HomeMy WebLinkAbout1670 CALLIANDRA RD; ; CB110997; Permit05-12-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB110997
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1670 CALLIANDRA RD CBAD
PLUM
2159005800 Lot #: - 0
Construction Type: NEW
SANCHEZ RES- REPLACE WTR HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/12/2011
LSM
05/12/2011
05/12/2011
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner:
FAMILY 2004 TRUST
1670 CALLIAKIDRA RD
CARLSBAD CA 92011
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
$20.00
$0.00
$0.00
$0.00
$0.00
$7,00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00
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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check No.M
Est. Value
Plan Ck. Deposit
Pate
JOB ADDRESS 1670 Calliandra Rd
SUITE#/SPACE#/UNIT#
CT/PROJECT #PHASE* #OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant) _ ... ..».,••• i ,California Delta Mechanical Inc.
ADDRESS
6052 E. Baseline road suite # 155
CITY
Mesa
PHONE
480-898-0007
STATE
AZ
ZIP
85206
FAX
1-480-218-5645
EMAIL
california@deltamechanicai.com
PROPERTY OWNER NAME
ADDRESS
1257
CITY
Carlsbad
Richard Sanchez
Beileflower Rd
STATE ZIP
CA 92011
PHONE
760-438-8721
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF)DECKS (SF)FIREPLACE
YES | |# N0| |
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
AIR CONDITIONING
YES [ | NO | |
FIRE SPRINKLERS
YES | |NO| |
Gaiina Pavlova
6052 East Baseline rd # 155
Mesa
STATE
858-361-6495
FAX
AZ
ZIP
85206
1-858-410-1499
galiapavlovabg@yahoo.com
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
California Delta Mechanical Inc.
6052 E. Baseline
Mesa
STATE
480-898-0007
EMAIL
STATE LIC.#
811114
road suite #155
AZ
ZIP
85206
FAX
CLASS
c36
CITY BUS. LIC.#
1214281
(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 theapplicant 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 theBusiness 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 acivil penalty of not more than five, hundred dollars ($500)).
• 'itsSp'-
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
/ 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.
LLJ 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. 1687823 Expiration Date Broom•
This section need not be completed if the permit is for one hundred dollars ($100) or less.
|/| 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
.4Ef CONTRACTOR SIGNATURE y>O-/^€^-r DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
| [ 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 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).
| | 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).
| I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I |Yes I |NO
2. i (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 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 / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE DATE
s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of theDresley-Tanner Hazardous Substance Account Act? | |Yes I iNo
s the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I JYes I I No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? PlVes FlNo
F ANY OF THE ANSWERS ARE YES,/
EMERGENCY 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
hereby authorize representative 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
)SHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
80 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 p§riod of 180 days (Section 106.4.4 Uniform Building Code).
^APPLICANT'S SIGNATURE ,DATE
City of Carlsbad Bldg Inspection Request
For: 06/15/2011
Permit* CB1 10997
Title: SANCHEZ RES- REPLACE WTR HTR
Description:
Inspector Assignment:
1670 CALLIANDRA RD
Lot: 0
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner: SANCHEZ FAMILY 2004 TRUST
Remarks: CALL W/ ETA PLEASE
Total Time:
Phone: 7604388721
Inspector:
Requested By: HOMEOWNER
Entered By: JANEAN
CD Description
25 Water Heater/Vents
29 Final Plumbing
Act Comments
Af*
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments