HomeMy WebLinkAbout2269 LEVANTE ST; ; CB072954; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-27-2007 Plumbing Permit Permit No: CB072954
Building Inspection Request Line (760) 602-2725
2269 LEVANTE ST CBAD
PLUM Status:
Job Address
Permit Type
Parcel No: 2162404701 Lot#: 0
NEW
Applied:
Construction Type: Entered By:
Refere11ce # Plan Approved:
Issued:
Project Title PEARSALL RES REPLACE WTR HTR Inspect Area:
Applicant
CALIFOf,NIA DELTA MECHANICAL
SUITE# 27
12440 OAK KNOLL RD 92064
866-898-0008
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
lns1r:ill/Repair Water Line
'Nater Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
MHsler Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
PEARSALL GREGORY P&DONITA M
2269 LEVANTE ST
CARLSBAD CA 92009
ISSUED
11/27/2007
KG
11/27/2007
11/27/2007
$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 Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the ''Imposition" o 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
fo:lcw 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
rracessing 1n 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 ou hav reviou I b n iven a NOTI E similar t this or to which h ta ut of limi ations ha reviou I h rwi
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
2269 Levante street
Address (indude Bldg/Suite#) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No.
Assessor's Parcel # Existing Use
Replace standard water heater like for like
Description of Work SQ. FT. #of Stories
Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
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California Delta mechanical, Inca 6052 East Baseline rd# 155 Mesa AZ 85206 (480) 898-0007 (480) 898-0005
Name Address City State/Zip Telephone# Fax#
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Galina Pavlova 6052 East Baseline rd# 155 MESA AZ 85206 480-898-0007
Name Address City State/Zip Telephone#
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Donita Pearsall Same as Site adress Carlsbad CA 92009 760-632-8098
Name Address City State/Zip Telephone#
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(8a:1. 7031.~ BulineH a,d PrcfHaion■ Ccxie: Any City or Couri:y which requir• a i:-,rmit to conllruci, alter, impro~, demolish or re,-ir any llruciure, prior to It■ iHu■noa,
also requires the applicant for such permit to file a ■igned mtem■nt th.t he i■ lic»n.:I pursuant to the provisions cl the Contr11dor'1 License Law [Chapter U, commending with
Section 7000 of Division 3 of the Business and Prcl-ion, Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Sedioo 7031.5 by
any applicant for a permit ~ubjects the applicant to a civil penalty of not more than five hundred dollars [$500])
California Delta Mechanical, Inc. 6052 East Baseline rd# 155 Mesa 85206 ( 480) 898-0007
Telephone# State/Zip Name Address City
State License# -"8.,_l .,_11.,_I,_4,_ ____ _ License Class _Cc.·..c3..c6c.._ _______ _ City Business License # __,!-=2'-'!"'4'-'2:.,8'-'l'-------
Designer Name Address City State/Zip Telephone#
State License# ________ _
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Worker1' Compenlllltion Ded■ration: I hereby lll'lrm und■r penalty al perjury on■ cl th• folio.wing ded■.-.tion■:
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.
[El 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:
Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date_s0u7JC/O"-"l/.i,0,,8 ______ _
(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
beoome subject to the Workers' Compensation Laws of California.
WARNING: FailuNI to secul'9 workers' compensation coverage is lawful, 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 compens s are provided for in Section 3706 of the Labor Code, interest and
SIGNATURE Galina Pavlova
llf~~IIIIIIIL!i!tJMI! la ""' "' I hereby affirm that I am exempt from the Contractor's License 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 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).
D I, as owner of the property, am exdusively 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).
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 I 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 I address I 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 (indude name I address I phone number I type of work):
PROPERTY OWNER SIGNATURE __________________________ _ DATE __________ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
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Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sect.ions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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.
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I hereby lll'llrm that thera ia • con•rudlon lending egenc:y for the pa,rformence of the work for which this permit ia iaaued (Seo. 30V7(1) Ci\lil Code).
LENDER'S NAME ___________________ _ LENDER'S ADDRESS __________________ _
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1 c»rtify that I he't'e reed thtt epplication end •at• that th• abo't'e information ia corred end that th• ink>rmlll:ion on the plena ia eoourate. I agree to oomply 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
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 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 shall 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 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 Buildin Cod
APPLICANTS SIGNATURE Galina Pavlova "'----¾+---------DATE_:1.::1-=/2=-6=-/-'0-'7 ________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/28/2008
Permit# CB072954
Title: PEARSALL RES REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
2269 LEVANTE ST
Lot 0
_.,,>
Inspector Assignment: ~
Phone: 7606328098
Location: Inspector: -----
OWNER PEARSALL GREGORY P&DONITA M
Owner: PEARSALL GREGORY P&DONITA M
Remarks:
Total Time:
Act Comment
Requested By: DONITA
Entered By: JANEAN
CD Description
25 Water HeaterNents ~-----
29 Final Plumbing
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments