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Home My WebLink About2190 AVENIDA TORONJA; ; CB091913; Permit11-17-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB091913 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2190 AVENIDA TORONJA CBAD PLUM 2552612900 Lot# 0 Construction Type NEW GREGOR REPLACE WATER HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/17/2009 JMA 11/17/2009 11/17/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner 10631 BANANA AVENUE L L C 2235 ENCINITAS BLVD #111 ENCINITAS CA 92024 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 Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $2000 SO 00 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPROVAL pate Clearance NOTICE Please take NOTICE that approval of vour 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 arty 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 G&&) ( d } . Est Value Plan Ck Deposit Date fl//7/0? JOB ADDRESS CT/PROJECr #LOT*PHASE** OF UNIT DESCRIPTION OF WORK Include Square Feet of Affected Area(s) SUITF.*/SPACES/UMT# # BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater I CONSIR TYPE EXISTING USE PROPOSEO USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) _ . - _ .. .. . . .California Delta Mechanical Inc ADDRESS 6052 E Baseline road suite # 155 CITY Mesa PHO" E 480-898-0007 STATE ZIP Az 85206 FAX 1-480-218-5645 EMAIL california@deltamechamcal.com PROPERTY OWNER NAME Daniel Me Gregor ADDRESS 2190 Avenida Toronqa CITY Carlsbad PHONE 760-716-5000 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP Ca 92009 FAX STATE LIC # PATIOS (SF)DECKS ;SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~|# N0[ | YESQNOQ YEsQNoQJ APPLICANT NAME _ . _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 F Baseline road suite #155 STATE ZIP I Mesa AZ 85206 | FAX 480-898-0007 1-858-410-1499 qahapavlovabg(5)vahoo com CONTRACTOR BUS NAME «.,.., . . !California Delta Mechanical Inc ; ADDRESS CITY PHONE 6052 E Baseline road suite #155 STATE ZIP Mesa AZ 852(8 85206 FAX 480-898-0007 EMAIL STATE LIC *CLASS CITY BUS LIC # 811114 C-36 /2.I C£2,£-/ (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 theaoplicant 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 ol theBusiness ana 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 zcivil penalty of not more than five hundred dollars ($500))r a permit subjects the applicant to a Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations L£j 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 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 1697e23 Expiration Date aoiei This section need not be completed if the permit is for one hundred dollars (5100) or less Kl 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 Workers1 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 sJ&^J DATE I hereby affirm that I am exempt from Contractors 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 Coda 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 1 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors 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) I am exempt under Section _.Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials tor construction of the proposed property improvement [~~lYes I |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 / 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 / contractors 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 / type of work) -efpROPERTY OWNER SIGNATURE DATE •j^-Mve-;:1. Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account AcP I I Yes I iNIo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjuality management district' I lyes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 I lYes flNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAf 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 statettiatttie above information iscorrectandthatthe information on the plans is accurate I agree to comply with all City ordinances and State laws relatongtobuildmgconstrucbon I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE 10 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 excavatons over 5 0 deep and demolition or construction of structures over 3 stones in height 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 Storm Water Compliance Exemption Form am applying to the City of Carlsbad for the following type(s) of construction permit 0 Building Permit D Right-of-Way Permit CD My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria I I My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tierl • Low Threat Assessment Criteria \ | My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 - Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) TierS - Significant Threat Assessment Criteria I I My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or I [ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance aieas or, [_J My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm waler runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Project Address Assessor Parcel No Owner/Owner's Authorized Agent Name Owner/Owner's Authorized Agent Signature City Concurrence B^ES Q NO By Title '-/ Date Project ID City of Carlsbad Bldg Inspection Request For 12/01/2009 PermiW CB091913 Title GREGOR REPLACE WATER HEATER Description 2190 AVENIDA TORONJA Lot 0 Type PLUM Sub Type Job Address Suite Location a OWNER 10631 BANANA AVENUE L L C Owner 10631 BANANA AVENUE L L C Remarks PM INSPECTIONS REQUESTED Inspector Assignment Phone 7607165000 Inspector Total Time CD Description 25 Water Heater/Vents Act ^Comments Requested By DAN Entered By BARBARA Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ?<) ?GM !u /MM. STEVE No 1066 P 1 POLJCYHOIM* COPY NF STATH PO. BOX 420807, SAN FRANCISCO.CA 94142-0807 CtRTfflCATE OF WORKERS' COMPENSATION INSURANCE GROUP: POLICY NUMBER! 1ft CEBTfFICATE IQ ._ • DATE- 07-01-aoflt ' GROUP:POLICY NUMBER! 1M78M-200* HOME OtFOT OBMPLtAMQt OK^AR'I'MIMt 3078 e IWeMAt HfY STB 100 BRIA CA »98J1-«782 Thl* Is to rartlfy that w« hwa i*tuad < vtlld Workwi' ComptnnMon |p«urince policy hi f«n« «>rov«» by «• California Insurance rnmmlssloner to ttia «mplay»r nwruKt b«l«»w for th* poHey p«rled indlc«t«J Thl* poiiry is not *i*j«rt to o«na«li««ofl by tl» Fund «xc«pt uponj» tot* •*»«»• wrttton nolle* to th« wnployer. w« wilt also give you ao diya wlvanfit notice »hauld thl* policy b* ewodlwi prtar tn Its norm«l wtplrttlon. This c«rtlflc«t» of hwur/me* la not in l»wur«ne* policy mtf dew not WMnA »xt«ld or by th« policy listsd h«r«in NotwHh««(MHno wy rwmrwwnt, »rm or eorrthton at IWwith r»«p»ct TO which thU c«rtlflcwe of "niurwoa may ba l«w«l or to «Wch ft nwaffwted by the policy ctajorlbed hwoln I* «ubjtct to all t»» t«rm«, «xelu»ten«, »«1 eon«JWon». of »ueh policy. IIZFD REPRBSENTATI\Jl^J PRgaiDBNT RMPUOVBd'S UtAtlLlTY LtHT ZNCLUD1MI MFMSt OMTTS: $1,000.000 MR OCCURMWI- •NWMRMIMr #18CO - TODOft KtTCHUUtOV P, S T - BXCtUMD. *jon BWTITLID CMTIPIOATI HOLOBM' nonet Brmeerxvi 09-01-9001 is •ATTACHUD TO AND PQMM A PART Or THIS POLICY EMPLOYER CALIFORNIA DBLTA W8HANICAL, INC MA- NF CALtPOHRA DIkTA WCHW6*!., INC BOM ft BAIiLtNe M» STI 1SB MttA AZ M0410 mev.j-os) WIHTBB : Ol