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Home My WebLink About2901 LEVANTE ST; ; CB120589; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-03-2012 Permit No: CB120589 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant 2901 LEV ANTE ST CBAD PME 2162303100 Lot#: VANDERLINDEN RES -REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CALIFORNIA DELTA MECHANICAL VANDERLINDEN HORST&SYLVIANE SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOT AL PERMIT FEES 3007 LEV ANTE ST CARLSBAD CA 92009 ISSUED 04/03/2012 LSM 04/03/2012 04/03/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: VV\, ~ Date: o Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the ulmpos~ion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 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 se!Vice fees in connection with this project. NOR DOES IT APPLY to any f f hi h v' T i ii r hi r hi Iii h h Cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2901 Levante street CT/PROJECT# I LOT# I PHASE# 1 • OF UNITS I #BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC: GRdLJl> Replace existing like for alike water heater EXISTING \JSE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) I _FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES0, NoO vesONoO vesONoO CONTACT NAME (If Dlrterent Fom Appllcant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 E. Baseline road suite# 155 ---CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa az 85206 PHONE I FAX PHONE IFAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamecha11ical.com PROPERTY OWNER NAME Horst Van Derlinder CONTRACTOR BUS, NAME California Delta Mechanical ADDRESS ADDRESS 2901 Levante Street 6056 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-943-9828 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# !CLASS lc,rveus. uc1214281 811114 c36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto 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 1031.5 by any applicant for a permit subjects the applicant to a civfl penalty of not more than five hundred dollars {$500}). Woriten' Compensation Declaration: I hereby affirm under penalty ofpe,jury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued {Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for whth this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co PolK;y No. 1697823 Expiration Dole 07101112 J.!$.seclion need not be completed if the permit is for one hundred dollars {$100) or less. L{J 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 manrier so as lo 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 (&t00,000), in addition to the cost of compensation, damages as provided for in Section 3706 f e Labor code, interest and attorney's fees. 8:f CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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 ~e: 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). □ D I, as owner of the property, am exclusively contracting with lk;ensed 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 ContractO(s License Law). I am exempt under Section ----~usiness and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property invrovement. QYes ONo 2. I (have I 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 (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / pt-one I contractors' license number): 5. l will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone / type of work): KS PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the :,resley-T armer Hazardous Substance Account Act? D Yes LJNo s the applicant or future building _occupant required to obtain a permit from the air pollution control district or a~ality management district? Oves O No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Ga1sbad to enter upon the atme mentiooed property fa inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD \GAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN At,'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT )SHA: An OSHA pemit is required for excavations CNer 5'0' deep Md demolition or ronstruction of structures Oler 3 stores in height :XPIRA TION: Every pem1it issued by the Buildi!YJ Offdal urider the provisions of this Code shall expire by lirrvtation aid become null and void if the building or work authorized by such pemit: is not commenced withil 80 days from the date of such perrrit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pen"od of 180 days (Section 106.4 .4 Uniform Building Code). ~APPUCANT'SSIGNATURE l,f/;{/4,t' DATE (/ ~ /;,,t. ----·--···· Inspection List Permit#: CB120589 Type: PME Date lnspe_ct~nltem 08/08/2012 25 Water HeaterNents 08/08/2012 25 Water HeaterNents 08/08/2012 29 Final Plumbing 08/08/2012 29 Final Plumbing Thursday, August 09, 2012 Inspector Act RI MC AP RI MC Fl VANDERLINDEN RES -REPLACE WTR HTR Comments CALL W/ETA PLS Page 1 of 1