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Home My WebLink About2747 PALMETTO DR; ; CB120721; Permit' 04-19-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120721 Building Inspection Request Line (760) 602-2725 2747 PALMETTO DR CBAD PME 2131800400 Lot#: 0 VANZANDT RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/19/2012 LSM 04/19/2012 04/19/2012 CALIFORNIA DELTA MECHANICAL VANZANDT PATRICK J&MEGAN A SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2747 PALMETTO DR CARLSBAD CA 92009 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: f"\· ~f FINAL APPROVAL Date: O~ Clearance: $0.00 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 NOTIF!ElJ that your right to protest the speclfied fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other sim!lar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i n I h v r I I 'mil r whi h h f Ii City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 27 47 Palmetto Dr CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: lnClude Square Feet of Affected Area(s) L Plan Check No.~l 2.,07 ;l, f Est. Value Plan Ck. Deposit Date Lf A , -z..._ SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME coNSTR. TYPE 0cc. GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS v,so NO□ YES □No □ YES□No□ C0NTACTNAME (ffDllfe,entFomAppllcant) C l'f . D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ----· ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 -- PHONE PHONE I 'AX IFAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Patrick Vanzamdt CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 27 47 Palmetto Dr 6056 East Baselim, rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92009 Mesa AZ 85206 PHONE I FAX PHONE IFAX 760-804-0551 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# rcLASS I CITY BUS. LIC.1214281 811114 c36 (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 rssuance, also requires the app!icant 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 B_usmess 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}). W-ORllililU' eC:OMPlil!ISA'ttOB '. Workeni' Compensation Declaration: I hereby affirm under penalty of perjury 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 by Section 3700 of the labor Code. for the performance of the work for which this permit is issued. My worllers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date o7rom2 This section need not be completed if the permit is for one hundred dollars ($100) or less. IZ] 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 lo become subject to the Worllers' Compensation laws of California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltln and civil fines up to one hundred thousand dollal"I (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. K) CONTRACTOR SIGNATURE • I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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. 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, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of propeI ty 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 ttiis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement OYes 0No 2. I {have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the worll, but I have hired the following person to coordinate, supervise and provide the major worll (include name I address I 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 I address/ phone I type of work): K) PROPERTY OWNER SIGNATURE DATE !ii 1111 P ~'ET E TIU$ 5 EC TIO N FOR NON -RI $l DENT I ~,L SU IL DING P I It 11111 TS O NL Y s the applicant or future building occupant required to submit a businessa. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-T anner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authonze representative of ~ea~ of C"1sbad to enter upon lhe abo.e mentioned property for inspecoo, 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 pemit is required fix excavations CNer 5'0' deep i:l1d demolilioo or oonstruction of sln..11fures rNfK 3 stories in height. :XPIRA T!ON: EVEMY permit issued by lhe Building Official under the provisions of this Code shall expire by lirritalion c¥ld becane null and void if the building or wont authorized by such permit is not oommenced v.tthin 80 days from lhe date of such pemit or if the building or work authorized by such permit is suspended or al::>andoned at any time after the work is oommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). A5APPLICANT'SSIGNATURE 'Yl-''./l'A' DATE o/" ,//'.::f' ~-Z, • Inspection List Permit#: CB120721 Type: PME Date Inspection Item 09/06/2012 25 Water HeaterNents 09/06/2012 25 Water HeaterNents 09/06/2012 25 Water HeaterNents 09/06/2012 29 Final Plumbing 09/06/2012 29 Final Plumbing 09/06/2012 29 Final Plumbing Friday, September 07, 2012 Inspector MC MC MC MC VANZANDT RES-REPLACE WTR HTR Act Comments RI AP EXISTING LOCATION AP EXISTING LOCATION RI Fl Fl Page 1 of 1