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Home My WebLink About2194 CORTE MANGO; ; CB082204; Permit12-08-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB082204 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2194 CORTE MANGO CBAD PLUM 2552513300 Lot# 0 Construction Type NEW RICH RES REPLACE WTR HTR Status Applied Entered By Plan Approved issued Inspect Area ISSUED 12/08/2008 KG 12/08/2008 12/08/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner RICH PETER D&CAROL A 2194 CORTE MANGO CARLSBAD CA 92009 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 0 0 0 0 1 0 0 $2000 $000 $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 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 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 N Est Value Plan Ck Deposit Date JOB ADDRESS 2194CorteMango SUITE#/SPACE#/UNIT# * BATHROOMS I TENANT BUSINESS NAME -C/ CONSTR TYPE I OCC GROUPCT/PROJECT #LOT*PHASE*# OF UNITS DESCRIPTION OF WORK Include Square Feet of Affected Area(s) * BEDROOMS Replace existing like for alike water heater EXISTING USE PROPOSEDUSE GARAGE (SF) CONTACT NAME (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 califorma(5>deltamechanical com PROPERTY OWNER NAME Carol Rich ADDRESS 2194 Corte Manqo CITY Carlsbad PHONE 760-944-0808 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP Ca 92009 FAX STATE LIC # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES|~|# N0| | YESQNOQ YES| | NOJ | APPLICANT NAME _ , - ,Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E Baseline road suite #155 STATE ZIPMesa AZ 85206 FAX 480-898-0007 1-858-410-1499 qahapavlovabg@yahoo com CONTRACTOR BUS NAME California Delta Mechanical. Inc ADDRESS CITY PHONE 6052 E Basel me rd# 155 STATE ZIP Mesa AZ 85206 FAX 480-898-0007 EMAIL STATE LIC #CLASS CITY BUS 1IC # 811114 c-36 \Q\U7%:I (Sec 70315 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 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)) Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations j blj 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 I/I I have and will maintain workers compensation as required by Section 3700 of the Labor Code tor the performance of the work for which this permit is issued My workers compensation insurance earner and policy j number are Insurance Co Policy No 1897823 Expiration Date °m"°s ! This section need not be completed rf 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 andshallsubjectanemployertocnminalpenaltiesand civil fines uptoonehundredthousanddollare(&100000) in addition to the cost of compensation damages as provided for in Section yjp of the Labor code interest and attorney s fees JS!> CONTRACTOR SIGNATURE / 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 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 I I as ovmer 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) I | I I am exempt under Section Business and Professions Code for this reason | 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement | [Yes I INO I 2 I (have / have not) signed an application for a building permit for the proposed work I 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) j 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) jgTpROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business olan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' P~lYes I iNo Is the applicant or future building occupant required to obtain a permit from (tie air pollution control district or ainjyality management district' HjYes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I lYes I I No IF ANY OF THE ANSWERS ARE YES , EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a constructor lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I hereby authonze representabve of the Oty 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 lor excavatons over 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the Buildng 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 ^APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 05/28/2009 Permit# CB082204 Title RICH RES REPLACE WTR HTR Description Sub Type 2194 CORTE MANGO Lot 0 Type PLUM Job Address Suite Location OWNER RICH PETER D&CAROL A Owner RICH PETER D&CAROL A Remarks 10-12 PLEASE Inspector Assignment Phone 7609440808 Inspector Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By CAROL Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit [3 Building Permit O Right-of-Way Permit C]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 Spnnkler Water Discharge Project Storm Water Threat Assessment Criteria* Wo Threat Assessment Criteria | | 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 cntena 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 cntena 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 drain 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 Apnl 30) Tier 3 - 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 | | 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 areas or | | 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 water 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 Owner/Owner's Authonzed Agent Name Owner/Owner's Authonzed Agent Signature ?OOS No 7535 P POLICYHOLDER COPY STATE COMPENSATIONIN S UMA N C kFUND PO BOX 420807. SAM FRANCISCQ.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 07 01-90QB CONTRACTOR* STATE LICENSE BOARD WORKERS COMPENSATION UNIT PO MX 28900 SACRAMENTO CA 9982B-QQ9B NF GROUP: POLICY NUMBER 1607829-2008 CERTIFICATE Ift 70 CBtTIFICATE EXPIR6S.07-01-2008 07-01-MOB/07 -01 -200* THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE » 2 DATED 07-O1-2O08 LIC PERMITS 111114 INCEPTION DATE 07-M-2008 DO NF This is to certify that we have issued t valid Workers Compensation Insurance policy In a form approved by the ("aliform* imuraivA Commissioner to the employer rumed b«low for the policy parlod mdic«t«d Tfvs policy is no( subjsct to canoallstlon by the Fund axcspt upon 90 days advenes writtan notli* to the amployar We wiW also give you 90 flfvs advance notice should Hifr policy be cancrtfsd prior to its norma1 arplratfon. This r«rtlficate o) inst-rinc* is not in insurance policy and does not amend txtwtf or alttc the :pv«rage afforded by the poiiry hated hareih Notvwittijtatvjlnfl any requirement, term or condition of any contract or other documentwith respect to which Ms cortlflcate of Inauntnoe may be Issued or to which it may pertain, the Insurance anor-ied hy the pollry rtsacrlbed herein Is subject to all the terms, exclusions and conditions of such policy rHORIZEt) nEPRESENTATIVJUJ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000.000 PER OCCURRENCE ENDORSEMENT naOO TODOR KITCHULKOV P S T - EXCLUDED ENDORSEMENT #2068 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE O7-01-20OB IS • ATTACHED TO AND FORMS A PART OF THIS POLICE EMPLOYED CALIFORNIA WUTA MECHANICAL. •OSS E BASILING RD STC 1BB MESA AZ 8B208 INC NF [CAM.CSJ PRINTED 07-01-2008