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Home My WebLink About2020 SUBIDA TER; ; CB111614; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-2!5-20~ 1 Plumbing Permit Permit No: CB111614 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2020 SUBIDA TERRACE CBAD PLUM 2164811200 Lot#: 0 Construction Type: NEW MACGREGOR RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CALIFORNIA DEL TA MECHANICAL MACGREGOR JAMES K&GINA A 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 2020 SUBIDA TER CARLSBAD CA 92009 FINAL APPROVAL Date: Clearance: ISSUED 07/25/2011 KG $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 $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 pennit 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 setvice fees in connection with this project. NOR DOES IT APPLY to any in fwhih rvi l TIEimilr !hi ra flii i hrwi Cit~ of Carlsbad 1635 Faraday Ave .. Carlsbad. CA 92008 760-602-2717 / 2718/ 2719 ·Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2020 Subida ter. CT/PROJECT# . -----------------------LOT# PHASE# # OF UNITS-if8E6ROOMS Plan Check No. Est. Value Plan Ck. Deposit Date 7-)._~., SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT8USINESS NAME OGG. GROUP DESCRIPTION OF WORK, Include Squa,e Feet of Affect~ed"A~,e~a(~,-f-) __ _. ____ _._ ____ L_ ____________ ~ ----.-- 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 v,so NoO vesONoO vesONoC CONTACT NAME (If Different Fom App/leant) 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 --------- PHONE -. IFAX IFAX PHONE 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 Jim Mac Gregor CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2020 Subida Ter. 6052 East Baseline rd # 155 ZIP CITY STATE ZIP CITY STATE Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 619-370-3576 180-898-0007 EMf-.lL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS lc,rvsus. uc1214281 811114 c36 (Sec. 7031.5 Business and Professions 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawjChapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s 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 penalty 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 Ccxle, for the performance of the work for which this permit is issued 0 I have and will maintain workers' compensation, as required by 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--~-01101r2012 ~section need not be completed if the permit is for one hundred dollars ($100) or less. liJ 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 California. WARNING; Failure to secure workers' compensation <.overage 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 compen&ation, damages as provided for in Section 370 o th L or Gode, interest and attomey's fees. ~ CONTRACTCR 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. 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 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 []No 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/ 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/ 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/ address / phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business a, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-T anner 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? O,es D No s the facility tolle constructed within 1,000 feet of the outer boundary of a school site? Oves 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 have 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 ordinances and State laws relating to building construc.tion. here9}' authorize representalive of the City of Caisbad to enter upon the abcNe mentioned property for inspection pll'J)OSE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAIN ST 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 require:! for excavations over 5'0' deep clld derrolition or ronstruction of structures over 3 stories in height :XPIRA TION: Every pemit issued by the Building Official under the provisions of this Ccxle sh~I expire by lirm.ation c¥ld bero"ne null and void if lhe building or 'AOl'k authorized by such permit is not ccmnenced within 80 days from lhe date of such pemit or if the buildrtg or work authorized by such pemilt is suspended or ciJandoned at any time after the work is corrrnenced for a period of 180 days (Section 100.4.4 Unifom Building Code). Ji$ APPLICANT'S SIGNATURE DATE