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Home My WebLink About2623 EL AGUILA ST; ; CB122028; Permit10-10-2012 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/IVIechanical/Electrical (PIVIE) Permit Permit No. CB122028 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2623 EL AGUILA ST CBAD PME 2155623800 KOEHLER RES- Lot# REPLACE WATER HEATER, SAME SIZE, SAME LOCATION Status Applied Entered By- Plan Approved Issued Inspect Area Applicant CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Owner KOEHLER GREGORY W&LORI L 2623 EL AGUILA LN CARLSBAD CA 92009 ISSUED 10/05/2012 SKS 10/05/2012 10/05/2012 Plumbing Fees Electncal Fees Mechanical Fees Ottier 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 FINALAPPROVAL /// ^/^/"Z-- Clearance Date NOTICE Please take N(7riCE th^ff 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 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenivise expired City of Carlsbad 1635 Faraday Ave., Carlsbaci, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No Est. Value Plan Ck. Deposit Date ;k. Deposit JOB ADDRESS 2623 Ei Aguila Ln SU;TE#/SPACE«/UNIT# CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE occ GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS 6056 East Baseline rd # 155 6056 E Baseline rd# 155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ 85206 PHONE 480-898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 1-858-240-6677 EMAIL california@)deltamechanical.com gaiinap@,deltamechanical.com PROPERTY OWNER NAME Gregory Koehler CONTRACTOR BUS NAME California Delta Mechanical ADDRESS 2623 Ei Aquila Ln 6056 East Baseline rd # 155 CITY Carlsbad STATE CA 92009 Mesa STATE AZ 85206 PHONE 760-445-3341 PHONE 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 811114 c-36 CITY BUS LIC# 1214281 (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for 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 / hereby affirm under penalty of perjury one of the followmg declarations I have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued [/j 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 earner and policy numberare InsuranceCo Policy No mim Expiration Date moMicn 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 coverage is unlawful, and shall subject an employerto cnmmal 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 CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the fotlowing reason I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol 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 wori< 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 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) I I I, as owner of the property, am exclusively contracting with licensed contraclors to constmct 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 Busmess and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement QVes I INO 2 I (have / have not) signed an application for a building penrat for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number) 4 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 / phone (contractors' license numbet) 5 I 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) jgS'pROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to 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 Hazanjous Substance Account Acf Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf n^es Q No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' |_]Yes FlNo 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 there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certify that I have read the application and state thatthe above infomnabon isconectand thatthe inforniation on the plans IS accurate I agreeto comply with all City ordinances and State laws relabngto building constmction I hereby authonze representative ofthe City of Carlsbad to enter upon the above mentioned properly for inspection purposes 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 required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height EXPIRATION Every pemnil issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wort( authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the wor1< is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building Code) ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB122028 Type: PME KOEHLER RES- REPLACE WATER HEATER, SAME SIZE, S Date Inspection Item Inspector Act Comments 11/07/2012 25 Water HeaterA/ents - Rl AM 8-10 11/07/2012 25 Water Heater/Vents PY AP 11/07/2012 29 Final Plumbing - Rl 11/07/2012 29 Final Plumbing PY AP Wednesday, November 07, 2012 Page 1 of 1