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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