HomeMy WebLinkAbout2859 VIA CONQUISTADOR; ; CB091808; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-28-2009 Plumbing Permit Permit No: CB091808
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2859 VIA CONQUISTADOR CBAD
PLUM Status:
Parcel No: 2225920300 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: FINNEY 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:
FINNEY FAMILY 2002 TRUST 10-16-02
2859 VIA CONQUISTADOR
CARLSBAD CA 92009
ISSUED
10/28/2009
LSM
10/28/2009
10/28/2009
$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:
FINAL APPROVAL
Date: /!" /If,.,,, tJlf Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' or 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
City of Carlsbad ---·-~ ()~1.~08: ~ ~ ~ Ii Plan Check No.
;.i, t 1635 'Faraday Ave., Carlsbad, CA 92008 ;w; :.ii Est. Value 760-602-2717 / 2718/ 2719 i Fax: 760-602-8558 ~-'"11-·~-Plan Ck. Deposit fitil..fl~, •.<;Sr
Building Permit Application -10/~<9C, ~ Date
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ---2859 Via Conquestador
Cl/PROJECT# I LUT # I PHASE# r OF UNITS
1
. BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I CCC. 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 OECKS (SF) FIREPLACE
I
AIR CONDITIONING IFIRE SPRINKLERS
YES(JI N<O YES□No□ YES□No□
COl'fl'ACT NAME (If Different Fom Applicant} C l'f . D It M h . I I APPLICANT NAME Galina Pavlova a I ornIa e a ec anica nc.
ADDRESS ADDRESS 6052 E. Baseline road suite # 155 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Mesa AZ. 85206 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499
EMAIL california(.@.deltamechanical.com
EMAIL galiapavlovabg(@,yahoo.com
PROPERTY OWNER NAME Keven Finney COl'fl'RACTOR BUS. NAME California Delta Mechanic~• Inc.
ADDRESS ADDRESS
2859 Via Conquestador 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92009 Mesa AZ. • 85206
PHONE IFAX PHONE I FAX
760-931-7944 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ICLASS I CITY BUS. UC.#
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 !hat 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
c1v1I penalty of not more than :ive hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· 0 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 pertom,ance of the work for whieh this pem,it Is issued.
[Z] I have and will maintain workers' compensation, as re<iulred by Section 3700 of the Labor Code. for the pertormance of the work for whieh this pem,il is issued. My workers' compensation Insurance carrier and poliey
number are: Insurance Co Po'icy No. l697823 Expiration Date om1131
~ section need not be completed if the pem,it is for one hundred dollars ($100) or less. I.LJ Certificate of Exemption: I certify that In the perfonnance of the wort< for which this pem,it Is Issued, I shal not employ any person In any manner so as to become subject to the Worl<ers' Compensal<>n Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pe11alties and civil fines up to one hundred thousand dollars (&100,000), in
add~ion to the cost of compensation, damages as or in Section 3706 of the Labor code, interest and attomey's fees.
85 CONTRACTOR SIGNATURE DATE
I hereby affirm lflat I am exempt from Contractors Ucense Law for the following reas011:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slrllciure is not intended or offered for sale (Sec. 7044, BuSiness and Professions Code: The Contractors
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 ottered 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 lieensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law}.
I am exempt under Section ____ ,BuSiness and Professions Code for this reason:
1. I personally plan to provide the ma)or labor and materials for constru:lion of the proposed property improvement. 0 Yes O o
2. I (have/ have not) signed an application for a building pem,ij for the proposed work.
3. I have contracted with the following person (fim,) 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 ma)or work (include name/ address/ phOne / contractors' license number}:
5. I will provide some of the wort<, but I have contracted (hired} the following persons to provide the work indieated (Include name I address / phOne / lype of work):
85 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a busineSS.J2@!l, aculely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 2-5534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i) Civil Code).
Lender's Name Lender's Address
I 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 ar,ee to comply with all City ordinances and State la~ relating to building construction.
I hereby autholize represenlative of the City of Car1sba:l to enter upon the abo've mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AffY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permt is required for excavaoons <:JVer 5'0' deep and demoition or construction of structures aver 3 stories in height.
EXPIRATION: Every pennlt issued by the Buildng Official under the pro-,;sioos of this Code sllall expire by lirritation and t:a:ome null and 1/Ci(J I the building or work authorized by such pennlt is rot corrmenced within
180 days from the date of such permt or I the wilding or work au1horized by such pennlt is susperded or abardoool at any time after the work is corrmenced for a period of 100 da;s ~ 105.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE /t:7, ~s / t:/ 9
City of Carlsbad Bldg Inspection Request
For: 11 /18/2009
Permit# CB091808
Title: FINNEY RES-REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 2859 VIA CONQUISTADOR
Suite: Lot 0
Location:
OWNER FINNEY FAMILY 2002 TRUST 10-16-02
Owner: FINNEY FAMILY 2002 TRUST 10-16-02
Remarks: AFTER 10 PLEASE 10-12 PLEASE
Total Time:
CD
25
Date
Description Act
Water Heater/Vents G_Q_
C-c) Final Plumbing
1/f_
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Description Act lnsp Comments
Inspector Assignment #
Phone: 7609317944
Inspector: i2__ 'f-.7 --p-y
Requested By: CARMEN
Entered By: JANEAN