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Home My WebLink About1130 NIKI LYNN PL; ; CB061596; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-0-2006 . Plumbing Permit Permit No: CB061596 - Building Inspection Request Line (760) 602-2725 Job Address: 1130 NIKI LYNN PL CBAD Permit Type: PLUM Status: ISSUED Parcel No:. 1551604300 Lot #: 0 Applied: 06/06/2006 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 06/06/2006 Issued: 06/06/2006 Project Title: WILSON RES- REPLACE WTR HTR Inspect Area: Applicant: . Owner: CALIFORNIA DELTA MECHANICAL WILSON BRUCE I&KATHLEEN M SUITE #27 1130 NIKI LYNN PL 12440 OAK KNOLL RD 92064 CARLSBAD CA 92008 866-898-0008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee . $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL APPROVAL Inspector: tt44' Date: 7( -z4o 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 FOR OFFICE USE ONLY PLAN CHECK NO. &BO(() I 5110 EST. VAL. Plan Ck. Deposit Validated By Date PROJECT INFO MATIO 1130 NIKI LYNN PLACE CARLSBAD, CA 92008 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 Proposed Use Replace standard water heater like for like Description of Work SQ. FT. # of Stories #of Bedrooms # of Bathrooms r2 _CONTACT PERSON (If different from applicant) I 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 # 3. APPLICANT 1@,qqnlrqcW_P. 4gentfor Contractor 0 Owner gerfoj1Qwrer ROMEL 25005. POWER RD # 120 MESA AZ 85209 480-898-0007 Name Address City State/Zip Telephone # PROPERTY OWNER BRUCE WILSON 1130 NIKI LYNN PLACE CARLSBAD, CA 92008 760434-3942 Name Address City State/Zip Telephone # (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 CMI penalty of not more than five hundred dollars ($5001). California Delta Mechanical Inc. 2500 S. Power Rd. Suite # 120 Mesa 85209 (480) 898-0007 Name Address State License ii 811114 License Class C-36 State/Zip Telephone # City Business License ii 1214281 Designer Name Address City State/Zip Telephone # State License # ewORkER'SCOMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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. El 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 07/01/06 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Cl 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 RomelMaru DATE 05/31/06 7. OWNER-BUILDER DECLARATION 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement, 0 YES 0 NO I (have/have not) signed an application for a building permit for the proposed work, I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): S. 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 [óMPLEi THIS SECTION FOR NONRES1DENnALBUILDING PERMitiONiY. .. ' 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? 0 YES I] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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. [ONSiThiCTIoN LE WON NGAGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3091(l) Civil Code). LENDER'S NAME LENDER'S ADDRESS CANYER11FICATION I 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 57 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). APPLICANT'S SIGNATURE Romel Maru DATE 05/31/06 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/19/2006 Permit# CB061596 Inspector Assignment: Title: WILSON RES- REPLACE WTR HTR Description: L(Q= Type: PLUM Sub Type: Job Address: 1130 NIKI LYNN PL Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: WILSON BRUCE I&KATHLEEN M Remarks:• Total Time: Phone: 7604343942 Inspector: MZ- Requested By: NA Entered By: CHRISTINE CD Description Act Comment 25 Water HeaterNents Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp • c tV%L AA.e 12