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Home My WebLink About2856 VIA CONQUISTADOR; ; CB081101; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-10-2008 Plumbing Permit Permit No: CB081101 Building Inspection Request Line (760) 602-2725 Job Address: 2856 VIA CONQUISTADOR CBAD PLUM Status: Permit Type: Parcel No: 2225922400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: SAHOTA 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: SAHOTA BALINDER&PIA 2856 VIA CONQUISTADOR CARLSBAD CA 92009 ISSUED 06/10/2008 KG 06/10/2008 06/10/2008 $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 APP Date: 2-Clear.::mce: $0.00 NOTICE: Please take NOTICE tha approval of your project includes the "Imposition' of fees, dedications, reservations, i:: 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 feet/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 wate: ~nd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proJE:•:t. NOR DOES IT APPLY to any f I i n f whi h h v r i I I E imil r hi whi h h I limi i ni_ h I h rwi FOR OFFICE USE 9:';lA f-!t/ I PLAN CHECK NO(Z_,LI· / Q PERMIT APPLICATION EST.VAL ? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit~ Validated By ~ c) g>, Date_·----/ ,-0 1. PROJECTINFORMATION 2856 Via Conquistador Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Replace standard water heater l ike for like Description of Work SQ. FT. 2. CONTACT PERSON (if different from applicant) California Delta mechanical, Inc. 6052 E Baseline rd# 155 Name Address 3. APPLICANT [BJ Contractor □ Agent for Contractor Galina Pavlova 6052 E Baseline rd# 155 Name Address 4. PROPERTY OWNER Balinder Sahota Same Name Address Mesa City □ Owner MESA City Carlsbad City Unit No. Phase No. Proposed Use # of Stories # of Bedrooms AZ 85206 (480) 898-0007 State/Zip Telephone# □ Agent for Owner AZ 85206 480 898-0007 State/Zip Telephone# CA 92009 760-494-8025 State/Zip Telephon"# Total# of units # of Bathrooms (480) 898-0005 Fax# 5. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demcl1.;h 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 Contmctor's License Law [Chapter 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 alleg"d exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Cal ifornia Delta Mechanical, Inc. 6052 East Bselin e rd # 155 Mesa 85206 ( 480) 898-0007 Telephone# Name Address City State License# 81 I I 14 License Class _C=--...:.3...,;6 _______ _ City Business License # __;l;.;:2=-l=-4.:...2=..:c8_::l _____ _ State/Zip Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of t'le 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 Expiratl,·,n Date_,.Oc,7.,_/0"'-"I /'-'0<>8,__ _____ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) □ 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 workers' compensation coverage is dollars($100,000), in addition to the cost of compensation, nlawful, and shall subject an employer to criminal penaltius and civil fines up to one hundred thousand are provided for in Section 3706 of the Labor Code, intere,t ind attorney's fees. 11.11.TE 06/03/08 SIGNATURE Galina Pavlova 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Licen Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structur~ 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 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 Contractor'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. □ YES D NO 2. I (have/have not) sig11ed 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 I address I phone nue·,1ber 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 I address I phone number I /ontractors license number): --------------------------------________________ _ 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated (include nain,· I address I phone number I type of 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 I • COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or fu1ure 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollu1ion control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME __________________ _ LENDER'S ADDRESS ____________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the pl,ms 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 Carlsbad 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 LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work au1horized by such permit is not commenced within 180 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code), APPLICANT'S SIGNATURE Galina Pavlova ~ DATE _!1_6_/0_3_/_0_8 ________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/03/2008 Permit# CB081101 Title: SAHOTA RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2856 VIA CONQUISTADOR Suite: Lot: 0 Inspector Assignment: Phone: 8053001631 Location: Inspector: OWNER SAHOTA BALINDER&PIA Owner: SAHOTA BALINDER&PIA Remarks: Total Time: CD Description 25 Water HeaterNents 29 Final Plumbing ~Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: PO Entered By: JANEAN