HomeMy WebLinkAbout1281 VERONICA CT; ; CB062381; Permit08-21-2006
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB062381
Building Inspection Request Line (760) 602-2725
1281 VERONICA CT CBAD
PLUM
2145510100 Lot#: 0
Construction Type: NEW
NEWMAN RES-REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/21/2006
LSM
08/21/2006
08/21/2006
Applicant:
CALIFORNIA DEL TA MECHANICAL NEWMAN IRWIN&BARBARA J MARITAL TRUST A 07-15-92
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
Total Fees:
Inspector:
$27 .00
0
0
0
0
1
0
0
1281 VERONICA CT
CARLSBAD CA 92011
$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 Payments To Date: $27.00 Balance Due: $0.00
EXPIRED PERMIT
PERMIT HAS f...XPtRrn !N ACGORDANCE WITH C.B.C.
SECTION 106 4.4 AS AMEN:)£0 BY C.M.C.18.04.030
DATE~'):) \t:2"1 SIGNATURE oR.4r: \ -~QI\L ___ _
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that 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
I I w i h h v r vi I i n N Tl E imil r hi r whi h h ute f limi i n h
FOR OFFICE USE ONLY
I PLAN CHECK NO. d,.S 0~ ;l~ I
PERMIT APPLICATION EST. VAL __________ _
Plan Ck. Deposit __ ~---~---
Validated By ___ :-~+---,------CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008 Date ____ $1_~_l _ __,,. __ _
1. PROJECTINFORMATION
1281 Veronica ct.
Address (include Bldg/Suite #) Business Name (at this address)
legal Description lot No. Subdivision Name/Number Unit No. Phase No.
Assessor's Parcel # Existing Use Proposed Use
Replace standard water heater like for like
Description or Work SQ. FT. # of Stories # or Bedrooms
2. CONTACT PERSON (If different from appllcllnt)
California Delta mechanical, Inc. 2500 s . Power Rd. Suite# 120 Mesa AZ.85209 (480) 898-0007
Name Address City State/Zip Telephone#
3. APPLICANT GI Contrac1Dr D Agent for Contractor D Owner D Agent for Owner
Galina Pavlova 8949 Lombard pl. apt.413 San Diego CA92122 858-361-6495
Name Address City State/Zip Telephone#
4. PROPERTY OWNER
Barbara Newman 1281 Veronica ct. Carlsbad CA 920 I I 760-438-8448
Name Address City State/Zip Telephone#
5. CONTRACTOR· COMPANY NAME
Total# of units
# or Bathrooms
(480) 898--0005
Fax#
(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 or 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 or not more than five hundred dollars ($500]).
California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 ( 480) 898-0007
Name Address City State/Zip Telephone#
State License# 81 I I 14 License Class _C_-_3_6 _______ _ City Business License# _l _2_1 _4_2...;;.8_1 _____ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
I. WORKER'S COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty or perjury one of the following declarations:
D 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.
!El I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My
worker's compensation insurance carrier and policy number are:
Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date~0~7~/0"-'-'I /~0~7 ______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
D 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 or California.
WARNING: Failure to secure worlcers' compensaUon coverage Is unlawful, and shaff subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars($1DD,OOO), in addition to the cost of compensation, damages pro ·ded for In Section 3706 of the Labor Code, Interest and attorney's fees.
SIGNATURE Galina Pavlova DATE 08/17/06
7. OWNER-BUILDER DECLARATION ---'-"'---'--'--'----::=====-~
I hereby affirm that I am exempt from the Contractor's License law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 704-4,
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).
D 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).
D 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 D YES D NO
2. I (have/have not) signed an application for a building permit for the proposed wonc.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number 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 / address / phone number /
/ontractors license number): -----------------------------------------------
5. I wil provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number/ type or work):
PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COIFLETE THIS SECTION FOR NON-RESIDB#TIAL BUILDING PERllrr8 ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ YES □ NO
Is the fac~ity to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affinn that there is a construction lending agency for the perfonnance of the work for which this pennit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _ LENDER'S ADDRESS ___________________ _
t . APPLICANT CERTFICA 110N
I certify that I have read the application and state that the above infonnation is 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. I hereby authorize representatives of the City of Ca~sbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGEMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every pennit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wor1<. authorized
by such pennit is not commenced within 180 days from the date of such pennit 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 (Section 106.4.4 Unifonn Building Code).
APPucANrs SIGNATURE _G_a_l_in_a_P_a_v_l_o_v_a __ .....,~-.#'~"--,,"'------------DATE 08/17/06
WHITE: File YELLOW: Applicant PINK: Finance