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Home My WebLink About2668 PEPPERTREE WAY; ; CB142448; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-22-2014 Permit No: CB142448 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2668 PEPPERTREE WY CBAD PME Status: Parcel No: 2131503100 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: POWERS RES: REPLACE WATER HEATER, SAME LOCATION CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ. 85206 480-898-0007/866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: POWERS DAVID&JENNIFER A 2668 PEPPERTREE WAY CARLSBAD CA 92009 ISSUED 09/22/2014 SKS 09/22/2014 09/22/2014 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "I osition· of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issue o 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 service fees in connection with this project. NOR DOES IT APPLY to any f City of Carlsbad .. • Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 ~--~ Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit •• 10 Building Permit Application Date v /11J I '--I I JOB ADDRESS SUITE#/SPACE#/UNIT# IAP~ 2668 Peppertree way --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace water heater like for alike. Same location EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE 1 IAIR CONDITIONING ~FIRE SPRINKLERS YES[)t "'° v,s □No □ YES□No□ CONTACT NAME (lfOlffeNntFomApplloa•t) C rt . D It M h . 11 APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california@ldeltamechanical.com galinap@ldeltamechanical.com PROPERTY OWNER NAME David Powers CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2668 Peppertree Wav 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE lFAX PHONE FAX 760-476-3740 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS l STATE UC.# STATE LIC.# CLASS I CITY BUS. LIC.1214281 811114 c-36 (Sec: 7031.5 Business ~nd Profe~1ons Code: Any City or Cqun_ty which requires a permit to construct, alter, improve, demolish or repair an~ structure, p_rior to its ISS\Jance, also re9u1res the appllcant for such permit to file a signed statement tliat he 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500)). "• I • WORKERS' COMPENSATION · ~ '•· .' · Workers' Compensation Declaratlon: I hereby affirm under penalty of pe,ju,y one of the following declarations: [Z] 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 required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance ca mer and policy number are: Insurance Co Wesco Insurance company Policy No. Q2588307 Expiration Date 06/02!15 ~section need not be completed if the permit is for one hundred dollars ($100) or less. t{j 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: Fallure 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 La r cod interest and attorney's fees. LS CONTRACTOR SIGNATURE I hereby 8fflrm that I am exempt from Contrector's License Lew for the following reeson: I, as O'Nller of the property or my employees with wages as their sole compensation, will do the work and 1he structure is not intended or offered for sale (Sec. 1044, Bu,;iness and Professions Code: The Contractor's License Law does not apply to an owner of property wtio builds or improves thereon, and wtio does such work himself or through his own employees, provided that such improVements are not intended or offered for sale. !I, however, the building or improvement is sold within one year of completion, the O'Nller-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 licensed C011tractors 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). I am exempt under Section _____ ,Business and Professions Code for this reasoo: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves ONo 2. I (have I have not) signed an applicabon for a building permrt for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I 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 I 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/ phone I type of work) LS PROPERTY OWNER SIGNATURE DATE : COMPLETE THIS SECTION FOil NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business a, acutely hazardous materials registrati011 fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? . D Yes LJNo Is the appl_icant or future building occupant required to obtain a pennit from the air pollution control district or a~ality management district? [Jves D No Is the facilfy to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I aoee, to comply .,.,;tti all City ordinanres and State laws relating to building construction. I hereby aulhorize representative 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 AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatioos over 5'0' deep a"ld demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of Ins Code shall exJjre by !irritation a"ld become null and void tt the building or WOO( authorized by such permit is not commenced v.tthin 180 days from the date of such permit orttlhe building or work authortzed by such permit is suspended or abandoned at anytime afterlhe work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNAT\JRE DATE 9, 1/? # ~ , . Inspection List Permit#: CB142448 Type: PME Date Inspection Item 09/30/2014 25 Water HeaterNents 09/30/2014 25 Water HeaterNents 09/30/2014 29 Final Plumbing Wednesday, October 01, 2014 Inspector Act RI SP AP RI POWERS RES: REPLACE WATER HEATER, SAME LOCATION Comments POWERS RES Page 1 of 1