HomeMy WebLinkAbout2743 ASCOT AVE; ; CB121425; Permit07-31-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB121425
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2743 ASCOT AVCBAD
PME
2131811600 Lot#: 0
HOBSON: REPLACE WATER HEATER
Status: ISSUED
Applied: 07/31/2012
Entered By:
Plan Approved:
Issued:
Inspect Area:
JMA
07/31/2012
07/31/2012
Applicant:
CALIFORNIA DELTA MECHANICAL
Owner:
HOBSON JOEL&VANESSA
SUITE # 27
12440 OAK KNOLL RD 92064
866-898-0008
2743 ASCOT AVE
CARLSBAD CA 92009
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 APPR
Date: Q ^1
PPROVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed 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
follovK the protest procedures set forth in Govemnrent 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 tinnely 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
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise 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.
Est. Vaiue
Pian Ck. Deposit
Date ^/^iZ/ZT
JOB ADDRESS 2743 Ascot Ave
CT/PROJECT #
SUITE#/SPACE#/UNIT#
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /ncfude Sqfuare Feet of Affected Area^s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~> NoQ
AIR CONDITIONING
YES| |NO| 1
FIRESPRINKLERS
YES| |NO|
CONTACTNAME (ffO/ff^ntFomApp//cant) - .., • n !• M k'
vaiiiornia Delta Mechs inical, inc. APPLICANT NAME Stefan Grozev
ADDRESS
6056 E. Baseline road suite # 155 ADDRESS
6056 E. Baseline road suite #155
CITY
IVIesa
STATE
AZ
ZIP
85206
CITY
IVIesa
STATE AZ ZIP 85206
PHONE
480-898-0007
FAX
1-480-218-5645
PHONE
619-228-6509
FAX
858-240-6677
EMAIL
california@deltamechanical.com
EMAIL
galinap@deltamechanical.com
PROPERTY OWNER NAME Joel Hobson CONTRACTOR BUS. NAME California Delta IVIechanical
ADDRESS
2743 Ascot Ave
ADDRESS 6056 East Baseline rd # 155
CITY
Carlsbad
STATE ZIP
CA 92009
CITY
Mesa
STATE
AZ
ZIP
85206
PHONE
949-636-8802
FAX PHONE
480-898-0007
FAX
1-480-218-6545
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.#
811114
CLASS
0-36
CITY BUS. LIC.#
1214281
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, innprove, demolish or repair any structure, prior to its issuance, aiso 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 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 civil penalty of not more than five hundred dollars {$500}).
lw OH KERS' COMPENSATION
Workers' Compensation Declaration: / hereby alfm under penary of perjury one ofthe following declarations:
^ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Latxir Code, tor the performance of the work for which this permit is issued.
«H I have and will 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 carrier and policy
number ane: Insurance Co Policy No. ^esna Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
f/l Certiflcate of Exemption: I certify that in the performance ot the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of
California. 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.
^CONTRACTOR SIGNATURE ^'^iDh/jj/ DATE '^'^fl'/j^.
$0:M:N mm' ati i %o'wm ^ H-E CLARATION
/ hereby affirm that I am exempt from Contractor's Ucense 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 stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply toan ownerof 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. 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 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 Contractor's License Law).
j I I am exempt under Section. .Business and Professions Code for this reason:
1.1 personally plan to pravide the major labor and materials for construction of the proposed property impravement. I lYes I iNo
2.1 (have / have not) signed an application for a building pemilt for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (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, supereise and provide the major work (Include name / address / phone / contractors' lk»nse 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 / type of work):
jgTpRGPERTY OWNER SIGNATURE DATE
OMPLETE THIS SECTION FOR N O N - R E S I O E N T I A i BUILDING PERMITS ONLY
s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
_ iir qual
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? FHYes QNO
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.
5S Plari,
^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? •Yes r~lNo
'"mM:$. T R «• C T:!; ON L E N D i N' IS; • A G E W C V
hereby affirni that there is a constmction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code),
.ender's Name Lender's Address
iR.i, i^C^A H;t'iX ERTIFICATION
certify that I have read the application and state that the above infonnation is conect and that the infbmiation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property for inspectkxi purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
VGAINST 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 pennit Is requred fbr excavations over 5'0' deep and demolilkxi or constnictkm of structures over 3 stories In height
EXPIRATION: Every pemilt issued by the Building Official under the proviskins of this Code shall expire by limitatnn and become null and void if the building or wori( aulhorized by such pemiit Is not commenced within
80 days from the date of such pennit or if the building or work authorized by such pemiit is suspended or abandoned at any time alter the wcxk is commenced for a period of 180 days (Sectkm 106.4.4 Unifonn Building Code).
^g^APPLICANT'S SIGNATURE ^ • ^C^fti^yil^ "ATE
Inspection List
Permit#: CB121425 Type: PME HOBSON: REPLACE WATER HEATER
Date Inspection Item Inspector Act Comments
08/31/2012 25 Water HeaterA/ents - Rl
08/31/2012 25 Water Heater/Vents PD AP
08/31/2012 29 Final Plumbing - Rl
Tuesday, September 04, 2012 Page 1 of 1