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Home My WebLink About1742 ORIOLE CT; ; CB120193; Permit' • 01-31-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120193 Building Inspection Request Line (760) 602-2725 17 42 ORIOLE CT CBAD PME 2159211600 Lot#: 0 CARR RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/31/2012 LSM 01/31/2012 01/31/2012 CALIFORNIA DELTA MECHANICAL CARR DAVID G&JOAN M SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 17 42 ORIOLE CT CARLSBAD CA 92011 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTIC roval of your project includes the ~imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." YCli.. ave 90 ddys 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 tt•rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Ca.lsbad 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. NOA DOES IT APPLY to any . n I h' h Tl lmil r whi h h h i City of Carlsbad Plan Check No. C/t) I :;lo l 3 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1742 Oriole Ct CT/PROJECT# I LOT# PHASE. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) # OF UNITS Est. Value Plan Ck. Deposit Date / '&I 12-- SUITE#/SPACE#/UNIT# APN #BEDROOMS # BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater CONSTR. TYPE acc. GROUP EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), NO□ YES □No □ YES□No□ CONTACT NAME (If Different Fom ApplfcantJ California Delta Mechanical APPLICANT NAME Galina Pavlova - ADDRESS ADDRESS 6056 East Baseline rd # 155 6056 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 I FAX 1-858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPERTY OWNER NAME Joan Carr CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1742 Oriole Ct 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE Z!f> Carlsbad CA 92011 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-930-0552 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS ICl1YBUS. LIC1214281 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 Law (Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or fhat 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}). Workers' Compensation Declaration: / 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 0 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 07101r2012 ~section need not be completed if the permit is for one hundred dollars ($100) or less. llJ 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 coverage is unlawful, and shall subject an employer to crimlnal penalties and clvll 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. ,aS CONTRACTOR SIGNATURE I hereby affirm that I am exempf 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 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 I phone I type of work): 8$ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business,.i2W!l, acutely hazardous materials registration form.(lr risk me,,,agement and prevention program under Sections 25505, 25533 or 25534 of the Jresley-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? [Jves D No s the facility to be 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 .i\PPLICANT 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 oltlinances and State laws relating to building construction. hereby authorize representative of the City of Cc¥'\sba:l to enter upon the abole mentioned property for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA perm!: is required for excavatioos over 5'0' deep aid demolitioo or construction of strudures CJJer 3 stories in height. :XPIRA TION: Every pe,mit issued by the Building Official under the provisms of this Code shall expire by !irritation aid become null and 'vOid if the building or v«:Jrk authorized by such permit is not commenced within 80 days from the date of such pemit or iflhe building or wo,k aithorized by such permit is suspended or abandoned at any time after the 'Mll'k is oommenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ~APPLICANT'SSIGNATURE DATE / ~? I /,,.C City of Carlsbad Bldg Inspection Request For: 02/28/2012 Permit# CB120193 Title: CARR RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: Suite: Location: 1742 ORIOLE CT Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: CARR DAVID G&JOAN M 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 Act lnsp Comments Inspector Assignment: Inspector: ----- Requested By: JOAN Entered By: JANEAN