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
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,.
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
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'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