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Home My WebLink About1640 OAK AVE; ; CB110121; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-18-2011 Plumbing Permit Permit No: CB110121 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1640 OAK AV CBAD PLUM 1562113000 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 01/18/2011 KG 01/18/2011 01/18/2011 Project Title: ST JAMES RES REPLACE WTR Inspect Area: Applicant: CALIFORNIA DEL TA 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 Total Fees: Inspector: $27,00 Owner: ST JAMES JONA TRUST 02-17-95 0 0 0 0 1 0 0 1640 OAK AVE CARLSBAD CA 92008 $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 Payments To Date: $27.00 Balance Due: FINAL APPROVAL Date: J ~ ~ . f ( Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~ 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 fortti 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 ' 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1640 Oak Ave CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1 Plan Check NoC:. j / 6 / :2/ Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# APN # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[)i No[] YEs 0 No 0 vEsONoD CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova --ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 E . Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE tAX PHONE l FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 -EMAIL EMAIL cal iforn ia@deltamechan ical .com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Jona St. James CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1640 Oak Ave 6052 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ. 85~06 PHONE I FAX PHONE [FAX 760-720-7575 480-898-0007 EMAIL EMAIL ARCH/OESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# 'CLASS I CITY BUS. LIC.1214281 811114 c-36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to ,ts 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)). Wor11ers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: [Z] 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 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 01-<11-2011 ~seclion need not be completed if the permit is for one hundred dollars ($100) or less. lLJ Certificate of Exemption: I certtty 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 wor11ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fin,s up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . ./i'S CONTRACTOR SIGNATURE ~ DATE I hereby affirm that I am exempt from 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 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 to an owner of property who builds or improves thereon, and who does such work himse~ 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 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 Contracto(s License Law). 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. O ves []No 2. I (have I 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 I phone I 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 I address I phone I contractors' 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 I address I phone I type of work): ,/i'S PROPERTY OWNER SIGNATURE DATE s the ~pplicant or tuture building occupant required to submit a business,.lll2Q, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 'resley-Tanner Hazardous Substance Account Act? 0 Yes LJNo s the appl_icant or future building_occupant required to obtain a permit from the air pollution control district or a\[..9llality management district? [Jves D No s the fac1hty to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo F 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 "!"He OFFICE OF :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). _ender's Name Lender's Address 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. hereby authorize representative of the City of Ccrlsbad to enter upon the aoo;e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAIN;;T ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA perm! is required for excavations Oller 5'0' deep aid demolition or CXJ11struction of structures CNer 3 stories in height :XPIRA TION: Evefi permit issued by the Building Official under the provisK>nS of lhis Code shall expire by !irritation aid become null and I.Uid if the building or wor1t authorized by such perm! is not commenced v.ithin 80 days from the date of such permt or if the buidilg orWO!k aithorized by such penrit is suspended or abandoned a any time after the wor1t is oommenred for a period of 180 days (Section 106.4.4 Uniform Building Code). £S APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 02/07/2011 Permit# CB110121 Title: ST JAMES RES REPLACE WTR Description: Type: PLUM Sub Type: Job Address: 1640 OAK AV Suite: Lot: 0 Location: OWNER ST JAMES JONA TRUST 02-17-95 Owner: ST JAMES JONA TRUST 02-17-95 Remarks: A M PLEASE Total Time: CD Description Act Comments 25 Water HeaterNents Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Requested By: JOAN ? Entered By: CHRISTINE