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HomeMy WebLinkAbout1050 TURNSTONE RD; ; CB110559; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-17-2011 Plumbing Permit Permit No: CB110559 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1050 TURNSTONE RD CBAD PLUM Status: Parcel No: 2121803200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: STONE RES-REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: STONE HERBERT L TRUST 05-14-04 1050 TURNSTONE RD CARLSBAD CA 92011 ISSUED 03/17/201 1 LSM 03/17/2011 03/17/2011 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: VVJ, ~c, FINAL APP~VAL Date: o4(o t( Clearance: $0.00 NOTICE: Please take NOTICE that 3pproval 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 f i n f whi h v r ~i I n i n N Tl imil r hi r wh· h f lim· i n h I h rwi City of Carlsbad ' 1635 ~araday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1050 Turnstone Rd Plan Check No. (1B t l O ~ -· Est. Value Plan Ck. Deposit Date 3 (t t SUITE#/SPACE#/UNIT# APN 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) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YES[)I NO□ YES □No □ YES□NoQ CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 East Baseline rd# 155 ---CITY -STATE ZIP STATE ZIP CITY Mesa AZ. 85206 Mesa Az 85206 --PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 I FAX 1-858-410-1 499 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Bonnie Stone CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1050 Turnstone Rd 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-43tl,5663 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS 1 CITY BUS. LIC.1214281 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 ,ts 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 (hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Wortters' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: [ZJ 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 re<iuired 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. 1697823 Expiration Date 07"1!2011 jl!i§,section need not be completed~ 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 wortters' 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 f r in Se ·on 3706 of the Labor code, interest and attorney's fees. 2:) CONTRACTOR SIGNATURE DATE~~~ _./1// I hereby affirm that I am exempt I, Jm Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my empioyees 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 himseW 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 Contracto(s License LawJ. 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. O Yes O No 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/ 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/ address/ phone / 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 / type of work): ~ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business..12lfill, acutely hazardous materials registration form or risk ll'3nagement and prevention program under Sections 25505, 25533 or 25534 of the 0resley-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 bcundary of a school site? 0 Yes 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 AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) . . ender's Name Lender's Address 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 City ordinances and State laws relating to building construction. hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 permit is required for excavations (Jl/flf 5'0' deep and demolition or construction of structures (Jllflf 3 stories in height. :XPIRA TION: Every permit issued by the Building Official under the p[(Jllisions of this Code shall expire by limtation aid become null and void if the building or work authorized by such permt is not commenced within 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is rommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). RS APPLICANT'S SIGNATURE DATE ...5 /4~/ .-~ • t .. _ "41. • ~ CITY OF CARLSBAD DATE: >-i)J-t/l( • PERMIT#: I\ 00§§:7 UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: __ • __.f~~_& __ _ ~ CONTACT: YDQ(\,n~ PHONE#: ') J 1-/·~;)9<-SWw:::> J 11--z.:, .44 JOB ADDRESS: __ ....._! Q(:b~.....,___l\....._U.....,.ffi ............... ~.__.~i..=.....,.;)().......:::C:--........., ______ _ DESCRIPTION: --------------------- DESCRIPTION -Bldg Inspection Form Page 1 of 1 ACT A:f ~I COMMENTS ~s'(l ,-1,b .L.-OcA.114'1 ~$MtG S:"f14A-FS t.~ TI.AC€- Rev. 06/09