HomeMy WebLinkAbout1385 NIGHTSHADE RD; ; CB101068; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-14-2010 Plumbing Permit Permit No: CB101068
Building Inspection Request Line (760) 602-2725
Job Address: 1385 NIGHTSHADE RD CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: 2156413500 Lot #: 0 Applied: 06/14/2010
Construction Type: NEW Entered By: KG
Reference #: Plan Approved: 06/14/2010
PC #: Issued: 06/14/2010
Project Title: PROMOTICO RES REPLACE WTR HTR Inspect Area:
Applicant: Owner:
CALIFORNIA DELTA MECHANICAL - - PROMOTICO MICHAEL D&LISA M
SUITE #27
-
1385 NIGHTSHADE RD
12440 OAK KNOLL RD 92064 CARLSBAD CA,92011 J;
866-898-0008
Plumbing Issue Fee ,
''-. $20.00
Fixture or Trap . / 0
0 ./
-' <\' $0.00
Building Sewer -- $0.00
Roof Drain . // 0 " i,' $0.00
Install/Repair Water Line ... .1 0 $0.001N
Water Heater and/or Vent . I \ $7.00
Gas Piping System . . ' o.. $0.00
Vacuum Breaker 0 ' . / $0.00
Other Plumbing Fees $0.00
/ -
Master Drainage Fee - I -. 7 $0.00
SewerFee
Additional Fees
(j
jjJ
-.
/.-,-.. ,.;
$0.00
$0.00
TOTAL PERMIT FEES. T
• // \: $27.00
lNCORPO!AIED /
Total Fees: $27:O0 TàtalPyments To Date:!? 2 $27.00"Balance Due:// $0.00
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InsDector: 1'i'
FINAL API?ROAL I
____________ Date: ti/i /29/ Clearance: I
NOTICE: Please take NOTICE thaffapproval of your project includes the'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as"fees/exactions." YoJ 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 light 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
City of Carlsbad Bldg Inspection Request
For: 09/14/2010
Inspector Assignment:
Phone: 7605330304
Permit# CB101583
Title: TODRANK RES- REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 1394 NIGHTSHADE RD
Suite: Lot: 0
Location:
OWNER TODRANK ROBERT L&SHEILA D
Owner: TODRANK ROBERT L&SHEILA D
Remarks:
Inspector:
Total Time: Requested By: KATIE/SHEILA
Entered By: CHRISTINE
CD Description Act Comment
25 Water Heater/Vents
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv-
Date Description Act Insp Comments
City of Carlsbad Plan Check No3 LO O c R'
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/ 2718/ 2719
D
Est. Value
Plan Ck. Deposit Fax: 760-602-8558
Building Permit Application Date I
JOB ADDRESS 1385 Night Shade Rd SUITE#/SPACE#/UNIT# APN
- - -
.T/PR0JECT # LOT # PHASE C U 01' UNITS C BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR,7TYPEORC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESD# NOI YES DNO [:J YES i:i NO
CONTACT NAME (If Different Fom Applicant) California Delta Mechanical Inc. APPLICANT NAME - V'. Galuna Pavlova
ADDRESS
6052 E. Baseline road suite # 155'
ADDRESS
6052 E. Baseline road suite # 155
CITY STATE ZIP CITY STATE ZIP
'Mesa AZ 85206 Mesa AZ - 85206
PHONE FAX PHONE FAX
480-898-0007 1-480-218-5645 - 480-898-0007 1-858410-1499
EMAIL EMAIL -
californiadeltamechanical.com qaliapavlovabg(yahoo.com
PROPERTY NAM . rid,,ier' David Barr -
CONTRACTOR BUS. NAME . . . - California Delta Mechanical Inc.
ADDRESS
-351.8-Corto Mora
ADDRESS 6052 East Baseline rd # 155
CITY STATE , ZIP CITY STATE ZIP
Carlsbad , .. CA . 92011 Mesa AZ 85206
PHONE FAX PHONE , FAX
760-431-6769 480-898-0007 .- V
EMAIL
V.
. EMAIL
. V
ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE LIC.# CLASS , CITY BUS. LIC.# , V
' ' _I
S
V 811114 , , ' •c36 - 1214281
(Sex: 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)).
oaoo6° (®OO60®ti
Workers' Compensation Declaration: I hereby affirm under penalty of pe4ury one of the following derJarstions:
IZI 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 pernril is issued.
[ZI 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 carrier and policy
number are: Insurance Co Policy No. 1697823 Expiration Date __________OWN _______________
This section need not be completed if the permit Is for one hundred dollars ($100) or less. [] Certificate of Exemption: I certity 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 (9100,000), in
addition to the coat of compensation, damages as provided for in Se 'o 70 e Labor code, interest and attorney's fees.
CONTRACTOR SIGNATURE DATE OA-7
®WU0dD1W ()(C ' C0øJd V
Ihereby affirm that I am exempt from Contractor's license Law for the following reason:
[J 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 loan 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 loan owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
[J I am exempt under Section Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property ImproemenL [:]Yes [:]No V
I (have! have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
- 4.1 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, bull have contracted (hired) the following persons to provide the work Indicated (include name! address/phone! type of work):
.'PROPERTY OWNER SIGNATURE DATE
yl
- -
Is the applicant or future building occupant required to submit a business tan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a pencil from the air pollution control district or air uality management district? [:]Yes [] No
Is the facility to be constructed Within 1,000 feet of the outer boundary ala school site? DYes LjNo
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.
r.'zgi.i A G ENCY-
I 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).
Lender's Name Lender's Address wq
Icerti,thatI have mad the application and statethatthe above Information is correctandthatthe Information ontheplanelsaccurate. I agmeto comply with all Ctyonfinafl and State tasreIadngtobUildIngCOflStIUC1IOn.
I hereby authorize representative of the Cityof Carlsbad to enter upon the above mentioned property for inspection puMose& I ALSO AGREE TO 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.
USHA An OSHA permit is required for excavationso deep and demolition orconstruction of structures over 3stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and veld 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 alter the work iscommerd for a period of 180 days (Sion 1064.4 Untioirn Building Code).
gAPPLICANT'S SIGNATURE DATE