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Home My WebLink About1415 SAPPHIRE DR; ; CB112460; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-18-2011 Permit No: CB 112460 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1415 SAPPHIRE DR CBAD PME 2121903100 HO RES-REPLACE WTR HTR CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: HO GILBERT J 1415 SAPPHIRE DR CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 11/18/2011 LSM 11/18/2011 11/18/2011 $150,00 $0.00 $0,00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL APPROVAL Inspector: J11.· U>--{,lb1 Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the ulmposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 clays 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 Car!sbad 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 NOTIFl=D 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 tT APPLY to any x in fwhi r vi I Tl i ii r hi Ii i City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS SUITE#/SPACE#/UNIT# Plan Check No.o..B I [ :>l..f ~ D Est. Value Plan Ck. Deposit Date 11 (ir 11 APN Replace existing like for alike water heater EXISTING USE I PROPOSED U~E I GARAGE (SF) PATIOS (SF) I DECKS (SF) I _FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so NO□ YES □No □ YES □No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 E. Baseline road suite# 155 6056 E. Baseline road suite# 155 -- CITY STATE ZIP STATE ZIP CITY Mesa AZ. 85206 Mesa AZ. 85206 PHONE I FAX -· PHONE IFAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 -- EMAIL EMAIL california@deltamechanical.com galinap@deltamechancial .com PROPERTY OWNER NAME Ching Ho CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1415 Sapphire Dr 6052 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-918-0663 480-898-000 480-218-5645 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC,# STATE UC.# I CLASS I CITY BUS. UC 1214281 811114 c36 (Sec, 7031.5 Business and Professions Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the app\1cant 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 B_usmess and Professions Code} or that 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 c1v1I penalty of not more than five hundred dollars {$500}). 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 for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued [Zl I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whlCh this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Polley No. --·" 1697823 Expiration Date ~7ro1121112 ~section need not be completed if the permit is for one hundred dollars ($100) or less. ltJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall r\Ot 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 70 oft e Labor code, Interest and attorney's fees. LS CONTRACTOR SIGNATURE 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. 9usiness 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 himse~ 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 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or 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 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 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 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/ phone/ type of work): LS PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a businessa. acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the )resley-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 management district? Des 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. hereby affirm that there is a construction lending age .ender's Name certify that I have read the application and state that the above information Is correct and that the information on tile plans Is accurate. r agree to comply with all City ordinances and State laws relating to buildlng construction. hereby authorize representative of the City of Caisbad to enter upon the above mentiCJJed 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. )SHA: An OSHA pemit is required for excavations CNer 5'0' deep cl'ld demolition or oonstruction of structures CNer 3 stories in height. iXP!RA TION: Evert pennlt issued by the Building Official under lhe provi.5ions of this Code shall expire by !irritation aid becoole null cl'ld void if the building or v.ork authorized by such permit is not CXJmmenced \Whin 80 days frcxn the dale of such perrrit or if the building or work authorized by such permit is suspended or al:landoned at anytime after the work is CXJmmenced for a period of 180 days (Section 106.4.4 Uniform Building Code). £S APPLICANT'S SIGNATURE DATE // 1/ 5 // City of Carlsbad Bldg Inspection Request For: 12/05/2011 Permit# CB112460 Title: HO RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: Location: 1415 SAPPHIRE DR Lot: OWNER HO GILBERT J Owner: HO CHING JONG 0 Remarks: 8 -10 AM PLEASE CALL WITH ETA Total Time: CD Description Act Comments Inspector Assignment: Phone: 7609180663 Inspector: _..JMGa..:....::,.__ Requested By: CHING Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing ~ Eix1$-n,J,ei ( c:XA"l1_._,.,,,o.J"--"--------- 'f1 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments