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Home My WebLink About1032 BEACON BAY DR; ; CB071017; Permit04-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB071017 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1032 BEACON BAY DR CBAD PLUM 2145301100 Lot# Construction Type GEORGE RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/16/2007 KG Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner GEORGE TRUST 09-28-00 5927 BALFOURCT #207 CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 SO 00 SO 00 $000 $000 $700 $000 $000 SO 00 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 PERMIT HAS FJCWf SECTIOW 106 4 4 to >vmi G B c uf£MCi8G4830 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 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 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 :1**7'PROJECfWFORMATON *P"\..,., ''""" "'"'"" '"^LaS- 1032BECONBAYDR FOR OFFICE USE O_NJ,Y PLAN CHECK NO EST VAL (^7/0/7 Plan Ck Deposit Validated By Date f... Address (include Bldg/Suite #)Business Name (at this address) Legal Descnption 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 Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different frorn applicant) California Delta mechanical, Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Address City ;3 APPLICANT BfContractor..: D^gent for Contractor D ••Owner,, GALINA PAVLOVA 8949 LOMBARD PL #413 SAN DIEGO State/Zip Telephone* D Agent for Owner^X" _ CA92122 ""480-898-0007 Fax# Name Address 4 "" ; 'PROPERTY OWNER^- •*; DAVID & NORA GEORGH City State/Zip 1032 BEACON BAY DR CARLSBAD CA 92009 Telephone # 760-930-1207 Telephone #Name Address City State/Zip 5 CONTRACTOR - COMPANY NAME IfiL • ::;. . , . (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]) California Delta Mechanical, Inc 2500 S Power Rd Suite # 120 Mesa 85209 (480)898-0007 Name Address City State/Zip Telephone # State License # 81 I 114 License Class C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # 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 carrier and policy number are Insurance Company State Compensation Insurance Fund Policy No 1697823 Expiration Date 07/01/07 (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 compensation damages are provided for in Section 3706 of the Labor Code interest and attorney's fees SIGNATURE GALINA PAVLOVA DATE 04/12/07 7. OWNER-BUJLDER DECLARATION -iWS"""""""' ..^g^iti" ••i^', I hereby affirm that I am exempt from the Contractor's License Law for the following reason rj 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 APPLICAf ION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITSfONLY .*IF" 5'- 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? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' P 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 8 CONSTRUCTION LENDWG AGENCY %IC -if!' 11! 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 S9 APPLICANT CERTIFICATION ~' : "\--r- ™:- ""Ife" ' .,—->• ^ 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 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 the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANTS SIGNATURE GAL1NA PAVLOVA DATE 04/12/07 WHITE File YELLOW Applicant PINK Finance PQWCYHOLDBR COPY NP STATES P0 BOX 4a08<>?f SAN FRANOSCO.CA 94142-0807 CBRTJFICATB OP WORKERS' COMPENSATION INSURANCE PATH m 01 -noes POLICY NUW3EB- ta9?ft*d~40M CERTIFICATE ID; 8 CERTIPICATE EXPIRES. 07-01-M07O7"01 DEPOT MP WT STE «**,«*•«* Cemp»M^0n taurm** policy in « for™ vprowt by Hwomployor nwrsd frntow for tha policy pwta«l indicated, I, net ,ut,j«« to amwIMkm by th« Fund «xe»m .jpnn 1tt ^yB arfvWM wrltt«h netIM » tfts «mploy«r .win S|,n 9lw yw, in d<yB 8tJVWM nawo(!( '32L * i"*"'^* P"11^ *» *>« iwt nmwrt. axtwm or niter th.Xlt'wun(«"9 *rty r«mir*m«rt, »«rm or canriltion cf ^y cantriet or oftw dqcumant» * ewWtaw nf i«)Wiiww» may Ho imuMt of to vvWch it nwy partrtfl, ih« HiiOf)mfli»bv tfic iinllry rtwanhoff har»m Is s<ih}*et to an m» wnrw, nptelimlom. and eon«lltlonii, of such 'H UAfilLXTY t.IHIT fMClUDJtHffl OefCNSfi COSTS: *1,000,OOQ PER aCCUftMNCC Smpjffta-