Loading...
HomeMy WebLinkAbout1319 CASSINS ST; ; CB150169; Permit01-20-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumbing/Mechanicai/Eiectricai (PME) Permit Permit No: CBI50169 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1319 CASSINS ST CBAD PME 2156901900 Lot#: FISCHER RES - REPLACE WTR HTR SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/16/2015 SKS 01/16/2015 01/16/2015 Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007/866-6925273 Owner: FISCHER PAUL C&CHRISTINA M 1319 CASSINS ST CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: Date: ROVAL Clearance: NOTICE: Please take NOTICE mat 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/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) JOB ADDRESS 1319|^ssins street SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit , Date Replace water heater like for alike. Same location EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YES| |# NOQ AIR CONDITIONING YEsj |NO| 1 FIRE SPRINKLERS YESQ N0| 1 CONTACT NAME (If Different Fom Applicant) ^ :!alifornia Delta Mech< snical Inc. APPLICANT HH ME Galina Pavlova ADDRESS 6056 E Baseline Rd#155 ADDRESS 6056 E Baseline Rd#155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE 480-898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 FAX 858-240-6677 EMAIL california@deltamechanical.com EMAIL galinap@deltamechanical.com PROPERTY OWNER NAME Graig Fischer CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS 1319i|^ssins street ADDRESS 6056 E Baseline Rd3155 CITY Carlsbad STATE ZIP CA 92011 CITY Mesa STATE AZ ZIP 85206 PHONE 714-328-4746 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. tt STATE LIC.# 811114 CUSS C-36 CITY BUS. LIC.# 1214281 (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 Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation 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)). C OMPE NS ATIO N Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declaralions: [Zl 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 cf the work for which this permit is issued. I have and will maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My wori<ers' compensation insurance carrier and policy number are: Insurance Co Wesco Insurance company Policy No. oamm Expiration Date This section need nol be completed if the permit is for one hundred dollars ($100) or less, f/l Certificate of Exemption: I certify that in the perfonnance of Ihe 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 Califomia WARNING: Failure to secure worlters' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars (&100,000), in addition to the cost of compensatian, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. ygS" CONTRACTOR SIGNATURE /^^^^^^-"'^ /^/'^'^''^^^f I hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as Iheir 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 buiids or improves thereon, and who does such work himself or through his own employees, provided that such improvements are nol 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 I 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: 1,1 personally plan to provide the major labor and materials for construction of the proposed property improvement, •Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted wilh the following person (finm) to provide the proposed construction (include name address / phone / contractors' license number): 4,1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wor1( (include name / address / phone / contractors' license number): 5,1 will provide some ofthe work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .^TPROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of Ihe air qual Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes IINO iS plan. Presley-Tanner Hazanlous Substance Account Act? Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air oualitv management district? 13'es !~]NO 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. COH ST ft U C T 1 « N Jt e l«» IJM GAG I hereby affirm that there is a construction lending agency for the performance of the mrk this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name APPLICANT C E ft=T¥r:1'i''':^''W-d':W' Lender's Address I certify that i have read the application and state thatthe atxive infonnation is conect and thatthe infonnation on the plans is accurate. I agree to comply with ail City onlinances and State laws relatingto building constniction. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property fbr inspectbn purposes. I ALSO AGREE TO SAVE, INDEIVINII^ AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGIVIENTS, COSTS AND EXPENSES WHICH IVWY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required fbr excavations over 5'0' deep and demolition or construction of structures over 3 stories in heighL EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and vokl if the building or work authorized by such pemnit is not commenced within 180 days from the date of such petmit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sedron 106,4.4 Unifomn Building Code). -^APPLICANT'S SIGNATURE /'f)/yfyf DATE Inspection List Permits: CB150169 Type: PME FISCHER RES - REPLACE WTR HTR SAME LOCATION Date Inspection Jtem Inspector Act Comments 01/30/2015 25 Water Heater/Vents - Rl 01/30/2015 25 Water Heater/Vents PY AP 01/30/2015 29 Final Plumbing - Rl 01/30/2015 29 Final Plumbing PY AP Monday, February 02, 2015 Page 1 of 1