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Home My WebLink About2335 CARINGA WAY; 26; CB063073; Permit10-24-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB063073 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2335 CARINGA WY CBAD St: 26 PLUM 2152402717 Lot#: 0 Construction Type: NEW MAUCH RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/24/2006 KG 10/24/2006 10/24/2006 Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: MAUCH IRMA 2335 CARINGA WAY #17 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: 1 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 permil 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE PLAN CHECK N EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Tolal # of units Assessor's Parcel # Existing Use Replace standard water heater like for like Proposed Use Description of Work SQ. FT.# of Stories # of Bedrooms # of Bathrooms California Delta mechanical, Inc. 2500S. Power Rd. Suite* 120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Galina Address City State/Zip Telephone # 8949 Lombard pl.#413 San Diego CA92122 858-361-6495 Name Address Stephen White City Carlsbad State/Zip Ca 92009 Telephone # 858-837-0645 Name Address City State/Zip Telephone # (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. 2500 S. Power Rd. Suite #120 Mesa 85209 (480) 898-0007 Name State License # 811114 Address License Class C-36 City State/Zip City Business License #. Telephone # 1214281 Designer Name State License # Address City State/Zip Telephone # Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations: a 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. E 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 07/01/07 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 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, da«iag*3.are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE _ Galina Pavlova &9&C DATE 10/19/06 I hereby affirm that I am exempt from the Contractor's LicefTse Law for the following reason: G 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 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 contractors) 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. 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 will provide some of the work, but! 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 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 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 facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 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 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 OSHA: An OSHA permit is required for excavations of 5'0° deep and demolition or construction of structures over 3 stories in height, 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 Building Code). APPLICANT'S SIGNATURE Galina Pavlova DATE 10/19/06 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/30/2006 Permit# CB063073 Title: MAUCH RES REPLACE WTR HTR Description: Sub Type: 2335 CARINGAWY 26 Lot 0 Type: PLUM Job Address: Suite: Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: Remarks?* Inspector Assignment: Phone: 7604387637 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comment Requested By: STEVEN Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PCS Inspection History Date Description Act Insp Comments Up MJUICVHDLOCT COW ST/VTE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATIONIMSUAAMgj FUND CERTIFICATE OP WOMOMff COMPENSATION IHSUWMCi OMB; 07^01-JOOe « NUMBS* 1«W*tt-*0«» CER-nPlCATE O HOW OWWGOMPIZMICIwra e m»E«At HMV arc too MIA CA M5I1-S7M In a fWffl ipprwwd byTH(. * to o«rt(fy ttut w* hm IMUWJ * vrfd WoA«r»' Comp«««eon frwwc* polfcv n a fWffl Crflfomrt Inctirwic* Comml«*ifln«r *o th» amploy*- ruwwd balow for ftw poltev pww tnfflc«l»a. policy i* nol iubj*r.t to. oiMavHiHon bv th» Fund •xctpt H)on ,6 d»y« «fcrt«e« wrftttn notlM to ctitf will trto glv» you 10 0iy» tdvwwa notiow »hould tWt PD«B» b» MKMIM pripr to ita namwl «xplr*tioo. cwtirtem of fniurwict fi not « fniurmc* policy end dow not miMt «J^nd or iHw tfM by the pollev «*t«d (w«ln. Notw|tt«t«nd^fl -ny rflqmr«n»nt, t»rm or «B"gf« «/ «2 S^J^fTw«h r««pact 1o wWnh *J* o»rtifte«w of h«irm«» w b« l««u«rf or to which Jt ffwy Pfrtoln, tlw,by tftfl potfcy df»orib«i twrefci l« «ubj«ot to «H »» twnrn, weclwlorw. **d oon<**t>oni, of LIABILITY LIMIT IMCtUDlItt OCfEMW COSTS: »1,000,000 MR OCCUW0CE De.LTA MCGHWtOAL, INC «•: HP iI* rtMHAWtOM.; IMC**** NUOA