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Home My WebLink About2341 JEFFERS PL; ; CB101021; PermitCity of Carlsbad . ,. 1635 Faraday Av Carlsbad, CA 92008 06-07-2010 Plumbing Permit Permit No: CB101021 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2341 JEFFERS PL CBAD PLUM Status: Parcel No: 2081615fi00 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: PEREIRA RES REPLACE WTR THR Inspect Area: Applicant: CALIFORNIA DEL TA 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: PEREIRA TREVOR X&JOAN M 2341 JEFFERS PL CARLSBAD CA 92008 ISSUED 06/07/2010 KG 06/07/2010 06/07/2010 $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: //-/ t -r c) 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. JI you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), ard 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. . ---r----· ·City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2341 Jeffers pl CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check No.CB Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/U NIT# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYP Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIUNING l FIRE SPRINKLERS v,so Nc0 vcs □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) C l"f . D It M h . I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ADDRESS 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 I FAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 EMAIL EMAIL california(@,deltamechanical.com galiapavlovabg(@,yahoo.com PROPERTY OWNER NA re-,~ ·,ra A laA llaFtalesten CONTRACTOR BUS. NAME California Delta Mechanical Inc. r-ADbRESS ADDRESS 2341 Jeffers pl 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 MESA AZ 85206 PHONE I FAX PHONE IFAX 760-214-5877 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.#" I CLASS l"Trn<'S LIC,1214281 811114 c-36 Workers' Compensation Declaration: I hereby afflnn under penalty of pefjuf'/ one of the following declarations: 0 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 0 I have and will maintain workers' compensation, as re<iuired by Section 3700 of the Labor Code, 1or the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co Poliey No, 1697823 ExpiraUon Date 01101110 ~section need not be completed if the pem,it is for one hundred dollars ($100) or less. L{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' Compensaijon 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 providad for in Section 3706 oft e abor code, Interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for me following reason: □ □ D 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, as owner of the property, am exclusi~ely contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does , ,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. Oves ONo 2. I (have/ have not) signed an application for a building perm~ for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ 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 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 I type of work)· ,.15 PROPERTY OWNER SIGNATURE DATE . . . m City of Carlsbad Bldg Inspection Request . . Permit# CB101021 For 11/16/2010 Title: PEREIRA RES REPLACE WTR THR Description: Type:PLUM Sub Type: Job Address: 2341 JEFFERS PL Suite: Lot: 0 Location: OWNER PEREIRA TREVOR X&JOAN M Owner: PEREIRA TREVOR X&JOAN M Inspector Assignment: PMe@0"886 lnspecto : . ~ Remarks: W,H. ON RIGHT HAND SIDE OF HOUSE ~ :t.~ tJo OIi) 1-.. lc\Ot1\'c; Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents Jf------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments