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Home My WebLink About2838 ANDOVER AVE; ; CB111917; Permit09-06-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/iVlechanical/Electrical (PME) Permit Permit No: CB111917 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2838 ANDOVER AV CBAD PME 1674801909 Lot #; CHRISTY RES REPLACE WTR HTR Status: ISSUED Applied: 09/06/2011 Entered By: Plan Approved: Issued: Inspect Area: KG Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: CHRISTY MARK 2838 ANDOVER AVE CARLSBADJ^A 92010 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: 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 nave 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv 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. Value Plan Ck. Deposit Date JOB ADDRESS 2838 Andover ave SUITE#/SPACE#/UNIT# CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: (ncfude Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESr~l# NOj 1 YES| |NO| 1 YES| |NO| CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS 6056 East Baseline rd # 155 ADDRESS 6056 E. Baseline road suite # 155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE FAX PHONE FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 EMAIL california@deltamechanical.com EMAIL galiapavlovabg@yahoo.com PROPERTYOWNER NAME Mark Christy CONT^O^USJ^gE^^^^ y^^^,^^ ^y^^^/- ADDRESS 2838 Andover ave ADDRESS ^^^^ ^ ^r^^v^ - CITY Carlsbad STATE CA ZIP 92010 CITY STATE ZIP PHONE 760-975-1175 FAX PHONE -.^w -^^.^ ^ FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS <$'/y//c/ CLASS CITY BUS. LIC.# (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 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 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)). Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the foilowing declarations: {7_ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of tlie Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensatian, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' connpensation insurance carrier and policy number are: Insurance Co Policy No, nmiz Expiration Date omimii This section need not be completed 'if the permit is for one hundred doiiars ($100) or less. 1/1 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 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 tothecostof compensation, damages as provldedfor in Section 3706 ofthe Labor code. Interest and attomey's fees. JS^ CONTRACTOR SIGNATURE /^^^^^^^^^ DATE y/ «!1 __ OECLAnATION / hereby affirm that i am exempt from Contractor's License Law for the foiiowing reason: I I I, as owner of Ihe property or my employees with wages as their sole compensation, will do the work and the staicture 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 I 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 with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. LJYes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. i plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license 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): jgS'pROPERTY OWNER SIGNATURE DATE • .* t'll: ; -^i..! 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 23505, 25533 or 25634 of the ^resley-Tanner Hazardous Substance Account Act? [I] Yes I iNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? s the facility to be constructed within 1,000 feet of the outer boundary of a school site? QYes 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. •YCS I I No if hereby affirm that there is a construction lending agency for the perfomnance 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 theabove information is correct and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constmction. hereby aulhorize representative of tfie 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 AGAINST 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 Ibr excavations over 5'0' deep and demolition or consttuction ot structures over 3 stories in heighl EXPIRATION: Every permit issued by the Building Official underthe provisions ofthis Code shall expire by limitation and become null and void ifthe building or work authorized by such permit is not commenced within 80 days from the date of such permit or if the building or work authorized by such pernilt Is suspended or abandoned at any time after the wor1( is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). jgS'APPLICANT'S SIGNATURE DATE