Loading...
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