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Home My WebLink About1390 BUENA VISTA WAY; ; CB080717; Permit04-18-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080717 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1390 BUENA VISTA WY CBAD PLUM 1561201700 Lot# 0 Construction Type NEW ROGERS RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/18/2008 KG 04/18/2008 04/18/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner ROGERS JENNIE V 1390 BUENA VISTA WAY CARLSBAD CA 92008 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 fe PERHTT HAS r.XP!P.?S'} ft K^.'D SECTION 108 4 4 M, £''%•: 170 E V^TN 0 B C C M C 15 04 S33 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 21 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 feeoA-xactions 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 , formation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will ba: ?ny subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water end 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 limitationshaspreviouslvotherwise exwred PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 1 PROJECT IN|ORMATtON3*» "^'~ •• • 1390Bucna Vista Way FOR OFFICE USE ONLY. PLAN CHECK NO EST VAL Plan Ck Deposit XXT/ Validated By Address (include Bldg/Suite #) Legal Description Lot No Assessor's Parcel # Replace standard water heater like for like Description of Work Business Name (at this address) Subdivision Name/Number Unit No Existing Use SQ FT # of Stones Phase No Proposed Use # of Bedrooms Total # of units # of Bathrooms 2 CONTACTPERSON (if different from applicant). California Delta mechanical, Inc 6052 East Baseline rd # 155 Name Address 3 APPLICANT I3 Contractor D Agent for Contractor Galma 6052 e Baseline rd # 1 55 Mesa City ...... D Owner MESA AZ 85206 (480) 898 0007 State/Zip Telephone # D Agent for Owner AZ 85206 480-898-0007 (480) 898 0005 Fax# Name Address City State/Zip Telephone* 4 '''TROPERTYTJWNER 'It ^ ' ' '"' ::'..:; "" Parra Roges Same Carlsbad CA 92008 760-448-3664 Name Address City State/Zip Telephone # 5 CONTRACTOR-COMPANY-NAME ,4|* --^.•- ^ .Jf-pT" . ^ .,...„_„... '"^iT**., . (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 6052 E Baseline rd # 155 Mesa 85206 (480) 898-0007 Name State License # 81 11 14 Designer Name State License # Address License Class C-36 Address City City State/Zip City Business License # State/Zip Telephone # 1214281 Telephone # 6 WORKERS COMPENSATION "'^ s*« • ' .-«^»K. ;_; ••-•:-•« vSB£j- . ..-^3»-r . • • • ':. ™^vv* 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 0 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 07/01/08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 compensaiij)n,.fftmages are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galma Pavlova ^^^) PATE 04/16/08 7 JDWNER-BUILDER DECLARATIcrfr^ ~^^ "::-"»t_ "***':' : "i*f^i' ..... :";':i*«Ks,. . . :;.-?' ^ ^ "*<•••• \ hereby affirm that I am exempt from the Contractor's License Law forlhiTfollowing reason D 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 contractor(s) 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 D YES 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NOW-RES/DENT7/\I."BUlLbi'NG PERMITS ONLY V™'™";~" *• ''"""," . " '"**)f"' •• ' '" "''" '' ** 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? DYES 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 (he 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 *'•<••>CONSTRUCTION LENDJNG AGENCY "^llssv,.!... ^.^"- "^ '^Li*. ""^' '*** ^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDERS NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION ,-i:.;.3MBil*I;-':' ' ™*':"" ' TK8-' .jfT jf! 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 I 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 penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE GalllM Pavlova /W^? DATE 04/16/08 WHITE File YELLOW Applicant PINK Finance City of Carlsbad September 23, 2008 JENNIE V ROGERS 1390 BUENA VISTA WAY CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: WATER HEATER Building Department Permit Number CB080717 Issue Date 04/18/2008 ADDRESS: 1390 BUENA VISTA WY PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 10/15/2008 The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state "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 stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall pay a new permit fee Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken No permit shall be extended more than once Please check below indicating your intentions and return this letter to us Project abandoned A new permit will be obtained prior to commencing work No fee extension requested for 180 days (attach a letter of explanation) Renewal permit requested If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725 If you have any questions, please contact the Building Inspection Department at (760) 602-2700 Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-27OO • FAX (760) 602-856O PGLICYHOLDER COPY STATE IN S U « A N CFFUND PO BOX 42naf)7 SAM FRAMCISrO.CA 94142-0807 CERTIFICATE Of WORKERS' COMPBNSATION INSURANCE r>ATT «? CM JTJO?GROUP POLICY NUMBER 1897B21-90O7 CERTIFICATE 10. 8 CFRTiriCATE EXPIRES 07 O1-20Q8 O7-Q1-2OO7/07 -O1-2008 HflMF DEPOT COMPLIANOT DFPAPtTMrW 307R f IMPRRIAL HWY STE 100 HREA r Nl M'i* -.- m iniMy ihil mfrt hs\;n n'u*rt ,1 >ialid WorKflr* UunpAnsjitlnn insurmfs policy in a Jorm approved by thra ( ilifornit tivn.'mir^ i nirimKfinnnr tft Thn i^mploya. n»marf h^lnw/ lor the policy porinrt indiratari ihi' pnhry \i nnl ,II|>IPI s [o ranrrltstlrtri t>y 'hft fund A> rapt upon ^Q day advance wnrton notice to thn '•A'(< mi' -^is^ ,ltv,t „„„ <f) rtay<! Jrtvwi(p nnilrn shonlrl mK policy hfl canfftllftrt prior lo it* norrnal .''""i'l i (•rtificvitn ol insnianr« is not fln insuranro pnlir^/ Add dr><»^ not amonrt, sxrend or alter the nc t» the p<illev httnrt hmrln Nlrttwitlwtsnriing any i e^ulrsment, twin or ronditlon af any rontrect or other rioennwituv.ih K^pArr to whirh this rwtl'lpnts of in^urmca inBy r-fl ls*uft(1 ai \n which it rrmv pertain, ihP insurance .liir.i-fn'i hi, Km nniiii- iin'dihrtri Iwoui i- <ub)*trt ira nil ihn ',cim', axrhwinn-j, and oondi'tions, of sur.h fiollry FMPinYFR"; ITHRTITTY I TMIT INCLUDING DrfCNSF COSTS $1,000.000 PER DCCURIM-NCF rrnnNin PFI TA H TA TMC INC MC40B llC / ' O1 ) PRINTED OB IS-9007 a: O LUo o CO <«i a!LUo: LUa: COcc LU OQ O