HomeMy WebLinkAbout2767 VISTA DEL ORO; ; CB090410; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-11-2009 Plumbing Permit Permit No: CB090410
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2767 VISTA DEL ORO CBAD
PLUM
2153506204 Lot#:
Construction Type:
CHOW RES REPLACE WTR HTR
0
NEW
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/11/2009
KG
03/11/2009
03/11/2009
CALIFORNIA DEL TA MECHANICAL CHOW KWONG NAN REVOCABLE TRUST 09-29-06
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
2767 VISTA DEL ORO
CARLSBAD CA 92009
$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:
FINAL APPROVAL
Date: e, ,19 -Cl Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
,eferred to as "fees/exactions." You have 90 days from the date this perrmt was issued to protest imposition of these fees/exactions. If you protest them, you must
f;llow 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 1n 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.
\ ou 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
Cit!I of Carlsbad -.-..,.~ .. .._
Plan Check No.C, BO lO ~~ ~~ 1635 Faraday Ave., Carlsbad, CA 92008
~-
r.. Est. Value 760-602-2717 / 2718 / 2719 i Fax: 760-602-8558 ~.,..-Plan Ck. Deposit ✓
qo y
Building Permit Application -Date ~--/ / .._,cf? I .J:tL__
JOBAODRESS SUITE#/SPACE#/UNIT# r PN 2767 Vista Del Oro ---
CT/PROJECT# I LOT. I PHASE# 1. OF UNITS r BEDROOMS # BATHROOMS -,TENANT BUSINE:» NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of A,rected Area{s)
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING 'FIRE SPRINKLERS
YEsO Nc0 YES □No□ YES□No□
CONTACT NAME (If Different Fom App/leant) C l"f . D It M h . I I APPLICANT NAME Galina Pavlova a I ornIa e a ec amca nc.
ADDRESS 6052 E. Baseline road suite# 155
ADDRESS 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Mesa Az 85206 Mesa AZ. 85206
PHONE I FAX PHONE IFAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499
EMAIL EMAIL
california(@,deltamechanical.com galiapavlovabg(@,yahoo.com
PROPERTY OWNER NAME Ted Chow CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
Same as site 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa Az 85206
PHONE !FAX PHONE I FAX 760-438-3294 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.#
!
CLASS I CrTY BUS. UC.#
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 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]).
Wor.ers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following dedarations: 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 perfonnance of the wor1< for whieh this permit is issued. 0 I have and will maintain workers' compensation, as re<iulred bv Section 3700 of the Labor Code. for the performance of the wor1< for whieh this permit is Issued. My wor1<ers' compensation Insurance carrier and poliey
number are: Insurance Co Poley No. 1597823 Expiration Date IM1131
Jl!i§.section need net be completed n the permit is for one hundred dollars ($100} or less. L{J Certificate of Exemption: I certify that In the performance of the wor1< for whieh this permit is issued, I shall net employ any person in any manner so as to become subject to the Wor1<ers· Compensation Laws of
California. WARNING: Failure to secure wori<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
addttion to the cost of compensation, damages as provid f r I S Ion 3706 of the Labor code, interest and attorney's fees. ~ _,(,
25 CONTRACTOR SIGNATURE DATE J /~ /CJ
I hereby affinn that I am exempt from Contractor's License Law for lhe follo.,;ng 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 ottered tor 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 wor1< himsen 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 tor 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 wrth contractor(s) lioensed 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 major labor and materials tor constru::tion of the proposed property improvement. 0 Yes O o
2. I (have I have not) signed an applieation tor a building permit tor the proposed wor1<.
3. I have contracted with the following person (firm} to provide the 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 provide the major wor1< (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 wor1< indieated (include name I address I phone I type of wor1<):
25 PROPERTY OWNER SIGNATURE DATE
Is the applieant or future building occupant required to submit a business~. 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 applieant or fu:~re building occupant required to obtain a permit from the air pollution control district or a~ality management district? 0 Yes D No
Is the facility to be constructed wilhin 1,000 feet of the outer boundary of a schOOI site? 0 Yes LJNo IF PJIY 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 tile application and state that the abooe Information is oonect and that the infom1ation on the plans is accurate. I agree to oomply with all City ordinances and State laws relating to building construction.
I hereb:' aulllorize representative r:J the City r:J Carlsbad to enter upon the above mentioned property for insP3(fun purposes. 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 required for excavaoons CNel 5'0' deep and demoition or construction r:J structures CNel 3 stories in height
EXP1RA TION: Every pennit issued by the Eklildilg Official under the provisions r:J this Code shall expire by !irritation and become null and \tid ff the bt.ilding or work authorized by such permit is not coomenced within
180 days from thedaler:J such permit or ff the building or work authorized bysudl permit is suspended or abandoned at any time after the work is coomenced for a period of 100days (Secti:Jn 100.4.4 Uniftml Building Code).
~APPLICANT'SSIGNATURE DATE /9 ~
City of Carlsbad Bldg Inspection Request
For: 08/19/2009
Permit# CB090410
Title: CHOW RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
2767 VISTA DEL ORO
Lot 0
Inspector Assignment:
Phone: 7604383294
Location : Inspector: ----
OWNER CHOW KWONG NAN REVOCABLE TRUST 09-29-06
Owner: CHOW KWONG NAN REVOCABLE TRUST 09-29-06
Remarks:
Total Time: Requested By: RON
Entered By: JANEAN
CD Description
25 Water Heater/Vents
Act Comments
£]_£. _______ _
29 Final Plumbing -1-----------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments