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Home My WebLink About2311 CARINGA WAY; 42; CB081693; Permit09-05-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081693 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2311 CARINGA WY CBAD St 42 PLUM 2152402741 Lot# 0 Construction Type NEW RASHIDI RES- REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/05/2008 LSM 09/05/2008 09/05/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner KOSMAN JUSTIN 2311 CARINGA WAY #41 CARLSBAD CA 92009 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 $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 /7 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 PEf.'VIIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 1 PROJECT INFORMATION ':;ffn- .. .jjBsii—:..=:.: -•• 2311 Garmgaway # 42 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #}Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Assessor s Parcel # Existing Use Replace standard water heater like for like Proposeo Use Total # of units Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms JZJilrCQNtACT'PERSON (if different from applicant) California Delta mechanical. Inc 6052 E Baseline rd it 155 Mesa AZ 85206 (480) 898 0007 (480) 898-0005 Name Address City 3 APPLICANT E.. Contractor ~D Agent fpr.Contractor j.,^,q. Owner Galma Pavlova 6052 H Baseline rd # 155 MESA State/Zip Telephone # D Agent for Owner. '2iS: AZ 85206 480-898-0007 Fax Namt 4 ^PROPERTY OWNER Roberd Rashidi Address Same as project City Carlsbad State/Zip CA 92009 Telephone # 310-433-3422 City State/Zip Telephone #Name Address S CbNTfOkCJOR,; COMPANY NAME ...._,-sLxr" , , " ,:.;.iffl3fe-: (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 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 the Business and 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) California Delta Mechanical. Inc 6052 E Baseline rd # 155 Mesa 85206 (480) 898-0007 Name Address City State/Zip Telephone # State License # 81 II 14 License Class C-36 Citv Business. 1 icense # 1214281 Designer Name Address State License # City StateVip Telephone # feJUyVORKER'S COMPENSATION, ff^' .. . j^PF • Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 13 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 PolicvNo 1697823 _ Expiration Date 07/0 1 /09 _ (THIS 1 1 l-TION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 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 are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galma Pavlova std/j^f __ DATE 09/02/08 7 'OWNER-BUILDER DECLARATION _ _ I hereby affirm that i am exempt from the Contractor's License Law for the following 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 buillinij 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 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) n 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 / 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 / address / phone number / /ontractors license number) __ 5 i / I provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / 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 COMPLETE THIS SECTION FOR NON-RESIDENTML BUILDING PERMITS ONLY . „,',..,^ ''!*'•- • •a^jiF'"' " '": iff;' Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? DYES 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' D YES D NO Is the -?. I'ty to be constructed within 1 000 feet of the outer boundary of a school site' D YES D NO IF AN" 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 8 CONSTRUCTION LENDING-AGENC^W "" •'i"""r ''481111121.1 ^llf ' '"^Si, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME LENDER S ADDRESS fc/i* APPLICANT CERTIFICATION"; ........-;r,^,;r-. ;~ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply 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 PE RMIT OSHA An OSHA permit is required for excavations of 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become nul1 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 peirM 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 Galma Pavlova /tft^l DAFE 09/02/08 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 09/24/2008 Permit* CB081693 Title RASHIDI RES- REPLACE WTR HTR Description Inspector Assignment Type PLUM Sub Type Job Address 2311 CARINGAWY Suite 42 Lot i Location OWNER KOSMAN JUSTIN Owner Remarks Phone 3104333422 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By ROBERT Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments No I POLICY HOLDER COPY COMPENSATION INSURANCE PO BOX 420807, SAN FFUNC)SCO,CA 94U2-08Q7 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE OATF 07 01?00« CONTRACTORS STATE LICENSE BOARD WORKERS COMPfiWSATION UNIT PO BOX SSOOO SACRAMENTO CA 93828-0028 NF GROUP. POLICY NUMBER 1607323-2008 CERTIFICATE ID. '?(> CERTIFICATE EXPIRES 07*01-2009 07 -01 -3008/07 -i>1 -2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE » 2 DATED 07-01-2008 LIC PERMIT*, 811114 INCEPTION DATE:07-M-2008 DO. NF i h tn citify thit wfl have issued a valid Markers Compflnsation Insurance policy In a term ai provad by the ' iltfoitiU Iniuiwn rnmmiss'oner to rrte employer named b«low for ihe policy period indicated This nn!!ry is no! -ubjpct to cancsllation by tha Fund except upon 30 days advance wiitten noli q to the employer Wo wHt ako oivn you no rifly.; advanee iioticp -should thi' policy be recalled prior to rts normn1 This r«fht.,r,ito n' ,ns,r»nr» 11 not an insurant policy snd does not amend extend or tlttr the -overage afforded' /,^ffor^f!r^ by ;hn policy fed hwom Notwittntimdinj any requirement, Wtm ar condition of any contract or other "documentwhim »ir, rertificafe of insurance may Se issued or to which »t may psrfain, the insurance ner«in I', sublet to all th» terms, exclusiotiH and ronditions, of such policy nFF-nFSFNTATI\)tJ PRESIDBMT I TA8ILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE ENDORSEMENT #1606 TODOB KITCHULKDV P S P - EXCLUDED Tnr #20flB ENTITI-EO CERTIFICATE MDLOERS' NOTICE EFFECTIVE O7-Oi-SOft5 IS• ATTACHED TO />ND FORMS A PART OF THIS POLICY FMPI nvn (REV CALTFORNTA DELTA MECHANICAL INC 80S2 £ BASELINE RD STF 1SS f^SA A2 85208 NF [CAM.CS] PRINTED ft7-01-2008