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Home My WebLink About2853 AVENIDA HELECHO; ; CB141852; Permit07-29-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141852 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2853 AVENIDA HELECHO CBAD PME 2552813800 Lot#: EVENDORFF RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/29/2014 LSM 07/29/2014 07/29/2014 Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA A2 85206 480-898-0007/866-6925273 Owner: EVENDORFF CHARLES S&GREBEN LAURA D 2853 AVENIDA HELECHO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $33.00 $0.00 $0.00 $62.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINALAPPROVy^l Date: ^^f^^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance w/ith 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 given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbaci, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Cfe I Q t SSJX Est. Value Plan Ck. Deposit JOB ADDRESS 2853 Avenida Helecho SUITE#/SPACE#/UNIT« PHASE # « OF UNITS # BEDROOMS # BATHROOMS | TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: ;nc/ude Square Feet of Affected Area(s) Replace water heater like for alike. Same location EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~1# NoQ AIR CONDITIONING YEs| |NO| 1 FIRE SPRINKLERS YESONOQ CONTACTNAME flf DWerent Fom AppHcant) _ ... . _ ,^ California Delta Mechanical 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 l-AX 858-240-6677 EMAIL callforniai^deltamechanical.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAME Charles Evendorf CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS 2853 Avenida Helecho ADDRESS 6056 E Baseline Rd 3 155 CITY Carlsbad STATE ZIP CA 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 858-449-0595 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, aiso 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 apolicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WO R k E R S ' C O M PENS Att OH Workers' Compensation Declaration: / hereby affimi under penalty ofpeijury one ofthe following declarations: E I liave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. I have and will maintain workers' compensation, as required bv 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. 0^588307 Expiration Date """"^ This section need not be completed if the pernilt is for one hundred dollars ($100) or less. f/] Certificate of Exemption: I certify that in the perfonnance of the work for which this penult is issued, I shall not employ any person in any manner so as to become subject to the Workers' Comptjnsation 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 code. Interest and attorney's fees. .SS" CONTRACTOR SIGNATURE A^3^^^^^^ "/^/^f^^fV/^ 4^ 'WBR. BO It DEB DE <; ;i.A R A Ti O N / hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensalion, will do the work and the stmcture 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 worii himself 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constract 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 1 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. CHY^S I iNo 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted v«ith the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supenrise and provide the major wori< (include name / address / phone / contractors' license number): 5.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the woric indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR MOW -RES ID E NTI A L B U I L D i N S ^E R M 1 TS O ML V Is Ihe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? | | Yes I iNo Is the applicani or future building occupant required to obtain a pennil from the air pollution control district or air qualiW management district? I lYes I I No Is the facility to be constracted within 1,000 feet of the outer boundary of a school site? I lYes IINO 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 EHERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ||i;0::N:*T'ii:uc11o'N 'LENo'tNe AGENCV I hereby affirm that there Is a constraction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address AI>FLiCANT CERTIFiCATION I certify that I have read the application and state that the above infbmiation is conectand that tlie infonnation on the plans is accurate. I agree to comply with all City ordinani^ and State laws relatingto building constnjdion. I hereby authorize representative of the City of Carisbad to enter upon the above mentoned property fbr 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. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolitkxi or constnjctkin of stnjctures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wori< authonzed by such pennit is not commenced within 180 days from the date of such pennit or if the buikiing or wori< authorized by such pemiit is suspended or abandoned at any time after the wort( is commenced for a period of 180 days (Sectkin 106.4.4 Unifomi Building Code). APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141852 Type: PME EVENDORFF RES-REPLACE WTR HTR Date Inspection Item Inspector Act Comments 08/12/2014 25 Water HeaterA/ents - Rl 08/12/2014 25 Water HeaterA/ents PD AP 08/12/2014 29 Final Plumbing - Rl 08/12/2014 29 Final Plumbing PD AP Ttiursday, August 14, 2014 Page 1 of 1