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Home My WebLink About2030 BASSWOOD AVE; ; CB111114; Permit05-26-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB111114 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2030 BASSWOOD AV CBAD PLUM 1671301600 Lot#: 0 Construction Type: NEW LEWIS RES: REPLACE EXISTING WATER HEATER - LIKE FOR LIKE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/26/2011 JANEAN 05/26/2011 05/26/2011 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: LEWIS FAMILY TRUST 10-25-04 2030 BASSWOOD AVE CARLSBAD CA 92008 760-310-2830 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 APPJtOV, Date: —_Clearance: NOTICE: Please take NOTICE tpt approval of your project includes the "Imposition" of ms, 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 you 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. Q,{3\1V\H Est. Value Plan Ck. Deposit Date; JOB ADDRESS 2030 Basswood ave SUITE#/SPACE#/UNIT# CT/PROJECT #LOT## OF UNITS # BEDROOMS # BATHROOMS 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 P CONTACT NAME (If Different Fom Applicant) ADDRESS 6052 East CITY Mesa PHONE 480-898-0007 EMAIL caHfornia@de PROPERTY OWNER NAME ROPOSED USE GARAGE (SF) California Delta Mechanical Baseline rd STATE AZ #155 ZIP 85206 FAX 1-480-218-5645 tamechanical.com Claude Lewis ADDRESS 2030 Basswood Ave CITY Carlsbad PHONE 760-310-2830 STATE ZIP Ca FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF)DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL FIREPLACE YEsQf N0| | AIR CONDITIONING YES["~|NO| I FIRE SPRINKLERS YES | |NO| Galina Pavlova 6052 E. Baseline Mesa STATE 858-361-6495 FAX road suite #155 AZ ZIP 85206 1-858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME ADDRESS CITY PHONE California Delta Mechanical 6052 East Baseline rd # 155 Mesa STATE 480-898-0007 AZ ZIP 85206 FAX EMAIL STATE LIC.# 811114 CLASS C36 CITY BUS. LIC.# 1214281 (Sec. 7031.5 Business and Professions Code:applicant for such permit to file a si|Business and Professions Code} or L. . - . -civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: bll 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. blJ 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. 1697823 Expiration Date oraiian This section need not be completed if the permit is for one hundred dollars ($100) or less. I/I 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 (8.100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. .^CONTRACTOR SIGNATURE /-<><^ 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 I 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 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 iNo 2.1 (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 the Dresley-Tanner Hazardous Substance Account Act? I I Yes I iNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or aircjuality 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? PlYes llNo 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 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. 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 \GAINST 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. EXPIRATION:! ^APPLICANT'S SIGNATURE DATE (7 City of Carlsbad Bldg Inspection Request For: 07/26/2011 Permit* CB111114 Title: LEWIS RES: REPLACE EXISTING Description: WATER HEATER - LIKE FOR LIKE Inspector Assignment: 2030 BASSWOOD AV Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER LEWIS FAMILY TRUST 10-25-04 Owner: LEWIS FAMILY TRUST 10-25-04 Remarks: ANYTIME AFTER 2PM (FORMER MAYOR) Phone: 7603102830 Inspector: Total Time:Requested By: BUD LEWIS Entered By: CHRISTINE CD Description 25 Water Heater/Vents Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments