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Home My WebLink About2817 JACARANDA AVE; ; CB150280; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-27-2015 Permit No: CB150280 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2817 JACARANDA AV CBAD PME Status: Parcel No: 2551032300 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: HANNUM RES -REPLACE WTR HTR SAME LOCATION CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ. 85206 480-898-0007/866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: HANNUM SCOTT E&RENEE E 2817 JACARANDA AVE CARLSBAD CA 92009 ISSUED 01/27/2015 SKS 01/27/2015 01/27/2015 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Date: 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 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 f e i n f which ou hav i I be n iven a NOTI imil r o this r as t w i h the tatute imi i n has revio I h rwise ex ir d City of Carlsbad .. • Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 ~-~ Est. Value 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 -"!lJI--Plan Ck. !)ep~lt . -C: -Building Permit Application Date [/t'J1/(~ I JOB ADDRESS SUITE# /SPACE#/UNIT# IAPN 2817 Jacaranda ave --- CT/PROJECT II I LOT# I PHASE II l II OF UNITS I# BEDROOMS II BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP -DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace water heater like for alike. Same location EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so NcCJ YES0No0 v,s□NoO CONTACT NAME (/fD/ffe,entFomAppll~nt) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 E Baseline Rd# 155 6056 E Baseline Rd # 155 CITY ~-STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Scott Hannum CONTRACTOR BUS. NAME California Delta Mechanical Inc. -~ ADDRESS ADDRESS 2817 Jacaranda Ave 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE 1FAX 619-871-0737 480-898-0007 ~ EMAIL EMAIL --ARCH/DESIGNER NAME & ADDRESS I STATE LIC, # STATE LIC.# I CLASS I en-mes. uc1214281 811114 c-36 (Sec: 7031.5 Business and P_rofess1ons 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 per_mit to file a siJ,!ned statement that he is licensed pursuant to the provisions of the Contractor's License Law/Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any :1pplicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / 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 pe_rformance of the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as reouired bv Section 3700 of the Labor Code. for the performance of the work for which this permit 1s issued. My workers' compensation insurance carrier and policy number are: Insurance Co Wesco Insurance company Policy No. Cl2588307 Expiration Date 06lll2l15 This section need not be completed if the permit is for one hundred dollars ($100) or less. (Z] 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 La'NS 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 attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law far the fallowing 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 (S8-:. 7044, Business and Professions Code: The Contractor's License Law does not ap~y to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, pra.'ided 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 wil 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 property who builds or improves thereon, and contracts for such projects w~h 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 the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have/ 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 (inciude name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following persoo to coordinate, supervise and provide the major work (include name I address I 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 I address/ phone I type of work): 2$ PROPERTY OWNER SIGNATURE DATE • Is the applicant or future building occupant required to submit a business..2lfill, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the appl_icant or future building_occupant required to obtain a permit from the air p()jlution control district or aiLJ!!ality management district? Des D No Is the fac1llty to be constructed wrthin 1,000 feel of the outer boundary of a school srte? 0Yes LJNo IF 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. I certify that I have read the application and state that the above Information is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative oflhe City of Carlsbad to enter UJXlO the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permit is required for excavations over5'0' deep .n::I demolition or construction of strucltlres over 3 stooes in he'Jht. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation a-id become null and void if lhe building or work authorized by such permit is not commenced within 180 days from the dale of such pemit or if the building or work authorized by such permit is suspended or abandoned at anytime after the worl< is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code). _g APPLICANT'S SIGNATURE DATE /,P...f'/?'.S-I , . Inspection List Permit#: CB150280 Type: PME Date __ lnspection_ltem ____ _ 06/12/2015 25 Water HeaterNents 06/12/2015 25 Water HeaterNents 06/12/2015 29 Final Plumbing 06/12/2015 29 Final Plumbing Friday, June 12, 2015 Inspector Act AEK AEK RI AP RI Fl HANNUM RES -REPLACE WTR HTR SAME LOCATION Comments AM PLS Page 1 of 1