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Home My WebLink About2818 RANCHO PANCHO; ; CB132347; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-27-2013 Permit No: CB132347 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2818 RANCHO PANCHO CBAD PME Status: Parcel No: 2225911700 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: JOLLEY RES-REPLACE WATER HEATER -SAME LOCATION CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: JOLLEY STEPHEN 2818 RANCHO PANCHO CARLSBAD CA 92009 ISSUED 09/27/2013 RMA 09/27/2013 09/27/2013 $33.00 $0.00 $0.00 $62.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 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 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. NOR DOES IT APPLY to any f . n f whi h I Tl E imil r h. f i i h City of Carlsbad 1635 Faraday"Ave., clirlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2818 Rancho Pancho Plan Check No. Est. Value SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) ! FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[], NcC] vESONoO YESONoO CONTACT NAME (NDltfe,ontFomAppllcant) C l"J , D lta M h , I I APPLICANT NAME Galina Pavlova a I orma e ec amca nc. ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE 480-898-0007 IFAX 1-480-218-5645 858-361-6495 IFAX 858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Steve Jolley CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2818 Rancho Pancho 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE IFAX 760-438-4028 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# 'CLASS I CITYBUS. LIC.1214281 811114 c-36 (Sec: 7031.5 Business and P_rofessions Code: Any City or County wh,ch requires a permit to construct, alter, improve, demolish or repair any structure, pnorto its issuance, also r~u1res the app\icant 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 Busmess 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 a civil penalty Of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· [Z] I have and will maintain a certificate of consent to self-insure !Of worl(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is issued. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date 07to11'-014 ~section need not be completed ii the perm~ is for one hundred dollars ($100) or less. l.ll 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 ls unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages as provided for ln 37 6 of the Labor code, interest and attorney's fees. ,,.-/ 25 CONTRACTOR SIGNATURE 11111 ////.Vl-1 'A' .3 I I 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 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 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 constnx:t the prq'ect (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 lo 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 worl< 3. I have contracted with the following person {firm) lo 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 worl< (include name/ address I phone/ contractors' license number): 5. I will provide some of the worl<, but I have contracted (hired) the following persons to prov;de the worl< indicated (include name I address/ phone I type of worl<): 25 PROPERTY OWNER SIGNATURE DATE OMPLETE THIS S~CTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY s the appticant or futlll'8 building occupant required to submit a business..Q!fill, 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 appHcant or future building occupant required to obtain a permit from the air pollution control district or a~ality mana-Jement district? []ves D No s the facility to be constructed wittiin 1,000 feet of the outer boundary of a school site? DY es 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. ONSTRUCTION LENDING AGENCY PPLICANT CERTIFICATION certtty that I have read the application and state that the above Information is col1'8Ct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction. hereby authaize representative of the City of Carlsbad to enter upon the atx>ve mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is required for excavaoons over 5'0' deep and demolioon oroonstruction of structures over3 stories in height. ::XPIRA TION: Every permit is.sued by the Buik:ling Oflk:ial under the provisions of ttus Code shall expire by !irritation and become null and void if the building or work authorized by such permit is not oommenced 'Millin 80 days from the date of such perrrit or if the buik:ling orv«irk authorized by such permit is sUSPE! ded or abandoned at anytime after the work is commenced for ape · of 1~ ~ (Section 106.4.4 Uniform Building Ccxle). ,,@'.$'APPLICANT'SSIGNATURE DATE '/151 l_3 lnspectio'ri List Permit#: CB132347 Type: PME Date Inspection Item 10/09/2013 25 Water HeaterNents 10/09/2013 25 Water HeaterNents 10/09/2013 29 Final Plumbing 10/08/2013 25 Water HeaterNents 10/08/2013 29 Final Plumbing Wednesday, October 09, 2013 Inspector Act MC MC RI RI RI AP Fl JOLLEY RES-REPLACE WATER HEATER -SAME LOCATION Comments CALL W/ETA PM Page 1 of 1