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Home My WebLink About1011 LANDS END CT; ; CB072251; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 os·-29-2007 Plumbing Permit Permit No: CB072251 Building Inspection Request Line (760) 602-2725 Job Address: 1011 LANDS END CT CBAD PLUM Status: Permit Type Parcel No 2145310800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: POZZEBON RES REPLACE WTR HTR 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 1 0 0 Owner: POUEBON LEWIS J&ELIZABETH A 1011 LANDS END CT CARLSBAD CA 92011 ISSUED 08/29/2007 KG 08/29/2007 08/29/2007 $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 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 pennit 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 Ca~sbad 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 fees/exa ti n f which ou have r viou I b n i n Tl E imil r o hi r t which h f limi a i n h herwi , FOR OFFICE USE On1 ") ---is/· PLAN CHECK NoC,[11 ,1--,/'- PERMIT APPLl~ATION EST. VAL. ____ _...,_ ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By ....:;~;t---6'~.,,..,.~---:mef- Date ___ _.,_'.._.JL~c._L____..:;c.___ 111111 11•■1 I IIIIT1 LPIF J5 I 1■m111■ TLL + 1011 Lands End ct Address (include Bldg/Suite#) Business Name (at this address) Legal Descrip1ion Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms FTEE I ITl!ltrrr;n111rrur·::; Lill, California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Address City State/Zip Telephone# Fax# 111rm:zmmTIIIIIIJlllil l ·n:rLJF?L&LF?l?FllllllllTn&lll17!1!'11221H::::mr&Ullil~~-fll?rr Galina Pavlova 2500 S. POWER RD# 120 MESA AZ 85209 480-898-0007 Name Address City State!Zip Telephone# rrnr ?THFZ IIIRFllllil"z!ii[J;[J;[J;JTJ■rrar•rr11111 ZIIIITffl/!LJ17![J;mrtlllll~ Lewis Pozzebon same Carlsbad CA 92011 760-918-0923 Name Address City State/Zip Telephone# ,.. 11111111111111 IIIH■i??!I av r::·m11 iii I IZFTJP?l11 I EL 12 am, FE I F :rr11:rrm (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such pem,it to file a signed statement that he is licensed pursuant to the provisions of the Contrador'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 pem,it 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 ~11~1~4~----License Class ....:C::.·.:c3o:6 _______ _ City Business License# ~1~2~1~4~2~8=1------ Designer Name Address City State/Zip Telephone# State license# _______ _ Wll■En□LJ17!fll?m'.'".?Jffi111 LJ17!■~71111rzllll!IJW"!tlln□II Workers' Compensation Declaration: I hereby affim, under penatty of perjury one of the following declarations: D 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. 1B] 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 carrier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date~0~7"'/0e.I,,/_,,0.,,8 ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage I unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars($100,000), in addition to the cost of compensatlo es are provided for in Section 3706 of the labor Code, Interest and attorney's fees. SIGNATURE Galina Pavlova i■iiiiiiiiiiiiii iiiiiiii DATE 08/28/07 I hereby affirm that I am exempt from the Contr s license law for the following reason: D 1, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure 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 ovm 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 exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrador'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). D 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. D YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contraded with the follO'INing person (firm) to provide the proposed construction (include name I address f phone number I contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (indude name I address I phone number f /ontractors license number): -------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name I address I phone number I type of work): PROPERlY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 1 r:: r 1 1111111r:::s757nrsrmrara1■1 1s1a man Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES D NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control distrid or air quality management district? □ YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO 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 111 I 11117 11111 Ti rm:: I Ii IF■■ll1Tll4 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME__________________ LENDER'S ADDRESS ___________________ _ Pk IIIIIIIBI-Hillllllrlilil 1 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 !lll-'IIJ I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after ::~::~~:::~:~:: ::::·:::::;on 1064 ~•) DATE _0_8_/2_8_/0.:__7 _________ _ WHITE: File YELLOW: Applicant PINK: Finance m City of Carlsbad Bldg Inspection Request For: 09/14/2007 Permit# CB072251 Title: POZZEBON RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 1011 LANDS END CT Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: POZZEBON LEWIS J&ELIZABETH A Remarks: 760-918-0923 Total Time: CD Description 25 Water HeaterNents ff Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act I nsp Comments Inspector Assignment: Phone: 3235838811 X229 Inspector: Requested By: LOUIS Entered By: JANEAN