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Home My WebLink About2296 CAMINO ROBLEDO; ; CB131190; Permit05-13-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB131190 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2296 CAMINO ROBLEDO CBAD PME 2552704500 Lot# WORTHY RES- REPLACE WATER HEATER- LIKE FOR LIKE-SAME LOCATION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/13/2013 SKS 05/13/2013 05/13/2013 Applicant CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Owner WORTHY FRED L&JANET S 2296 CAMINO ROBLEDO CARLSBAD CA 92009 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $31 00 $0 00 $0 00 $64 00 TOTAL PERMIT FEES $95 00 Total Fees $95 00 Total Payments To Date $95.00 Balance Due: $0.00 Inspector FINAL APPROVAL Date i^^jl^t^ Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions" You have 90 days from the date this perniit was issued to protest imposition 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 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 FLIRTHER NOTIFIED that your nght 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/exantinns of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise 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. Est. Value Plan Ck. Deposit Date JOB ADDRESS 2296 Camino Robledo SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE I OCC GROUP DESCRIPTION OF WORK (nclude Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|* NOQ AIR CONDITIONING YEsj |NO| 1 FIRE SPRINKLERS YES| |N0[ 1 CONTACT NAIVIE (If Different Fom Applicant) ^ i^alifornia Delta Mechi finical inc. APPLICANT N* ME Gaiina 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@,deltamechanical.com PROPERTY OWNER NAIVIE Janet Worthy CONTRACTOR BUS NAIVIE California Delta Mechanical Inc. ADDRESS 2296 Camino Robledo ADDRESS 6056 E Baseline Rd # 155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 760-944-9968 FAX PHONE 480-898-0007 FAX EMAIL EMAIL california@deltamechanical.com ARCH/DESIGNER 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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe 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)) CONTRACTOR SIGNATURE Worl(ers' Compensation Declaration / hereby affinn under penalty of perjury one ofthe foiiowing deciarations [Z. I have and will maintain a certificiile of consent to self-insure lor worl<ers' ccmpensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued •[2 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are InsuranceCo PolicyNo mim Expiration Date omvn This section need not be completed if the permit is for one hundred dollars ($100) or less [/] Certificate of Exemption I certify thdl 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 cnmmal penalties and civil fines up to one hundred thousand dollars {&100,00D), in addition to the cost of compensation, damages as provided for in Section 3706 of tt-i Labor code, interest and attomey's fees. DATE i hereby affirm that i am exempt from Contractor's License Law for the following 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 not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own employees, provided thai 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 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 contracling 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 Seclion Business and Professions Code for this reason 1 I personally plan to provide the ma)or labor and matenals for construction of the proposed property improvement •Yes I INQ 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number) 4 I plan to provide portions of the work, but I have hired the following person to coonjinate, supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' \^ Yes I iNo Is the applicant or future building occupant required to obtain a pemiit from the air pollution control distnct or air quality management districP Is the facility to be constructed within 1,000 feet of Ihe outer boundary of a school site'' •jYes IINO 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 •YCS I~INO 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 I ceitfy thati have read the applicaton and statettiatthe above mfomiationisconectand thatthe infonnation on the plans isaccurate I agreeto comply with aliCityoitiinancesand State laws relatngto building constniction I hereby authonze representative ofthe City of Carlsbad 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit i3 required for excavations over 5'0' deep and demolition or constmction of structures over 3 stones in height EXPIRATION Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 1 SO days from the date of such permit or if the building or work authonzed by such pemnit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Unfcmn Building Code) APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB131190 Type: PME WORTHY RES-REPLACE WATER HEATER- LIKE FOR LIKE-SAME LOCATIO Date Inspection Item Inspector Act Comments 10/16/2013 25 Water HeaterA/ents - Rl 2-4 PM PLS 10/16/2013 25 Water Heater/Vents MC AP 10/16/2013 29 Final Plumbing - Rl 10/16/2013 29 Final Plumbing MC Fl Thursday, October 17, 2013 Page 1 of 1