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Home My WebLink About2008 SALIENTE WAY; ; CB122641; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-11-2012 Permit No: CB122641 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2008 SALIENTE WY CBAD PME 2164815300 JENKINS RES -REPLACE Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/11/2012 SKS WATER HEATER, SAME SIZE & LOCATION. Applicant: 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 Total Fees: Inspector: $95.00 Owner: VANDERHORST ROGER M L&WILHELMINA AM P 2008 SALIENTE WAY CARLSBAD CA 92009 FINAL APPROVAL Date: Clearance: $31.00 $0.00 $0.00 $64.00 $95.00 $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 se1Vice fees in connection with this project. NOR DOES lT APPLY to any f · n f whi h r vi I N T E imi r whi f 'mi i ir .City of Carlsbad .. 7., 1,;I.(? • Plan Check No. 1635 Faraday Ave., Garlsbad, CA 92008 ~--~ Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit .. Building Permit Application <-10 Date (7/ / 1 /fv I JOB ADDRESS SUI I E#/SPACE#/UNIT# I APN 2008 Saliente Way . . . CT/PROJECT# rO• # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS rENANT BUSINESS NAME I CONSTR. TYPE f occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(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 vcsO NcCJ vcs0No0 vcs0No0 CONTACT NAME (lfDlff&NnlFomApplloaot) Califronia Delta Mechanical Inc APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 I FAX 858-240-6677 EMAIL EMAIL califomia@,deltamechanical.com aalinap(iildeltamechanical .com PROPERTY OWNER NAME Roger Vandergorst CONTRACTOR BUS. NAME California Delta Mechanical inc. ADDRESS ADDRESS 2008 Saliente Way 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa Az 85206 PHONE I'"" PHONE [FAX 760-436-0768 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I'= I CllY BUS. LIC.1214281 811114 c-36 (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 app!icant for such pe~mit to file a signed st,,itement that he is licensed pursuant to the provisions of t~e Contra<;:tor·~ License (,aw (Chapter 9, comme_nding with Secti~n 70_00 of Divisior) 3 of the Business and Professions Code) or (hat he Is exem.11t 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 [$500)). WORil'liRS' COMPJNSATION Worker$' Coq>ensatlon Declaration: / hereby affirm under penalty of peljury one of the following declarations: [2] I have and will maintain a certificate of consent to self-Insure for 'Mlrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the 'Mlrk for which this permit is Issued. [Z] I have and will maintain workers' compensation, as required Dy Seeton 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. 169782l Expiration Date 07101113 ~section need not be completed if the permit is for one hundred dollars ($100) or less. 1.LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califom~. WARNING: Failure to secure worker$' 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 370 of h abor code, interest and attorney's fees. / ,g CONTRACTOR SIGNATURE UIA/V\ DATE /A; 1 I ,,1., 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, wrn do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Tile Contractor's License Law does not apply to an Q'M1er of property who bul\ds or improves thereon, and who does such work himself or through his own employees, provided that slX'.:h Improvements are not Intended or offered for sale. 11, 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 tile purpose of sale). 0 I, as owner of the property, am excllsivety contractirg with licensed contractors to construct the projec1 (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 Contractor's License Law). □ I am exempt under Section ____ Business and Professions Code for this reason: 1, I personally plan kl provide the major labor and materials forconstru;tlon of the proposed property improvement. Oves 0No 2. I (have/ have not) s.;jned an application for a building perm11 for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ 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/ address I phone I contractors' license number): 5. I will provide some of the work, but\ have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): AS PROPERTY OWNER SIGNATURE DATE /' ' CO!ltli'~ETE THI$ SECTION FOR NON-Rl!SIDENTIA~ BUILDING PERMITS ONLY Is the applK:ant or future building occupant required to submit a businessa, ocutely hazardous materials registration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanl'\er Hazardous Substance Account Act? D Yes LJNo Is the applicant or Mure building occupant required to obtain a pennit from the air pollution control district or a~ality management district? Dves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo IF 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 EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state that the above infonnation is collect and that the infonnatlon on the plans is accurate. I agree to comply v,ttt, all City ordinances and state laws relating to bulldlng construction. I hereby authorize representative c:lthe Crtyof Carlsbad to enter u~ lhe abo'-.e mentioned property for ins~ puq::oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is ra:iuirEd for excavatbns over S'0' deep and clerooition or constnx:lion of structures OVf1: 3 stones in height EXPIRATION: Ewiy permit issued by the Building ()ficial urderthe provisbns cJ this Cede shall expire by limitation and become null and \00 if the building or work authorized by such permit is not conmenced within 180 days from the date of suet, permit or if the building or work authorized by such permit is susperded or abcn:loned al any time after the work is cornrnerred for a perioo of 180 da (Sectk>n 100.4.4 UnifooTI Building C.ode), ,gAPPLICANT'S~GNATURE ""' A,r DATE 0( /:; /4,l