HomeMy WebLinkAbout2009 AVENUE OF THE TREES; ; CB060460; Permit02-22-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB060460
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2009 AVENUE OF THE TREES CBAD
PLUM
1562802000 Lot# 0
Construction Type NEW
VAZQUEZ RES- REPLACE WATER HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
02/22/2006
LSM
Applicant
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner
GUDINO-VAZQUEZ LILIA
2009 AVENUE OF THE TREES-
CARLSBAD CA 92008
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',
i
1
Total Fees $27 00
•
' ' S . -• $2000
' .0 - "X /* ,' ' , $0001 / o - ,-> -- -, , x^ O ,$ooo
' 0 ,'/,,,;' \ > ' v -"$000
0 * ' \ * ' _ _ $0 00
' * - - 1 . - -.- / \ -- ,- $700 \
0 - - s'f'" ' " '''$000. ' N o -; --'' ; " '/ ', - $000
,-'"', tV'$00°
/ ;'-*',' ' ' !
4 •'•- ^, ' " -•/' ' . '-- .$000 -1
' • 7j " "T-1 " f~l\~*i $0 oo r
' '/ ' '•'.'' * , '^ ' ' ' , $000 ,'
* -Jt I- , > , , 1
^\ -\' t , ' , s , t
^ '• , :. - - '- - ' ' $2700 ,-
' f • % / ,' / /
Total Payments To Date .QS1 $2700 Balance Due. , $000
"" ' * ' ^ , ~ •• i ' '
'' HAS EXPIRED IN ACCORDANCE WITH C.B.(
>t' N 106 4.4 AS AMENDED BY C M C18 04.030
SIGNATURE
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please lake NOTICE that approval of your project includes the Imposition" of fees dedications, reservations, or other exacnons 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 66Q20(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 tneir 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 oreviouslv 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
EST VAL
Plan Ck Deposit
Validated By
Date
2009 AVE Ql THE PRESS CARLSBAD, CA 92008
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 ff Existing Use
Replace standai d \\ atei heater 1 ike for like
Proposed Use
Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms
(ltdifferent.from applicant),
California Delta mechanical, Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898 0007 (480) 898-0005
Name
ROMEL
Address City
2500 S POWER RD#120 MESA
Telephone tt
480-898-0007
Fax#
— ~wt- ~1.fit. ,,i
Name Address City State/Zip Telephone #
LILIA GU1NQ-VA/QUEZ 2009 AVE OF THE PRhSS CARLSBAD. CA 92008 760-473-2?00
City State/Zip Telephone #Name Address
[Slll^CHHTRACTOR ^^P^NYNANlC
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve, demolish or repair any structure pnor to its issuance
also requires the appiican for such permit to We a signed statement that he is licensed pursuant to the provisions of the Contractors 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 # i20 Mesa , 85209 (480)898-0007
Name Address City State/Zip Telephones
State License # 8 1 I I 1 4 License Class C-36 Citv Business License # 121 428 1
Designer Name Address
State License #
City State/Zip Telephone #
_j^n?^»~V V,^3fr?TS^ «H5», • "V,
Workers' Compensation Declaration I he re oy 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
[HI 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
worker's compensation insurance carrier and policy number are
insurance Company _State Compensation Insurance Fund pohcvNo 1697823 Expiration Date j)7/01/Q6
(THiS SECTION WEED NOT BE COMPLETED )F THE PERMIT IS FOR ONE HUNDRED DOLLARS |>100] OR LESS)
D CERTIFICATb 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), m addition to the cost of compensation damages are provided form Section 3706 of the Labor Code interest and attorney's fees
SIGNATURE_ Ronicl Maru _ DATE 02/15/06
1 hereby affirm that I am exempt from the Contractor s License Law for the following reason
D I as owner of he property or my employees wth 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 Contiactors 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 onmprove 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 <ind 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 contractoi(s) licensed pursuant to the Contractors
License Law)
D I am exempt und&r Section Business and Professions Code for this reason
'1 f personal'y plan io 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 portion.; 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 &ome 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, Cailsbad CA 92008
Page 2 of 2
[COMPLETE THIS"SFCT1ON FOR~WON-RES/DEWT«L"BUILDING>ERMtTS~bNLY"
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 Acf D YES D NO
Is the applicant or future build iig occupant required to obtain a permit from the air pollution control district or air quality management district? P YES D NO
Is the facility to be conslruc'ed 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
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.
[g^AppjJCANTCERTIFICATION; ____- „ ,
I certify that I have rod 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 ibsued by the building Official under the provisions of this Code sh
by such permit is not commenced within 180 days from the date of such permit or rfjbe buildm
the work is commenced fora period of 130 days (Section 106f4 4 UJmfoAi By^dindcode)
/{ I /)/ \S
APPLICANT s SIGNA rjRE R°'"el Mam '| /i/f>^tc -
ill expire by limitation and become null and void if the building or work authorized
or work authonzed by such permit is suspended or abandoned at any time after
DATE 02/15/06
WHITE File YELLOW Applicant PINK Finance
NF
COMPENSATION
INSURANCE
FUND
POLICYHOLDER COPY
PO BOX 807, SAN FRANCISCQ,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 07-01-2005
C P R C NF
BOX 869006
PLAINO TX 75086
GROUP
POLICY NUMBER 1697823-20OS
CERTIFICATE ID 3
CERTIFICATE EXPIRES 07-01-2006
07-01-2005/07-01-2006
JOB
This is to certify that we have issued a valid Workers' Compensation insurance oolicv in a form aoproved bv the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer
We wiil also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms exclusions and conditions of such policies
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-2005 TS ATTACHED TO AND
FORMS A PART OF THIS POLICY
State Of California
;r_ CONTRACTORS STATE LICENSE BOARD_ _—,- ACTIVE LICENSE CP.
Ciirnumcr \'i\Hairs
^.^811114 ..CORP
^n^ CALIFORNIA DELTA MECHANICAL
INC
C36
EMPLOYE 08/31/2006 LEGAL NAME
CALIFORNIA DELTA MECHANICAL, INC
2500 S POWER RD # 8-120
MESA AZ 85208
CALIFORNIA DELTA MECHANICAL, INC
EV 3-03)PRINTED '°6/17/2005 P0409