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Home My WebLink About2839 CAMINO SERBAL; ; CB142856; Permit10-23-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142856 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2839 CAMINO SERBAL CBAD PME 2552812200 Lot#: SEDLOCK RES-REPLACE WTR HTR status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 10/23/2014 LSM 10/23/2014 10/23/2014 Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Owner: SEDLOCK LIVING TRUST 07-07-00 2839 CAMINO SERBAL CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROV/ Date: f 7 ' ^ ^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pennit 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 IVIanager 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 oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise 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 IOB ADDRESS 2839 Camino SeiSal SlllTE#/SPACEi!i/lJNIT# APN CT/PROJECT # L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /ncfude Square Feet of Affected Areafs) Replace water heater like for alike. Same location EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfl* NCO AIR CONDITIONING YES QNO Q FIRESPRINKLERS YESQ N0| 1 CONTACTNAME (If Different Fom Applicant) ^ i^alifornia Delta Mech. snical Inc. APPLICANT NAME Galina Pavlova ADDRESS 6056 E Baseline Rd#155 ADDRESS 6056 E Baseline Rd# 155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE 480-898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 FAX 858-240-6677 EMAIL californiai^deltamechanical.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAIVIE Steve Sedlock CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS rULA 2839 Camlno SemT ADDRESS 6056 E Baseline Rd3155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 760-415-1635 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.» 811114 CLASS C-36 CITY BUS. LIC.# 1214281 (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 permitto file a signed statennent that he is licensed pursuant to the provisions of the Contractor's License Lav< (Chapter 9, commEndingwith 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 bv anv apolicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty of perjury one of the following declarations: ^ I have and wnll maintain a certificate of consent tc self-insure for workers' compensation as provided by Section 3700 of the Latior Code, for the performanco of the work for which this permit is issued. 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 workers' compensation insurance carrier and policy number are: Insurance Co Wesco Insurance company Policy No. 02588307 Expiration Date omms This section need not be completed if the perrriit is for one hundred dollars ($100) or less. I/I Ceriificate of Exemptian: I certify that in the perfonnance of the work for which (his permil is issued, I shaii not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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^e, interest and attorney's fees. CONTRACTORSIGNATURE OWNER-BUILOER OECtARATIO / hereby affirm thai I am exempt from Contractor's License Law for the foltowing reason: I I I, as owner of the 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. 70^, 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 improvemenls 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 exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Piofessions Code: The Conlractor'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 pnjvide the major labor and materials for construction of the proposed property improvement. QVes 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): 4.1 plan to provide portions ofthe wort(, but I have hired the following 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 Ihe work indicated (include name / address / phone / type of work): .^PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR N O N - R £ S 1 D E M T I A L B U I L D I N G PERMITS ONLY Is the applicant or future building occupant required to submit a business pjan, 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? | IYes I iNn Is Ihe applicant or fuluiB building occupant required lo obtain a permil from the air pollution control district or airqualilv management district? I IVes I I No Is Ihe facility to be constructed within 1,000 feet of the outer boundary of a school site? [^Yes iiNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS i«ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENOING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address Afl»tlCANT CERTIFICATION I certify that I have read the application and state thatthe above infonnation is conect and that the infonnation on the plans is accurate. I agree to comply with all City oniinances and State laws relating to building constiuction. I hereby authorize repnssentative of the City of Carisbad to enter upon the above menlioned property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemnit is requined fbr excavatkins over 5'0' deep and demolitKin or constnjctbn of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Ofiicial underthe proviskxis of this Code shall expire by limitation and become null and voki if the building or wortc authorized by such pennit is not commenced within 180 days from the date of such perinit or if the buikjing or wori< authorized by such pennit is suspended or abandoned at any time after the wori( is commenced for a period of 180 days (Sectkin 106.4.4 UnitDmi Building Code). >$S'APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB142856 Type: PME SEDLOCK RES-REPLACE WTR HTR Date Inspection Item 11/13/2014 25 Water HeaterA/ents 1/13/2014 25 Water Heater/Vents 1/13/2014 25 Water HeaterA/ents 1/13/2014 29 Final Plumbing 1/13/2014 29 Final Plumbing 1/13/2014 29 Final Plumbing Inspector Act Rl Rl PD AP Rl Rl PD AP Comments PLEASE ARRIVE BEFORE 12 PLEASE CALL HIM WITH ETA PLEASE ARRIVE BEFORE 12 Tuesday, November 18, 2014 Page 1 of 1