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Home My WebLink About1024 LAGUNA DR; 08; CB102305; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-02-2010 Plumbing Permit Permit No: CB102305 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1024 LAGUNA DR CBAD St: 08 PLUM 1552722008 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: BECKERMAN 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: ORDWAY HOLLY 1024 LAGUNA DR #8 CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 12/02/2010 LSM 12/02/2010 12/02/2010 $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: FINAL APPROVAL Inspector: Date: J 2,.,,.. .2..Z-,1:) 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 fortfi 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 NOTIFl~D 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 tees in connection with this project. NOR DOES IT APPLY to any f f whi h h Tl imH r hi r whi h f Hmi City of Carlsbad 16.35 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS SUITE#/SPACE#/UNIT# Plan Check No. ffil O &I-'-=t£>~ Est. Value Plan Ck. Deposit Date I "Z--1 APN CT/PROJECT# 1024 Laguna Dr# 8 LOT# ------ica,~HA"s~, •• ~~-,O0°, "UN~1Trrs~•,OBE°'O~R'°OO~M"S~-+,.,~,.,"'HR"O~O~M~s-~,,,~N,~N"TOB"US~IN"'E~S'S"N"AM~,,__ ______ J:=" I DCC GROUP ·oESicRIPTION 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 I FIRE SPRINKLERS YES[], NoO YES0No0 vesONoO CONTACT NAME (ff DlfmenlFom Appll<ant) C l"f . D II M h . I I a I orma e a ec amca nc. APPLICANT NAME Galina Pavlova ---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 I FAX PHONE 480-898-0007 1-480-218-5645 858-361-6495 IFAX 1-858-410-1499 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Richard Beckerman CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 1024 Laauna Dr# 8 6052 E Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ. 85206 PHONE I FAX PHONE I FAX 858-739-8860 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS r STATE LIC. # STATE LIC.# I CLASS ICllYBUS.LIC1214281 811114 c-36 (Sec, 7031.5 Busmess ~nd P_rofes!:!1ons Code: Any City or C~un_ty which requires a permit to.construct, alter, improve, qemollsh or repair any structure, p_nor to its 1ss~ance, also re_q.,_.1res the applicant for such permit to file a s1i;!ned statement that he 1s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commend mg with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or fuat 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 apphcant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· - [Z] 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 [Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiraijon Date 07,.,112011 ~section need not be completed if the perm~ is for one hundred dollars ($100) or less. l:lJ 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 Worl<ers' Compensation Laws of Galifornia. WARNING: Failure to secure workers' 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 S n 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby aff,rm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the won< 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 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 exclusively 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 per,;onally plan to provide the major labor and materials br construction of the proposed property improvement 0Yes Do 2. I (have I have not) signed an application for a building permij for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction {include name address I 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 I address I 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 I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE " , ~ ~-'"'" ~~a OMPI.ETE THIS SECTION FOR NON-RESIOENl"IAt S·,Uil.DING PERMITS ONI.Y , ., ' ' s the applicant of'future building occupant required to submit a business.R!mJ, acutely hazardoos materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the ::iresley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control d~trict or a~ality management district? []ves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves 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. certify that I have read the application and state that the above lnfonnation Is col1'8Ct and that the infonnatlon on ttie plans Is accurate. I agree to comply with all City oldinances and State laws relating to building construction. hereby authorize representative of the City of C"1sbad ID enter upon the-. mentioned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is required b' excavations ewer 5'0' deep ald demolition or construction of structures CNf!I 3 stories in height. :XPIRA TION: Every pemit issued by the Building Official under the pro,1isions of this Code shal expire by !irritation clld become null aid void if the building a-work authorized by such pemvt is oot commenced withrl 80 days from the date of such permit orWlhe buldilg orwlll1< aithorized by permit is suspended or abaldoned at ooy time after lhe wlll1< is OOIMlerlCed for a perod of 180 days (Section 1116.4.4 Unifoon Builrnng Code). f/S APPLICANT'S SIGNATURE DATE m . . City of Carlsbad Bldg Inspection Request . . For: 12/21/2010 Permit# CB102305 Title: BECKERMAN RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 1024 LAGUNA DR Suite: 08 Lot: 0 Location: OWNER ORDWAY HOLLY Owner: Remarks: Total Time: ----- CD Description 24 Rough/Topout 0---'t -· .. -__ /. Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 5857398860 Inspector: ~ Requested By: NA Entered By: CHRISTINE