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Home My WebLink About1205 MARIPOSA RD; ; CB063376; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-01-2006 Plumbing Permit Permit No: CB063376 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1205 MARIPOSA RD CBAD PLUM 2122213700 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: WILSON RES REPLACE WTR HTR Applicant: CALIFORNIA DELTA 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: WILSON CYNTHIA 1205 MARIPOSA RD CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 11/28/2006 KG 11/28/2006 12/01/2006 $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: $0.00 Inspector: PER}Jff 1"1t\8 r:.:-· .. :r:i;::· ~~Ecno;,i -;{J <·.··, FINAL APPROVAL Date: Clearance: :-·•;:-~1.G_H.C. ._F,.O~-030 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/exacf1ons. 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 infonnation 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 legs 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 f whi h h l i n N T E imil r o hi r whi h f i i i n h I h rwl ire . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO(g)u; i2 Q 7 (., EST. VAL.------,,------ Plan Ck. Deposit ...,.95,_ _____ _ Validated By -,<-_;,.-/-:r-;,--',l--l,"".::;77"f°:: Date ----~-'-...:....-''---------4- 1205 Mariposa rd. 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 1■ii~m i-ii!~¾Jli\\~~~~\~tl!:\~~lil\ffltffi-ifl~l\ilm\!\P,\mHf~l ;1;•:l•E1_·_i'r111il1l•11~l~··~···,·;/~•1,~·i•l"'r1{ 1;;:,~:a--\"')~l!!!!li·:/;;·; ,•,:,'!:,i_: California Delta mechanical, Inc. 2500 S Power Rd. Su'1te # 120 Mesa AZ. 85209 (480) 898-0007 (480) 898-0005 Name Address City State/Zip Telephone# Fax# )B~rr::TI~Wllie!~~i\~'W::11g~ffl~ttiritllllll~llltm\~4ll~lls,TirlilliHfd1iU~d~~i!ti~liWr~tM1~&1ill\¾l!Tul!Rifmi<\~S!mli ',;,rm; d'0 ¥,, Galina Pavlova 8949 Lombard pl.#413 San Diego CA 92122 858-361-6495 Name Address City State/Zip Telephone# •:; .);:-•---~l1\1fftiltti\~ll~l:1,!lm\1:mm1m1 , -~ ,'.;,;::'.'.'.::::'.'.;\;: ;1\ili \j\jjG~ii~i\Jiiil~im11~!P:LfriSlli'iiiiil\lU~mu;mr ,i ,-,:-.~::.~,-:'.-. •• ,:•~:,;.;~'.1.u~.:'.. ::;·:,1:::;;'.':;~~~,;~---•:-,,,,?i::i:;''.,\~ i '.L -'.~11'.:',,;' .~?<, Stephan Wilson 1205 Mariposa rd. Carlsbad CA 92009 760-603-8013 Name Address City State/Zip Telephone# ,I~':' _;....._._ •• ,.;:1,•i:-;1:'· .. :-:-~;m-,.t_~-,.ii-;~•,"t:'.:,,.:-:..:Ml~!'.;:;;;---,lh~;!.:,--·--.-_:,.,,,: .-.:"'.'''.','_':r.•1111,:?ffiF .• ,. '•i~:;·••:::-:;:..-;;.,,\.;:::~,~;--~-,§l,:,::·~s}~'-:.:-·ir (Sec. 7031.8 Bu■n•• and Profe■■ion, Cod■: Any City or County which requires a permit to oon•ruct, ■lt•r, impro ... , demoliah or repair any •rLDure, prior to II i11u■nca, also requires the applicant for such permit to file a 1ign■d ■t■t■ment that he is licensed pursuant to the provisions cl th• Contractor'• License law [Chapter Q, commending with Section 7000 of Division 3 of the Business and Pn:Jf•1iona Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation cl Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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 City State/Zip Telephone# State license# _8_1 _11_1_4 ____ _ license Class _C_-_3_6 _______ _ City Business License # -'l'-'2'-l'--4-"2=8~1 _____ _ Designer Name Address City State/Zip Telephone# State license# ________ _ ~.Y{1Wi--i1\r¥1li\\lll1;!\i'r1ltY11Ar;\;\t!1t111l1il\'ii\li[il'i'\ilHFfflii!~Wi'.~miililffi~l\+tif4\tiifriJj\U;P;!lEtx;\;.~.:: ~ ,: ' .. :i" ·-.,:.~, ,.:,,:;;::_':'.i\\W\;:: .. ·,v;)i~, .1m1mimn:11r_TifJ:12mirn111;nn1:1: Work■rs' Comp■nllltion D■d•r■tion: I hereby lll'lrm und■r p■n•lty cl p■rjury on■ cl the JollOllllling ded■r■tiona: □ 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,00,_7ccl,,O..,I,c/0,_7'---------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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 crlmlnal penaltles and civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, d ag SIGNATURE Galina Pavlova ,,,r :,!i!!~l!l!!ll!!!l!lll'J!l!iil;iU/Uii~IB'4'i!!f . J hereby affirm that I am exempt from the Contractor's reason· □ 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 Contractors 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). □ 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. □ YES □ NO 2. I (have/have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number f 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 I 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 \~~\-~\M:L,, :,~, '"-''' ,m,----~;t; ;,~,-1, ,,,,:,,~·;;' k~-,-~,,, J-l'i?J\1t~l1t¥\1tiP1\l1¥Ji\TulJt4Wf:iftJtll\il¥:~1t~t~ill\~;ffifftl~W!fill1filk~l~JUi!n!llilill¥~\\W\lf~m➔~i\t\¼i\\tit¼\\¥1\~i\\:;\\\\\;t,;'&:i ls 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 Acr? O YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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. ';!~§-ll:~\~:ii,rtm'Llf~filL!ZJJiilUil,lli'Willlmt~BtiJil~l!1\i~lnilr.\t~nillill~llli--£l\';jiJll~i~~~\•r~ngH:i,~~?,\T,\'.~ I hare by a'llrm that that'll i■ • con•rudion landing ■genQI/ for th• performance ot th• work Jar which thi• permit ia iHua:I (SIC. 30"7(1) Ci',lil Ca::le). LENDER'S NAME _________________ _ LENDER'S ADDRESS __________________ _ liit~}i:';\ ........ WIIIM~':lii!i\r~~ii's~J'l\'ff;!fl\~~u1~lY:"~,1~ii1'~\lll~'WliWli'-irdl\\~\!\iill!iir;Jm\i~;a:1llm:1.1/iiiaik1lli\gi\\¼l,)il'J';,-~ij)\iitffl!i~Yi~~-iili,\\l\¥:\i\.,i\\E\~' I Otrtify that I ha ... read the application ■nd atat• that th■ ■t.:>w infom,ation ia ooo.1 and that the in#ormation on th■ plan• i• ■c:cui:at•. I agree to comply with ■II City ordinances and State laws relating to building construction. I hereby authorize representarIves 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 ANYWAY 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 anytime after the work is commenced for a period of 180 days (Section 1 06.4.4 Unifom, Builcf1ng Code). APPL1CANrssiGNATURE...:G=a=l=in=a.:_P:...::av=lo'--v-'a=--,~~;;11<..c.,~----------□ATE_l_l_/2_7_/_0_6 ________ _ WHITE: File YELLOW: Applicant PINK: Finance