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Home My WebLink About2613 JACARANDA AVE; ; CB081816; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-22-2008 Plumbing Permit Permit No: CB081816 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2613 JACARANDA AV CBAD PLUM 2551140600 Lot #: 0 Construction Type: NEW MCMONAGLE RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/22/2008 KG 09/22/2008 09/22/2008 CALIFORNIA DELTA MECHANICAL MCMONAGLE FAMILY TRUST 04-19-00 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 2613 JACARANDA AVE CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: m_ ~ FINAL APPROVAL Date: 0 3{!'4j 09 Clearance: $0.00 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 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, grading or other similar application processing or seivice fees in connection with this project, NOR DOES IT APPLY to any i I hi r wh· · h h PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1' , l"llOJECIT,~'rioo ; 2613 Jacaranda ave FOR OFFICE USE ONLY _/ PLAN CHECK No CM~ I~ 0 EST. VAL.----------,-- Plan Ck. Deposit --r'r~,-,-,---;:=r-- Validated By ----\:1/:,;r::::...:==:,,--:::..o::: __ _ Date ------+-->"'Ir------- Address (include Bldg/Suite#) Business Name (at this address} Legal Description Lot No Subdivision Name/Number Unit No. Phase No. Assessor's Parcel# Existing Use Replace standard water heater like for like Description of Work SQ. FT 2. .@NT~ ~l!l!SDl',l!ilf;!!l!tf!i,e!it!lil!li!;~pplleimtl California Delta mechanical, Inc. 6052 E Baseline rd# 155 Name Address 3. •~I!!!'. ·,m;~:;,;;;;!;O~ioo!foc~iil';•. Gali11u. Pavlova 6052 E Baseline rd# 155 Name Address Teresa Walker Same Name Address # of Stories Mesa AZ. 85206 City State/Zip ;1J.4!iw~r•,• MESA AZ 85206 City State/Zip Carlsbad CA 92009 City State/Zip " "!1(1~.,; ilkiliil',~~I ;; . . . . . . . . .. .. .. Proposed lJse # of Bedrooms (480) 898-0007 Telephone# 480-898-0007 Telephone# 623-695-2413 Telephone# Total # of units # of Bathrooms (480) 898-0005 Fax# (Sec. 7031.5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, or any prior to 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 Licen~e Law [Chapter 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 [$5001). California Delta Mechanical, Inc. 6052 East Bseline rd# 155 Mesa 8520,i ( 480) 898-0007 Name Address City State/Zip Telephone # State License# ~8~1 ~' ~' ~' 4~-----License Class _C_-_3_6 ________ _ City Bus;nes,; Ucense # ~1=2=1~4=2~8~1 _____ _ Designer Name Address City State,Zip Telephone# State License# ________ _ If, ~~s ~rffl~~'!IQl!io ; ..... ····· .. .. . ...... . ........ • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the d~d~'i~ions: □ 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. (El I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued My worke-·' ~ ;ompensalion insurance carrier and policy number are: InsuraIu.:e Company Stato Compensation Insurance Fund Policy No. 1697823 Expiration Date.00L7~/~0c,l~/0~9~------ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation co·,erage i 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 ofcompensat~I ~,l'Jl"II"" SIGNATURE Galina Pavlova 7,;;;;lffil,l~tOl;Mll<)~~'llfflii· i;; ., •• ,,,;;.· I hereby affirm that I am exempt from the Contractor's U nse reason· □ I, as owner of the property or my employees with wages as their sole compensation, will d 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 improvea thereon, and who does suet, work himself or through his own employees, provided that such improvements are not intended or offered for sale. !f, however, the building or improvement is sold within one year of completion, the owner-builder wi\! 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 licensed contractors to construct the project (Sec. 7044, Bus ness and Professions Code: The Contractor's License Law does not apply to an owner of property who b.Jilds 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. □ YES □ NO 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 I address/ phone number I contractors license number): 4. ! 1Jl:1n to provide portions of the work, but\ have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I :,,,ra:tors 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 I address/ phone number / type of work)· PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 i:oMP~il"l!£Jlll~~lilf~ ~~L~ll-!)!11GfE~Ml:,\I liN~'l'. ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO and prevenb'on program under Is the .ii l, ,,;cant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the tacility to be constructed within 1,000 feet of the outer boundary of a school site? D YES □ 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 AND THE AIR POLLUTION CONTROL DISTRICT • . ~ii!/!;_-IIJl!: .. l!! .... ft}iY:', * * ~, • "!:W?.' · .. ;:;,;,\~}~/~ "."ff· :;;,;;;;t;F:; ,., ""1E" I h•r•by alll"lrm th,t th•r• i■ a c:on■truaion l•nding agency forth• performanc■ of the '#Ork for which thi• permit i■ iHued (S•o. 3097(1) Civil Code). LENDER'S NAME _________________ _ 9i ffl~t'cli~'IOO~Jll$' . . . .... . . ..... . I certify that I have read the application and state that the above information is ·<>·::1:1: and that the information on th• plan• ia accur■t•. t~Qr~"to oo;,1P1Y ".:,.,;•th all City ordinances and State laws relating to building construction. I hereby authorize representatives of the 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0'' deep and demolition or construction of structures over 3 stories in hE:ight. EXPIRATION: Every permit 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 pe,mit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE Galina Pavlova ~~ DATE _0_9_/1_8_/_0_8 ________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/04/2009 Permit# CB081816 Title: MCMONAGLE RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2613 JACARANDA AV Suite: Lot: 0 Location: OWNER MCMONAGLE FAMILY TRUST 04-19-00 Owner: MCMONAGLE FAMILY TRUST 04-19-00 Remarks: P M PLEASE Inspector Assignment: Phone: 6198465199 Inspector: ML- Total Time: CD Description Act Requested By: HOMEOWNER Entered By: CHRISTINE Comments 25 Water HeaterNents E?<l~DNkl l,.....(,c.A,-rt...J, 26-\S~ii,tG. :$02Af'5 .f -z~ _,e-~,..,..L----~--L-W'f> Jr~5t~ £ hl!> __ -d.:,!3. (A'(l.,Q __ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments \ ·-'·, / \ &1(~"" l= ~-