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HomeMy WebLinkAbout2846 RANCHO PANCHO; ; CB110412; Permit02-24-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110412 Building Inspection Request Line (760) 602-2725 2846 RANCHO PANCHO CBAD PLUM 2225912400 Lot#: 0 Construction Type: NEW BYKOWSKI RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/24/2011 LSM 02/24/2011 02/24/2011 Applicant: CALIFORNIA DELTA MECHANICAL BYKOWSKI RONALD F&LINDA E REVOCABLE TRUST 07-23- SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2846 RANCHO PANCHO CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: FINAL APPROVAL Date: oqjos/ ll Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this permit 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 Carl5bad 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 tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gracing or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f,,,,.,1,,x;:i.c:tinn<:: ,.f '"hir.h '"'" h;:i.vP-nr-· ·'-.. -1-· "' --n '"'iV"n · il<>r •--.hi<> "r --•-whi"h 1h ·' i1<>1i --h<>" '1revi"""I i -xnir-.... ,. City of Carlsbad 163!5 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2846 Rancho Pancho CT/PROJECT# PHASE# # OF UNITS # BEDROOMS DESCRIPTIONO~F"WMO~RK~,.,~nc"'/•~de~S~q=ua=,e~F~ee~t~o'fA"'ffectb~ed~A,e=a~(s-/--) --~---·------ Plan Check No. l!.8110'--1 I°&- Est. Value Plan Ck. Deposit Date I). o'--t , l SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NX~fE Replace existing water heater with tankless-Rinnai 199k.Location inside in a garage EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS {SF) I FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS " YES[} NO□ YES □No□ YES□No□ CONTACTNAME (lfD/ffe,entFomAppl/oant) C l"f . D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E Baseline rd# 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 1-858-410-1499 ----EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Ron Bykowski CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2846 Rancho Pancho 6052 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-930-0521 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESj,. I STATE UC.# STATE UC.# I CLASS l°'lYBUS LIC1214281 811114 c36 {Sec. 7031.5 Business and Professions Code: Any City or County whtch requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nding 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 apphcant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations [2J I have and will maintain a certificate of consent to self-Insure for workers' compensa~on 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 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 Policy No 1697823 Expiration Date 0710112(111 ~section 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 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. IS CONTRACTOR SIGNATURE '£,,C. I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensahon, 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 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 buildi~ 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 wth contractor(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 construcUon of the proposed property improvement. 0Yes 0No 2. I (have/ 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 I phone I contractors' license number): 5, I 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): IS PROPERTY OWNER SIGNATURE OATE 0111tl"LE;1'E 'l'HIS Sl!C'l'ION FOR NON-RESUJEN'l'IAI. SIIILDING PERMl'l'S ONLY ·• /•.•~ s the applicant or future building occupant required to submit a busmessa. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-T anner Hazardous Substance Account Act? D Yes LJNo s the appl_icant or future building OCCllpant required to obtain a permit from the air pollution control district or ai,t.9.!l,ality management district? Des D No s thefac:1hty to be constructed within 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 corredancl that the infonnation 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 Ca1sbad to enter upon fhe-. 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 Atff WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA penrit is reqLirecl for excavations <:Nef 5'0' deep clld demolition or oonstruction of strudures CNer 3 stories in height. :XPIRA TION: Every pemit is&Jed by lhe Buiklr(I Official under the pn:7Jisions of this Code ~ expire by lirmation md become null Md void if lhe building or wcrk authorized by such permit is not corrrnenced VMhin 80 days from the date of such pemit or iflhe buicling or work authorized by such permit is suspended or ci:>andoned a: any time after lhe v.ak is rommenced for a period of 180 days {Section 106.4.4 Unifoon Buildir(I Code). ftS APPLICANT'S SIGNATURE £ DATE ={ ,//' s /// City of Carlsbad Bldg Inspection Request For: 04/04/2011 Permit# CB110412 Inspector Assignment: PD Title: BYKOWSKI RES-REPLACE WTR HTR Description: Sub Type: --- Type:PLUM Phone: 7609300521 Job Address: 2846 RANCHO PANCHO Suite: Lot: 0 Location: Inspector: OWNER BYKOWSKI RONALD F&LINDA E REVOCABLE TRUST 07-23- 0wner BYKOWSKI RONALD F&LINDA E REVOCABLE TRUST 07-23- Remarks: ---- Total Time: Requested By: RON Entered By: JANEAN CD Description 29 Final Plumbing Act Comments _0_ ~c..-nc>,\.lS ~ P, t:>, D(t:.1 N8-vJ 'l .Jl..Jl~'-f:.,~$' W/f.-1 , Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histo[l,' Date Description Act lnsp Comments 03/29/2011 25 Water HeaterNents co PD ON CARD 03/15/2011 25 Water HeaterNents co PD NO ACCESS@ 9:30AM 03/15/2011 29 Final Plumbing co PD