after the work is commenced for a period 180 days (Sedion 106.4.4 Uniform Building O:ide). / _g APPLICANT'S SIGNATURE DATE4t' ' ' Inspection List Permit#: CB130914 Type: PME Date lnspection_ltem 04/24/2013 25 Water HeaterNents 04/24/2013 25 Water HeaterNents 04/24/2013 29 Final Plumbing 04/24/2013 29 Final Plumbing Tuesday, April 30, 2013 Inspector Act PY PY RI AP RI AP KINGSTON RES - REPLACE WATER HEATER, SAME SIZE, Comments AFTER 11 AM PLS Page 1 of 1