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Home My WebLink About2303 KIMBERLY CT; ; CB092149; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-18-2009 · Plumbing Permit Permit No: CB092149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2303 KIMBERLY CT CBAD PLUM Status: Parcel No: 1675312600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: RAYMOND RES-REPLACE 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: RAYMOND PHILIP W&CHRISTINE I 2303 KIMBERLY CT CARLSBAD CA 92008 ISSUED 12/17/2009 LSM 12/18/2009 12/18/2009 $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: FINAL APPROVAL Date f · / r ,t/(} Clearance: $0.00 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 fe x i n f hi h h v vi \ n iv n N Tl i ii r whi h h f l"mi i n h s r vio sl oth rwis ex ir City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2303 Kimberly ct CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No. ~ OC\ .;i.J 49 • Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT # '" # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS v,so,, Nc0 v,s□No0 vesONoD CONTACT NAME (lfD/fferentFomAppllcsnt) C l"f . D It M h . I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ADDf..ESS 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 IFAX PHONE IFAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california@ldeltamechanical.com galiapavlovabg@lyahoo.com PROPERTY OWNER NAME Philis Raymond CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 22303 Kimberlv ct 6052 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-729-7943 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CllY r;.ctY-:r~ 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, prior to its issuance, also requires the applicant for such permit to file a siJ;(ned statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / hereby affinn under penalty of petjury one of the following declarations: [ZJ 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 reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensaton insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date 08!31131 ~section need not be completed if the permit is for one hundred dollars ($100) or less. li.J 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' Compensa~ 1 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. /I'S CONTRACTOR SIGNATURE I hereby affinn 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. II, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he dk:1 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 r,ot 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 for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an ~plication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (inclllde name address I 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 provkie the mapr work (include name I address I phone/ contractors' license number) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w::irk indicated (include name/ address I phOne I type of work): I I_ -~~~~~~~~~0-~~~-~IGN_ATUR~---______________ _ DATE Is the applicant or future building occupant required to submit a business.J2l20, acutely hazardous materials registration form or risk management and preventkl<l program under Sections 25505, 25533 or 25534 Ot the Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution conlrolJ!lmrict or a~ality management district? Oves O No Is the facility to be constructed withm 1,000 feet of the outer boulllary of a school site? LJYes LJNo 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 certify that I have read the appllcatlon and state that the above lnfonnatlon ls conect and that the infonnation on the plans is aa::urate. I agree to comply with all City oltlinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsba:l to enter up:in lhe above mentiol'rOO property for insl):lC!ion puijX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LJABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Al'N WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permrt is require:l for excavalklns over 5'0' deep and demolltioo orconstn.ciion of structures over 3 stories in heght EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and \Od if the building or work authorized by such permit is rot commenced within 180 days from the date of such permit or if the building er work authorized by such permit is susi:ended or abandollOO at anytirre after the work is commenred for a i:eriod ot 100 days (Section 100.4.4 Unifoon Building c.ode) . Ji5 APPLICANT'S SIGNATURE . ~ DATE ,«?,e,/472 City of Carlsbad Bldg Inspection Request For: 03/15/2010 Permit# CB092149 Title: RAYMOND RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2303 KIMBERLY CT Lot: 0 OWNER RAYMOND PHILIP W&CHRISTINE I Owner: RAYMOND PHILIP W&CHRISTINE I Remarks: CALL W/ETA Total Time: CD Description Act Comments Inspector Assignment: TP --- Phone: 7607297943 lnspect/l__ _:;f- Requested By: CHRISTINE Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing fc------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 01/11/201 O 25 Water HeaterNents 01/11/2010 29 Final Plumbing Act lnsp Comments NR TP NR TP