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Home My WebLink About1324 BULRUSH CT; ; CB091196; Permit07-20-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB091196 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1324 BULRUSH CTCBAD PLUM 2158501200 Lot# Construction Type HOCHNER RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/20/2009 KG 07/20/2009 07/20/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner HOCHNER LEE&KEN1 KARLYN FAMILY TRUST 03-25-04 1324 BULRUSH CT CARLSBAD CA 92011 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 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $2700 Inspecto FINAL APP 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 othei 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 -- •» City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718/2719 Fax 760 602 8558 Building Permit Application //tf£ JOB ADDRESS 1324 Bulrush ct CT/PROJECT ff PHASE * I # OF UNITS # BEDROOMS « BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE PROPOSEDUSE GARAGE (SF) CONTACT NAME ( If Different Fom Applicant) _ . , _ .. . . .California Delta Mechanical Inc ADDRESS 6052 E Baseline road suite # 155 CITY Mesa PHONE 480-898-0007 STATE ZIP Az 85206 FAX 1-480-218-5645 EMAIL California® deltamechamcal com PROPERTY OWNER NAME Lee Hochner ADDRESS Same as site CITY Carlsbad PHONE 760 -438-9308 STATE ZIP Ca 92011 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF)DECKS ..SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES|~> Nd| | YESQNOQ] #ES| | NOJ | APPLICANT NAME _ . _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E Baseline road suite # 155 STATE ZIP Mesa Az 85206 FAX ' 480-898-0007 1-858-410-1499 qahapavlovabq(5>vahoo com CONTRACTOR BUS NAME „ , .. ,California Delta Mechanical Inc ADDRESS CITY PHONE 6052 E Baseline road suite # 155 STATE ZIP Mesa CA 85206 FAX 480-898-0007 EMAIL STATE LIC #CLASS CITyBBS LiC* /«*V>/ 811114 c-36 /2/r*4p7 (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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s Licen e Law (Chapter 9 commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)) Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations L£J 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 L/J 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 earner and policy number are Insurance Co Policy No __ 1697823 __ Expiration Date _ o»3im _ This section need not be completed if the permit is for one hundred dollars ($100) or less I/I 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 my 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 cnmmal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensation damages as provided for m Section 3706 of the Labor code interest and attorney s fees JSZ CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractors License Law for the following reason | | I as owner 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 tnat he did not build or improve for the purpose of sale) I I I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (Sec 7044 Business and Profi ssions 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 Licence 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 F JNo 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 / 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 / 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 / address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or risk managemi nt and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' | | Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjuality management district' C^Yes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' Plves \\Ho IF ANY OF THE ANSWERS ARE YES ,' ~ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lenders Name ;, Lenders Address I certify that I have read the application and state that the above infoimaton is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relatngto building construction I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE rO SAVE 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 excavatons over 5 0 deep and demolition or construction of structures over 3 stones 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 wort is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT S SIGNATURE //7/S/^ DATE Storm Water Compliance Exemption Form am applying to the City of Carlsbad for the following type(s) of construction permit D Building Permit D Right-of-Way Permit EH My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re Roofing Sign Spa Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* * No Threat Assessment Criteria | | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the no threat assessment criteria on the City s Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High Moderate or Low Threat criteria described below Tier 1 - Low Threat Assessment Criteria | | My project does not meet any of the Significant or Moderate Threat criteria is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance and/or • includes outdoor construction activities (such as roofing saw cutting equipment washing material stockpiling vehicle fueling waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 1516 of the Carlsbad Municipal Code) or • Project will result in 2 500 square feet or more of soils disturbance including any associated construction staging stockpiling pavement removal equipment storage refueling and maintenance areas and project meets one or more of the additional following criteria * • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical and/or • Disturbed area is located along or within 30 feet of a storm drain inlet an open drainage channel or watercourse and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 - Significant Threat Assessment Criteria I I My project includes clearing grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging equipment storage stockpiling pavement removal refueling and maintenance areas and/or [ | My project is part of a phased development plan that will cumulatively result in soil distu'bance totaling one or more acres including any associated construction staging equipment storage refueling and maintenance sreas or | | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of tfjp Carlsbad Municipal Code and to City Standards The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Owner/Owner's Authorized Agent Name Owner/Owner's Authonzed Agent Signature City of Carlsbad Bldg Inspection Request For 07/31/2009 Permit# CB091196 Inspector Assignment Title HOCHNER RES REPLACE WTR HTR Description Type PLUM Sub Type Phone Job Address 1324 BULRUSH CT Suite Lot 0 Location Inspect OWNER HOCHNER LEE&KENT KARLYN FAMILY TRUST 03-25-04 Owner HOCHNER LEE&KENT KARLYN FAMILY TRUST 03-25-04 Remarks Total Time Requested By CARLY Entered By JANE AN CD Description Act ^ Comments 25 Water Heater/Vents 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments >TFVF Mo 1066 POLlCYHOt-OER COPY NF STATE COMPBNSATION PO BOX 420807, SAN FRANCISCCXCA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE DATE 07-01-2009 GROUP- POLICY NUMBER; CERTIFICATE K> CERTIFICATE. EXPIj07-01-a l697S23-200ft 8 07-01-8010 1/07-01-8010 HOME OIPOT CBWLMJBB BEPARTMIMT 307B E IMPERIAL HW STB 100 BRKA CA 9285M-B7B2 NF Th,s ,« to certify that w* hw> i««Md a valid Workers' Compensation Insurance policy hjijorm approved by the California Insurance CemmlsslonBr to tha •mployar n»m«d below for th* policy porioa irwiearaa. This policy is not subjact to oanoallatlon by the Fund excapt upon 90 divs »dvansa \writtcn netlca to th* employer We will also give you M days »dvanc» notice should thf( policy be canc*ll*d prl«3r to Its normal axplratlon. This csrtlficatp of insurance is not an insurance policy an4 do« not am»nd. extend or altar tf» oowrtge <-Woreted oy the policy lifitad herein NotwIthHandlng any r«qutr«m«nt twm or condHlpn of any OOntrict or ptnar oocument with respset to whirti thl« ctrtlfleWa of insurance may be (Mued or to which ft m«y pertain, tn« insurance «fforri*d by the policy described herein 1$ subject » all The t«rm«. axcluslon*. and conditions; of »uen policy Wt*^ THORI7ED REPReSENTATIVSLJ PRESIDENT L1AIIL1TY LIMIT INCLUDlNOi DCFINSB COSTS $1,000,000 MR OOCUKKCNCB BNDOMS8MINT #1800 - TODDK KITCHULKOV P S T - EXCLUDBD #ao«i ENTITLBD CIKTIFIOATI HOLDEW NOTICE BPFECTIVI 07-01 -MOB is > ATTACHED TO AND FORMS A PART OP THIS POLICY EMPLOYER ., SSI'S*"1* MtTA WCHWICAL,BOSS E lASRLINe KD STB 195 MBSA AZ 8920S IMC D9AINC NF PRINTED M&410