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Home My WebLink About2001 BASSWOOD AVE; ; CB080458; Permit03-14-2008 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Plumbing Permit Permit No CB080458 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2001 BASSWOOD AV CBAD PLUM 2051603400 Lot# Construction Type BURCHAMRES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/14/2008 LSM 03/14/2008 03/14/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866 898 0008 Owner LANDRUMPAULA 2001 BASSWOOD AVE CARLSBAD CA 92008 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 Inspector FINAL. APPROVA Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications re ervations 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 1 PROJECT INBOS»|ATlOI4 2001 Basswoodave FOR OFFICE USE ONLY PLAN CHECK NO 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 Descnption of Work SQ FT # of Stories # of Bedrooms # of Bathrooms California Delta mechanical If different from applicant) I I1CQ 6052 East Baseline rd # 1 55 Mesa Name Address City 3 APPLICANT n Contractor ^^Agent for Contractor D Owner Galma 6052 East Baseline rd # 1 55 MESA Name 4 T»ROfi|RTY OWNER Ida Burcham Name Address City Same as site Carlsbad Address City AZ 85206 State/Zip AZ 85206 State/Zip CA 92008 State/Zip (480) 898-0007 (480) 898 0005 Telephone # Fax # 480 898 0007 *""' Telephone # 760 729 3313 Telephone # 6 1|||||i|«pQR COMPANY i^S* '' ^^ / ^/ "' (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 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 6052 E Baseline rd # 155 Mesa 85206 (480) 898 0007 Name Address City State/Zip Telephone # State License # 8 1 1 1 1 4 License Class C 3 6 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # 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 0 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 07/01/08 (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 h ndred thousand dollars($100 000) in addition to the cost of compeasajrfop^jlmages are provided for in Section 3706 of the Labo Cod interest and attorney's fees SIGNATURE Galma Pavlova /M/^) DATE 03/07/08 T OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the followmgTreason 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 contractor(s) 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 materials for construction of the proposed property improvement DYES 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) 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 _______ __ Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk 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 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 IP 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 MrtNGAGENCY" * 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 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 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 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 Galina Pavlova DATE 03/07/08 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/31/2008 Permit* CB080458 Title BURCHAM RES REPLACE WTR HTR Description Sub Type 2001 BASSWOODAV Lot 0 Type PLUM Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner BURCHAM IDA M Remarks Inspector Assignment Phone 7607293313 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Comments/Notices/Holds Requested By IDA Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments PCLICYHOLM-ft COPY BOX INSURA PRANCI8COCA CERTIFICATE OP WORKERS' COMPENSATION INSURANCE ISSUE OATS 07 Of 2007 GROUPPOLICY NUMBER- 18978*9 -WOTCERTIFICATE ID. BCERTIFICATE 5XPIRES 07-01 »2008 07-01- Home OOMPJ I/INGE DEPARTMENT 9075 t IMPERIAL HWY STE 100 8REA CA This Is w oartiry thnt we h«*e l9-!U«rt H valid WorKflrs Componsatlon insurance policy in a form apprised by tha(ftlifornl* ln^iirRnr« rommlsslanflf to thg employer nstnntf b^lww for the policy panad TW* pnllry |» not sublet to cwctsltttlon »y rtia Fund sxcept upon 1cj diys *dw»nce wnflon notice to tha We will you 10 «ay<!notlrn ihouW this policy be caneslled prior to its normal This POrtlflGTKi of Insursncfl Is not an Insurance policy and do« not amend cxt«n?l or ater iho floverflge fy th(? polloy Ihtfld horoln Notwithstanding any requirement, tarm ar condition bf any corrtc«ct or athar document with re pncr tg yvhlrh this r«rtlflc«te of insurnnoe may t»n Isswed or to which it may partaln the Insurance by tho pohrv te-sprlbad homln Is su)>Mct to oil tha tprmt exclusions «ia conditions of suoh pnllry *JTHORI2FD tXABtLUY IIH1T INCJLUOIMR PRESIDENT COSTS *1,000 000 PER OCCURRENCE CW IFDWJ1A DELtA MfiCHWICAL INC CALIFORNIA DELTA MECHANICAL INC 2300 S POWER RD STF 120 MESA A? 8S204 08|PRINTED 06-15-2007"f M0409 <i00r/rn