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HomeMy WebLinkAbout2068 AVENUE OF THE TREES; ; CB101173; Permit06-25-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB101173 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2068 AVENUE OF THE TREES CBAD PLUM 1562901900 Lot#: Construction Type: STONE RES- REPLACE WTR HTR 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/25/2010 LSM 06/25/2010 06/25/2010 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: STONE FAMILY TRUST 11-30-99 2068 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 $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 APPROVAL Date. 7 Clearance: NOTICE: Please take NOTICE thai approval of your project includes the "Imposition" of fees, 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. £& IO H 1 3 Est. Value Plan Ck. Deposit ,Q JOB ADDRESS SUITE#/SPACE#/UN[T# CT/PROJECT # DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 4SEK I # OF UNITS I * BE[# BATHROOMS TENANT BUSINESS NAME Replace water heater for an alike one CONSTR. TYPE EXISTING USE PROPOSEDUSE GARAGE (SF) CONTACTNAME (If Different Fom Applicant) _ ... .„,,.,, . , ,California Delta Mechanical Inc. ADDRESS 6052 E. Baseline road suite # 155 CITY Mesa PHONE 480-898-0007 STATE ZIP AZ 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME Eugene Stone \DDRESS 2068 Avenue of the Trees CITY Carlsbad PHONE 760-687-3166 STATE ZIP CA 92008 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIR YES APPLICANT NAME ADDRESS CITY Mesa PHONE 480-898-000 EPLACE AIR CONDITIONING FIRE SPRINKLERSo* Nor~i YEsr~iNon YEsr~iNor~i Stefan Grozev 6052 E Baseline rd # 155 STATE ZIP AZ 85206 FAX 7 1-858-410-1499 EMAIL galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LICJL , tf/IMH' STATE ZIP FAX CLASS CITY BUS. LIC.f* iG-MaXl (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, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: L/JI 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. L/J 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. 1897823 Expiration Date *mm This section need not be completed if the permit is for one hundred dollars ($100) or less. I/I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. *% / £$ CONTRACTOR SIGNATURE vS" . <^Wi.~<£4? DATE fo/<?<.~4/7& I hereby affirm that I am exempt from Contractor's License Law tor trie 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 Profese !ons 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, 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). fl I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and maten'als for construction of the proposed property improvement I |Ves I [NO 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 wonX, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 mil 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): >£TPROPERTY OWNER SIGNATURE DATE Is 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 Presley-Tanner Hazardous Substance Account Act? I I Yes f INo I j the applicant or future building occupant required to obtain a permit from the air pollution control district or aircwality management district? HHYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Fires flNo IF ANY OF THE ANSWERS ARE YES, / "~ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) 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 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 AGAINST ALL LIABILITIES, JUDGMENTS, 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 over 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 City of Carlsbad Bldg Inspection Request For: 07/20/2010 Permit* CB101173 Title: STONE RES- REPLACE WTR HTR Description: 2068 AVENUE OF THE TREES Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER STONE FAMILY TRUST 11-30-99 Owner: STONE FAMILY TRUST 11-30-99 Remarks: Inspector Assignment: Phone. 7604349350 Inspect Total Time: CD Description 25 Water Heater/Vents Act Comments Requested By: JACKIE Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments STEVE No, !066 COPY N 8TATB p.o, gOX 420«07, SAN FRANC!3CO,CA 94142-0807 iNlUKANCE 1tt7Mt~«eo» COMMI »JL«U w MMV t*SUf HATC: 07 OJ-SW«M HBMt BffBT _^_JIH_-J_ OBMPLIMW BlPMITNfllT 907S C JUPlKtAL HHV STR 100 MWft CA Nf NUMW Ti.is «hM v« CnmfW**!on»r to th« •mployw «.t *tih|«r.t to amoMMttan fev «w Fowl *x*npt upon«o w«yij,,*hauia tWn pellay tt» notle* to the wnployer. prtor ta la norm* rw« c*rtifiwit« of ln«uf»nft« m n« w ln»ur«ne* p«5»cy ««» dew not «w«ll »x««a or alter <l» tawWW lffw«l«f bv tt» peiiay lifltud htr«tn. NotwfthfWHflna my rwiuirwwm. wrm or eowlWfln of «nj< conirwt or ««w *»curr»nt r«wp»et to frhioh inn MiDfle** of rramrwati m* bo itwrt or to «*teh ft nwy ptn*n, tN frwunmce by thfl pni»Bv (toerlNM hnr*In I* «ubj«ct » •« «» Wnw, *xe|urtww, «nd contfttem. of nwih policy. fflfi»0«NT LiAKttm LIWT IHClUDINa MPffMI COtTS; 11.000.000 MIK #t«»o - TOM* ttTaHUlKW P. S T - IXCLUDRB, OWTIPIWT1 HOLMM' HBTICI8Tfl ANO FORM A MtT Or THM ML ICY.II *, 'MB Of A; W1MTW ,-W0410