HomeMy WebLinkAbout2041 ESCENICO TER; MULTI-PERMIT FILE; CB081100; PermitV .
. . City ofCarlsbad . . V..
1635 Faraday Av Carlsbad, CA 92008
06-10-2008 . Plumbing Permit. Permit N:CB081100
Building Inspection Request Line (760) 602-2725
V
Job Address 2041 ESCENICO TERRACE CBAD
Permit Type: . PLUM . - : Status: ISSUED
Parcel No: 2164821100 Lot #: 0 V Applied: 06/10/2008 V
Construction Type: NEW Entered By: KG . V
Reference #:V
V V V Plan Approved: 06/10/2008 V
PC #: . '. Lssued: 06/10/2008
Project Title: V' : WILSON RES REPLACE WTR HTR . . V Inspect Area: V
Applicant: V V -Owner:'-----_....
CALIFORNIA DELTA MECHANICAL WILSON RONALD W&HIERS LORI A TRUST 1112-04
V.. ••V
SUITE #27 2041ESCENICOTER V
12440 OAK KNOLL RD 92064 .7 '(' CARLSBADtA 92009 V
866-898-0008
Plumbing Issue Fee / - $o.o V V -
Fixture or Trap eD?
Bu
Roof
ilding sewer,
7 c rain 0 $\
Install/Repair Water Line / '-.. . 0 . V - $0.00 V . Water Heater and/or Vent \ $7.00
Gas Piping System
\V
V
/ V
. V V
Vacuum Breaker 0 $0.00 V
Other Plumbing Fee () •V.V f V V All 1:so.00
Master Drainage Fee "-....TL1 V 1. .. SewerFee
Additional Fees $0.00
)
TOTAL PERMIT.FEES\ V \ V $27.00/
V•
iNCQPPOR1ED / /•' V V
V
Total Fees: V $27 00 Total Payments To Date- W?' $27.00 Bace Due: / . $0.00
/ V
"
V
V £•., - - : -
•
FOR OFFICE USE ONK
EST. VAL. PERMIT APPLICATION 0
Plan Ck De~ sit
CITY OF CARLSBAD BLHLDING DEPARTMENT ':' Validated By y - 1635 Faraday Ave., Carlsbad CA 92008 Date
PECTINbRM'AIiÔ' •.::."t •
2041 Escenico Ter. '
Address (include Bldg/Suite #) Business Name (at this address) ,
Legal Description Lot No. Subdivision Name/Number • Unit No. Phase No. Total # of units' .1
Assessor's Parcel # Existing Use . Proposed use,
Replace standard water heater like for like . . .
Description of Work SQ. FT. - #of Stories #of Bedrooms , #of Bathrooms
: ;-.'
L2 NIT
California Delta mechanical, Inc. 6052 E Baseline rd #155 Mesa 4 AZ 85206 (480) 898-0007 (480) 898-0005 '- *
Name Address City State/Zip Telephone 4, Fax #
DA jerJiI Ji
Galina Pavlova . 6052 E Baseline rd # 155 MESA AZ 85206 480-898-0007
Name Address City , State/Zip Telephone 4
Lori Hiers - Same Carlsbad CA 92009 760-944-6065
Name Address City State/Zip Telephone 4 -
ON1RACTORC0MPANNAME'--,,.- '-, . . ..
(Sec. 7031.5 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 the applicant 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 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 ($5001).
California Delta Mechanical, Inc. 6052 East Bseline rd# 155 Mesa 85206 - (480) 898-0007 -
Named - Address City State/Zip ' Telephone # -
State License# 811114 License Class C-36
-
' Cit' Business License# 1214281 .
Designer Name' Address . - - City StateiZip ' , Telephone #
State License #
WORERCOMPENSATION -
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for whichr this permit is issued. My -'
worker's compensation insurance carrier and policy number are:
Insurance Company State Compensation Insurance Fund Policy No.1697823 Expiration Date 07/01/08 '
(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 shah riot 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 compe nsati Øages are provided for in Section 3706 of the Labor Code, interest snd attorney's fees.
SIGNATURE Galina Pavlova DATE 06/03/08 - - . -
bWNER-BUILDER DECLARATION ". ___ _. __-_•_. •-_'_._- I hereby affirm that I am exempt from the Contractor's'ticense Law for the following reason: - '
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 o -
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).
O 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 sucI projects with colractor(s) licensed pursuant to the Contractor'
License Law).
I am exempt under Section Business and Professions Code for this reason: - , - - -
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO .
I (have/have not) signed an application for a building permit for the proposed work. - -
- I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number):
. 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 jiumber
/ontractors license number):
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): -
S. - PROPERTY OWNER SIGNATURE .- DATE -
:-
WHITE: File YELLOW: Applicant PINK: Finance
rr
r ., '-. ,,,..-.•'. - - , ,w •. . - ' Zd' . - -. 1,'
-
PERMIT APPLICATION - - -
I , /
CITY OF CARLSBAD BUILDING DEPARTMENT . ,.
1635 Faraday Ave.,Carlsbad CA 92008
Page 2of2 *
[COMPLETEThIS SECTION FOR NON.RESIDENnALBUILDING PERMITS ONLY JJ -
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under -
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO -:
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
[8oi(WC110 NDINGAGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 097(1) Civil Code). -
LENDER'S NAME . LENDER'S ADDRESS
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. /1 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.,' .
OSHA: An OSHA permit is required for excavations of 50 deep and demolition or construction of structures over 3 stories 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 authorized by such permit is suspended or abandoned at any time after,
the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
. . . . -, '
APPLICANT'S SIGNATURE Galina Pavlova 6ATE _P6103108 /
*
NWHITE File YELLOW Applicant PINK Finance t
- - . -• . - .• ..,' -. ..
--
4 .1
: City of Carlsbad, Bldg Inspection Re4uest 4
For 12/02/2008 A
Permitft CB08II00 Inspector Assignment :
Title WILSON RES REPLACE WTR ITR
-.
-
. 4 .- - . 4 4 5 ., . - 74• •,
Description:
-. I . •4 j .. .-...', 4 4 .'.
Type: PLUM Sub Type:
-
. Phone: 7609446065 .- .. '..'
Job Address 2041 ESCENICO TERRACE •
-Suite: SLot: '0 '.• .' ",•.
Location Inspector
A" .•
OWNER WILSON RONALD W&HIERS LORI A TRUST 11-12-04 , , .•• J ''• •. •
Owner: WILSON RONALD W&HIERS LORI A TRUST 11-12-04
Remarks
Total Time: ' - 4- Requested By: ALLISON'
S .. 4. ' •'•4 .544
Entered By CHRISTINE
CD Description '', 'Act Comments
25 Water HeaterNents
Comments/Notices/Holds
4
5 . - .7 -
-4 5.. .
Associated PCRs/CVs Original PC#
4
. Inspection History
Date Description Act Insp comments - 4
$ - ••
.
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y . -• ' - - USE BALL POINT PEN ONLY & PRESS HARD - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. -
.. - CARLSBAD BUILDING DEPARTMENT API'LI'ATIÔN&PERMW e I
2075 Las Palmas Dr Carlsbad CA 920091915 (619) 4381161 -:-1 j I hereby affirm that I am licensed under_ I -
0-h.j-OflProvisions of Chapter 9,(commencing with I JOB ADDRESS AV. ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE S VALUATION . PERMIT NUMBER
SCti 7000) of Division 3 of the Business, - - -
,IØ and Professions Code, and my license is in 2041 Escenico Terr. Levante St .- - - - 19451 - -
o L 'full force and effect. ,. - - .. I
R-:- -. LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR - . CONTRACTORS PHONE a ZONE . ue- c5-/-q/-
I he eby attirm that 'l am exempt from the Contrac ! •-__. OS' 0-'
! OWNERS NAME OWNERS PHONE Arlen Foster Plumbing 697-4151 ____
- - -quires a-tmrmll to construct. atter. improve. demolish. or I• CONTRACTORS ADDRESS STATE LICENSE NO. -a. '-t BUILDING SO FOOTAGE
'.i repair any.strxctute. prior tO its issuance also requires!heap. Carl F ;reIirn -- 436-5753
- plicant br Such permit to tile a signed statement that he is - - -.
—licensed 'Pursuani'lo the provisions of-thi-Conlraclor's"11' OWNERS MAILING ADDRESS / 2019 Central Ave. 443348 - :U.
-Division,3 of the Businessand.Prolessions Code) or that is ex--
empt Ihere!rOm and the basis for the,allegeO exemption. Any
,
License Law (Chapter 9 commencing with Section 7000 of I '
- 2041 Cscenico Tetr . Carlsbad, Ca 92009 i7\ i
DESIGNER DESIGNERS PHONE
. -
violation of Section 7031.5 by an applicant tsr a perm I sub -" ects the applicant to a civil penaltyol not morethan liye hun' ..' DESCRIPTION OF WORK / fi -: --- 0
- -dred dollars l$500li-- .I water Heater Replacement - . - . . DIGNER'S.ADDRESS STATE LICENSE NO. .. .. . -- ••--•' _.
I LI. as owner nbtiro property, or my employees with wages •., s . ,/_/ . •' as their sole, compensation. will do the work, and the struc'
a tareis not intended or ollered to, sate (Sec. 7044. Business I - _____________________________________________________________________ . -. ..I and Professions Code The Contractors L cense Law does F/P F LA E LEV NO OCr op EDU 0031 04/6 0101 0E 1dFe't 10 0 D . not apply to an owner01 property, -who builds or improves - , I" • STORIES .
,..tlierenn and who does such.waikhimsettor through his own .I--- - - - . - --- -• - - - p-.- ' -.--.-.- .- _ - - -- - -
-' employees, provided that such improvements are not intend.1 ND - . . 0
I - CENSUS TRACT PARKING SPACE RES UNITS G DIN9'PEAMIT ISSUED REDEVELOPMENT
-
TYPE 0CC LOAD FIRE SPA - -
will have the burden 01 proving that he did not builder im' ' : --"-
'--- - AREA - . CONST -n
0 --prove 101 the-purpose of sale).• - .1 f'' ç- irD ND . , -D-D vo NO Nor Valid Un/eos'MachineCertified
-
I I I as owner of the property, am exclusively contracting
'L Bifhi consed contractors loconstrucl the project (Sec. 7044
* nessand 'Professions Code: The. Contractor's Lce,rse CL CL
OTY PLUMBING PERMIT ISSUE1 Y MECHANICAL PERMIT ISSUE jç22. SUMMARY/ACCOUNT NUMBER
—Law does not apply toan owner ol property who builds orim- I - - - - - - -- -I - -.- - - - - •
~_:l Proves thereon. and who contracts for each projects,with a If- I t
s License J.. -- EACH FIXTURE TRAP I INSTALL FURN DUCTS JP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220
2 LawI I EACH BUILDING SEWER \ \ - - -
- OVER 100,000 BTU - ---'' - - SIGN PERMIT - 001-810-00-00-8221-
2
- HAsatrorneowoerC11lamrmpr000gnryhonre and the ioltow
ri~r : ,- T0. IT EACH WATER HEATER AND OR VENT \, $2 çy . BOILER/COMPRESSOR UP TO 3 HP _- PLAN CHECK 001 810 00008891 -
- s-i- ha:rk is i tr twelve "months EACH GAS SYSTEM I TO 4 OUTLETS,/
erformed to sale. BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 0Oi 810 00008222 Sb 00 a.
prior to completion Of this work, --
UI the -.--' -EACH GAS SYSTEM 5 OR MO-RE- '-/--t ' - '\ - . -. METAL FIREPLACE - - - . - -. - -.- ,• ELECTRICAL - -'-001-810-00-00-8223
- I EACH INSTAL.. ALTER. REPAIR WAER P E - / . — VENT FAN SINGLE . - MECHANICAL 001-810-00-00-8224 .
LIor, this reason ' EACH VACUUM BREAKER - MECH EXHAUST jj,Q-d DUCTS MOBILEHOME 001-810-00-00-8225 in
- -
on — WATER SOFINER RELOCATION _fEA FURNACE/HEATER - - SOLAR * 001-810-00-00-8226- -
I — EACH ROOF DRAIN (INSIDE)
-
DRYER STRONG MOTION 8805199233
1 : consent I
n.:ion -. TOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227 - - -
surance. or a certified copy thereof (Sec. 3800. Labor
POLICY
Compensat
Code) I / JUl At PLUMBING S1U UU -'
___••
PUBLIC FACILITIES FEE 320-810-00-00-8740 .
- z - - - - ---- —! - - - -- -- - -- .---- ----- -.-.' BRIDGE FEE 360-810-00-00-8740-
::yN:ti
14, ctu
: : r ELECTRICAL PERMIT ISS/E OTY MOBILE HOME sETUP' PARK IN LIEU IAREA I -
DXCe tIed copy sheetyl st-$ I NEW CONST EA AMP SWT I3KR - CAR PORT /4)' * TIF 31281000008835
- - - -: — 1'PH' - . - 3 P - . ,...- - AWNING - . f , LACOSTATIF - 311-810-00-00-8835 •-
8 W '-- PICA bDF 2CE I
- — EXIST BLDG EA AMP/SWT BKR _-
___________ — GARAGE - - FMF
SO f ITh section
e 0d not be con plated it hundred dollasiStOOl It,:
permit-
: — 1 PH 3 _______________ — __-S' v i Cr LICENSE TAX 001-810-00-00-8162CC
0 beet ty that the pe to ma Ce 01 tIre wok to wlr I — REMODEL ALT R PER Cje "I T -- ,Ileo C)niplpin " MFF 880-519-92-57
- 'this permit
oa:
ssued Ishall ot employ any peso any -o become subject to the Workers'Compen. TEMP POLE 200:'A 1. - _- \? - - . -- -- - -
usatO Laws ,, - -- -----.O'VER2OOAM - - - - - - - -- - NOTICE TO APPLICANT II after making II, s Ce II cute
subject to the Workers' I
- : •
of
::': ____
TEMP O,AN CX 130,0 A YSI - , . - -- '—! erisalion forthwith Comply with such p o S OfiS o this permit shall C - . - - - CREDIT DEPOSIT - - - - -
be deemed renokdd, I JOIALELELTRI(AI -< -
TOTAL
- - TOTAL FEES PAYABLE
1 - --sio go
- - ' -
- I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration. Every perm I issued by Building Official under the provisions of this * AN OSHA PERM :T IS REQUIRED FOR EXCAVATIONS OVER - H ..01hereby affirm that there isaconstruchon lending CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall limitation and become null and void If the building or work 5'O'• DEEP AND DEMOLITION OR CONSTRUCTION OF -I ~jfem'for
it nit
the date of such
Is isseid Sec 3097. CivIl Codel
erjorrrrance of the work for is per'
- DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil, or ii the building or work authorized by such rr
authorized by such permit is not commenced within 180 days
's usner STRUCTURES OVER 3 STORIES IN HEIGHT
z - -
- --------
-'.Nt1 -- -- -_.- --- ---i-.- ISSUED:- TO COMPLY WITH ALL CITY.- COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned SI any time after the work is commenced for a period 01180 days
UI Lender's Name. T30c5i - r...._ - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . APPROVED BY 'J -' - r - -
- A -- -- - - KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANTS SIGNATURE OWNERO C0NTRACTOR I, , DATE
-
-
Lender's Address - , - - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 1 /
-GRANTING OF THIS PERMIT. jy cJc- BY PHONE 0 -
.,, , Ole
t
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL -
MASONRY
GUNITE OR GROUT
SUB FRAME LI. FLOOR LI CEILING
SHEATHING 0 ROOF 0 SFEAR
FRAME -
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
U SEWER AND BL/CO U PL/CO -
UNDERGROUND 0 WASTE 0WATER
TOPOUT _0 WASTE 0WATER
TUBANDSHOWERPAN
GAS TEST
0 WATER HEATER 0 SOLAR WATER
ELECTRICAL
O ELECTRIC UNDERGROUND LiUFFER
ROUGHELECTRIC
O ELECTRIC SERVICE 0TEMPRARY
0 BONDING 0POOL
MECHANICAL
O DUCT &PLEM., __0 REF PIPING
HEAT - AIRCOND.SYSTEMS
VENTILATINGSYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVEBEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING.
SPECIALCONDITIONS
14
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES
INSPECTION
-
REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE .
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
.
STRUCTURAL CONCRETE
OVER 2000 PSI
- -
PRESTRESSED
CONCRETE
POSLTENSIONED
CONCRETE . .-
FIELD WELDING .-.-- - .- - -
HIGH STRENGTH
BOLTS ..,. -....-
SPECIAL MASONRY
PILES CAISSONS
M2 .-
Nb_ ____________
S .. -