HomeMy WebLinkAbout2124 PINTORESCO CT; ; CB090063; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-12-2009 Plumbing Permit Permit No: CB090063
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2124 PINTORESCO CT CBAD
PLUM Status:
Parcel No: 2164814000 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: HEALEY RES RELACE WTR HTR Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE# 27
12440 OAK KNOLL RD 92064
866-898-0008
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
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
HEALEY FAMILY TRUST 11-23-04
2124 PINTORESCO CT
CARLSBAD CA 92009
ISSUED
01/12/2009
KG
01/12/2009
01/12/2009
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE th approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Yo have 90 days from the date this pennit 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 rmd 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
f Ix in fwhih I n ivn N h'hh flimit in ha revioul oth
City of Carlsbad , ' 16~5 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718 / 2719 Est. Value
Fax: 760-602-8558
Building Permit Application Date
JOB ADDRESS SUITE#/SPACE#/UNIT#
LOT# ,-,!-'-H~A~SE~•~=,~•-o_,_"_"_"_'_._'_'_'_o_,o_D_M_S _ _._·_·_'_TH_A_D_D_M_S _ _._'_'_"'_"_'_'_"_"_"'_"_"_'_"_' _________ _._ _____ , occ_::~:]
-DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -i
CT/PROJECT #
replace existing like for alike water heater
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, N<O v,s □NoO vesONoO
CONTACT NAME (/fD/ffoMntFomApp/l<ant) California Delta Mechanical, inc, APPLICANT NAME galina pavlova
ADDRESS ADDRESS
6052 E. Baseline road suite# 155 6052 E. Baseline road suite# 155 -·--
CITY STATE ZIP CITY STATE ZIP
Mesa AZ. 85206 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499
EMAIL EMAIL
california@.deltamechanical.com 9aliapavlovab9@.yahoo.com
PROPERTY OWNER NAME/ ( _ I -CONTRACTOR BUS. NAME California Delta Mechanical. inc. stanln • I lrrdri1h1an -
ADDRESS I ADDRESS
Same as site 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 760-942-7109 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CIT'/ BlJS. LIC.#
811114 c36
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to Its issuance, also re~':Jires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law JChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Work.era' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dedarafions:
[ZI 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.
[Z] I have and will maintain workers' compensation, as reciuired by Section 3700 of the Labor Code, for the performance of the work for wtlich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Policy No, 1&117823 Expiration Date 0813m1
~section need not be completed if the permit is for one hundred dollars ($100) or less. L{J Certificate of Exemption: I certify that in the per1ormance 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 thoosand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in • n 3706 of the Labor code, interest and attorney's fees •
.65 CONTRACTOR SIGNATURE
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, 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) IICensed pursuant to the Contractor's License Law)
I am exempt under Section _____ B,usiness and Professions Code for this reason:
1. I personally plan to provide the majOr labor and materials for construction of the proposed property improvement 0Yes Do
2. I (have I have not) signed an applicatioo for a building permit 1or the proposed work,
3. I have contracted with the following person (firm) to provide the proposed constructon (include name address/ phone I 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 mrk (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the mrk Indicated (include name I address/ phone I type of work):
I .NS PROPERTY OWNER SIGNATURE DATE _J
•
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 lnfonnatlofl on the plans Is accurate. I agree to comply with all City oldlnances and State laws relating to building oonstruction.
I hereby authorize representative of the City of Ca1sba:l to enter U!X)ll the above mentioned property for insl)3dion puijX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GR.A.NTING OF THIS PERMIT.
OSHA: An OSHA permit is requifOO for excavatons CM! 5'0' deep and demolition or 001struction of stn.dures over 3 stories in height
EXPIRATION: Every permit issued by the Buildf'lg Offcial under the provisions of this Ccx!e shall expire by limitation and beccme null and void if the building or worl< authorized by soch permit is rot oomrnenced within
180 days from the date cl such permit or if the building orwak authoriza:l by such permt is suspended or abandoned at any brre after the WO'k is oomrrenced for a ~riod r::J 100days (Socoon 100.4.4 Unifoml Buik:liog OJde),
.@S'APPLICANT'S5'GNATURE ~ DATE / ff #'7
l7
City of Carlsbad Bldg Inspection Request
For: 06/30/2009
Permit# CB090063
Title: HEALEY RES RELACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2124 PINTORESCO CT
Suite: Lot: O
Inspector Assignment:
Phone: 7604205839
Location: Inspector:
OWNER HEALEY FAMILY TRUST 11-23-04
Owner: HEALEY FAMILY TRUST 11-23-04
Remarks: a m please -
Total Time:
----
Requested By: CHRIS
Entered By: CHRISTINE
CD Description
25 Water HeaterNents .. ~Comm,h#
-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments