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Home My WebLink About2851 VIA CONQUISTADOR; ; CB101476; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2010 Plumbing Permit Permit No: CB101476 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2851 VIA CONQUISTADOR CBAD PLUM Status: Parcel No: 2225920500 Lot#: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: PC #: Issued: Project Title: BROWNING 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: BROWNING FAMILY TRUST 03-13-02 2851 VIA CONQUISTADOR CARLSBAD CA 92009 ISSUED 08/09/2010 KG 08/09/2010 08/09/2010 $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: Clearance: $0.00 at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 5imilar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f ~mat ~h~ ~- City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2851 Via Conquistador CT/PROJECT# LOT# PHASE# • OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check NC(3 Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN # BA.THRO MS TENANT BUSINESS NAME Replace existing like for alike water heater EXISTING USE I PROPOSED USE r ARAGE (SF) PATIOS (SF) l DECKS (SF) ' FIREPLACE IAIR CONDITIONING 'FIRE SPRINKLERS YESQ N<CJ YES O NoO YESO NoO CONTACT NAME (If Different Fom Appllcant) California Delta Mechanical APPLICANT NAME Galina PavlO't,a ADDRESS 6052 East Baseline rd# 155 ADDRESS 6052 E. Baseline road suite # 155 - CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 mesa az 85206 PHONE IFAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 EMAIL EMAIL california(@,deltamechanical.com i:ialiapavlovabg(@,yahoo.com PROPERTY OWNER NAME CONTRACTOR BUS. NAME William Browning California Delta Mechanical -- ADDRESS ADDRESS 2851 Via Conquistador 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa Az 85206 PHONE I FAX PHONE I FAX 760-602-0661 480-898-0007 i:MAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS l CITY BUS. uc.1214281 811114 c-36 (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 Business 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 SJbjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following dedaraUons: 0 I have and will maintain a certificate of consent to self-insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the perfornance of the wor1< for which this permit is Issued. 0 I have and will maintain workers' compensation, as required by Section 3700of the Labor Code, for th€ perfonnance of lh€ work for which this permit is issued. My wor1<ers' compensation insurance caroor and policy number are: Insurance Co Policy No. 1897823 Expiration Date "'°'"' ~section need not be completed if th€ permit is for one hundred dollars ($100) or less. [{J Certificate of Exemption: I certify that In the perfonnance of th€ wor1< for which thiS permit iS issued, I shall not empioy any person In any manner so as to become subject to the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure wort<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addijion to the cost of compensation, damages as provided for in Sectio 370 o the Labor code, interest and attorney's fees. ,JiS CONTRACTOR SIGNATURE DATE I hereby affirm Iha/ I am exempt from Con/raetor's License Law for the following reas011: I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the struclure 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 wor1< 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 th€ burden of proving that he did not build or improve for the purpose of sale}. □ □ □ I, as owner of th€ property, am exclusively contracting with licensed contractors to construct th€ projecl (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. O ves O No 2. I (have I have not) signed an application for a building permit for the proposed wor1<. 3. I have contracted with lhe following person (firm} to provide lh€ proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provioe the major wor1< (include name I address I phone/ contractors' license number}: 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name I address I phone/ type of wor1<}: ,JiS PROPERTY OWNER SIGNATURE DATE j City of Carlsbad Bldg Inspection Request For: 09/20/2010 Permit# CB101476 Title: BROWNING RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2851 VIA CONQUISTADOR Suite: Lot: 0 Inspector Assignment: Phone: 7606020661 Location: Inspector: ---- OWNER BROWNING FAMILY TRUST 03-13-02 Owner: BROWNING FAMILY TRUST 03-13-02 Remarks: Total Time: CD Description 25 Water HeaterNents Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Requested By: BILL BROWNING Entered By: CHRISTINE