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HomeMy WebLinkAbout2054 AVENUE OF THE TREES; ; CB112643; Permit12-15-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12643 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2054 AVENUE OF THE TREES CBAD PME 1562901200 Lot#: RUSH RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/15/2011 LSM 12/15/2011 12/15/2011 Applicant: CALIFORNIA DELTA MECHANICAL Owner: RUSH MARK F SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 2054 AVENUE OF THE TREES CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00 Inspector: R Cr>^*> FINALAPPROVAL Date: O^j'^^lr?.. Clearance: NOTICE: Please take NOTICE that approval of your project Includes the "Imposition' of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as lees/exactlons." You have 90 days from ttie date this pemilt was issued to protest imposition of these fees/exactlons. If you protest them, you must follow the protest procedures set forth In Qovemment 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 t>ar any subsequent legal action to attack, review, set aside, void, or annul their Impositton. 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 tees/exactions of which vou have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Cl/2>' I ^C^3 Est. Value Plan Ck. Deposit Date c / JOBADDRESS 2054 Avenue Of The Trees CT/PROJECT # SUITE#/SPACE#/UNIT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: /nc/ude Squars Feet of Affected Area(s) Replace existing like for alike water heater CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YEsQ* NOQ AIR CONDITIONING YES| |NO| 1 FIRESPRINKLERS YES| |NO| CONTACT NAME (If Dltferent Fom Applicant) California Delta Mec :hanical APPLICANT Ht ME Galir a Pavlova ADDRESS 6056 East Baseline Rd # 155 ADDRESS 6056 East 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 1-858-240-6677 EMAIL california@deltamechanicai.com EMAIL galinap@deltamechanicsl.com PROPERTY OWNER NAME Mark Rush CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS 2054 Avenue Of The Trees ADDRESS 6056 East Baseline Rd # 155 CITY Carlsbad STATE ZIP CA 92008 CITY Mesa STATE AZ ZIP 85206 PHONE 760-729-9048 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 811114 CLASS c36 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 (Cnapter 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 subiects the applicant to a civil penalty of not more than five hundred dollars ($500)). |l*l;l*.f'||,,T|-0.»l Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of ihe foibwing declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, fbr the performance of the work for v»hich this permit is issued. 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 canier and policy number are: Insurance Co Policy No. mim Expiration Date inmmn This section need not be completed if the permit is for one hundred dollars ($100) or less. I/I 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 Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto 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 ofthe Labpr code, Interest and attomey's fees. y jfiT CONTRACTOR SIGNATURE /2/^'^\^ y^^^/^^ t hereby affirm that i am exempt from Contractor's License Law for the foitowing reason: I I I, as owner ofthe 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 thnjugh 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 I 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. DYes I INO 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (firm) to provide the pnjposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the fbllowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business olan. 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? I I Yes I iNn s the appiicant or future building occupant required to obtain a permit from the air pollution control district or alroualitv management district? s the faciiily to be constructed within 1,000 feet of the outer boundary of a school site? I lYes rTNo 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 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •Yes QNO 'IfCTIOM LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code), .ender's Name Lender's Address -•"fci-CANT Cli it I.F-»©,;^T,IO:J certily that I have read the application and state that the above infonnation Is conect and thatthe infonnation on the plans is accurate. I agree to oomply with all City ordinances and State laws relatlngto building consbuction. hereby authorize lepresentaliye of the Qty of Carisbad to enter upon the above mentioned property for inspectkxi puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGIVIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SH A: 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 Oflkial under the proviskms of this Coie shall expire by limitatkxi and become null and void if the building or wortc authorized by such permit is not commenced within 80 days from the date of such permit or if the building or vwxk authorized by such peimit is suspended or abandoned at any time after the wxk is commenoed for a period of JgO days (Sectkxi 106.4.4 Unifonm Building Code). APPLICANT'S SIGNATURE DATE ^ CITY OF CARLSBAD Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: €>3> INSPECTOR: PERMIT #: W^/.^-^ CONTACT:>p(^ PHONE#:-tG,o-.<S-:^\- K\(,-r JOB ADDRESS: 2^1^^ Qvuz>_4)f^^ .'\.An >o^ DESGRIPTION: CODE DESCRIPTION ACT COMMENTS BIdg Inspection Form Page 1 of 1 Rev. 06/09