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Home My WebLink About1176 LARKSPUR LN; ; CB090284; PermitCity of Carlsbad ... 1635 Faraday Av Carlsbad, CA 92008 02-19-2009 Plumbing Permit Permit No: CB090284 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1176 LARKSPUR LN CBAD PLUM 2054300700 Lot#: 0 Construction Type: NEW HORTON RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/19/2009 KG 02/19/2009 02/19/2009 CALIFORNIA DEL TA MECHANICAL HORTON JAMES&ADELE FAMILY 2005 TRUST 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 Total Fees: $27.00 Inspector: 1 0 0 0 0 1 0 0 16458 BRIDLEWOOD RD POWAY CA 92064 $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 Payments To Date: $27.00 Balance Due: FINAL AP 2-Date: ROV 2. Clearance: $0.00 NOTICE: Please take NOTICE th t 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. City of Carlsbad (i) Plan Check N/'A'cJ~CJ,,2?9' 1635 Faraday Ave., Carlsbad, CA 92008 / 760-602-2717 / 2718 / 2719 Est. Value Fax: 760-602-8558 . Plan Ck. Deposit - Building Permit Application Date ..Y-/tf'-tJf I~ JOB ADDRESS SUITE#/SPACE#/UNIT# '" /_ 1176 Larkspur In -- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Alea(s) replace existing like for alike water heater EXIS',lNG USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS v,so Nc0 v,s □No0 v,s□NoD CONTACT NAME (lfD/ffeNotF=Applloaot) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 e. Baseline road suite# 155 6052 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE I FAX I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california@,deltamechanical.com galiapavlovabg@,yahoo.com PROPERTY OWNER NAME Bruce Hortan CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 1176 Larkspur In 6052 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92008 Mesa AZ 85206 PHONE IFAX PHONE IFAX 760-726-0303 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS TSTATE LIC. # STATE LIC.# TCLASS I Cl1Y BUS. LIC.1214281 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 pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChaoter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). • < WORKERS' COMPENSATION ' Workers' Compensation Declaration: I hereby afflnn under penalty of pe,jury one of the following dec/8f8tlons: 0 I have and will maintain a certificate of consent to self-insure for workers' compensat:On as provkled by Section 3700 of the Labor Code, for the performance of the 'Mlrk for whieh lhls permit is issued 0 I have and will maintain workers' compensation, as reauired 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 1687823 Expiration Date =1131 ~section need not be completed if the permit is for one hundred dollars ($100) or less. ILJ 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 provided for In Section 3706 of the Labor code, interest and attorney's fees. JIS CONTRACTOR SIGNATURE I hereby affirm that I @71 exempt from Contractor's License Law for the following reason: D I, _as owner of the property or my employees wilh 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 Ltcense 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 soch Improvements are not intended or olfered 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 "Mth 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 Controct.or's License L<M"). I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the ma.Pr labor and materials for construction of lhe 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 follo'Mng 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, supeivlse and provide the major 'Mlrk (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but\ have contracted (hired) the following persons to provkle the work indicated {include name I address I phone I type of work): ..@S° PROPERTY OVVNER SIGNATURE DATE m . . . City of Carlsbad Bldg Inspection Request For: 02/26/2009 . Permit# CB090284 Title: HORTON RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 1176 LARKSPUR LN Lot: 0 Inspector Assignment: fl Phone: 7605000915 Location: Inspector: ---- OWNER HORTON JAMES&ADELE FAMILY 2005 TRUST Owner: HORTON BRUCE N Remarks: 726-0303 (This is a rental property) Total Time: CD Description Act Comments Requested By: BRUCE Entered By: CHRISTINE 25 Water HeaterNents ~----- ----------------- ------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# . Inspection History Date Description Act lnsp Comments