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HomeMy WebLinkAbout2435 MARK CIR; ; CB112459; Permit11-18-2011 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: CB 112459 Building Inspection Request Line (760) 602-2725 2435 MARK CR CBAD PME 1671604300 Lot#: 0 JONES RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/18/2011 LSM 11/18/2011 11/18/2011 CALIFORNIA DELTA MECHANICAL JONES FRANKIE R SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2435 MARK CIR CARLSBAD CA 92010 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPR~VAL (J.-.( ,/( Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the Mtmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit 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 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, grai:'ing or other similar application processing or service fees in connection with this project. NOA DOES 1T APPLY to any f ih hv rvi Tl i ilr hi r whih hrwi City-of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2435 Mark Ct Plan Check No. (!.B / Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# APN CT/PROJECT#~-----"l"O"T"# _____ "P'H"A~SE~.~~r.,~O~F"U·N1~,,~,.,~B~EO~R"O~O~M"S---f~ ·_•:B:Ao:H:RO:O:M:S:::::TE:N:AN:T:B:U:51:N:ES:S:N:A:M:E:~::::::::~---ICONSTR TYPE I occ GROUP DESCRfPTfON OF WORK: Include Squill'eFeet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) l FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS YES0, No[] YESONoO YES□No□ CONTACT NAME (If Different Fom Appllcsnt) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6056 E. Baseline road suite# 155 ----------~ CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 --------I FAX PHONE PHONE 858-361-6495 1-858-240-6677 480-898-0007 I FAX 1-480-218-5645 --- EMAIL EMAIL california@deltamechanical.com galinap@deltamechancial .com PROPERTY OWNER NAME Frank Jones CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2435 Mark Ct 6052 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 Mesa AZ 85206 PHONE I FAX PHONE TFAX 760-729-2203 480-898-000 480-218-5645 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC 1214281 811114 c36 (Sec, 7031.5 Busmess and Professions Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the apphcant for such per_mit to file a si~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code} or (hat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 12] I 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 [Z] I have and will maintain workers' compensation, as reauired 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: Insurance Co Policy No 1697823 Expiration Date 0719112012 ~section need not be completed ~ the permit is for one hundred dollars ($100) or less l.:LJ 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 Work.ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to 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 Secti 7 Labor code, interest and attorney's fees. JiS 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 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 property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wittiin 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, as owner of the property, am exclusively contracting with ltcensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo 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. 0Yes 0No 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 I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, super-iise 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 I phone/ type of work.): JiS PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business,.Q!filJ, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the ~resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the appl_icant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Des D No s the fac1l1ty to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the application and s1atethattheabove infonnatlon is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Ccr-lsbal to enter upon the abc,.,e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLE:SS THE ClTY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pernit is required for excavabons over 5'0' deep and demolition or construction of structures c,.,er 3 stories in height. :XPIRA TION: Every pe,mit issued by the BuildintJ Official under the provisions of this Code shall expire by linitation c11d become null and void if the building or work authorized by such pe,mit is not 0011menced within 80 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sedion 100.4.4 Uniform Building Code). £S APPLICANT'S SIGNATURE #4§ /'7 DATE /°?' / 5 /4 . m City of Carlsbad Bldg Inspection Request . . Permit# CB112459 For: 12/12/2011 Title: JONES RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: 2435 MARK CR Suite: Lot: 0 Location: APPLICANT CALIFORNIA DEL TA MECHANICAL Owner: JONES FRANKIE R Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7607292203 lnspecto;j £ Requested By: FRANK Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing 1¥----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments