HomeMy WebLinkAbout2267 GALENA AVE; ; CB154289; Permit12-07-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB154289
Building Inspection Request Line (760) 602-2725
2267 GALENA AV CBAD
PME
2132400800 Lot#: 0
NIKIFOROV RES-REPLACE WATER
HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/07/2015
RMA
12/07/2015
12/07/2015
AFFORDABLE WATER HEATERS AND PLUMBING INC NIKIFOROV THEO T&STOYNOVA LUDMILA T
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087 I 9048
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2267 GALENA AVE
CARLSBAD CA 92009
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE Rease-NOTICE that~ <i)W' prqed ird~ Ire "lrrpcsitiori' ct fees, derlcaticrs, """""3icrs, orctrer.,..,icrs-tdledivay
referred to as "fees'"""1icffi" Yoo hM, 9'.l days fraTitre-lhs IB!Til oos issued toprdest irrpcsilioo ctthesefees'.,..;;crs, If yoo prdest trem yoo rru;t
fcilONtre prctest i=;ecl.resset forth in G>lerrmant Code Sec>oo 6002'.l(a), ard filetre protest ard anyctrer r,,q..ired infcnretia1 wU, treOty"""-fct
processir'i) in a:x.ada a,wU, Ga1sb,rJ Mricipa Code Sec>on 3.32.IX!J. Falcreto tirretyfdlONthat ~wll ba' anysu:secµ,,t le,;,j a:tion to~
review, set aside, \rtid, a an.J trnr irrp:)3ition.
Yoo ,re reref:>/ FlRT1-ER NOTIREDthat )W' rigt to protest trespedfied fees'exa:ticrs !lCES J\OT APPLYto'Mter ard ,-,,,; OCJ1nedonfees ard ~ty
c:t,,rges, ra paTi"iJ, zrring, ga:l"iJ or ctl>ar snrila ,wication processi"iJ ct ser.ioe fees in 0"1nedon wU, lhs prqed. I\CR !lCES IT APPLY to any
fef1fi have · ·1 hi as t widl lirritatio,s ·se
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING []BUILDING Q FJRE
(·ciry of
Carlsbad
EXISTING USE
ADDRESS
OTY
PHONE
EMAIL
DESIGN PROF~ONAL
AOOAESS
Building Permit Application
1635 Faraday Ave .• Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
,tve.. SUITU/SPACU/UNIT
• 8 OROOMS # 8A HROOMS.
Plan Check No.
Est. Value
Re.p IC\ ce w o-te-Y-hea,ter--
~ame \oCO.-t i on .
ADDRESS
OTY STATE ZIP CITY 283stseonstellation Rd.-# Lo
PHONE FAX PHONE
EMAIL EMAIL
STAT£ UC.#
WOfken' Compensadon OeclwatJon: I hereby alfitm under p,flalty ol pet;Ny OM of the l'o#owil')g dcdararions; 0 !,have and will malntlln a certlflcatt of conunt to satf.Jnsun ror ¥,OO(e,s' compen$81ion as pt'O\'ided by Section 3700 of the Labor Code, for the performance at the wen for which tlls penril Is tSSUed.
[5J", have and will mainlJ.ln woric~rs· compenuUon, as ,~ed ~.~ 3700 of lhe labor C.ode, foe the performance of the WM( lrt'M'lich this pe,mit is issued. My 'NOl'1(m' COfll)ensation insutance carrier and policy
"'-arelnsuranceeoNO.::\\ClQ()l 1.!'Q\QD f\Y~N<> O\GJ:>=:!122 1 E,cprationDale \ ,I \ lP
~ secbon need n(( be completed V lhe pemil is lor one hl.rldred dol.n ($ 100) °' less. LJ Certificate of Exemption: I c.ertity that In the performance of wort( fp 'Wtlich tNs ~ b issued. I shal OOC employ any person in any maMer so as lo become ~ed lo the Wcrters' Compensation Laws ol
Caifomia. WARNING: Fallurt to secure worktrs' compensati cov,t'~ge is'fm awful ~ject an employer to criminM penalties and civil ftnes up to one hundred lhouHnd doUars (&100,000), In
addition to tht cost of compensation, dam.ages as provtded for. ion(?· f • , ferest and attorney's fees. ~ CONTRACTOR SIGHA TURE ~GENT I "2-. I s
I hereby affirm that I am er empt from ContntGto(s ~se Law kx the followiflg reason: D 1. as r:Nll'IIJI ol the property or my ernpoyee$ wi'th wages as dlei' sole compensation, wit do the woo: and the strucl\J'e is not intended 0t offered lot sale (Sec. 7044, Business and Prdessioos Code: The Contrac.1or's
License law does not appy 10 an O'Mlet of property who builds 0t improves thereon, and who does suet, wottc himself 0t through hi$ own empoytes. provided !hat such improvements are not intended o, offered for
safe. lf, however, the bul<ing or improvement i5 sdd 'MUM one year ol completion. the OM'll!W-builder wil have the tuden of proving thlt he did not bu~ or impro'II f« the purpose of sale). 0 I, a1 CMner of !he property. am exclusively contr&aing with licensed c:ooll&dors to ccnstruc:t the proied (Sec. 7o«, Business and Professions Code: The Coo~o(s License Law does not awl)' to an ~ rJ
property who builds or """"""' lhetecn. and convaclS tor -pr~eds w;,J, contractor{,) l=d P<J'$UBOI IO the Contractor's J.Jcense Law).
D I am exempt under Secoon ____ 8usiness cW'4.'I Professions C,ode for this reason:
1. J pe,sonalty plan lo proYi<le the majo, labor and mat,ri.,;s lor construction ot the J)fOll06ed properly rnpra..ment. O v,. Do
2. I (ha"" I have r<>t) signed an application Jo, a building pemi1 Jor the proposed wor1<.
3. I have oonvacted with the 1o1<,w;ng penon (fwm) to ~ the proposeo construcoon [ondude name add<e&S I phone I convact""' J;eense "-mbe<):
4. I ptan IO provide portions of the wor1l, bul I have hired the tolowing person to COOfdf'late, supe,Mse and prCMde lhe major work (ll'ldude rwnel addreS$ I phone I CMlt&CtOl't' b nse numbel):
S. I will prCMde sane of the wo,k, bul I have ~,acted { ' ed) ,~r:,wng pen.ens to provide the WOl1' indicated findude name I~ I phone I type ot wotk):
~ PROPERTY OWNER SIGNATURE DATE 12 IS
Is tie applk;lnt a fulvre buidng occupaint reqt.ired to wbmit a business plan, 3Cl.Kely ha.zardou, materials registralion form or risk M¥\agemenl and prever,fion p,ogram under SecOOt'ls 25505. 25533 or 25™ of the
Pr61ey·TaMer Hazardous StlbstanceAccounl Ad? 0 Yes D No
1$ ~e applic:anl a future building occupant reqlired to obtain I perrrut from the: air pdtution conltd dislnet or al( quaHty m&nagemem district? 0 Yes O No
Is lhe licility 10 be conSfNcied wilhin 1,000 feet r:J lhe ouse, bounda,y c:J a school site? D Yes O No
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm !hat Ulere is a consll\Jction lending agency for Ule perlormanu of tile work Ulis permit is Issued (Sec. 3097 (i) CMI Code).
Lender's Name Lende(s Address
f~--~-
I certfty lhM I have read 1he apptication and state that the ~bOYe lnformadon fsCOffed and that lhe Worrnation on the plans is aa::urate.1 a~eto oomply'Mth all City ordinances and State laws teiadn& to boildlngconstnJdlon.
I hereby aulhorize ftP"S<Otaweol tie City o1Gar1sbad I0"11efupon tie above """:ioned propeoyfor i,spedian puposes. I /II.SO AGREE TO SA\IE, INOEMNIFY AND KEEP HARMLESS THE CITY C1' CARLSBAD
~ST /11.L UABIL/TlES,JLOGMENTS, COSTS M..o EXPENSES WHICH MAY IN IW'(WAY ACCRUE AGAINST SAIO CITY IN CONSECIUENCE C1' THE GRANTINGcr' THIS PERMIT.
OSHA: MOSHA pemit Is n,qured for excavalions CM!l 5'0' deep and demoilion or ronstr\Jdion ol slrua.m""" 3 sl<iries n heighl
EXPRATION: e....., pe,mit issued by t,e Buklng Official Inlet tie ~ ol tis Code shal e,pre by Irritation and beoome nul and void I tie buidng or work authorized by sudl pemit is not amneoced Yllin
180 days !om ltie dale ol such pemit or I tie buldilg or -zed~ s,ch~ Is or abandoned al "'f Im! after tie wor1< is conmenced for a period ol 1 In days (Secticxl t06.H lnbm aildng Code~ v· 2S APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB154289 Type: PME
Date Inspection Item ___ _ ___ _
12/17/2015 25 Water HeaterNents
12/17/2015 25 Water HeaterNents
12/17/2015 29 Final Plumbing
12/17/2015 29 Final Plumbing
Friday, December 18, 2015
Inspector Act
AEK
AEK
RI
AP
RI
Fl
NIKIFOROV RES-REPLACE WATER
HEATER
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