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Home My WebLink About1412 CRESSA CT; ; CB070367; Permit02-12-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070367 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1412CRESSACTCBAD PLUM 2156212500 Lot# Construction Type SEPKOVIC RES- REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/12/2007 LSM Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner SEPKOVIC SCOTT&SHANA 1412CRESSAWAY 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 $27 00 Balance Due $000 AS i XP.* U * < ~:C-^C£ vJlTH G EC SECTION 106 4 * A* A;??; v& yv c *» •, id M *30 CATC^i^2fcSICa«X*S: Inspector FINAL APPROVAL 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 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 given 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 FOR OFFICE USE ONLY PLAN CHECK NO (?j6 Q~JQ3><G "7 EST VAL Plan Ck Deposit Validated By _ Date [PROJECT INFORMATION 1412Cressact Address (include Bldg/Suite #) Legal Description Lot No Assessor's Parcel # Replace standard water heater like for like Descnption 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 California Delta mechanical, Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Galina Pavlova Address City State/Zip Telephone* . li..',.""••"•""" "" " San Diego CA 92122 ___ 858-36]-! 495 Fax# 8949 Lombard pi #413 Shana Sepkovic Address 1412 Crcssa ct City State/Zip Telephone U Carlsbad CA 92011 760-822-5300 Name Address City State/Zip Telephone* l?J*t!^NTIi^TpR:,C^PAiSYllpiE"?^j:':T;l^S': ~.v'l7r" "~^Jli'': ^^2 ""' ' J.I'j i:T" l'fJ?'ji'-''""''uIZI"" ,vEiii'.'' -.sif ,."T',"Il"-".' ~;k^ , ". LSI !(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor 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 # 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 permiHs issued 13 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 /07 (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 cnminal penalties and civil fines up to one hundred thousand dollars($100 000), in addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galina Pavlova ^S&^£_ DATE 02/07/07 I hereby affirm that I am exempt from the Contractor's License Law for the following 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 owh 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 tWlSjSECTIONTbR/l^^^ •'• '';;;;„,.. • '^' ... Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct 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' O 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 LENDING AGENCY TJifesiii; ...•"•••"•" ' '-Sjifl?'^" ' ^-^-fr-, r-• ,-:••-- ;. ....^^j^ 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£T ^Sltr; "' ' • ,-:&^SK*?:.°':" ' '' v*Sp^*W«V' ,.:,.^-^. ••••'. •/• .;* J 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 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 authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANTS SIGNATURE Galma Pavlova /f30£^!> DATE 02/07/07 WHITE File YELLOW Applicant PINK Finance MLICYHOUJCT COPY PO BOX 420807, SAN FRANOSCO.CA 94142-0807 CERTIFICATE OP WORKBtS' COMPBISATION INSURANCE issue DATS 07 01 JOO6 COMPENSATION INS UP* AN HOMI DEPOTCOMPLIANCE uewnmewrr WS e IMPERIAL HMV 8TE 100 MIA CA 8I8I1-B7B2 N* GROUP: POLICY NUMBER: tt07ltt-2008 CERTIPICATE ID: « CERTfMCATE EXPIRES- 07-OI-KJOT07-O1 -400B/07-01 -M07 This fc» to certify that w« have Isiucd a valid Workcri1 Compcnution Insurane* policy In a form approved by ttit Crtifflmm Ihsuranc* Cnmmfe«(on«r to the employer n«md bnlow for th« policy period indlc«t»d. Thi* p«lfoy is not tubjaet to a«io«IMon by th» Fund vxcept upon 10 d«y« advme* wrltt»n notlc* to *m •mploy«r 3iv» yo,, 1Q (tnyB idv»v:a notion should thlt policy b» eanealM prior to Ks normal «xpJf*tion.will csrtlfleiM of insurance it not an Inturjnc* policy and dow not amand. •xtmd or attar tha Aowao* affordad by the policy N«t«d hwf In. Notwlthatandlna any requirwnnit, t*rm or condition of any contract or other document with reapDct to which this certificate of Insurance may be l«iu*d or to which it may pertain, fte Insurance Afforded by the policy described herein IB subject to all tfce t«rm*. exclusions, and conditions, of such 1IZBD flEPReSBMTATIVsUJ PRBSB3»rr aan-LOYIR'S LIABILXTV LIMIT IMCtUDINO DEfCN$» COSTS- »1,000,0OO PER OCCUMBHCe. EMPLOYER CAUIfOHNIA DELTA MBCHANICAL, INC MA CALtFOMftA OBLTA PWCHANICAL, INC>soo 9 POWER no STB 120 »•** AZ 9SI09 nUNTIO . OB-19-20O«