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Home My WebLink About2349 ALTISMA WAY; C; CB053382; PermitCity of Carlsbad b- W 1635 Faraday Av Carlsbad, CA 92008 09-26-2005 Plumbing Permit Permit No: CB053382 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152402940 Lot#: 0 Applied: 09/26/2005 Reference #: Plan Approved: 09/26/2005 Issued: 09/26/2005 Project Title: SULLIVAN RESIDENCE Inspect Area: 2349 ALTISMA WY CBAD St: C Construction Type: NEW Entered By: MDP WATER HEATER REPLACEMENT Applicant: Owner: CALIFORNIA DELTA MECHANICAL FLORY STACEY A SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 2349 ALTISMA WAY #D CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $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: $0.00 referred to as “fexactions.” You have 90 days from the date this penit was issued to protest imposition of these feedexactions. 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. I I FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date I I 2349-C ALTISMA WAY CARLSBAD, CA 92009 Address (indude BldglSuite #) Legal Description Lot No. Subdivision NamdNumber Unit No. Phase No. Assessor's Parcel # Existing Use Proposed use Replace standard water heater like for like Description of Work SQ. FT. #of Stones #of Bedrooms #of Bathmoms Business Name (at this address) Total #of units ROMEL 2500 S. POWER RD #I20 MESA AZ 480-898-0007 Name Address city State/zlp Telephone # ALINE SULLIVAN 22349-C ALTISMA WAY CAFUSBAD, AZ 92009 760-930-02 15 Name Address City Stateizip Telephone # also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prowsions of the Contractor's License Law [Chapter 9, commending wth 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 vlolation of Section 7031 5 by any applicant for a permrt sub~ects the applicant to a awl penalty of not more than five hundred dollars [$500]) Name Address city Statelzip Telephone # State License # 81 1 1 14 Lfcense Class C-36 City Business License # 12 1428 1 Designer Name Address City Statelzip Telephone # California Delta Mechanical, Tnc. 2500 S. Power Rd. Suite # 120 Mesa 85209 (480) 898-0007 0 for wh~ch this permit IS issued worket's compensation insurance camer and policy number aw Insurance Company State Compensation Insurance Fund (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS PlOO] OR LESS) I have and wll maintain a certificate of consent to self-insure for workers' compensation as provlded by Section 3700 of the Labor Code, for the performance of the work I have and wll maintain worker's compensation. as required by Section 3700 of the labor Code, for the performance of the work for which this pennit is issued My POIICY NO 1697823 Expration Date 07/0 1/06 p to one hundred thousand 0 I. as owner of the property or my employees heir de compensation. wll d the work and the structure is not intended or offered for sale (Sec 7044, Businass and Professions Code The Contractofs LI oes not apply to an owner of property who builds or improves them, and who does such wrk himself or through his own employees, provided that such improvements are not intended or offered for de If, however, the building or improvement is sold Hnthin one year of completion. the owner-builder wll have the burden of provlng that he did not build or improve for the purpose of sale) 0 I, as mer of the property, am exclusively contracting wth 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 wth contractor(s) licensed pursuant to the Contradot's License Law) 0 1 2 3 I am exempt under Section I panonally plan to pmde the major labor and malenals for construction of the proposed property improvement 0 YES 0 NO I (havelhave not) signed an application for a building permit for the proposed work. I have contraded wlth the following person (firm) to prmde the proposed constructton (indude name I address I phone number I contractcfs IicBnse number). Business and Professions Code for this reason 4. 6. I plan to provide pottions of the work, but I have hired the following person to coordinate, supervise and provide the mapr work (indude name I address I phone number I Iontradors license number): I will provide some of the wwk, 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 ##pf#q$-$. E2 ?y&v ~,rs*%..C*r-*Pi 7 .. "46 f!mwmm iipk Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registratJon for or nsk manageme Sections 25505 25533 or 25534 c# the Presley-Tanner Hazardous Substance Account Act7 0 YES 0 NO Is the applicant or future building occupant required to obtan a permit from the ar pollulion control distnct or ar quality management distnct? Is the faality to be constnrcted mthin 1,000 feet of the outer boundary d a schd Me7 0 YES 0 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 LENDERS NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the irEformation ordinances and State laws relating to building construdm I hereby authonze representatives of the City of Carlsbad lo enter upon the above mentroned pmperIy for inspedion purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS ME 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 d 5'0' deep and demolition or construction d structures over 3 stones in hrgM EXPIRATION: Every permit issued by the build by such pemvt is not commenced wrthin 180 da the work is commenced for a penod d 180 days 0 YES 0 NO e. *_I. s.* -- for the performance of the work for which this permlt is issued (Sec 3097(1) Civil Code) kl!luwR- *' plans is accurate i ag shall expre by Iimitatm and become null and vold d the building or work authonzed ing or work authonzed by such permit is suspended or abandoned at any lime after APPLICANT'S SIGNATURE DATE 09/20/05 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/12/2005 Permit# CB053382 Title: SULLIVAN RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2349 ALTISMA WY Suite: C Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: Remarks: early, early, early, AM Total Time: Inspector Assign men t: Phone: 7609300215 InsDector: Requested By: ELAINE Entered By: CHRISTINE CD Description Act Comment 25 Water HeaterNents Comments/Notices/Hold Associated PCRs/CVs InsDection History Date Description Act lnsp Comments License Detail Page 2 of 2 Lice-nse Number Request ___________ SURETY COMPANY OF THE PACIFIC. Effective Date: 03/25/2004 Contractor NameRequest - Contractor's Bond i n a H is t0-g Salesperson Request BOND OF QUALIFYING INDIVIDUAL(1): This license filed Bond of Qualifying Individual I 161627 for ANTON DlMlTROV TCHAKAROV in the amount of $7,500 with the bonding cc A-MERICAN-C OKR-ACTmSl N!D E M N!IYC-OM-PAN-Y. Effective Date: 07/10/2002 Salesperson Name Request * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1697823 Effective Date: 07/01/2002 Expire Date: 07/01/2006 ___-___ Personnel List I I II II 1 Personnel -Name Request 0 2005 State of California. Conditions of Use Privacv Policy 09/26/2005