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Home My WebLink About2691 COVENTRY RD; ; CB120369; Permit03-01-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl20369 Building Inspection Request Line (760) 602-2725 Job Address: Pennit Type: Parcel No: Reference #: PC #: Project Title: 2691 COVENTRY RD CBAD PME 2081330204 Lot#: PARK RES- REPLACE WTR HTR status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/01/2012 LSM 03/01/2012 03/01/2012 Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Ownen PARK MICHAEL A&VICKIE A 2691 COVENTRY RD CARLSBADCA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 'j-j^'lZ^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of tees, dedications, resen/ations, or other exactions hereafter collectively refened to as lees/exactlons.' You have 90 days from the date this pennit was issued to protest imposition of these fees/exactlons. 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 infomiation with the City Manager for processing in accoidance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will tiar 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 tees and capacity changes, nor planning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactlons of which vou have previously been given a NOTICE -similar to this, or as to which the -statute of limitations has oreviouslv othenwise expired, City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-27171 2112,1 2719 Fax: 760-602-8558 Building Permit Appiication Plan Check No. (2£> IZ. Q ^fe^ Est. Value Plan Ck. Deposit Date 5|, {1^ JOBADDRESS 2691 Coventry Rd SUITe#/SPACE#/UNIT# CT/PROJECT # L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fncfude Square Feet of Affected Ares(s> Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~|# Non AIR CONDITIONING YESj |NO| 1 FIRE SPRINKLERS YES| |NO| CONTACT NAME (tt Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS 6056 East 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@deltamechanical.com EMAIL galiapavlovabg@yahoo.com PROPERTY OWNER NAME Mike Park CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS 2691 Covebtrv Rd ADDRESS 6056 East Baseline Rd # 155 CITY Carlsbad STATE ZIP CA 92010 CITY Mesa STATE Az ZIP 85206 PHONE 951-316-5181 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 811114 CLASS c36 CITY BUS. LIC.# 1214281 (Sec. 7031.5 Business and Professions Code: Any City or County wiilcti requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires tfie applicant for such permit to file a signed statement that he'- " —— •. • - r.—p^,..:_:__ Business and Professions Code) or that he Is exempt therel civil penalty of not more than five hundred dollars {$500}). applicantfor 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 7031.5 by any applicant for a permit subjects the applicant to a WORKERS compenS A T lO N Workers' Compensation Declaration: / hereby affinn under pena^ of perjury one ofthe foilowing declarations: TJ I have and wili maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canier and policy 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. number are: Insurance Co Policy No.. Expiration Date _ Tliis section need not be completed ifthe permit is for one hundred doiiars ($100) or less. I/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: Failure to secure workers' compensation coverage is unlawful, and siiali subject an employerto criminai penalties and civil fines up to one Iiundred thousand dollars (&100,000), in addition to tlie cost of compensation, damages as provided for in Ssction 3706 of the Labor code. Interest and attorney's fees. / / ^CONTRACTOR SIGNATURE Ja//\ z:^ A/^'P'/ B U I i D E R O EC LACATION •••• / fiereby aff/rm that 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 soie compensation, will do the work and the stmcture is not intended or offered for saie (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buiids or improves thereon, and who does such work himself or through his own empioyees, provided that such improvements are not intended or offered for saie. If, however, the buiiding or improvement is sold within one year of completion, the owner-buiider wiil have the burden of proving that he did not buiid or improve for the purpose of sale). I I I, as owner ofthe property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appiy to an owner of praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant 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 constmction of the proposed property improvement. I lYes I iNo 2.1 (have / have not) signed an application fbr a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions ofthe work, but i have hired the fbllowing person to coordinate, supenise and provide the major wod( (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but i have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): JS^PROPERTI OWNER SIGNATURE DATE : T« THIS SECTION FOR 'resley-Tanner Hazardous Substance Account Act? • Yes 5s Plan, •l No RIESIOENTIAL BUILDING PERMITS ONL •Yes nNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? s the facility to be constmcted within 1,000 feet of the outer boundary of a school site? I hes, flNo F 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. .BNtatHG AOEMCr hereby affimi that there is a construction lending agency for the perfomnance of the work this pennit is issued (Sec. 3097 (1) Civil Code). .ender's Name Lender's Address certliythati have read the application and state that the above infonnation Is conect and thatthe infonmition on the plans Is accurate. I agree to comply with all City onlinances aiid Stat hereby authorize representative ofthe City ot Calsbad to enter upon the above mentioned property for inspectkxi puposes. 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 CITY IN CONSEQUENCE OF THE GRAhfTING OF THIS PERMIT )SHA: An OSHA pemiit is required tor excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in h^ht. :XPIFtATION: Every pemiit issued by the Building Offidal under the provisions of this Code shdl expire b^imitation and become pull and void ifthe buiiding or worit authorized by such pemiit is not commenced within 80 days liwi the date of such pemiit or if the building or wortt authorized by such pemiit is suspended or abandoned at any lime after the worit is commenced for a period jf 180 days (Sectkm 106.4.4 Unifbmi Buikling Code). ^fiS"APPLICANT'S SIGNATURE Mll/y DATE yFA?^/pj^ City ofCarlsbad BIdg Inspection Request For: 03/16/2012 Permit# CB120369 Title: PARK RES- REPLACE WTR HTR Description: Inspector Assignment: 2691 COVENTRY RD Lot: 0 Type: PME Sub Type: Job Address: Suite: Location: OWNER PARK MICHAEL A&VICKIE A Owner: PARK MICHAEL A&VICKIE A Remarks: Phone: 7609940640 Inspector: Total Time: CD Description 25 Water HeaterA/ents Act Comments PtP Requested By: VIICKY Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments