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Home My WebLink About1029 DAISY AVE; ; CB072254; Permit08-29-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB072254 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1029 DAISY AVCBAD PLUM 2144012000 Lot# 0 Construction Type NEW MCBRIDE RES REPLACE WTR HTR Status ISSUED Applied 08/29/2007 KG 08/29/2007 08/29/2007 Entered By Plan Approved Issued Inspect Area Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner MCBRIDE JOHN B&LAUREN J 1029 DAISY AVE CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 ufi ''a. PERMIT HAS EXPIRED to ^"OflOA^GE WITH G 8 C SECTION IDS 4 4 AS AvE-'D"D BY C M G 18 04 330 Inspector FINAL APPROVAL Date Clearance 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 Ihe 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 feesAixactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 FOR OFFICE USE Q PLAN CHECK NO EST VAL Plan Ck Deposit Validated By ^ 1029 Daisy avenue Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # Existing Use Replace standard water heater like for like Proposed Use Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms California Delta mechanical, Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Galma Pavlova Address City State/Zip 2500 S POWER RD# 120 MESA AZ 85209 Telephone #Fax# 480-898-0007 Name Address City State/Zip Telephone # John Mcbride Carlsbad CA 92009 760-438-9284 Name Address City State/Zip Telephone # ^:^^^r^ml""."""IIBP^^^^''':^^!":''•••••:^nr—^fnr:;; vijp ;jf;;• (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor 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]) California Delta Mechanical, Inc 2500 S Power Rd Suite # 120 Mesa 85209 (480) 898-0007 Name Address City State/Zip Telephone* State License # 811114 License Class C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # [6;" WORKER'S:C Workers Compensation Declaration I hereby affirm under penalty 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 S 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 earner and policy number are Insurance Company State Compensation Insurance Fund Policy No 1697823 Expiration Date 07/01708 (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 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 compensaticjivdarrijjgefare provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galma Pavlova ^^^/ DATE 08/28/07 (7 •, . OWNER-BUILDER pECiJARAtK»l[ I hereby affirm that I am exempt from the Contractor*:; License Law for the following reason D I 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 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) D 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) 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 D 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 number / 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 number / /ontractors 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 / phone number / type of work) PROPERTY 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 Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct' D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES D 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^^SS^^^^SSSH'^St^T ^^II^^ZS^^^ 'SI JSL 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 I 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 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 ANY WAY ACCRUE AGAINST SAID CITY 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 stones 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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Bulking Code) ^zX/ZrAPPLICANT s SIGNATURE Galina Pavlova j^&r^J DATE 08/28/07 WHITE File YELLOW Applicant PINK Finance COPY COMPENSATIONINSURANCE FUND PC SOX 420Q07 SAN FRANC!SCO,CA 94142-0807 CERTIFICATE OP WORKERS' COMPENSATION INSURANCE ISSUE BATE o? 01-200?GROUP POLICY NUMBER1 189782S-2007 CERTIFICATE ID' 8 CERTIFICATE EXPIRES" 07-O1-200B 07-01 20O7/07-01-20O8 HOMP DEPOT COMPLIANCE DEPARTMENT 3075 E IMPERIAL HWY STE 10O BREA CA Phis n tn cgitity that we have isr.uftd a valid Workers' Compensation insurance policy in a form approved by the (/ilifornia InsitranrA ("oinrmssianor to the employer named below for tha policy period ndicatad This- policy 15 not siibsect tn cancellation by tha Fund axcept upon ^g days adwnee written notice to tha employer Wo will also ymt 10 advance nr>lice Ihis policy be cancelled prior lo rts normal expiration This wtificate of insurance is not an insurance policy and doss not amend, extend or alter the coverage afforded by thn policy iiitBd herein Notwithstanding any requirement, tsrm or condition of any contract or other document with ipspfwr fo wmrh this r^rrlflcate of insurance may be issusd gr to which it may pertain, the insurance afforded by tlui poliry rle^rrlhisd hsrflin is sublet to all the terms exclusions, and conditions, of such oolicy n~^ IPPRFSFNTATIVtJ4)THOni2FO nf=PRFSf:NTATI\te-J PRESIDENT FMPLOVER'S HARIirTY UMlT INCLUDING OEF6NSF COSTS $1,000,000 PER OCClfflRENCF FMPl CjYFR CAI TFORNIfl DELTA MECHANICAL, INC DBA CALIFORNIA DELTA MECHANICAL, INC 2SOO S POWER «D STF 12O MR5A A7 PRINTED 06-15-3007 M0408 ' iinr ,• rn 11 •.i