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Home My WebLink About1648 CORMORANT DR; ; CB062189; Permit08-04-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB062189 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1648 CORMORANT DR CBAD PLUM 2156500413 Lot# 0 Construction Type NEW HANSON RES-REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/02/2006 LSM 08/02/2006 08/02/2006 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner HANSON IRENE TRUST OF 1998 36 CALLE MERIDA RANCHO MIRAGE CA 92270 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 PERMIT HAS EXPIRED IN ACCORDANCE WITH C B C. SECTION 1Q6 4 4 A& AMENDED BY C M C 18 04 030 DATE SIGNATURC £lLk£_. 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 6602Q(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 Q&° k EST VAL Plan Ck Deposi Validated By. Date PROJECT INFORMATION 1648 Cormorant dr 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 Us Replace standard water heater like for like Proposed Use Descnption of Work SQ FT # of Stones # of Bedrooms # of Bathrooms CONTACT PERSON (if different from applicant) California Delta mechanical, Inc 2500 S Power Rd Suite #120 Mesa Ki 85209 (480) 898-0007 (480) 898-0005 Name Address City Slate/Zip Telephone ft Fax # J3''" APPLICANT B Contractor O Agent for Contractor D Owner D Agent for Owner Galina 8949 Lombard pi apt #4 13 San Diego C A 92 122 Name Address City State/Zip Telephone # [4^. .PROPERTY OWNER Irene Hanson 1 648 Cormorant dr Carlsbad CA 92009 760-931-1419 Name fy'.. CONTRACTOR Address City State/Zip Telephone # COMPANY NAME (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 2500 S Power Rd Suite # 120 Mesa 85209 (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 # 16 „•, WORKER'S COMPENSATION 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 S 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 earner and policy number are Insurance Company State Compensation Insurance Fund PohcvNo 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 criminal penalties and civil fines up to one hundred thousand dollars($100,000), In addition to the cost of compensation, damagesarajjcpvjded^or in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galina Pavlova ^fflpyZr DATE 07/31/06 OWNER-BUILDER DECLARATION 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 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 contractors) 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 matenals 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) 6 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 NON-RESIDENTIAL BUILDING PERMITSONLY~ 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? 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? 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 |6 CONSTRUCTION LENDING AGENCY | 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 19 APPLICANT CERTIFICATION I 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 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 penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE uaimq f avKJvg OUS^^ DATEGalina Pavlova da&2 OATP 07/31/06 WHITE File YELLOW Applicant PINK Finance POLICYHOLOER COPY COMPENSATION INSURANCE PO BOX 420807, SAN FRANOSCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-01-2006 GROUP- POLICY NUMBER 1697623-2006 CERTIFICATE ID: 6 CERTIFICATE EXPIRES- 07-01-2007 07-01-2008/07-01-2O07 HOME DEPOT COMPLIANCE DEPARTMENT 3073 t IMPERIAL HWY STE 1OO BRBA CA 92821-8762 NP This is to certify that wa have issued a valid Workers' Compensation insurance policy in a form approved by the Call forma Insurance Commissioner to the employer named below for the policy parted indicated. This policy 15 not subject to cancellation by the Fund except upon 10 days advanea written notice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance « not an insurance policy and does not amend, extend or alter tha coverage afforded by. the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document wttn respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herem is subject to all the terms, exclusions, and conditions, of such policy HZH5 REPHESENTATTV6O PRESIDENT EM»LQYER'S LIABILITY LIMIT INCLUDINS DEFENSE COSTS: $1,000,000 PER OCCURRENCE EMPLOYER CALIFORNIA DELTA MECHANICAL, CALIFORNIA PELTA MECHANICAL, 2500 $ POWER HO STE 120 MESA AZ 8S209 INC DBA. INC NF (REV 2-06)PRINTED : 08-18-2008 M0409