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Home My WebLink About1817 HIGH RIDGE AVE; ; CB082255; Permit, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-19-2008 Plumbing Permit Permit No: CB082255 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1817 HIGH RIDGE AV CBAD PLUM Status: Parcel No: 2073841400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: CHRISTOPH RES-REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DELTA 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 0 0 0 0 1 0 0 Owner: CHRISTOPH WILLIAM R&KERRY L 1817 HIGH RIDGE AVE CARLSBAD CA 92008 ISSUED 12/19/2008 LSM 12/19/2008 12/19/2008 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: y!,\ t~ FINAL AP{:ROVAL Date: o-S '7-b/ O')' Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 01 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 lo attack, review, set aside, void, or annul their imposition. City of Carlsbad .. ~ eJS ~Sb • Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 ~-; Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 ... ,')"'"' .. . Plan Ck. Deposit Building Permit Application Date I gJ l'1 (05 IJ;e A• l ., .. JOB ADDRESS SUITE#/SPACE#/UNIT# I APN ---1817 High ridge ave CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAME TCONSTR. TYPE _CR::_ -i>ESCRIPTION OF WORK: Include Square Feet o·f Affected Area(s) replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS v,so, N<O v,s □NoO vesONoO CONTACT NAME (ff Different Fom Applicant> C l'f , D It D h . I I APPLICANT NAME Galina Pavlova a I orma e a ec amca , nc. ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E. Baseline road suite # 155 - CITY STATE ZIP STATE CITY ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california@.deltamechanical.com galiapavlovabg@.yahoo.com PROPERTY OWNER NAME William Christoph CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1817 Hiqh ridqe ave 6052 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Mesa AZ 85206 PHONE IFAX PHONE I FAX 760-518-3720 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC.# 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 any structure, prior to 1ts issuance, also requires the applicant for such permit to file a si~ned 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 fuat 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}). Worlters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaratiOns: [Z] I have and will maintain a certificate of consent to self-insure for w.:irkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ZJ I have and will maintain worlters' compensation, as reciuired by Sec~on 3700 of the Labor Code, !Or the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Poliey No. 1697823 Expiration Date =1131 ~section need not be completed if the permit is for one hundred dollars ($100) or less l:!:J Certificate of Exemption: I certify that in the performance of the work for which ttliS 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 worlters' 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· ion 3706 of the Labor code, interest and attorney's fees. NS CONTRACTOR SIGNATURE 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 ttiat 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 contracbng 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 !Or such projects witt, contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ Business and Professions Code !Or this reason: 1. I personally plan to provide the major labor and materials !Or construction of the proposed property improvement. OYes ONo 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/ 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/ phone I type of work): 8$ PROPERTY OWNER SIGNATURE DATE -----------------· -- • City of Carlsbad Bldg Inspection Request For: 05/22/2009 Permit# CB082255 Title: CHRISTOPH RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Inspector Assignment: l [,;, (, H 1c, 'f/'.',Nv1£itJ<L v\ Phone: 7605183720 Job Address: 1817 HIGH RIDGE AV Lot: Suite: 0 Location: OWNER CHRISTOPH WILLIAM R&KERRY L Owner: CHRISTOPH WILLIAM R&KERRY L Remarks: Total Time: CD Description Act Comments Inspector: Ml- Requested By: WILLIAM CHRISTOPH Entered By: CHRISTINE 25 Water HeaterNents H_ !=,.-<\.~~ L.«.A,-rt,o.l I ~tU,l, _:$1.]ZN~ If (. w,g lt-\ 'f'j.A (e.. El Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ,J ll I, 0 J, 2008 11:08AM No. 7535 POLICYHOLDER COPY STAT■ COM .. ■N■ATION INSUIIIIANC:■ P.O. BOX 420S-07, SAN FRANCISCcl,CA-94-l42~oaQ'7- FUND Cl!RTIFICATi OF WORKIRS' COMPENSATION INSUIIANCI ISSUE nATf: 07·-01-2001 GROUP: POLICY 111\JMBER, 1907'2$•2008 CERTIFICATE IP: 70 C2RTIFICATE EXPIRES: 07·01·200I P. 07-01•200&/07•01•200I THIS CERTIFICATE IIJl'EASEDEI AND COl'IIECTI C!IITIFICATC N 2 DATID 07•01•2008 CON'TRACTOAI STAT! LlC!NIE IOAIQ) WON<IRS COMPIN!IATION UNIT 1'0 IIOl\ HOOO SACAAM!NTO CA 99821•001■ NF LIC PIIIMITI; 11111t INCl!l'TIDN DATE:07-~1•2001 DO,NF nus ,,. to certify thtt w1 hav11 11111,ued • valid Work..-,s' Cornpens,tlon lnaurance policy In • fi;,rm .aoproved by the C11llfornta ln,uranctt Commissioner to the employ,r n•med below for the poliey parlod indicated. This pollcy is not r.ubject to car:,caliatlon by tht Fund e:xe~pt upon ~O d~ advance wlitten noth:e to the amploy•r. We wilf also give you ~D dayii advane■ nt>tlee should thl1: pollcy be ctnettlled prior to fts norma1 e_xplrltfon. This 011rtttiente of ln:il.iranea is not an ln1ur11"1ce polloy ,nd does not an'l•nd, •xt•nd or altel' tM ~cver,,ge affctd■d by the pollay li~ted herelh, Notwlttui:tandlna any r•qulr,ment, tern\ or oQndltlon of any eontr-=::t or other document wltfl respac:1 to which lhls csrtlflr;:■t, of Tnsurance may be !tsued or to which it may plll"'t■ln, thi! Insurance affeyrded hy thf' pollt:y deserlbed riereln I&· sub)et!t to all tha terms, excluslon5. and conditions. of :auoh pollcv. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DIPINSI COSTS! $1,000,000 PeR OCCU~RINCI, !N00R91NINT H1900 -TODOR KITCHULKDV PST• IXCLU010, ENOOASEM!NT #2081 eNTITLID CIRTIPICATI HOLDERS' NDTlC! !fFECTlV! 07·01·201'11 IS ---ATTACHED TO AND PORMS A PART 0F THIS POLICY. - EMPLOYER CAL!PORNtA D!LTA MECHANICAL. INC ■J·I.;. • BASILlNI RD STE! 11U5 MtSA A% 88209 lRl!V.2•051 NP [CAM,CS] PRINTED : 07•01-2008 Nf