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HomeMy WebLinkAbout2072 AVENUE OF THE TREES; ; CB061343; Permit05-15-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB061343 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2072 AVENUE OF THE TREES CBAD PLUM 1562902100 Lot# 0 Construction Type NEW AVAKIAN RES REPLACE H2O HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/15/2006 KG 05/15/2006 05/15/2006 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner - AVAKIAN FAMILY'1993 JRUST 4516 DENSMOREAVE ^ ' ENCINOCA/91436/ ^ -, 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 , -, , t ' Master Drainage Fee " / Sewer Fee ; Additional Fees , . r'-' $2000 ' o - - % , " ' $000 / 0 / o "*" - , " ... O '$000 0 ' •' ', , , , * \ '* / ' $0 00 ' 7 0 • , ,,„ $000 1 . . - , - ,. r , V -* ' ', - $700 \ i >,"'"-- 0 • • - , - ^ ^ ' "x$0 00 0~ "- " - ' /' *. -^ $000 ". ' ' / ,'"*' '*, $00° f ~' ' '>- ' > '' ^ * s ' , T' '',''" ""$000 j/,! ' / ' ," /'- ' - • ; $00°' f , * s x, x ' y i * V - tn nn *i / ii , , ^ t > 3>U UU ,* 4 ? ? S ' v / ? TOTAL PERMIT FEES:$2700 Total Fees $2700 Total Payments To Date <JV $2700 Balance Due,$0.00 PERMIT HAS'EXPtRED JN ACCORDANCE WITH C.B.C. SECTION 106,4 4 AS AMENDED BY CM C.18.04.030 DATE Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that 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 arty 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 vou have previously been^jven a NOTJCE similar to this, pr as to whichjhe statute of limitations has previously Qtherwise_expjrad PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 2072 AVE OF THE TREhS CARLSBAD, CA 92008 FOR OFFICE USE PLAN CHECK N EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suile #) Legal Description Lot No Assessor s Parcel # Replace standard water heater like for like Description of Work Business Name (at this address) Subdivision Name/Number Unit No Existing Use SQ FT # of Stories Phase No Proposed Use # of Bedrooms Total # of units # of Bathrooms 2%JX»ITACT PEf^ON^dJiaren^ronSpltSnt) ^ T California Dejta mechanical, Inc 2500S Power Rd Suite* 120 Mesa AZ 85209 (480) 898 0007 (480) 898-0005 Name ROM EL Address State/Zip Telephone # 2500 S POWER RD# 120 MESA 85209 480-898-0007 Fax* Name Address City State/Zip Telephone # ADR1ANA P1ZZIA 2072 AVE OF THE TREES CARLSBAD, CA 92008 760-917-1755 Name Address City Stale/Zip Telephone # (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish w repair any structure prior to its issuance also requires the applicanl 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 [$500]) California Delta Mechanical. Inc 2500 S Power Rd Suite #120 Mesa 85209 (480) 898-0007 Name Address City State/Zip Telephone # State License # 811114 License Class C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # Workers Compensation Declaration 1 hereby affirm under penally 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 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 carrier and policy number are InsuranceCompany State Compensation Insurance Fund PolicyNo 1697823 Expiration Date 07/01 /06 __ (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 hundred thousand do1lars($100,000), m addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Romcl Maru ___^_______^^__^__ DATE 05/09/06 I hereby affirm that I am exempt from the Contractor 5 License Law for the following reason 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 fof 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 contractors) 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 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 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 FaradayAve, Carlsbad CA 92008 Page 2 of 2 iSy^&^ .Is the applicant ot 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? DYES O 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 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 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) LENDERS NAME LENDERS ADDRESS. _ I certify that I have read the application and slate 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 OSHA An OSHA permit is required for excavations of 5 0" 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 ehall 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 ifjhe buildifl the work is commenced lor a period of 180 days {Section 106 4 4 Unil6r(n fftuildn APPLICANTS SIGNATURE RomelMaru or work authorized by such permit is suspended or abandoned at any time after DATE 05/09/06 WHITE File YELLOW Applicant PINK Finance NF POLICYHOLDER COPY COMPENSATION INSURANCE FUND PO BOX 807, SAN FRANCiSCCXCA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 07-01-20O5 CONTRACTORS STATE'LI CENSE BOARD 'WORKERS COMPENSATION UNIT P 0 BOX 26000 " , SACRAMENTO CA 95826 < - NF GROUP ', POLICY NUMBER"' 1697S23-2005 CERTIFICATE ID 2 CERTIFICATE EXPIRES 07-01-2006 07-01-2005/07-01-20O6 LICENSE NUMBER #811114 , INCEPTION DATE: 07-01-2005 DO NF This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by 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 will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration ' -/ L ' ~n ' ' ' Thts 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-O1-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY " . EMPLOYER LEGAL NAME CALIFORNIA DELTA MECHANICAL, 2500 S POWER RD # 8-120 MESA AZ 85208 NC CALIFORNIA DELTA MECHANICAL, INC IREV 3-03)PRATED OB/17/2005 p04Qg THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND