HomeMy WebLinkAbout2726 AVALON AVE; ; CB120963; Permit05-23-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI20963
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2726 AVALON AV CBAD
PME
1675613500 Lot#:
WALLS RES - REPLACE WTR HTR
Status: ISSUED
Applied: 05/23/2012
Entered By:
Plan Approved:
LSM
05/23/2012
Issued: 05/23/2012
Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE # 27
12440 OAK KNOLL RD 92064
866-898-0008
Owner
WALLS PAMELA J&WM BUD II LIVING TRUST 01-01-00
2726 AVALON AVE
CARLSBAD CA 92010
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$30.00
$0.00
$0.00
$65.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: Clearance:
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 sewice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have orevlouslv been Given a NOTICE similar to this, or as to which the statute of limitations has orevlouslv othenvise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check No. Gfi> lQ.O^(fi 3
Est. Value
Plan Ck. Deposit
Date )/-2^
JOB ADDRESS 2726 AvalonflAve
CT/PROJECT #
SUITe#/SPACE#/UNIT#
PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YEsPTtf NOQ
AIR CONDITIONING
YESj |NO| 1
FIRE SPRINKLERS
YES| |NO| 1
CONTACT NAME (If Different Fom Applicant) California Delta Mec ihanical 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
galinap@deltamechanical.com
PROPERTY OWNER NAME Bill Walls CONTRACTOR BUS. NAME California Delta Mechanical
ADDRESS
2726 Avalon Ave
ADDRESS 6056 East Baseline rd # 155
CITY
Carlsbad
STATE ZIP
CA 92010
CITY
Mesa
STATE
AZ
ZIP
85206
PHONE
760-473-9830
FAX PHONE
480-898-0007
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.#
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 appiicant for a permit subjects the appiicant to a civii penalty of not more than five hundred dollars ($500)).
I OR KERS- COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the folhwing declarations:
^ 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 tlie perfornnance of the worls for whicli this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Ckjde, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Policy No. ^tma Expiration Date <nmiim2
piis sedkjn 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 empioyerto 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 oMhe Labor code^Interest and attorney's fees. / y
^eS* CONTRACTOR SIGNATURE j^^'^'^^^y ^^y/^:^^ /^C^
t >
I hereby affirm that I am exempt from Contractor's License Law fa the folhwing 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 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 work himself or through his own employees, provided that such improvements are not intended or offered for
sale. It, 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 1 I, as owner of the property, am exclusively contracting with licensed contractors 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 pursuant to the Ck)ntractor'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 constnjction of the proposed property improvement. I IVes I INO
2,1 (have / have not) signed an application for 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 of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contrxtors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / (ype of work):
ygS'pROPERTY OWNER SIGNATURE DATE
s the applicant or future building occupant required to submit a business plaii. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
'resley-Tanner Hazardous Substance Account Act? [^Yes I iNo
s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [_JYes No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? rHYes llNo
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.
ft^'^ri*",' - •IK,', 'fj'' ai«<B-t.,''y<'' IHIII
hereby affirm that there Is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code),
-ender's Name Lender's Address
•••I MIL.
certify that I have read the application and state that the above infomiation is correct and that the infomiation on the plans is accurate. I agree to comply with all Oily ordinances and State laws relating to building construction.
hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspectwn purposes. 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 GRANTING OF THIS PERMIT.
)SHA: An OSHA pemnit is required for excavations over 5'0' deep and demolilion or construction of structures over 3 stories in height
iXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buikJIng or work authorized by such permit is not comnnenced within
80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tinne after the work is commenced for a period of 180 days (Section 106.4.4 Unifbm Building Code).
^SS'APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 06/01/2012
Permit# CB120963
Title: WALLS RES - REPLACE WTR HTR
Description:
Inspector Assignment:
Type: PME Sub Type:
Job Address: 2726 AVALON AV
Suite: Lot 0
Location;
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner: WALLS PAMELA J&WM BUD II LIVING TRUST 01-01-00
Remarks:
Phone: 7604739830
Inspector:
Total Time:
CD Description
25 Water HeaterA^ents
29 Final Plumbing
Requested By: WILLIAM
Entered By: CHRISTINE
Act Comments
ja_
Com ments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments