The URL can be used to link to this page

Home My WebLink About2563 NAVARRA DR; A; CB111919; PermitiDIL mbing Fees Electrical Fees /. . Mechanical Fees Other PME Fees TOTALPERMITFEESçJ City of Carlsbad 1635 Faraday Av CarlsIad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-06-2011 . . Permit No: çB111919 Building Inspection Request Line (760) 602-2725 Job Address 2563 NAVARRA DR CBAD St: A Permit Type: PME . Status: ISSUED Parcel No: 216200273 . Lot #: 0. Applied: 09/06/2011 Entered By: KG Reference #: . Plan'Approved: PC #:. Issued: Project Title: BULLIS RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 (( 2563 Owner: BULLIS JEANNEUE A REVOCABLE LIVING TRUST r—k /' NAVARRA DR #E. CARLSBAD CA 92009' \ (*\ $150.00 $0.09 $0.00 \ v $0.00 \ 50.00\ P71-) Total Fees: $150.00 Total Payments jTo Date:,,,,,, I $1 50.00\ Balance Due: $0.00 Ill) I 7 I 1952 wrt C.B.C. - pCCORO" C8.04.° / \ cjjM1 4P1S Ah ocj)B >•\'/".' I Lk I—dw'—URE FINALAPPROVAL—. Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.".- You have 90days 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 informatiorWith the City Manager fort processing in accordance with Ca tbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequént'iegal action to attack, review, set aside, void, or annul th&r imposition: You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer cànnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service 'fees in connéàtion with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check Est. Value Plan Ck. Deposit Date JOB ADDRESS 2563 Navarra Dr # A SUITE#/SPACE#/UNIT# APN - - - CT/PROJECT # LOT C PHASE C # OF UNITS J #BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I CCC. GROUP DESCRIPTION OF WORK: Include Souare Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE - PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS 1 I YESEI# NOE]l YES EJNOD I YES[—] NOD CONTACT NAME (If Different FomAppllcant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline rd # 155 6056 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE FAX PHONE IFAX 480-898-0007 I 1-480-218-5645 858-361-6495 I 1-858-240-6677 EMAIL EMAIL californiacdeltamechanical.com galiapavlovabgyahoo.com PROPERTY OWNER NAME Laurie Vaqier Hailer CONT7S ,. ADDRESS 2563 Navarra Dr # A ADDRESS 6*" - CITY STATE ZIP Carlsbad CA 92009 CITY STATE ZIP _4 d'e PHONE FAX PHONE FAX 760-420-3914 I 4&' 2fqr—''7 I EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE UC.# I CLASS I I CITY BUS. UC.# I lelvledpl (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 of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the 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)). 10- ®t3UJY ®70® Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: IZI 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. [ZI 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: Insurance Co Policy No. 1697823 Expiration Date 07101012 This section need not be completed if the permit is for one hundred dollars ($100) or less. [J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shalt 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 penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees, CONTRACTOR SIGNATURE DATE 10090l1®@u . thereby affirm that lam exempt from Contractor's License Law for the following mason: 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 sate (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 sate. 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct 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). [J I am exempt under Section _____________Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. [:]Yes llNo 2.1 (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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! address I phone! contractors' license number): 5.1 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 s the applicant or future builing occupant required to submit a business Ian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533cr 25534 of the 'resley-Tanner Hazardous Substance Account Act? - Oyes No -- . - - s the applicant or future building occupant required to obtain a permit from the air pollution control district or air uality management district? Dies DNa s the facility to be constructed within 1,000 feet of the outer boundary of school site? [:]Yes LjNo ,. F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OFOCCUPANCY 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.. * hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). ender's Name ' r Lenders Address ceitifythatl havereadtheappIicationandtatethattheaboveinformationisconectandthattheinfarmationonhepIansisaccurate. IagreetocomplywithaIICftyordlnancesandStatetawsretatingtobuildingconstnictlon. hereby authorize representative of the City of Carlsbad to enter uponihe above mentioned property for inspeon pulposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CflY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.' )SHA: An OSHA pemiitic required for excavations over 5'O' deep anddernofitibn or construction of structures over 3 stories in height EXPIRATION: Every peimit issued by the Building Offidat under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pemtitis not commenced within 80 days from the date of such permit or N the building or work authorized by such peard is suspended or'ibandoned at any firne after the work is commenced for a period of-180 days (Section 1 06A Uniform Building Code). .APPLICANT'S SIGNATURE DATE