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Home My WebLink About2723 WOODWIND RD; ; CB082095; PermitI \ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-17-2008 Plumbing Permit Permit No: CB082095 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2723 WOODWIND RD CBAD PLUM 156331 1300 Lot #: Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: PC #: Project Title: DAVIS RES REPLACE WTR HTR Applicant: CALIFORNIA DEL TA 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 1 0 0 Owner: DAVIS CAROLL 2723 WOODWIND RD CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 11/17/2008 KG 11 /17/2008 11 /17/2008 $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: Inspector: Clearance: $0.00 pproval 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 fOf 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 projed . NOR DOES IT APPLY to any ,f ,,, ' City of Carlsbad .. s--• Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 ~-~ Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 -,,-Plan Ck. Deposit .. Building Permit Application Date I f-17 -nf-l ./4:t / JOB ADDRESS SUITE#/SPACE#/UNIT# I APN t1 2723 Woodwind rd. -- CT/PROJECT# I LOT# I PHASE. I# OF UNITS I# BEDROOMS DESCRIPTiON-OF WORK: Include Square Feet of Affected Area(s} # BATHROOMS I TENANT BOS-INESs NAME I wNSTR. Tl'PE OCC. GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ' AIR OONDITIONING I FIRE SPRINKLERS YES[)I Nc0 YES 0 No0 vEsO NoO CONTACT NAME (lfD/fterentFomAppllcant) C l"f . D It M h . I . APPLICANT NAME Galina Pavlova a I ornIa e a ec amca , me. ADDRESS ADDRESS 6052 e. Baseline road suite# 155 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa Az 85206 Mesa az 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 480-898-0007 [FAX 1-858-410-1499 EMAIL EMAIL california(@,deltamechanical.com galiapavlovabg(@,yahoo.com PROPERTY OWNER NAME Chip Davis CONTRACTOR BUS. NAME California Delta Mechanical. inc. ADDRESS ADDRESS Same as site 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE I FAX PHONE Y AX 760-822-6093 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATELIC.# !CLASS I CITY 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 si£ned statement that he is licensed pursuant to the provisions of the Contractor's License Law fCha'f.ter 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. Ally violation or Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars ($500)). Worl<ers' Compensation Declaration: / hereby affl,m under penalty of perjury one of the follov.ing declarations: [Z] I have and will maintain a certificate of consent to self-insure for v.orkers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the v.ork fo, whieh this permit is Issued. [Z] I have and will maintain wor1<~• compensation, as reQuired by Section 3700 of the Labor Code, for the pelformance of the wOII< fo, whieh this permit Is Issued. My wOll<ers' compensation insurance carrier and policy number are: Insurance Co Poficy No. 1'97423 Expiration Date ""'1131 ~section need not be co,npleted ~the permit is for one hundred dollars ($100) 0< less. l.!'.'...I Certificate of Exemption: I certify Illa! In the pelfonnance of the worl( for whieh this permit Is Issued, I shall not employ any person in any manner so as to becO<ne subject to the Workers· Co,npensation Laws of Cal~o,nia. WARNING: Failure to secure worl<ens' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the coS1 of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's lees. ,25 CONT1ACTORSIGNATURE DATE I hereby affl,m ttiat I am exempt from Conttactors License Law for the lo/lov.ing reason: 0 I. as owner of the property or my employees with wages as their sole compensation, will do the worl( and lhe structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property who builds or improves thereon, and who does such worl( hlmse~ or through his own employees, provided tllat such Improvements are not Intended 0< ofleted for sale. II, however, the building 0< improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he dil not build 0< Improve fo, the purpose of sale). □ □ I, as owner of the property. am exclusively contracting with licensed conttactors to construct the project (Sec. 7044, Business and Professi>os Code: The Contractors License Law does not apply to an owner of property who builds 0< ~s thereon, and contracts for such projects with contractor(s) licensed pursuanl 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 fo, construction of the proposed property improvement O ves O o 2. I (have/ have not) signed an application for a building penr~ for the proposed worl(. 3. I have contracted with the following person (fi,m) to provide the proposed construction (include name address/ phone I contractors' license numbef): 4. I ~ to provide portions of the wOII<, but I have hired the foi1owi1g pelSOl1 to coordinale, supervise and provide the map, v.ork flllCkJde name/ address / phone I conttactors' license number): J the fol\lwing persons to provide the wor1< Indicated Onclude name/ address / phone I l)'pe of v.ork): ,25 PROPERTY OWNER SIGNATURE DATE I _.. I Is the applicant or future building occupant required to submit a business,R!l!Jl, acutely hazardous materials registration fonm or riSk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Adi D Yes LJNo Is the applicant or future building occupant required to obtain a penmlt from the air pollution control district or a~ality management distriet? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a schOol srte? 0Yes 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 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 the application and strte that the aboYe infonmation is conect and tllartthe infonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building cons1ruttion. I hereby authorize representati\'0 ct the City C, Ga1sbad to enter urm the above mentioned property for ins?)dioo 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 pemn is requiroo for excavatbns (]>le( 5'0' deep !rd demoition or construction c, stn.ctures (]>le( 3 stories in height EXPIRATION: E'J81Y permrt issued by the Buildilg Official under the provisions c, this Code shall expire by !nitatioo !rd beoome null !rd \l'.lid f the building or work authorized by such permrt is not ll'.lOTOOOOld within 180days from the date a such pemn or ~the building orwor1< ·zoo by such pemn is suspended or abardoned at any time after the wor1< isoomrernldfor a period a 180days (Secoon 100.4.4 Uniform Building Code). ,@5 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/29/2009 Permit# CB082095 Title: DAVIS RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: 2723 WOODWIND RD Lot: 0 Inspector Assignment· Location: Inspector: OWNER DAVIS CAROLL Owner: DAVIS CAROLL Remarks: AM PLEASE 8-10-PLEASE Total Time: CD Description Act Comments 25 Water HeaterN ents ~ 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: CAROL Entered By: JANEAN