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Home My WebLink About1354 MALLARD CT; ; CB090028; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-07-2009 Plumbing Permit Permit No: CB090028 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1354 MALLARD CT CBAD PLUM Status: Parcel No: 2157901700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: FERNANDEZ RES-REPLACE WATER HEATER 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 Plan Approved: Issued: Inspect Area: Owner: FERNANDEZ SPENCER M 1354 MALLARD CT CARLSBAD CA 92011 ISSUED 01/07/2009 RMA $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: Inspector: FINAL AP PROV AL Date: lo' ;t ~ -t::'? Clearance: $0.00 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 dale 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 imp0sition. I I City ,of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1354 Mallard ct Plan Check No. Est. Value Plan Ck. Deposit Date SUITE# /SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CC. GROUP DESCRIPTION OF WORK: Include -S""ijuare F8et of Affected Area(s) replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YESO, NcCJ ves □No □ YES□No□ CONTACT NAME (If Different Fom Appl/cant> C l"f . D It M h , I , APPLICANT NAME Qalina pavlova a I ornIa e a ec amca , me. ADDRESS ADDRESS 6052 E. Baseline road suite # 155 6052 E. Baseline road suite # 155 -------CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california(@,deltamechanical.com 11aliapavlovab11@.vahoo.com PROPERTY OWNER NAME Spencer Fernandez CONTRACTOR BUS. NAME California Delta Mechanical. inc. 'Ao1iRESs -ADDRESS ---- Same as site 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE IFAX PHONE IFAX 760-476-9545 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ISTATELIC. # STATE UC.# I CLASS /c";;;t,C't./'7 P / 811114 c36 (Sec., 7031.5 Business ~nd P_rofe~1ons Code: Any City or Coun_ty which requires a permit to.construct. alter, improve, ~emol1sh or repair any structure, Rnort? its 1ssyance. also reqy1res the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Workers' Compensation Declaration: I hereby flfflrm under penalty of perjury one of the fol/owing dedaratiOns: [Z] I have and will maintain a certificate of consent to self-insure fOr 'Mlrkers' compensation as provided by Section 3700 of the Labor Code, fOr the perfonnance of the work for which Ill's pennitis iSsued. [Z] t have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No, 1697823 Expiration □ate OB1311:l1 ~section need rot be completed It" the permit is for one hundred dollars ($100) or less. L{J Certificate Of Exemption: I certify that in the perfonnance of the worl( for which this pennlt ls 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 workffl' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollar1 (&100,000), in addition to the cost of compensation, damages as provid f Section 3706 of the Labor code, Interest and attorney's fees. f#5 C□NTRACT0RSlGNATURE I hereby affirm that I am exempt from Contractors Ucense Law for the following reason: D I, as owner of the 1,1roperty or my employees with wages as their sole compensation, will do the worl( 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 worl( 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). □ □ I, as OW11er 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 if11)roves 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 pro'Jide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building pennlt for the proposed worl(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' icense 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 I phone/ contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the mrl( indicated (include name/ address/ phone/ type of worl(): I £I' PROPERTY OWNER SIGNATURE DATE _J • I certify that I have read 1he application and state that the abcwe infonnatlon Is correct.and that the lnfonnation on the plans Is accurate. I agree to comply with all City onlinances and State laws relating to building coostructlon. I hereby authaize representative of the City of Carlsbad lo enterulX)ll the above mentioned property for in~on purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: MOSHA r:amit is ra:iuired for excavatbns over 5'0' deep cl'd demolition or c:onstructioo of structures over 3 stories in height EXPIRATION: EYE!ry permit issued by the Building Official under the provislons of this Code shall expire by limitation and become null and \dd tt the Wlding or work authorized by such permit is oot oommenced wtlhin 180days from the date of sudl permit or ff the building crwork authorized such permrt is suspended or abanooned at any~me after the wm is oornmenced for a pel'Kld of 100days (Section 100.4.4 Unifonn Buik:ling Code) .i!S APPLICANT'S SIGNATURE DATE (} / /?? C /'2'7 9 ---~L----- ' m . City of Carlsbad Bldg Inspection Request . For: 01/13/2009 . Permit# CB090028 Title: FERNANDEZ RES-REPLACE WATER Description: HEATER Type:PLUM Sub Type: Job Address: 1354 MALLARD CT Suite: Lot: O Location: OWNER FERNANDEZ SPENCER M Owner: FERNANDEZ SPENCER M Remarks: Total Time: Act Comments Inspector Assignment: J/ Phone: 7604769545 Inspector: Requested By: SPENCER Entered By: JANEAN CD Description 25 Water HeaterNents fLi _____ _ 29 Final Plumbing +-----___ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments