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Home My WebLink About2266 PLAZUELA ST; ; CB121126; Permit06-18-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121126 Building Inspection Request Line (760) 602-2725 2266 PLAZUELA ST CBAD PME 2163400600 Lot#: 0 BLOOM: REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/18/2012 JMA 06/18/2012 06/18/2012 CALIFORNIA DEL TA MECHANICAL BLOOM FAMILY TRUST 05-04-07 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2266 PLAZUELA ST CARLSBAD CA 92009 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: /:L-1/-/v Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resetvations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 clays 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 service fees in connection with this project. NOA DOES IT APPLY to any I h"h "Ir hi r h flimi i xir City of Carlsbad 153'5 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2266 Plazuela st •· Plan Check No. Cf> Est. Value Plan Ck. Deposit Date I("' SUITE# /SPACE#/UN IT# APN CT/PROJECU-------. ·.ror, PHASE# # OF UNITs"rBEDROOMS #BATHROOMS rNANT BUSINESS NAME ---. DESCRIPTION OF WORK: /nc/udf!-Square Feet of Affected Area(s) ---~- ···-_-_-____ -_-I coNSTR.--WpE Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I ;I REPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[), NO□ YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ------· . - ADDRESS ADDRESS 6056 E Baseline rd# 155 6056 E. Baseline road suite# 155 ----------· -----sf ATE ZIP CITY STATE ZIP CITY Mesa AZ. 85206 Mesa AZ. 85206 ------ PHONE I FAX IFAX PHONE 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 --·--- EMAIL EMAIL california@2deltamechanical.com galiapavlovabg@2yahoo.com PROPERTY OWNER NAME Michael Bloom CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2266 Plazuela Pl 6056 E Baseline rd # 155 ZIP CITY STATE ZIP CITY STATE Carlsbad Ca 92009 Mesa AZ. 85206 PHONE IFAX PHONE IFAX 760-436-3936 480-8980-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITYBUS. LIC1214281 811114 c-36 (Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also re_qu1res 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, comme_ndmg with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the apphcant to a civil penalty of not more than five hundred dollars {$500)). @!4tt1:tt81J!ffi>i}itiiffl: I tl 11■ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: IZJ 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. 0 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 Policy No._____ 1697623 ____ Expiration Dale--~-0110112012 This section need not be completed if the permit is for one hundred dollars ($100) or less [2) Certificate of Exemption: I certify that in the performance of the work for which thi; 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 to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. £S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractors License Law for the following reason: □ □ □ 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 lo 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, 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 conlractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section ___ Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 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 / phone I 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 I phone/ contractors' license number) 5. I will provide some of the work, but I have contracted (hired) the following pers'.lns to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE s the appkant ·or future building occupant required to submit a business...w.wJ, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-Tanner Hazardous Substance Account Act? D Yes LJNo s the appl_ican! or future building _occupant required to obtain a permit from the air pollution control district or a~ality management district? Dves O No s the fac1l1ty to be constructed w1th1n 1,000 feet of the outer boundary of a school site? Oves 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 Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST 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 OSf-lA permit is required for excavations over 5'0' deep aid demolition or construc!ioo of structures ova 3 stories in height. :XPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by lirritatioo and become null and void iflhe building or work authOOZed by such permit is not commenced within 80 days from the date of such permit or if the building or work authorized by such perm~ is suspended or abandoned at any time after the work is commenced for a pefiod of 180 days (Section 106.4.4 Unifoml Building Code). ~ APPLICANT'S SIGNATURE , . Inspection List Permit#: CB121126 Type: PME Date lnspecti<>n_ltem 12/10/2012 25 Water HeaterNents 12/10/2012 25 Water HeaterNents 12/10/2012 29 Final Plumbing 12/10/2012 29 Final Plumbing Tuesday, December11,2012 Inspector PB PB BLOOM: REPLACE WATER HEATER Act Comments -------- RI AP RI AP Page 1 of 1