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Home My WebLink About1612 SAPPHIRE DR; ; CB111382; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27-2011 Plumbing Permit Permit No: CB111382 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1612 SAPPHIRE DR CBAD PLUM Status: Parcel No: 2122012300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: WAITE RES-REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE 1127 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 0 0 0 0 1 0 0 Owner: WAITE CHAD&ANNETTE 1612 SAPPHIRE DR CARLSBAD CA 92011 ISSUED 06/27/2011 LSM 06127/2011 06/27/2011 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE th 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 tees/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 x i n fwh· n iv n N Tl hi r i h f i i i Cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1612 Sapphire Dr Plan Check No. c..&l \ I '3, &'~ Est. Value Plan Ck. Deposit Date I SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. 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 I AIR CONDITIONING I FIRE SPRINKLERS YES0, No[] YES □No □ YES□No□ CONTACT NAME (lfDlffi,n,ntFomAppl/cant) 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 road suite# 155 . ~·-·-· ····-··~---cnY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 - PHONE I FAX PHONE 858-361-6495 858-240-6677 480-898-0007 I FAX 1-480-218-5645 ·- EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Annette Waite CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADC.RESS ADDRESS 1612 Sapphire Dr 6052 East Baseline rd # 155 -CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 619-733-6218 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I c11Yaus. uc1214281 811114 c36 (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Worflers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 pertormance of the work for which this permit is issued 0 I have and will maintain worfleni' compensation, as roouirecl bv Section 3700 of the Labor Code, for the pelformance of the work for which this perm4 is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date 071111121112 This section need not be completed if the permit is for one hundred dollars ($100) or less. [Z} 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 Caiifomia. 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 Se of the Labor code, intarest and attorney's fees. / ~ CONTRACTOR SIGNATURE :A;/ I// • I hereby affirm that I am exempt from Contracto(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 sa!e). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professiflns 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 to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo 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/ 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/ phone / 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/ phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE 0 MI' L l T JI 'I' HIS $EC TIO N F O R NON· RES ID a;.iu T'f _;t L B U IL DIN G I' ERM ITS O NL Y ' i s the applicant or future building occupant required to submit a business~, acutely hazardous materials registration form or risk management and prevention program under Sec~ons 25505, 25533 or 25534 of the )resley-Tanner Hazardous Substance Account Act? 0 Yes LJNo s the ap~l.icant or future building_o~cupant required to obtain a permit from the air pollution control district or a~ality management district? []ves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF ,MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. certify that I haYe read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City oltlinances and State laws relating to building construction. h.-eby au1ho<ize represenlalive of the City of Ca'lsbal to enter upon the above mentioned prupertyfor inspeclioo i>JIJJOS"S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is reqlired for excavations OM 5'0' deep aid derrdition or construction of structures fJM 3 stories in height. iXPIRA TION: Every pennit issued by the Buiklng Official under the provisions of this Code shat expire by !irritation md become ooll and void if the buiking oc VtlOO( authorized by such pennit is not oonmenced within 80 days from the date of such pennt or if the building or WOO: a.Jthorized by such · is suspended oc .t>andooa:I at anytime after lhe fflX'k is corrmenoocl for a pericxl of 180 days {Section 106.4.4 Uoifoml Building Code). ,t!$ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 12/23/2011 Permit# CB111382 Title: WAITE RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 1612 SAPPHIRE DR Lot: 0 Inspector Assignment: Phone: 7604761730 Location: Inspector: ---- OWNER WAITE CHAD&ANNETTE Owner: WAITE CHAD&ANNETTE Remarks: OR CELL 619-733-6218 Total Time: CD Description 25 Water HeaterNents Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Requested By: ANNETTE WAITE Entered By: CHRISTINE