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