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Home My WebLink About2376 ALTISMA WAY; A; CB100985; Permit06-01-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100985 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2376 ALTISMA WY CBAD St: A PLUM 2152401813 Lot#: 0 Construction Type: NEW RODARTE RES REPLACE WTR HTR Status: ISSUED Applied: 06/01/2010 Entered By: KG Plan Approved: 06/01/2010 Issued: 06/01/2010 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: RODARTE CECILIA C REVOCABLE LIVING TRUST 04-01-0 2376 ALTISMA WAY #K 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 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.8.C, SECTION 186.4.4 AS AMENDED BY C.M.C.18.04.030 SIGNATURE 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check Est. Value Plan Ck. Deposit JOB ADDRESS 2376Aliismaway#A SUITE#/SPACE#/UNmt CT/PROJECT*PHASES # OF UNITS #BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) replace existing like for alike water heater EXISTING USE P CONTACT NAME (If Different Fom Applicant) ADDRESS 6052 East CITY Mesa PHONE 480-898-0007 ROPOSEDUSE GARAGE (SF) California Delta Mechanical Baseline rd n 155 STATE ZIPAZ 85206 FAX 1-480-218-5645 EMAIL california@deltarrsechanical.com PROPERTY OWNER NAME Zoeann Seals ADDRESS 2376AItismawav#A CITY Carlsbad PHONE 760-846-0567 STATE ZIP CA 92009 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF)DECKS (SF) FIREPLACE YES | |# APPLICANT NAME ADDRESS CITY PHONE EMAIL AIR CONDITIONING FIRE SPRINKLERS N0| | YEs[~~]NOn YES| | N0| | Galina Pavlova 6052 E. Baseline road suite # 155 STATE ZIPMesa AZ 480-898-0007 FAX 1-858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME „ ... . ,California Delta Mechanical ADDRESS CITY PHONE 6052 East Baseline rd # 155 STATE ZIP Mesa AZ 480-898-0007 EMAIL STATE LIC.# 811114 FAX CLASS CITY BUS. LIC.ff c-36 1214281 (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: [/JI 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. L* ' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co . Policy No. 1697823 Expiration Date 5715"10 This section need not be completed if the permit is for one hundred dollars ($100) or less. [/I 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 (5100,000), in addition to the cost of compensation, damages as provided fojjnjjection 3706 of the Labor code, interest and attorney's fees. JSS CONTRACTOR SIGNATURE -^ I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q | 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 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). I am exempt under Section Business and Professions Code for this reason:D 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I [Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? | |Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjuality management district? L]Yes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I Ires I I No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THh CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, 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 over SO deep and demolition or construction of structures over 3 stories in height. EXPI RATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such perm -^APPLICANT'S SIGNATURE 4L'Mf&^ CITY OF CARLSBAD x Economic Development www.carlsbadca.gov Permit Number: CB100985 Issue Date: 06/01/2010 RESIDENT 2376 ALTISMA WAY #A CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION ADDRESS: 2376 ALTISMA WY #A PERMIT TYPE: WATER HEATER PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 11/28/2010. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null 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 permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist Planning Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-4600 F 760-602-8559 •'••:•'. n /(i0-3 iM'Aiyi STtVE No. 1066 POUICYHOLOER COPY NF PO BOX 420807, SAN FRANCISCCXCA 94142-0807 COMMSNSATION ' IN S UP» ANCS FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSHF OATI!: 07 01-2008 GROUP:POLICY NUMBER; 1697833-2009 HOME DEPOT COMPLIANCE DEPARTMENT 307H R IMPERIAL HWV STE 100 BREA CA This * ,o c«riifv nut w. h*. feu* - valid Workers' Compandor, ftwnn policy In . form approved by ih. C«llforni<» Insurant Ccimmisfsloner to thn «mployflr named halow for She policy period inaicawn. Th)a pnMcy |S not ^ct to c«nrt«lon > thn Fund Axc^t upon ao days adv^cfl written notica to the W» will too give you ao clays **,anc» notice should this policy ba canoell«d prior to its normal axpiratioa This e^rtlfb:^ of i**™ h MI « insure pn.icy rt do. "by the policy !irt«d herein. Notwithstanding any requinjment, term « "™^ paln, thewith respect to whifh this certificate of insuranoa may be issued or to vxhlcn n ^ may P*™""- « f h ,. nffor/ted hy tho pnll,;v deacrihBd herein I* *ub|Brt to all th* terms, axcluslons, and condrtlons. of won p PRESIDENT EMPLOYER'S UA«TU.TY LIMIT INCLUDtNfS DEFENSE COSTS: $tfOOO,OOO PER OCCURMNCE- ENDBfiSRMENT sflfiOO • Tnnoft KITCWJILKOV P. S T ENDORSEMENT «K»B ENTlTLBD CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-KOOB IS . ATTACHE TO AND FORMS A PART OF TNIS POLICY. CALIFORNIA DELTA MECHANXCAI., INC DPA: CALIFORNIA DELTA MECHANICAL, INC 80S2 I 8A6RLIME RD STS 1S8 MESA A2 MO410 PRIMTEO : 08-16-2000