HomeMy WebLinkAbout2605 VIA ECO; ; CB100811; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-10-2010 Plumbing Permit Permit No: CB100811
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2605 VIA ECO CBAD
PLUM
1673004600 Lot#: 0
Construction Type: NEW
VANDERHAGEN RES REPLACE WTR
HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/10/2010
KG
05/10/2010
05/10/2010
CALIFORNIA DEL TA MECHANICAL VANDERHAGEN FAMILY TRUST (05-31 -73)
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
4177 RHODES WAY
OCEANSIDE CA 92056
$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:
Clearance:
$0.00
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
City of Carlsbad .. ~
Plan Check NoC6 I oa g-I l
1j ~ ~j· J ~-~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 "-Im,.,..., Plan Ck. Deposit / --Building Permit Application Date (\ _., / 0 -/ {\ I~
JOBAODRESS SUITE#/SPACE#/UNIT# r PN / 2605 Via Eco --
I GT/PROJECT # I LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR, TYPE I OGC. GRUUP
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) FIREPLACE
I
AIR CONDITIONING I FIRE SPRINKLERS
YESC}lt Ne(] YES0No□ YES□No□
CONTACT NAME (If Olfferent Fom Appl/cant) California Delta Mechanical APPLICANT NAME Galina Pavlova
ADDRESS ADDRESS
6052 East Baseline rd # 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 858-361-6495 1-858-410-1499
EMAIL EMAIL
california(@,deltamechanical.com galiapavlovabg(@,yahoo.com
PROPERTY OWNER NAME Erick Vanderhagen CONTRACTOR BUS. NAME California Delta Mechanical
ADDRESS ADDRESS
2605 Via Eco 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92010 Mesa AZ. 85206
PHONE I FAX PHONE [FAX 760-434-5391 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC,# STATE LIC.#
[
CLASS I CITY BUS. LIC1214281 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 7D00 of 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 of not more than five hundred dollars ($500)).
Wor1<ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
[2] I have and will maintain a certificate of consent to self-insure for v.or1<ers' compensation as provided by Section 3700 of the Labor Code, for the perfOITTlance of the v.or1< for which this pelTTlit iS iSsued. IZJ I have and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code, for the perfo1Tll8nce of the wor1< for which this permit is issued. My wor1<ers' compensation Insurance carrier and policy
number are: Insurance Co Poley No. 1se1e23 Expiration Date ""111•
~ section need not be completed if the permit Is for one hundred dollars (S 100) or less.
l..{.J Certificate of Exemption: I certify that in the performance of the v.or1< for which thiS permit Is Issued, I shaM not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of
Calttomla. WARNING: Failure to secure workers' 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 for in Section 3706 of the Labor code, interest and attorney's fees.
NS CONTRACTOR SIGNATURE DATE ~ ~ 0
I hereby affirm 1/Jat I am exempt from Contractor's License Law for tf>e following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the structure iS not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s
License Law does not apply to an owner of property who builds or Improves thereon, and whO does such wor1< himse~ 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 Contracto(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 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 Yes []No
2. I (have / have not} signed an application for a building pelTTlit for the proposed wor1<.
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 v.or1<, but I have hired the following person to coordinate, supervise and provide the majOr v.or1< (include name I address I phOne I contractors' license number}:
5. I will provide some of the wor1<, but I have contracted (hired} the following persons to provide the v.or1< indicated (include name I address I phOne I type of wor1<):
NS PROPERTY OWNER SIGNATURE DATE
•
Is the applicant or future building occupant required to submit a business,J2lfill, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 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? O Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school she? O Yes LJNo
IF ~y 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 ~D 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 tile application and state that tile above Information lsconectandthatthe Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building coostruction.
I hereby authooze representative of the Qty of Car1stm to enter upon the atxNe mentioned property kx' inspection pufJX)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, 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 requiroo lcr excavaoons 0Vf)( 5'0' deep and demoition or construction of structures 0Vf)( 3 stories in height.
EXPIRATION: Evef)' permit issued by the Buildi1g Official under the provisions of this Code shall expire by !irritation and become null and \tid ff the blilding or work authorized by such poonit is rot coomerced witl1in
180 days from the date of such permit or ff the building or work authoozed by such . • is suspended or abaldonoo at any tirre afte< the work is coomerced lcr a period of 100 da~ (Section 100.4.4 Unikx'm Building Code).
_8S APPLIC~T'S SIGNATURE DATE ~ ,..,,f7 / D
• City of Carlsbad Bldg Inspection Request
For: 05/24 /2010
Permit# CB100811
Title: VANDERHAGEN RES REPLACE WTR
Description: HEATER
Type:PLUM Sub Type:
Job Address: 2605 VIA ECO
Suite: Lot: 0
Location:
OWNER VANDERHAGEN FAMILY TRUST (05-31-73)
Owner: VANDERHAGEN FAMILY TRUST (05-31-73)
Remarks: AM PLEASE
Inspector Assignment:
Phone, 7£122
Inspector: ~-
Total Time:
CD Description
Requested By: GRACE
Entered By: CHRISTINE
Act Comments
25 Water Heater/Vents AL _______ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments