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Home My WebLink About2352 ALTISMA WAY; 15; CB130864; Permit04-02-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PWIE) Permit Permit No CB130864 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2352 ALTISMAWY CBAD St 15 PME 2152402001 Lot# BENZ RES- REPLACE WATER HEATER SAME LOCATION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/02/2013 RMA 04/02/2013 04/02/2013 Applicant CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Owner Plumbing Fees Electrical 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 AP/RO)^L,^ FINAL APF*ROm Date Clearance NOTICE Please take NOTICE tha/approval of your pro|ect 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 pennit 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, rei/iew, sef aside, void, or annul thefr imposition You are hereby FURTHER 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 service fees in connection with this project NOR DOES IT APPLY to any fees/exactions nf which vou have previouslv been given a NOTICE similar to this, or as to which Ihe statute of limitations has previously othenwise 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 JOB ADDRESS 2352 AltismaWay SUl T E H/S PACE If/UN 1T» 15 CT/PHOJECT « PHASE # » OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s> Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIPEPUCE YES [3* AIR CONDITIONING YES| |NO| 1 FIRE SPRINKLERS YES[~] N0| 1 CONTACTNAME (If Different Fom Applicant) _ , , California Delta Mech antcal mc APPLICANT HA ME Galma Pavlova ADDRESS 6056 E Baseline Rd#155 ADDRESS 6056 E Baseline Rd3155 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 qaltnap@,deltamechanical com PROPERTY OWNER NAME Paula Benz CONTRACTOR BUS NAME Califronia Delta Mechanical Inc. ADDRESS 2352 Altisma Way #15 ADDRESS 6056EBaelme Rd#155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 760-602-0116 FAX PHONE 480-898-0007 FAX tiMAIL EMAIL ARCH/DESIGNER NAME & AODRESS STATE UC K STATE UC U 811114 CLASS c-36' CITY BUS Lien 1214281 (Sec 7031 5 Businebs and Professions Code Any City or Cojnty which requires a permit to construct alter improve demolish or repair any structure prior to its issuance also requires the aoplicant for such permit to tile 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 of the Business and Professions Code} or that he is exempt therefnam and the basisl jf the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars {$500}) Workers' Compensation Declaration I hereby affiim under penally of perjury one ot the following declarations 1 have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued 1 have and will mainiain workers' compensation as required bv SeciKwi 3700 of the Labor Code for the perfonnance of the work for wheh this oemiit is issued My vmrkers' compensation insurance camer and policy number are Insurance Co Policy No 1*'^^^^ Expiration Date ammi This section need not be completed if the permit is for one hundred dollars ($100) or less [71 Certificate of Exemption 1 cehify that in Ihe performance of the work for which this permit is Issued, 1 shall not employ any person In any manner so as to become sub]ect to the Workers' CompensaUon Laws of California WARNING Faiiureto secure worlcers'compensation coverage is unlawful, and shall subject an employer to cnminai penalties and civil fines up to one hundred thousand dollars (&iao,aOO), in addition to the cost of compensation, damages as provided for in Section 37QEof the Labor code, mterest and attorney's fees JS^ CONTRACTOR SIGNATURE //A/C''C^ DATE I hereby affirm that I am exempt from Contractor s License Law lor ttie following reason I [ i,asovmeroflhepmperTyormyemp'oyeeswithw3gesasiheirsolecompensation,wllldotheworkandthesmK:tureis™^ 7044 Business and Professions Code The Contractors License Law does not apniy fo an owner of property who buiWs or improves thereon, and who does such work himsell or through his own employees provided that such improvements are not intended or offered for sale If however the buikling or imp-ovement is sold within one year of completion the owner builder will have the bunlen of proving that he did not buitd or improve for the purpose of sale) I I I, as owner of the p rope ly, am exclusively contrxting with licensed contractors to constnjct the project [Sec 7044, Eiusinessand Professions Code The Contractor's License Law does nol apply to an owner of property who builds or improves Ihereon, and contracts tor such projects with contractor(s) licensed pursuant to Uie Contractors License Law) I I I am exempt uncer Section Business and Professions Code for this reason 1 I personally plan lo provide the major tabor and matenals lor constnjcfion oi t s proposed property ImprovemenL nves I INO 2 I (have / have nol) signed an applealion (or a building pemiit for the proposed work 3 1 have contracted wilh the following person (finn) to provide the proposed constmction (include name address / phone / contractors' license number) 4 1 plan 10 provide portions of the work but 1 have hired the toiiowing person to coordinate, supervise and provide Ihe major work [Include name / address / phone' contractors license number) 5 1 will provide some of the wo^. but 1 have contracted (hired) the folk)wing persons to provide the work indicated (include name / address / phone / type of work) JS^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required lo submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Accounl Act' Yes CIINO Is the applicant or future building occupant required lo obtain a pennil from the air pollution control distnct or air^alily management dislncf LDYOS ^ ^° Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' tZDves HJNO 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 I hereby affirm that ftiere is a constmction lending agency for the performance of the wor1< this permit is issued (Sec 3097 (ij Civil Code) Lander's Name Lender's Address I cciti^thati have readthe application andstatethatthe above infoimabonisainErtaridthattheinformabon on the plans IS accur^^ lag^tocomplywith all Crtyoidinances and State laws reiatingto buildingconstnicbon (hereby authaize repressnlali\e of the City of Carlsbad to enter u[x)n the above mentioned property for inspeclion pu^mses I ALSO AGf^E TO SAVE INDElWIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UASILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN AW WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pennit is required for excavatons over 5 0 deep and demolition or construction of stnjctures over 3 stones in height EXPIRATION Every permit issued by the Building Offiaal under fie provisions of this Code shall expire by limitatbn and become null and void if the buikling or vwrk authonzed by such permit is not commenced within 180 days from the dale of such permit onf the buiWing or work authonzed by such permit is suspended or abandoned al any tirre after Ihe wo(1< is cornniencsd for a penod of 180 days {Section fOfi-l 4 Ufflfo^ APPLICANT'S SIGNATURE jKK/^ DATE Inspection List Permits CB130864 Type PME BENZ RES-REPLACE WATER HEATER SAME LOCATION ^ate Inspection Item Inspector Act Comments 04/16/2013 25 Water HeaterA/ents - Rl 11-1 PM PLS 04/16/2013 25 Water HeaterA/ents PY AP 04/16/2013 29 Final Plumbing - Rl 04/16/2013 29 Final Plumbing PY AP Wednesday, April 17, 2013 Page 1 of 1