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Home My WebLink About2803 WILSON ST; ; CB101268; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2010 Plumbing Permit Permit No: CB101268 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Buildi ng Inspection Request Line (760) 602-2725 2803 WILSON ST CBAD PLUM 1561424200 Lot#: 0 Construction Type: NEW BRANDOW RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2010 LSM 07/09/2010 07/09/2010 CALIFORNIA DEL TA MECHANICAL BRANDOW BRADLEY&GAYLE LIVING TRUST 07-23-07 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 2803 WILSON ST CARLSBAD CA 92008 $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 NOT E t a! approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." u 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 anack, 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 fees/exacti ns f which o hav vi u be n iv n a NOTICE similar o thi r whi ht at f limi a i n ha r vi rwi ex ir d City of Carlsbad ~---..-... ~ Plan Check No. CB f O \ ~ 'iS' ~ t~~ i) ""t 1635 Faraday Ave., Carlsbad, CA 92008 ~~ t.i Est. Value 760-602-2717 / 2718/ 2719 ' Fax: 760-602-8558 :\,,,:-·-;-·-~-Plan Ck. Deposit ..i.1J .. ,·_~\.'WI' Building Permit Application -~ Date "7fc::il,O JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2803 Wilson St. --- CT/PROJECT# I LOT. I PHASE. 1 • UF UNITS 1 • BEDROOMS # BATHROOMS I TENANT BUSINESS NAME i CON~TR. TYPE I V<-C, GROUP -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 lAIR CONDITIONING 'FIRE SPRINKLERS YES[]# No[] YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Stefan Grozev ADDRESS ADDRESS 6052 E Baseline rd # 155 6052 E Baseline rd # 155 -CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE IFAX PHONE t AX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california(.@.deltamechanical.com stefan.grozev(.@.yahoo.com PROPERTY OWNER NAME Gayle Brandow CONTRACTOR BUS. NAME California Delta rlechanical ADDRESS ADDRESS 2803 Wilson St. 6052 E Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa CA 85206 PHONE I FAX PHONE Y AX 760-271-3443 480-898-0007 1-480-218-5645 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC •• STATE UC.# ' CLASS !CITY BUS. UC1214281 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 an~ 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 or Division 3 of the Business and Professions Code] or {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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: I heleby afflfm under penalty of pe,jury ooe of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for v.oikers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the v.oik fo, which lhis pennit is issued [Z] I have and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code. for the pertormance of the v.oo< fo, which this pennit is issued. My v.oikers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1mm Expiration Date o,,ou,o ~section need not be completed rt the pennlt is for one hundred dollars (S100) Of less. l{J Certificate of Exemption: I certify that in the pertormance 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' Compensativn Laws of Calff0<nia. WARNING: Failure to secure wor1<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 provided fo, in Section 3706 of the Labor code, interest and attorney's fees. f!!S CONTRACTOR SIGNATURE g . ,;,,.,"'2P-" _,.,, DATE 7 /~ .d I hereby affinn tnal I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner or the property or my employees wilh wages as their sole compensation, will do the work and the structure is not Intended o, 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 himseff or through his own employees, provided that such Improvements are not intended or offered for sale. 11, hov,<JV<!I', the building or improvement is sold wilhin one year of completion, the owner-builder will have the llu!den of proving that he did not build Of improve for the purpose of sale). I, as owner or the property, am exclusively contracting wilh licensed contracto,s to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds o, 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 materials for construction of the proposed property improvement. O Yes []No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted wllh the following person (firm) to provide the proposed construction (Include name address I phOne I contracto,s' license number). 4. I plan to provide po,tions of the work, but I have hired the following person to coordinate, supervise and provide the major v.oik (inckJde name I address/ phone / contracto,s' license number): 5. I will provide some of the v.oik, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phOne I type or work): f!!S PROPERTY OWNER SIGNATURE DATE J ... Is the applicant OI future building occupant required to submit a business~. acutely hazardous materials regls~atioo form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? D Yes LJNo Is the applicant 01 future building occupant required to obtain a permit from the air pollution con~I district or a~ality management district? O Yes O No Is the facility to be coostru:ted within 1,000 feet of the outer boundary of a school site? O Yes LJNo IF ANY 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 AJR 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 ha'le read tile application and state that tile above information ls correct and that the information on the plans is aa:urate. I ag,ee to comply with all City ordinances and State laws relating to building construction. I hereby aJthonze representative a the City a Car1sboo to enter u~ the aboYe mentioned property b' inSj:8C1ioo Plfl)JSeS. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD 1 GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH tMY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCIE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required b' excavaoons CNer 50' deep and den-oltioo or <XllStruction a structures CNer 3 stories in height. EXPIRATION: EY81Y permit issued by the Buildilg ~al l.rder the~ of this Code shall expre by limtation and becoo1e nul and \Od I the blilding or WOik autholized by Sldl permit is rot CXlll'W1'lElOCe withil 180days frc:rn the date a Sldl permit O' n the building O'worl< authorized by such permit is suspended O' abandoned at anytime after the worl< is CXlll'W1'lElOCe for a peood a 100days (Section 100.4.4 Uniform Bulding Code). _gAPPUCANT'SSIGNATURE _;:;;: • 6 DATE -=7/7_/;1/V ' ... Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit: D Building Permit D Right-of-Way Permit D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge 0 My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because ii meets the 'no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria 0 My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria D My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria D My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or D My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more am;.; including any associated construction staging, equipment storage, refueling and maintenance areas: or, D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. ·The City Engineer may authorize minor variances from the Stoon Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted. Project Address: 2 g?J3 w, /soAI s-6 . Owner/Owne(s Authorized Agent Name: .s+ tt/' G/1J2-w Assessor Parcel No. Date: 7-/7//0 • . . City of Carlsbad Bldg Inspection Request . For: 12/1 4 /2010 . Permit# CB101268 Inspector Assignment: Title: BRANDOW RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: 2803 WILSON ST Lot: 0 Phone: Location: Inspector: OWNER BRANDOW BRADLEY&GAYLE LIVING TRUST 07-23-07 Owner: BRANDOW BRADLEY&GAYLE LIVING TRUST 07-23-07 Remarks: ---- Total Time: Requested By: GALE BRANDO Entered By: CHRISTINE CD Description 25 Water HeaterNents Act Comments ~ -C-,-,,,.f) Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments