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Home My WebLink About2877 SEGOVIA WAY; ; CB111474; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-07-2011 Plumbing Permit Permit No: CB111474 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2877 SEGOVIA WY CBAD PLUM Parcel No: 2552804000 Lot#: 0 Construction Type: NEW Reference #: PC#: Project Title: CRAVES RES-REPLACE WTR HTR Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 Owner: Total Payments To Date: FINAL APP Date: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/30/2011 LSM 07/07/2011 07/07/2011 $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 $27.00 Balance Due: Clearance: $0.00 that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 Carl:;bad 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 x i n f whi h T ·mil r limi i n h Cit!,' of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2877 Segovia Way # OF UNITS # BEDROOMS- C,feROJECU I LOU I'""" -DESCRIPTION OF-WORK: Include Square Feet (ifffl~e_ct_ed~A-,e-a-(s_)J ___ _1 __ Plan Check No. Est. Value Plan Ck. Deposit Date 7-1- SUITE#/SPACE#/UNIT# APN Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO, No[] YES □No□ YES □No□ CONTACT NAME (If Dttrerent Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova --- ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 East Baseline rd # 155 ---STATE ZIP CITY STATE ZIP CITY Mesa AZ. 85206 Mesa AZ. 85206 ------·· ------------------ IFAX __ ,. PHONE PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 ---- ------· EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Matthew Craves CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2877 Seqovia Wav 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-943-807 4 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITYBUS. LIC.1214281 811114 c36 (Sec. 7031.5 Business and Profess1ons Code: Any C1ty or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violat1on 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 Declaration: I hereby affirm under penally of perjury one of the following declarations: [2] 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 [Z] I have and will maintain workers' compensation, as reQuired bv Section 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. _ __ 1697823 Expiration Date or101flll12 This section need not be completed if the permit is for one hundred dollars ($100) or less. [Zl Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ nny 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 3706 of the Labor code, interest and attorney's fees. ,/5 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, 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, II, 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 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 ProfessKlns Code for this reason 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed wort 3. I have contracted with the following person (firm) to provide the proposed construction (inr;lude 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, :;upervise and provide the major worll (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 I phone I type of work): ,/5 PROPERTY OWNER SIGNATURE DATE s 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 )resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant 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 wrthin 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 ANO THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the application and state that the above information is correct and that the infolTil8tion on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Ca1sbal to enter upon the abo.te mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD \GA INST 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 penrit is reqlirecl for excavatioos (Ne!" 5'0' deep m demolitioo or construction of structures CNer 3 stories in height. :XPIRA TlON: Every permit issued by the Building Official under the proviskrls of this Code shall expire by limitation end become null and 1/0id if the building or work authorized by such permit is not ccmnenced \Whin 80 days from the date of such penrit or if the buildilg orW<Xk authorized by such permit is suspended or ci:landoned at any time after the work is commenced for a period of 180 dr (Section 100.4.4 Uniform Building Code) . ..@'f APPLICANT'S SIGNATURE I! DATE "9-I (J-iL / I ( City of Carlsbad Bldg Inspection Request For: 10/14/2011 Permit# CB111474 Title: CRAVES RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2877 SEGOVIA WY Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: CRAVETS FAMILY TRUST 02-17-11 Remarks: CALL W/ETA PLEASE Total Time: CD Description Act Comments 25 Water HeaterNents 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 09/27/2011 25 Water HeaterNents 09/27/2011 29 Final Plumbing Act lnsp Comments NR TP NO ONE HM NR TP Inspector Assignment: TP --- Phone: 7609438074 Requested By: KRISTINA Entered By: JANEAN