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Home My WebLink About1580 SAPPHIRE DR; ; CB121798; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-13-2012 Permit No: CB121798 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1580 SAPPHIRE DR CBAD PME 2122011500 Lot#: Status: 0 Applied: Entered By: Reference#: Plan Approved: PC#: Project Title: PADILLA RES-REPLACE H2O HEATER LIKE FOR LIKE 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 Owner: PADILLA SUSANA E 1580 SAPPHIRE DR CARLSBAD CA 92011 619-616-0823 Issued: Inspect Area: ISSUED 09/12/2012 SKS 09/12/2012 09/12/2012 $31,00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: Date: ~ 13 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. lf 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 lega! 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 h' h h v r i n i n N Tl i ·1 r hi h h i i i n h vi I h i City of Carlsbad (i) Plan Check No. ch I{/ l 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 . Plan Ck. Deposit . Building Permit Application Qu') Date Pf/ft,/ /V I JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 1580 Sapphire Dr --- CT/PROJECT# I LOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP r-t)ESCRIPTION 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) lDECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), "'° v,s □No □ YES□No□ CONTACT NAME (If Different Fom Appl/cant) California Delta Mechanical APPLICANT NAME Stefan Grozev ADDRESS ADDRESS 6056 E. Baseline road suite # 155 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 619-228-6509 858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Susana Padilla CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1580 Sapphire Dr 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 619-616-0823 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I 0~~6, c-:UlciTY sus "'1214281 ./ 811114 (Sec, 7031.5 Business and P.rofe~1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a s1~ned 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 B_usmess and Professions Code) orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penall'yof perjury one offhe following decJarations: [Z] I have and will maintain a certificate of consent to self-insure for'MJrkers' compensation as provided by Section 3700 of the Lat>or Code, for the performance of the work for which this permit is issued. l2J I have and will maintain workers' compensation, as reauired bv Section 3700 of lhe Labor Code. for the performan,:e of the work for which this permit is issued. My workers· compensation insurance carrier and policy number are: Insurance Co State Fund Policy No. 1697823 Expiration Date 01101113 This section need not be comp~ted 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 empkly 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 O{le hundred thousand dollars (&100,000), in addition to the cost of compensation, dasprovided for i~ion 3706 of the labor code, Interest and attorney's fees. {J'/ ,C /1· z NScoNTRACTORStGNATURE _ ~~ ~ 7, JI 1 I hereby affirm that I am exempt from Contractor's Ucense Law tor tile following reason: □ □ □ I, as owner of the property or my empkJyees 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 sate. 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 tor 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 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 construcUon of the proposed property improvement OYes ONo 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 I 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 'M:lrk (include name/ address/ 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/ phone/ type of work): JES PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business~, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres~y, Tanner Hazardous Substance Account Act? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a![.ill!ality management district? Oves D No Is the facillty 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction. I hereby authorize representative of the CJtyof Carlsbad to enter UJXlll lhe atxr-.e mentioned property for insP3(!tion purposes, 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: Ari OSHA pennit is required for excavaOOOS over 5'0' deep and demoJition or oonstruction of structures CNe< 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and te:ome null and void if the building or work authorized by such permit is not oommenced within 180 days from the date of such permit or if the building or work authorized by s~t is suspended or abandoned at anyti100 after the work is oommenced for a period of 180 day;; (Sedion 100. .4.4 Uniform Building Code). ~APPLICANT'SSIGNATURE :::;::::; • ~J __ _,,/ DATE 9 /5// 2 Inspection List Permit#: CB121798 Type: PME Date lnspecUon Item 03/14/2013 25 Water HeaterNents 03/14/2013 25 Water HeaterNents 03/14/2013 29 Final Plumbing 03/14/2013 29 Final Plumbing Inspector MC MC Act RI AP RI Fl PADILLA RES-REPLACE H2O HEATER LIKE FOR LIKE Comments FIRST AM PLS EXISTING LOCATION Friday, March 15, 2013 Page 1 of 1