HomeMy WebLinkAbout2883 CORTE MORERA; ; CB121646; Permit08-28-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB121646
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2883 CORTE MORERA CBAD
PME
2552801800 Lot#:
FRANCIS RES-REPLACE WATER
HEATER
status:
Applied:
Entered By:
Plan Approved:
ISSUED
08/28/2012
SKS
08/28/2012
Issued: 08/28/2012
Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE # 27
12440 OAK KNOLL RD 92064
866-898-0008
Owner:
MURSALIN EMRAN&GABRIELA
2745 ARGONAUTA ST
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$30.00
$0.00
$0.00
$65.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector:
/^(^ ^INAL APPROVAL
Clearance:
NOTICE: Please take NOTICE ttiat approval of your project includes the "Imposition" of fees, dedications, reservations, or ottrer exactions tiereafter collectively
refened to as "fees/exactions." You tiave 90 days from ttie date ttiis penmit was Issued to protest Imposition of ttiese fees/exactions. If you protest ttiem, you must
follow tlie protest procedures set fortti In Govemment Code Section 66020(a), and file ttie protest and any ottier required infomiatlon 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 senrice fees in connection with this project. NOR DOES IT APPLY to any
fees/ex^ftions of which vou have oreviouslv been given a NOTICE similar to this, or as to vyhlch the statute of limitations has previously othenivise 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 2883 Corte Morera
SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# N0| I
AIR CONDITIONING
YES I |NO| 1
FIRE SPRINKLERS
YES I |NO| I
CONTACT NAME (If Oltferent Fom Applicant) California Delta Mechanical APPLICANT NAME Stefan Grozev
ADDRESS
6056 East Baseline rd # 155
ADDRESS
6056 East 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 619-228-6509 FAX 858-240-6677
EMAIL
california@)deltamechanical.com EMAIL galinap@deltamechanical.com
PROPERTY OWNER NAME Tamra Francis CONTRACTOR BUS. NAME California Delta Mechanical
ADDRESS
2883 Corte Morera
ADDRESS 6056 East Baseline rd # 155
CITY
Carlsbad
STATE CA
ZIP
92009
CITY
Mesa
STATE
AZ 85206
PHONE
619-980-0095
PHONE
480-898-0007 FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
1214281
CLASS
C-20, C-3S
CITY BUS. LIC.#
811114
of the a
(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 th 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 civil penalty of not more than five hundred dollars {$500}).
^^0GtM K e nS '"COM P-E N S A T I O N
Workers' Compensation Declaration: / heretiy affinn under penalty of perjury one of the fbllowtng declarations:
I have and will maintain a certificate of consent to self-insure Ibr workeis' compensation as provided by Section 3700 of the Labor Code, for the perfomiance 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 pennit is issued. My workers' compensaton insurance earner and policy
number are: Insurance Co Polfcy No. imm Expiration Date
Tfe section need not be completed if the permit is for one hundred dollars ($100) or less.
f/1 Certificate of Exemption; I certify that in the performance of the work for which this pennit 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 to the cost of compensation, damagesjs provided for in Section 3706 o^the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE
images^ F 5 DATE
OWNER-BUILDER D 4« i, A MA tiON
I hereby affirm 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 compensation, will do the work and the structure 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 buikis or improves thereon, and who does such work himself or through his own emptoyees, provkJed that sxh improvements are not Intended or offered for
sale. If, however, the building or improvement is soW vwthin one year of completion, the owner-buiWer will have the burden of proving that he dkl not build or Improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting v»ith licensed contractors to constnict 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 Lcense Law).
I j I am exempt under Section Business and Professtons Code for this reason:
1.1 personally plan to provide the major labor and materials for constroction of the proposed property ImprovemenL QYes I INO
2.1 (have / have not) signed an application for a buikling pennit for the proposed worit.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' Iteense number):
4,1 plan to provide porttons of the worit, but t have hired the following person to coordinate, supervise and provkle the major worit (include name / address / phone / contractors' license number):
5.1 will provide some of the worit, but I have contracted (hired) the foltowing persons to provide the worit indfcated (include name / address / phone / type of worit):
ygrPRGPERTY OWNER SIGNATURE DATE
eOMrtBTE THIS SECTION FOR N O M * H E $ I 0 E N T I A 1. i 111 I L D I ftl G PEBMtrS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and preventton program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes I iNn
Is the applicant or future buikling occupant required to obtain a pennit from the air pollutton control district or air quality management district? I lYes I I No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? QYOS QNO
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.
CONSTRUCTION lENDINQ AGENCY
I hereby affimi that there is a constmction lending agency for the performance of the work this permit Is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
;#Pl» 1.1 C AN T C e R TI r I C A TI O N
I certify that I have read the applicatian and state tliatthe above infomiation is conect and that the Infomiation on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building constiuctian.
I hereby authorize representative of the City of Carisbad to enter upon the above nnenttoned property for inspectton puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST Aa UABILITIES, JUDGMENTS, COSTS AND EXPENSES VWICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required tor excavatbns over 5'0' deep and demolitkw or axistructkxi of structures over 3 stories in height
EXPIRATION: Every pemiit issued by the Buikling Official under the provistons of this Code shall expire by limitatton and become null and void if the buikjing or worit authorized by such pemiit is not commenced within
180 days from the date of such pemiit or if the buikling or work authorized by such pemnit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Sectton 106.4.4 Unifomi Buikling Code).
>€S'APPLICANT'S SIGNATURE DATE
Inspection List
PermlW: CB121646 Type: PME FRANCIS RES-REPLACE WATER
HEATER
Date Inspection Item Inspector Act Comments
09/12/2012 25 Water HeaterA/ents - RI 10-12 PLEASE
09/12/2012 25 Water HeaterA/ents PB AP
09/12/2012 29 Final Plumbing - RI
09/12/2012 29 Final Plumbing PB AP
Thursday, Septennber 13,2012 Page 1 of 1