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Home My WebLink About1029 GOLDENEYE VW; ; CB090058; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-12-2009 Plumbing Permit Permit No: CB090058 Building Inspection Request Une (760) 602-2725 Job Address: Permit Type: 1029 GOLDENEYE VW CBAD PLUM Status: Parcel No: 2110900100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: STREET RES RELACE WTR HTR Inspect Area: 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: STREET ROBERT&DEBORAH 1029 GOLDENEYE VW CARLSBAD CA 92011 ISSUED 01/12/2009 KG 01/12/2009 01/12/2009 $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: Date: Clearance: ------ $0.00 NOTICE: Please take NOTICE at approval of your project includes the "Imposition" of fees, dedications, reservations, er 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 fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwis ex ired. - Plan Check No.CW/{)O~ City .. of Carlsbad ~-... -..-. ~ ;,,.-~~ ~;~~~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 ~~· Plan Ck. Deposit . . . / Building Permit Application Date 1-D--tJC/ I~ JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN / 1029 Goldeneye View -- CT/PROJECT# I LOT# I PHASE# r OF UNITS 1 # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) replace existing like for alike water heater EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS YESO NoD vESONoO YESONoO CONTACT NAME (If Different Fom App/leant) C rf . D It M h , I . APPLICANT NAME galina pavlova a I orma 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 I FAX 1-858-410-1499 EMAIL EMAIL califomia(@,deltamechanical.com galiapavlovabg(@,yahoo.com PROPERTY OWNER NAME Bob Street CONTRACTOR BUS. NAME California Delta Mechanical. inc. ADDRESS ADDRESS Same as site 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ 85206 PHONE I FAX PHONE IFAX 760-918-6794 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I 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 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]). Workers• Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: 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 performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by 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. 1697623 Expiration Date o&,m1 This section need not be completed if the permit is for one hundred dollars ($100) or less. [ZJ 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 compensation, damages as provi for in Section 3706 of the Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owrer of the property or my employees with wages as their sole compensation, will do 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owrer of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant 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 for construction of the proposed property improvement. 0Yes 0No 2. I (have I 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 I phone I 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 I 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): 25 PROPERTY OWNER SIGNATURE DATE ' I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City olllinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit 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 anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 25 APPLICANT'S SIGNATURE I DATE / ;f:r ~ ' City of Carlsbad Bldg Inspection Request For: 03/03/2009 Inspector Assignment 4 Permit# CB090058 Title: STREET RES RELACE WTR HTR Description: Type: PLUM Sub Type: Phone: 7609186794 Job Address: 1029 GOLDENEYE VW Suite: Lot: 0 Location: Inspector: OWNER STREET ROBERT&DEBORAH Owner: STREET ROBERT&DEBORAH Remarks: Total Time: ---- Requested By: ROBERT Entered By: CHRISTINE CD Description Act Commr-0 25 ~W~at_e_r_H_ea_t_e_rN_e_n_t_s~~~~~ ~ ~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments