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HomeMy WebLinkAbout2758 SOUTHAMPTON RD; ; CB142449; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-22-2014 Permit No: CB142449 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2758 SOUTHAMPTON RD CBAD PME Status: Parcel No: 2081403000 Lot #: 0 Applied: ISSUED 09/22/2014 SKS 09/22/2014 09/22/2014 Reference #: PC#: Project Title: Applicant: DEATON-CANDACE RES: REPLACE WATER HEATER, SAME LOCATION CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: DEATON MICHAEL&BROWN CANDACE 2758 SOUTHAMPTON RD CARLSBAD CA 92010 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Date: VAL l--Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/ex cti ns f which h v revi sl en iven a NOTICE similar to this or as to which the tatute of limitations has reviousl otherwise ex ired. . . City of· Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760·602·2717 / 2718/ 2719 Fax: 760·602-8558 Building Permit Application JOB ADDRESS 2758 Southhampton Rd Plan Check No. Est. Value Plan Ck. Deposit 1 Date { 7'&{ / lj I C:/~~OJECT #~_::---_-_:~~-r~,~O"T-#"-__ J PHAS~ # 1 # OF UNl~S 1 # BEDR~OMS-. DESCRIPTION OF WORK: Include Square Feet of Affected Area(.$) SUITE#/SPACE#/UNIT# I APN 11 BATHROOMS l TENANT BUSINESS NAM"e 0 ---------['°''" me I occ. GROUP 1 Replace water heater like for alike, Same location ! EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YES0, I AIR CONDITIONING IFIRE SPRINKLERS NO□ YES □No □ YES□No□ CONTACT NAME (ff Different Fom App/leant) C I 'f . D It M h , I I a I orma e a ec amca nc. APPLICANT NAME Galina Pavlova ADDRESS 6056 E Baseline Rd # 155 ----------------Cir/ STATE ZIP Mesa ADDRESS 6056 E B~seline Rd # 155 --------Cir/ TC ZIP ------ ~ONE AZ. 85206 ,-Mesa AZ. 85206 -'--'=--------'-'-'~'-----+==-----'-------~-cc.---------~--------j PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1 858-240-6677 AIL california(iildeltamechanical,com EMAIL galinap(iildeltamechanical.com CONTRACTOR BUS. NAME PROPERTYOWNERNAM~.t',,__ '-, de d B :,;:;..,-rlM'-' / an ace rown ADDRESS ___ --------• -------California Delta Mechanical Inc_. __ _ 2758 Southhamoton Rd ADDRESS 6056 E Baseline Rd 3 155 Cir/ STATE ZIP Cir/ STATE ZIP Carlsbad CA 92010 Mesa AZ. 85206 --------- IFAX PHONE PHONE I FAX 760-729-5245 480-898-0007 "EMAIL i EMAIL ~--------- rCl.ASS~-36 ARCH/DESIGNER NAME & AD□-~ I STATE LIC. # STATE LIC.# I CITYBUS. LIC.1214281 811114 (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 per_m1t to file a s1.-(ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's L1c"!nse Law/Chapter 9, comme_nding with Section 7000 of D1v1sion 3 of the Business and Professions Code] or that he 1s exempt therefrom, and the basrs for the alleged exemption. Any v1olat1on of Section 031.5 by any i'!ppl1cant for a permit subjects the appl1c:mt to a c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation 0eclaration: I hereby affirm under penally of perjury one offhe 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 performaricri o: the work for which this permit 1s issued [Z] I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code. for the performance of the woric: for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Wesco Insurance company Policy No. Q2588J07 Expiration Date 0610211s This section need not be completed 1f the perm rt 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 becr.,me subject to the Workers' Compensation La'NS 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. 2S CONTRACTOR SIGNATURE I hereby affirm /har I am exempt from Contractor's License Law for the following reason: D I, _as owner of the property or my employees with wages as their sole compensation, will do the work and !he structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's □ D 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, prov1deC: 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 fo1 the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contract:lr's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contracto~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. OYes ONo 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) lo 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 I address I phone I cuntractors' license number) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the woric: indicated (include name I address I phone I type of work)· 2S PROPERTY OWNER SIGNATURE CATE ----·---- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY' Is the applicant or future build mg occupant required to submit a busmess..,[lli!!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-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~alily management district? [Jves D No Is the facility 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 information on the plans is accurate. I agree to comply with all Cityorrlirianr.es and State lews relating to building construction. I hereby authorize representative oflhe City of Ca~sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNfFY AND K"::EP 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; An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by lrmJ!ation and become null Md void if the building or work authorized by such permit is not commenced within 180 days from the date of such pennrt or if the building or work authorized by such perm~ is suspended or abandoned at any time after the work~ commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANrSSIGNATURE__ ~1!---___ DATE 9,//J' /(<; Inspection List Permit#: CB142449 Type: PME Date _ Inspection Item __ _ 10/01/2014 25 Water HeaterNents 10/01/2014 25 Water HeaterNents 10/01/2014 29 Final Plumbing 10/01/2014 29 Final Plumbing Friday, October 03, 2014 Inspector Act RI PY AP RI PY AP DEATON-CANDACE RES: REPLACE WATER HEATER, SAME LOCATION Comments PM PLS Page 1 of 1