The URL can be used to link to this page

Home My WebLink About142 CHANNEL RD; ; CB081692; Permit09-05-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081692 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 142 CHANNEL RD CBAD PLUM 2146000821 Lot# Construction Type WILLIAMS RES- REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/05/2008 LSM 09/05/2008 09/05/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner WILLIAMS GERALD&ADELHEID 7217 DAFFODIL PL 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 $000 ,-srMME$ a •?*.,-& *-;-CT;Af <^s~° CuiXjA. SIGNATURE. i n.V7> 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 bai 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 limitation? nas previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 r1 PROJECT, INFORMATION 142 Channel rd -IB, FOR OFFICE USE ONLY PLAN CHECK NO dft <*3g 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 " ^NTA.CT PERSON (if different frpffPapplicant)f \ffl;; California Delta mechanical, Inc 6052 E Baseline rd # 155 Name 3 • APPLiCANFlH Cialina Pavlova Name Jerry Williams Name Address Contractor D , Agent for Contractor 6052 K Baseline rd # 155 Address ifCS: ;. . —•"*s5;|jj Same as proicct Address Mesa City D-'Owner&Kir-- MKSA City Carlsbad City AZ 85206 (480) 898 0007 (480) 898-0005 State/Zip Telephone* Fax# — D Agent for,0wner ''"-?" ,3;. , jfs" .if "" AZ 85206 480-898-0007 State/Zip CA 92011 State/Zip Telephone # 760-438-345 1 Telephone # 6' CONTRACTOR- COMPAWNAME S^S^T.. ^"'^Sii?" :-SiiF'...;:?' ^ ..jlT .^" ,*f *F •;•-(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 allegt.d 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 Address City State/Zip Telephone* State License # 811114 License Class C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # 6 WORKER'S COMPENSATOR '^llli t •'"• '"••"•" V*l||i ' "'*l|t». '"*®H&" '*" <s* '^H "'<•• <C Work' ;» Compensation Declaration I hereby affirm under penalty of perjury one of thefollowmg declarations D nave and will maimain 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 (Hi I have and will maintain workers compensation as required by Section 3700 of the labor Code for the pe'iormance 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 PohcvNo 1697823 Expiralicn Date 07/0 1 /09 (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 compensation.dapiage^'are provided for in Section 3706 of the Labor Code interest ind attorney's fees SIGNATURE Galma Pavlova /jj/.-^i DVTE 09/02/08 7 OWNER-BUILDER DECLARATION /P^ / -MS^-' :-: :"3**' "If" ~'r/ f" I hereby affirm that I am exempt from the ContractorsLicense 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 ncit intended or offered for sale (Sec 7044 Business and Professions Code The Contractors 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 " rsonally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 2 • (iav2/.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 iCOIWPLETE THIS SECTION FOR NON-RESIDENTIAL W\\JO\NG PERMITS ONLY .••8f[|'" ^ ,-.. . ..-f •••7"'" :'-"' :.|!,' "" ..f" 'r ,.... •••:'"'* ^ Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk manaqement 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 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 LENDING' AGENCY ~'~ '-^^'"^ST ..... jff^ "" "-^p" "" '. jg:?" ^^"" '• "' "" '^'" •$£' j-' jisiP ' ,#*' < 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,, """"Ifci. life ^!!k "Ife, L,: . ,..„,..; ^K., Itt : Sfe '—. fi *'" ^ ": I certify that I have read the application and state that the above information is correct and that the information on the pMns 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 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) APP.:AN,sSIGNATURE GalmaPavlova y^f DATE 09/02/°8 WHITE File YELLOW Applicant PINK Finance City of Carlsbad February 23, 2009 JERRY WILLIAMS 142 CHANNEL RD CARLSBAD CA 92011 RE: BUILDING PERMIT EXPIRATION Permit Number CB081692 Issue Date 09/05/2008 ADDRESS: 142 CHANNEL RD PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 03/04/2009 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 i 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 ] 80 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 • (760) 602-2700 • FAX (760) 602-8560 iill i ?fio:; H II.SAM Nu 7535 F POLICY HOLDER COPY STATE COMPENSATIONIN SURANCB PC BOX 420807, SAN FRANCISCO.GA-94142-0807- CERTIFICATE OF WORKERS' COMPENSATION INSURANCE tJATF 07 01-JOpB CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT PO BOX 28000 SACRAMENTO CA 95S28-002B NF GROUP POLICY NUMBER 1607823-2008 CERTIFICATE IQ. 70 CERTIFICATE EXPIRES 07-01-2009 07-01-2008/07-1)1-2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE H 2 DATED 07-01-2008 LIC PERMIT*, 81111 it INCEPTION DATE.07-M-2008 00 NF i • h tn eertify thA! wfl have issuer) » valid Workers' Coinpanssliftfl Insurance policy In s forrr. ^proved by the ilif<:i[ii* I.TJUI «ii~ri Cnmmiss oner to trte Arnployer named b«low for the poliry period indicated iifi nnlir.y \-, no! "-ubjcct to cancBllation by the Fund except upon 30 days advance wntten nnii e to the employer Wo will al:,o 30 risyj notice should thy policy be r*nc*llsd prior to (M normn1 expiratiort Thir, rnriifiratp />' msi.rsnfift f, nit>! .in msurnnca policy and does not amend axtend or alter the -overpge afforded by Uif: policy iK>ed lioioiii Notwitiistsridmg any requirement, tfltm or condition of any contract or other documentVV.HI rmjw-i to whirti \hr, rnriifiuste of insurance may be issued or to which it may porfain, the Insurance a,!r>H/Tl hy ttjn pallev dncnbpd ncr«ip h sub|i?cl to all tba tsrms, exclufiiotis and Conditions of *lich policy PRESIDENT ITABILITY LIMIT INCLUDING DEFENSE COSTS Si,000,000 PER OCCURRENCE ENDORSEMENT iflfiOA TOOOR KITCHULKOV P S T - EXCLUDED ENDORSEMENT #2066 ENTITLED CERTIFICATE HOt-OERS' NOTICE EFFECTIVE O7-Oi-20rtS IS ATTACHED TO A.ND FORMS A PART OF THIS POLICY PMPI OYPR CAL.IPQRNTA DELTA MECHANICAL SOS2 E BASELINE RB STF 183 f^SA AZ 85209 INC NF IRRU 2 ilhl [CAM.CS] PRINTER (17-01-2008