HomeMy WebLinkAbout2802 JACARANDA AVE; ; CB112095; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical {PME) Permit
10-13-2011 Permit No: CB 112095
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2802 JACARANDA AV CBAD
PME
Parcel No: 2551031400 Lot#: 0
Reference #:
PC#:
Project Title: DILWORTH RES-REPLACE WTR HTR
Applicant:
CALIFORNIA DEL TA MECHANICAL
SUITE#27
12440 OAK KNOLL RD 92064
866-898-0008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/29/2011
LSM
09/29/2011
09/29/2011
$150.00
$0.00
$0.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SfC1lllN 106.4.A AS AMENO£O ~8.01.1130
DATE /0 /.,;,h ;2SIGNATURE -1-•
Inspector: ------
FINAL APPROVAL
Date: ------Clearance: ------
$0.00
NOTICE: Please take NOTICE th&t 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 dale this permit was issued to protest \mposilion 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 aooordance with Cansbad Municipal Code Section 3.32.030. Fa"ure to timetj follow that procedure will bar any swsequent legal action to attacll,
review, set aside, void, or annul tr.air 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 appli-Oation processing DI' se1Vice fees in connection with this project. NOR DOES IT APPLY to any . . . I . I . . h h . . .
City of Carlsbad
i635 Faraday Ave., Carlsbad. CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS 2802 Jacaranda Ave
CT/PROJECT# I LOT# L ASE# I# OF UNITS I# BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
SUITE#/SPACE#/UNIT#
Plan Check No. ~ \ l :;;;)-0 '7 5"°
Est. Value
Plan Ck. Deposit
Date LO l S I I
APN
#-BATHROOMS I TENANT BUSINESS NAME I CONSTR, TYPE I occ. GRO
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE I GARAGE (SF)
CONTACT NAME (lfDlfferentFomAppllcant) C l'f , D It M h , I I a I orn1a e a ec anica nc.
ADDRESS
PATIOS (SF) I DECKS (SF) I FIREPlACE
YES□#
APPLICANT NAME
ADDRESS
I
AIR CONDITIONING IFIRE SPRINKLER
NO□ YES □NO □ YES□ NO[
Galina Pavlova
6056 E. Baseline road suite# 155 6056 E. Baseline road suite# 155
CITY
PHONE
EMAIL
Mesa
480-898-0007
STATE ZIP
AZ 85206
1-480-218-5645
CITY
PHONE
EMAIL
Mesa
858-361-6495
STATE ZIP
AZ 85206
california@,deltamechanical.com galiapavlovabg@,yahoo.com
PROPERTY OWNER NAME Gary Dilworth CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
2802 Jacaranda Ave 6056 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa AZ 85206
PHONE PHONE
858-212-2607 480-898-0007 480-218-5645
EMAIL EMAIL
ARCd/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.#
811114
'
CLASS
c36 I CITY BUS. LIC1214281
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, pnor 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 (hat 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)).
Workers' Compensation Declaration I hereby affirm under pena"y of pefjuryone of the followmg declarat,ons·
[2J 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 requ,red bv SectJon 3700 of the Labor Code, for the performance of the work for which this oerm1t Is issued My workers' compensation insurance earner and pohcy
number are Insurance Co Polley No. 1697823 Expiration Date 011•-12012
This sec\lon need not be completed if lhe permit Is for one hundred dollars ($100) or less. 0 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 subIect to the I /orkers· Cornpensat,on 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 f e Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE DATE
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 w01k and the slructure is not intended or offered for sale (Sec. 7044, Business and Professions Code The Contractor's
License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not inlended 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 to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
properl'/ who builds or improves thereon, and contracts for such proiects with contractor{s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason-
1 I personally plan to provide lhe major labor and matenals for construction of the proposed property improvement. O Yes O No
2. I (have/ have not) signed an apphcalion 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 / phone I contractors' license number)
4. I plan to provide portions of the work, but I have hired the following person to coordinate, super11se and provide the maIor work (include name/ address / phone / 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 / address I phone / type of work)·
~ PROPERTY OWNER SIGNATURE DATE
s the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
'resley-Tanner 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 air ouality management district? 0 Yes D No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 No
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
:MERGEN CY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
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
certify that I have read the application and state that the above information is correct and thatthe Information on the plans is accurate. I agree to comptywith all City ordinances and State laws relating to building construction.
hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
IGAINST 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 permit is required for excavations CNer 5'0' deep and demolition or construction of structures (J,Jer 3 stones in height.
:XPIRA TION: Every permit issued by the Building Official under the prCNisions of this Code shall expire by limitation and become null and void if the building 0< work authorized by such permit is not commenced within
80 days frocn the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 100.4.4 Un~orm Building Code).
2S APPLICANT'S SIGNATURE DATE
~-<3> CARLSBAD RECORD COPY
Community & Economic Development www.carlsbadca.ga
January 27, 2012 Permit Number: CB112095
GARY DILWORTH
2802 JACARANDA AV
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: WATER HEATER
Issue Date: 09/29/2011
ADDRESS: 2802 JACARANDA AV
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 03/27/2012.
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state:
"EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall
expire by limitation and become null and void if the building or work authorized by such permit is
not commenced within one hundred eighty calendar days from the date of such permit, or if the
building or work authorized by such permit is stopped at any time after the work is commenced for
a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to
have commenced if the permittee has obtained a required inspection approval of work authorized
by the permit by the Building Official within one hundred eighty calendar days of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not obtained a required
inspection approval of work by the Building Official within each one hundred eighty day period upon
the initial commencement of work authc>r_i:zed by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee
therefore shall be one half the amount required for a new permit for such work, and provided that
no changes have been made or will be made in the original plans and specifications for such work,
and provided further that such suspension or abandonment has not exceeded one year. In order to
renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work
may commence under that permit when the permittee is unable to commence ·work within the time
period required by this section for good and satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection
request line at 760-602-2725. ·
If you have any questions, please contact the Building Inspection Department at 760-602-2700.
Christine Wauschek
Office Specialist
Building Division ~1------------------------------. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560