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Home My WebLink About2617 CAZADERO DR; ; CB140395; Permit02-20-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140395 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2617 CAZADERO DR CBAD PME 2153002301 Lot#: FULLERTON RES- SAME LOCATION REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/20/2014 LSM 02/20/2014 02/20/2014 Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Owner: FULLERTON JAMES M&LARSON LISA S 2617 CAZADERO DR CARLSBAD'GA 92009 Plumbing Fees Electrical Fees Mechanical Fees Ottier PME Fees $33.00 $0.00 $0.00 $62.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspectoi FINAL Date: _ ABPR0 flf ft/ VAL Clearance: NOTICE: Please take NiJTlQE that approval of your project includes the "Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exacWons." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions, If you protest them, you must tollow the protest proceAires set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation 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 attacl<, 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv othenwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Appiication Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: Inctude Square Feet of Affected Areafs) JOB ADDRESS 2617 Cazadero Rd SUITE#/SPACE#/UNIT# Replace water heater like for alike. Same location EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~~1# Non AIR CONDITIONING YES| |NO| 1 FIRE SPRINKLERS YESQ N0| 1 CONTACT NAIVIE (U Omeient Fam Applicant) ^ [California Delta Mech. anical Inc. APPLICANT ME Galina 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@deltamechanlcal.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAME Michael Fulierton CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS 2617 Cazadero Dr ADDRESS 6056 E Baseline Rd 3155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 760-444-0806 FAX PHONE 480-898-0007 FAX EMAIL EMAIL 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 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 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)). WORKERS- COMPENSATION Workers' Compensation Declaration;; hereby afUnn underpenalty of perjury one ofthe foiiowing deciarations: m 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 perfonnance of the work for which this permit is issued. I hav6and will maintain workers'compensation, as required by Sedion 3700 of the Labor Code, forthe performance of the work for which this pemiit is issued. My wori<er5' compensation insurance canier and policy number are: Insurance Co Policy No. 59WECEX6940 (OR) Expiration Date (ammu This section need not be completed if (he permit is fbr one hundred dollars ($100) or less. I/I 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 Califomia. 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 attomey's fees. y CONTRACTOR SIGNATURE K^/^^''^ JP / J 7^ / ^ ^ :j:ji'?:g'C LA Ti O N 17 7 / hereby affirm lhat 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 stmcture 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 woric himself or through his own employees, provided that such improvements are not intended or offered for sale, If, however, the building or impravement is sold within one year of completion, the owner-builder will have the burden of praving that he did not build or improve for the purpose of sale). I I i, as owner of the praperty, 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 puisuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constaiction of the praposed property improvement. QYes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed wortc. 3.1 have contracted with the lollowing person (fim) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the follov»ing pereon to coordinate, supereise and provide the major woris (include name / address / phone / contractore' license number): 5.1 will provide some of the woric, but I have contracted (hired) the following persons to provide the wortc indicated (include name / address / phone / type of wortc): ^SS'PROPERTY OWNER SIGNATURE DATE COMPLETE ' TWis\%m^C T I O-N >^:f-0--R O « - R E S"t=0« N T I AI" B U l'i^b''lnm':: ^K^^l^'f^,^ Oft t Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program u.ider Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? [^Yes I iNo •Yes nNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airguality management district? Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? ^^Yes llNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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 cotwstnu cn ON L BH a t H^jsr:AG-em:cy I hereby affinn that there is a constmction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address C E R Tl FIC A Tip N I certify that I have read the applkation and state thatthe above infbrniat'on Is conect and that the infbmiation on I hereby authorize representative of the City cjf Cailsbad to enter upon the above menlioned property for inspeclion puiposes. 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 is nequired for excavations over 5'0' deep and demolition or constuctkm of stmctures over 3 stories in height EXPIRATION: Every pennit issued by the BuikJing Oflicial under the proviskms of this Code shall expire by limitation and become null and void if the building or woric authorized l)y such pemnit is not commenced within 180 days from the date of such pennit or if the buikiing or woric authorized by such pennit is suspended or abandoned at any time alter the woric is commenced for a period of 180 days (Section 106.4.4 Unifonn Buikiing Code). JS^APPUCAHVS SIGNATURE //T^'l DATE Inspection List Permit#: CB140395 Type: PME FULLERTON RES-REPLACE WTR HTR SAME LOCATION Date Inspection Item Inspector Act Comments 03/25/2014 25 Water Heater/Vents - Rl AM PLS BTWN 8-10 03/25/2014 25 Water HeaterA/ents PY AP 03/25/2014 29 Final Plumbing - Rl 03/25/2014 29 Final Plumbing PY AP Tiiursday, March 27, 2014 Page 1 of 1