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Home My WebLink About2161 VISTA LA NISA; ; CB062908; PermitCity of Carlsbad ... 1635 Faraday Av Carlsbad, CA 92008 10-05-2006 Plumbing Permit Permit No: CB062908 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2161 VISTA LA NISA CBAD PLUM 2552620900 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: ALBANESE RES REPLACE WTR HTR Applicant: CALIFORNIA DEL TA MEC HANICAL 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: ALBANESE PETER H 2161 VISTA LA NISA CARLSBAD CA 92009 Issued: Inspect Area: PENDING 10/05/2006 KG $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: $0.00 Inspector: FINAL APPROVAL Date: EXPIR~ PERMIT HAS f.XP:r. ~ECTlON 106.4.4 A. u•• l ! J, \_~17.'1 Clearance: , r,ANCE. • 1 r:1 C.B.C. C.M r :,1JJ4.03O 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 FOR OFFICE USE ONn':-q r/ PLAN CHECK No.CW (p :A_ Oo PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 EST. VAL.--~-------- Plan Ck. Depositi Validated By -~--......,.-1----.-~---....-...._,--- Date ___ ___,_/_..;;.0_-S:-'---Qk~_ 1. PROJECT INFORMATION 2161 Vista La Nisa Address (indude Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ. FT. # of Stones # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Address City State/Zip Telephone# Fax# 3. APPLICANT !El Contractor □ Agent for Contractor □ Owner □ Agent for Owner Galina 8949 Lombard pl.#413 San Diego CA92122 858-361-6495 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Peter Albanese 62161 Vista La Nisa Carlsbad CA 92009 760-753-1707 Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construd, mter, improve. demolish or repair any strudure. 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 Contrador'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 [$5001). 85209 (480) 898-0007 California Delta Mechanical, Inc. 2500 S. Power Rd. Suite # 120 Mesa Name Address City State/Zip Telephone# City Business License# _.:l;.;;:2'-'l'-4cc2;;;..8~1 _____ _ State License# ...a.8..;..l .:..1.:..1.:..14..;.._ ____ _ License Class _C_-3_6 _______ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 6. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penmty of perjury one of the following declarations: □ I have and will maintain II certificate of consent to self-insure for workers· compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IE] 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 Expiration Date._,0._.7.._/.,..0,...1/.._.00'-"-'7 _____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) □ CERTIRCA TE 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 aecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltlH and civil fines up to one hundred thousand dollars($100,000), In addition to the cost of compensation, damages are rovlded for In Section 3706 of the Labor Code, Interest and attorney's lees. SIGNATURE Galina Pavlova DATE 10/05/06 7. OWNER-8UILDER DECLARATION • __ ;__ __ -======--- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I. as OYll18r of the property or my employees with wages as their sole compensation, will d the work and the strudure 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 °"'" employees, provided that such improvements are not intendad or offared 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 Iha purpose of sale). □ I, as owner of the property. am exdusively contracting with licensed contractors to construd 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 contrador(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ________ Business and Profassions Code for this reason: 1. I personally plan to provide the major labor and materials for construdion of the proposed property improvement. □ YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (lndude name / address / phone number/ contractors license number): 4. I plan to provide portions of the work. but I have hired the following person to coordinate, supen,ise and provide the major work (indude name / address / phone number/ /ontradorslicense number): ------------------------------------------- 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (lndude nama / address I phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE ___________ _ WHITE: FIia YELLOW: Applicant PINK: Finance