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Home My WebLink About1327 CASSINS ST; ; CB071929; Permit07-20-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB071929 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1327CASSINSSTCBAD PLUM 2156902100 Lot#: 0 Construction Type: NEW LUM RES REPLACEWTR HTR Status: ISSUED Applied: 07/20/2007 Entered By: KG Plan Approved: 07/20/2007 Issued: 07/20/2007 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: LUM FAMILY TRUST 04-14-00 1327CASSINSST CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL APPROVAL~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 aiven 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, PROJECT INFORMATION 1327CassinsSt FOR OFFICE USE ON PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By Date 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 Replace standard water heater like for like Proposed Use Description of Work SQ. FT.# of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSOM {if different from applicant) California Delta mechanical, Inc. 2500 S. Power Rd. Suite # 120 Mesa Name 3, APPLICANT Hiya lliev Name 4. PROPERTY C Elliot Lum Name Address 0 Contractor O Agent for Comracto 8929 Lombard PI #106 Address fUUttHSCfrnramsn 1327CassinsSt Address City r O Owner San Diego City Carlsbad City AZ 85209 (480) 898-0007 State/Zip Telephone # O Agent for Qvw«r CA92122 858-531-1369 State/Zip CA 92009 State/Zip Telephone # 760-929-i3!FB" & 33' Telephone # (480) 898-0005 Fax* *. (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 # 811114 LicenseClass C-36 City Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # 6. WORKER'S COMPENSATION : 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 PolicvNo. 1697823 Expiration Date 07/01/06 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS J$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 cornjjejpetion, damages arepmvided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Hiya Iliev <gr^^-«—-^-< <^2Z~~~—-^ DATE 07/17/07 T. OWNER-BUILDER DECLARATION '.^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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 contractors) 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. DYES 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 PEfcMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COBPLEre THIS SECTO)flf^W*«3*^WSffiaraflLBUIlIHNG PERMITS ONLY 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? D YES 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? D 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 LENQING AGENCY 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 9. APPLICANT CERTIFICATION 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. 1 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 Uniform Building Code),--^?' APPLICANT'S SIGNATURE IlJya Iliev ^>^z—'^ ^<^ —^ - ^-" DATE 07/17/07 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For. 07/25/2007 Permit* CB071929 Title: LUM RES REPLACEWTR HTR Description: 1327 CASSINSST Lot: Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: LUM FAMILY TRUST 04-14-00 Remarks: Total Time: CD Description 25 Water Heater/Vents Act Comments EC Inspector Assignment: Phone: 7609290333 Inspector: Requested By: ELLIOTT Entered By: CHRISTINE \H Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments California Delta Mechanical, Inc. 2500 s. Power road suite 120 Mesa, AZ 85209 OK. fl u-ia POLICYHOLDCR COPY PO. BOX 420807. SAN FRAIMCISCO.CA 94142-0807 CERTIFICATE Of WORKERS' COMPENSATION INSURANCE TSSUE OATE: 07 01-2007 NF STATE COMPENSATIONINSURANCE GROUP; POLICY NUMBER: 1i97823-2007 CERTIFICATE IK 8 CERTIFICATE EXPIRES: 07-O1-2008 07-01-20O7/07-O1-20O8 HOME DEPOT COMPLIANCE DCPARTMENT 3075 E IMPtRUL HMY STE 100 BREA CA B2431-B7B2 This is to certify that we have issusd a valid Workers' Compensation insurance policy in a form approved by the Insurance Commissioner to the employer named below for the policy period indicated. This policy Is not subject to cancellation by tha Fund axcapt upon 10 days advance written notice to th« employer. WR will also give you ,„ days advance notice should, this policy be cancelled prior to. its normal expiration. This certificate of Insurance Is not «n insurance policy and do« not amsnd. extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, t»rm or condition of any contract or other document with respsct to which this certificate of insurance may be Issued or to which tt may pertain, the insurance afforded by the poliny described herein i$ subject to all the terms, exclusions, and conditions, of such policy. dJTHORIZED REPRfifiENTATIVMiLj PRESIDENT FWLQYER'S LIABILITY LIMIT INCLUDINS DEFENSE COSTS: $1,000.000 PER OCCURRENCE. FMPLOYFn CALIFORNIA DELTA MECHANICAL, INC DBA- CALIFORNIA PELT A MECHANICS, INC 2500 S POWER RD STF 120 MESA A7. 8S209 NF PRINTED : OB-1S-5007 <nEV.2-06)Old a"18AVd S1NHOOW 1. <\ i ?4RPI21 B5645 AOOUNTS PAVBLE FLO vo 1,'v fX ' \ u> t/\ -3 CALIFORNIA DELTA MECHANICAL 2500 S. Power RrL suite #120 Mesa, AZ 85208 180~R98~f)007 480-218-5645 fax To Whom It May Concern:05/09/07 California Delta Mechanical, Inc. : Authorizes Iliya Iliev to process and obtain permits for any job our company is doing business in California "odor Kitchukov President H IIJIAV,) '::,i.tinn:jy