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Home My WebLink About1758 YOURELL AVE; ; CB102501; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-2 1-2010 Plumbing Permit Permit No: CB1 02501 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1758 YOURELL AV CBAD PLUM 1560510700 Lot#: Construction Type: SHAW RES REPLACE WTR HTR 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/21/2010 KG 12/21/2010 12/21/2010 CALIFORNIA DEL TA MECHANICAL SHAW JOSEPH&EVA 2006 TRUST 10-31-06 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: $27 .00 0 0 0 0 1 0 0 1758 YOURELL AVE 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: FINAL APPROVAL Date· S • I fJ • If • I Clearance: ______ _ $0.00 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 f City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1758 Yourell ave Plan Check No.C\SI OJ._ SO Est. Value Plan Ck. Deposit Date 2,-2,/-l l) SUITE#/SPACE#/UNIT# "C""Tt"'P"'RO"J"EC"Tc;;#;------,,LO'°T'"#c-----..,.,_P,.,.HA""'S"'E-=#--.-#=-oF"'U7.N'""IT'"S--,-#"'B"'E'""D"'RO"'O"'M"S~-h#"BA=aTH""R"'O""'OM"'S,,--,-.,TE"'N""'A .. NT=s~u""s""1N"'ES"'S'"'N""'A"'M,.!E---------.-,_,CO"'N=sTR. TYPE occ. 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) I FIREPLACE [ AIR CONDITIONING IFIRE SPRINKLERS YESO No[] YES□No□ YES□Noc CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAM E Galina Pavlova --ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE !FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Joseph Shaw CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1758 Yourell ave 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92008 Mesa AZ 85206 PHONE !FAX PHONE t AX 760-729-1326 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS [STATE UC.# STATE UC.# ' CLASS lCITY BUS. LIC.1214281 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 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)). Wor!(ers' Compensation Declaration: / hereby affirm under penaHy of pe,jury one of the following dedarations: 0 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 perform.-ice of the work for which this permit is issued. 0 I have and will maintain wor!(ers' compensation, as reouired bv Section 3700 of the Labor Code, for the performance of the work fOf which this permtt is issued. My wOlkers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697&23 Expiration Dale _,,,_,u_m_,_, __ _ This section need not be completed ~ the permit is for one hundred dollars ($100) or less. 12] Certificate 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 lo become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure worilers' 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 cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~ DATE I hereby affirm that I am exempt from Contractor's License Law frx the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wOlk and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractoc's License Law does not apply to an owner of property who builds or improves thereon, and who does such wor!( himse~ 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 yeai of completion, the owner-builder wi I have the burden of proving that he did not build Of improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro;ect (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such pro;ects 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 ves 0 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 (include name address/ phone / 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 work (include name / address / phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work): ~ PROPERTY OWNER SIGNATURE DATE s the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicanl or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jves D No s the facility lo be constructed within 1,000 feel of the outer boundary of a school site? O ves LJNo F 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code) . . ender's Name Lender's Address certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. hereby authorize representative of the City of Ca1sbad to enter upon the aoo,e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD IGAIN~T ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA permt is required b-excavations (],/8[ 5'0' deep i3ld demolition or oonstructioo of structures r,;er 3 stOlies in height. :XPIRATION: Every permt issued by the Building Official under the pr<:Nisions of this Code shall expire by !irritation and become null and void if the building or work authorized by such permit is not corm,enced ~thin 80 days from the date of such perrrit or if the buildng or work authorized by such permit is suspended or abandoned at any time after the work is oomnenred for a period of 180 days (Sedion 100.4.4 Unform Building Code). RS APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 05/09/2011 Permit# CB102501 Title: SHAW RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address : Suite: Location: 1758 YOURELL AV Lot: 0 OWNER SHAW JOSEPH&EVA 2006 TRUST 10-31-06 Owner: SHAW JOSEPH&EVA 2006 TRUST 10-31-06 Remarks: AFTER 9 PLEASE Total Time: Act Comments Inspector Assignment: Requested By: JOSEPH Entered By: JANEAN CD Description 25 Water HeaterNents 29 Final Plumbing !--- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments