HomeMy WebLinkAbout1023 WHIMBREL CT; ; CB052743; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-2rS-2005 Plumbing Permit Permit No: CB052743
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1023 WHIMBREL CT CBAD
PLUM Status:
Parcel No: 2157202600 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: JUNG RES RPLACE H2O HEATER Inspect Area:
Applicant:
CALIFORNIA DELTA 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
0
1
0
Owner:
JUNG LARRY&KARINA
1023 WHIMBREL CT
CARLSBAD CA 92009
ISSUED
07/25/2005
KG
07/25/2005
07/25/2005
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due:
Inspector:
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE i°\~\oC( SIGNATURE..J..@i~~~----
FINAL APPROVAL
Date: Clearance:
$27.00
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
w i h h V vi I iv n N I imil r whi h f limi i n h I
02
27 -00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PROJECTINFORIIA TION
I 023 WHIMBREL COURT CARLSBAD, CA 92009
FOR OFFICE USE~m -7-IL.f '"J
PLAN CHECK N~J:;iL:J~ / _Q
EST. VAL. __________ _
Plan Ck. Depo~it~
Validated By_,_,.. ___________ _
I
Date ------,------------
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 like for like
Description of Wor'K SQ.FT.
2. CONTACT PERSON (If dlffel9nt from applicant)
California Delta mechanical, Inc. 2500 s. Power Rd. Suite t 120 Mesa
Name Address City
APPLICANT GI Contrac:lcr a Agent for Contractor a Owner
Name Address City
4 ROPERTY OWNER
#of Stones
AZ 85209
State/Zip
a
State/Zip
LARRY JUNG 1023 WHIMBREL COURT CARLSBAD, CA 92009 (760)930-9182
Name Address City State/Zip
S. CONTRACTOR • COMPA~E
Unit No. Phase No.
Proposed Use
# of Bedrooms
(480) 898-0007
Telephone#
Agent for Owner
Telephone#
Telephone#
Total # of units
# of Bathrooms
(480) 898-0005
Fax#
(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 ~s 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]).
California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 ( 480) 898-0007
Name Address City State/Zip Telephone#
State License# _8_1_1_1_1_4 ____ _ License Class _C_-_3_6 _______ _ City Business License# _::l.c:2"'1'--4"'2'"'8'"'1;;._ ____ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
S. WORKER'S COMPENSATION
Workers' Compensation Deciaration: 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 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 earner and policy number are:
Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date~0~7~/0~l/~0~6 ______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSI
□ CERTIFICATE OF EXEMPTION: I certify that in the performance of th 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 Califomla.
WARNING: Failure to secure workers' compensation coverag
dollars($100,000I. In addition to the cost of compensation,
SIGNATURE Rome! Maru
ul, and hall subject an employer to criminal penalties and clvll fines up to one hundred thousand
lded f r in Section 3706 of the Labor Code, interest and attorney's fees.
' DATE 07/18/05 -----;:::;;::::::;;;:::;;;;;;::;:;_~
I hereby affirm thal I am exempt from the Contractor's • ns Law lo he following reason: •
7. OWNER-BUILDER DECLARATION 3;;
□ I, as owner of the property or my employees with wages as t • 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 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 exdusively 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 matertals for construction of the proposed property improvement. D YES D 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 (indude name/ address / phone number 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 wor'K (indude name/ address/ phone number/
/ontractors license number): ---------------------------------------------
5. I will provide some of the work. but I have contracted (hired) the following persons to provide the wor'K indicated (indude name / address / phone number/ type of work):
PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _
WHITE: File YELLOW: Applicant PINK: Finance
AUG-03-2005 WED 08:51 AM CITY OF CARSLBAD
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
FAX NO. 760 602 8558 P. 01
'~~.-~-~fB~~~B'li~~ ~~~~~~ \ -~-~c:Aai
lo the eppjjcanl ot futun, bull<llng occupant requirod 10 mi>mk II buaineaa p1iii,, 8"-'toly hazardoua mii1eriala registra1I~ IQ/ or risk management and pnwention P<OQram under
Seellont 25505, 25633 or 25S34 of the Presley-Tanner Hazardous Subatanoe AccoUIIC Ad? Cl VE$ □ NO
le the applicant or 11.mJre building oa:upjlnt required 10 obtain a permit lrotn I1'1e air pollution control dlB1rict 0/ air quality management dilllricl? 0 VES D NO
le Iha fflClHty 10 be conslt\lded within 1,000 leet of the OUIOj' boundary o1 a sQhool sl!e? □ YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NQT BE ISSUED UNU:SS Tl1E APPUCANT HAS MET OR IS MEE11NG THE
REQUIREMENTS OF Tl1E OFFICE OF EMERGENCY SERVICES ANO THE AtR POLLUTIOH.CONTRDL DISTRICT.
itf!iililUtU UiilSm}l11:€U'§E@iili~;-'1(1'. "' • ~ • -\ ·
I hereby effim1 that !hero ia a conSll'udion fending agoncy for the polformance of the worlC for Wl'lidl lhis permit le lssuod (Sec. 3097(1) Civ~ Code).
LENDER'S NAME LENOER'SADDAESS __________________ _
. -. -. . -~..s:Y.\:t\\j;~~~;~~t:~~.sMS'J~s-~~-·11>~ I ca,tlfy lhat I hove reed the eppllealion end atato thal 1ne libOvO information Is correct an<I t~at the information on lhe plan, Is acor.,te. I agree to comply with all C~y
ordin11nces and S11111 laws ro!Clling to buil<llng construction, I hereby auth011ze represenlalivee ol the City or Car1abad 10 onter upon the 11bo\le mentioned property lor inspection
purpoeoa. I ALSO ,_GREE TO $AV£, INDEMNIFY AND KEEP HARJ,11,.ESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGEMEIIITS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT,
OSHA; An OSHA permit ia required lo, excal/lllione ~ 6'0" deep and domolition or eonstruction r' strudures 011(1( 3 stories in height.
EXPIRATION: Every permit issued by the building Official undor the pro>Aaion• of ml, C ahall explro by fimi1ation 81\d become null and 110id if the building or work autllOrizod
1))1 Such permit ia n01 commenced wilhl n 180 daya from the data or such perrnlt J' ~ the b I ding ot work authoriled by such permit is suspen<Jod or abandoned at any time all er
the work la commenced for a period or 1 BO days (Sodion 106.4.4 ll1 au g Code).
WHITE: FIie YELLOW: APDlicant PINK; Finance