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HomeMy WebLinkAbout2895 RANCHO CORTES; ; CB120463; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-14-2012 Permit No: CB120463 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2895 RANCHO CORTES CBAD PME Status: Parcel No: 2226601600 Lot#: 0 Applied: Reference #: PC#: Project Title: BYRNE RES-REPLACE WTR HTR Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BYRNE KRISTIN A 2895 RANCHO CORTES CARLSBAD CA 92009 ISSUED 03/14/2012 LSM 03/14/2012 03/14/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: 'l--9-/2-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, 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 !T APPLY to any i h h n iv n N Tl i ii r I im' i h r i I h rwi City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C..B l ~(f(o "3 Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date 3 \L{; 1"2--- JOB ADDRESS 2895 Rancho Cort~ SUITE#/SPACE #/UNIT# APN CT/PROJECT. --l[o" PHASE< -DESCRIPTION OF WORK: --Iiii:lude Sqllare Feit of AtteCie_d_A-,-•• -(-s)~---~----~--- # OF UNITS # BEDROOMS If BATHROOMS _cl_"_N_A_N,_B_U_S_IN-ES_S_-N_A_M_, ________ ---rNSTR-~P]OCC.GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (Sf) I FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES[), No□ YES □No □ YES□No□ CONTACT NAME (lfDlfterentFomAppllcant) C l'f , D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. --------- ADDRESS ADDRESS 6056 E. Baseline road suite# 155 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 --------- I FAX ---- I FAX PHONE PHONE 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 ----------------------------- EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME Robert Byrne CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2895 Rancho Cortez 6056 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-612-3348 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY BUS "'1214281 811114 c36 Worilers' Compensation Declaratlon: I 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 [Z] I have and will maintain workers' compensation, as reciuired 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 16S?823 ____ Expiration Date··-· 07/01112 This section need not be completed if the permit 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 become subject to the Workers' CompensatfOn Laws of California WARNING: Failure to secure worilers' 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. /_ / ,iS CONTRACTOR SIGNATURE 61C::,C---(v DATE '-" / 9 / /-I!:, I hereby affirm that I am exempt from Contractor's License Law for the following reason· □ □ □ I, as owner of the property or my empklyees 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 purpo;:,e 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 propeI ty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contracto(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 I 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/ 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 / 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/ phone I type of work): a$ PROPERTY OWNER SIGNATURE DATE s the appli~ant or future building occupant required to submit a business,.lllWl, acutely hazardous materials registration form or risk management and prevention program under Sectons 25505, 25533 or 25534 of the ~'!'Oley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air polluUon control district or a~ality management district? []res O 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF :MERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT . . ender's Name certify that I have read the application and state that the above information ls correct and that the information on the plans is accurate. I agree to comply with all Cityoltlinancesand State laws relating to building construction. hereby authorize representative of the City of Ca1sbad to enter upon the above mentioned property for inspedioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST 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 required for excavations over 5'0' deep aid demolition or coostruction of structures rNf.13 stories in height. :XPIRATION: Every pemit issued by the Building Official under the provisions of this Code shall expire by limitation aid become null and void if the building or work authorized by such pernit is not commenced within 80 days from the date of such permit or if the building or work authorized by such pennlt is suspended or .tiandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Code) ,/iS APPLICANT'S SIGNATURE DATE 3 . . City of Carlsbad Bldg Inspection Request For: 04/09/2012 Permit# CB120463 Title: BYRNE RES-REPLACE WTR HTR Description: Type:PME Sub Type: Inspector Assignment: _/,d__ Phone: 7604155440 Job Address: 2895 RANCHO CORTES Suite: Lot: 0 Location: Inspector: OWNER BYRNE KRISTIN A Owner: BYRNE KRISTIN A Remarks: ACCESS FROM OUTSIDE IN CLOSET Total Time: Description Act Comments ----- Requested By: KRISTEN Entered By: JANEAN CD 25 29 Water HeaterNents Final Plumbing L1L _-c,------,------------:,-----_u_ ~~-l-6~:.e-:e=L~ffe-~1/✓--~eo.-f_V_c;_,c~h~Pt~/~r __ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ·--· ~--,.----•-·--