Loading...
HomeMy WebLinkAbout2392 APPIAN RD; ; CB090498; Permit03-26-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090498 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2392 APPIAN RD CBAD PLUM 1673700500 Lot# Construction Type HURD RES- REPLACE WATER HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/26/2009 LSM 03/26/2009 03/26/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner ELMORE FAMILY TRUST 07-10-97 1809 HIGH RIDGE AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gs& 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 Inspector Date Clearance H TTICE 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 toliow the protest procedures set forth in Government Code Section 66020(al, and file the protest and any other required information with the City Manager for professing 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 > ou 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 j fees/exactions of which von 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 No Est Value Plan Ck Deposit Date JOB ADDRESS 2392 Appian rd CT/PROJECT #LOT*PHASE ## OF UNITS * BEDROOMS SUITE*/SPACE#/UNIT« * BATHROOMS APN TENANT BUSINESS NAME CONSm TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) _ ., _,..., ,,California Delta Mechanical Inc ADDRESS 6052 E Baseline road suite # 155 CITY Mesa PHONE 480-898-0007 STATE Az ZIP 85206 'FAX 1-480-218-5645 EMAIL califorma(S>deltamechamcal com PROPERTY OWNER NAME Art Hurd ADDRESS Same as site CITY Carlsbad PHONE 760-720-9709 EMAIL STATE ZIP CA 92010 FAX AHCH/DES1GNER NAMt & ADDRESS STATE LIC # PATIOS (SF)DECKS (SF)FIREPLACE YES | |# APPLICANT NAME ADDRESS CITY PHONE EMAIL NOQ AIR CONDITIONING FIRE SPRINKLERS YES^NOQ Galma Pavlova 6052 E Baseline rd # 155 Mesa STATE 480-898-0007 FAX Az ZIP 85206 1-858-410-1499 qaliapavlovabg@vahoo com CONTRACTOR BUS NAME ADDRESS CITY PHONE California Delta Mechanical Inc 6052 E Baseline Mesa STATE 480-898-0007 FAX road suite #155 Az EMAIL STATE LIC # 811114 CLASS c36 ZIP 85206 ; CITY BUS LIC» (Sec 7031 5 Business and Professions Code Any City orapplicant for such permit to file a signed statement that he is licensed pursuant to the provisiorBusiness and Professions Code) or that he is exempt therefrom and the basis for the alleged ecivil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations L/J 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 I* 1 1 have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which t;us oemw is issued My workers compensation insurance carrier and policy number are Insurance Co ^\~Ajf, ^*-*-<N.Ci Policy No ________ 1697823 ________ Expiration Date rance carrier _ *s*<S This section need not be completed if the permit is for one hundred dollars ($100) or less l/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 Compere 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 provided for in Section 37JJ6 of the Labor code, interest and attorney's fees ^CONTRACTORSIGNATURE S^L&^I DATE I hereby affirm that I am exempt from Contractors License Law for the following reason | | 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 I 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 wro 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 I |Yes I |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 (nclude name address / phone / 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 / type of work) ^PROPERTY OWNER SIGNATURE DATE j 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 2'>53^ 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 airouality management district7 I lYes I I No Is the facility to be constructed within 1.000 feet of the outer boundary of a school site' PHYes FlNo 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 I certify that I have read the application and statethattheabove information is correct and thatthe information on the plansis accurate I agreetocomply with all Cityoitimancesand State laws relafingto burdmg construction I hereby authonze 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 THE 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 i OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height j 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 i 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 penod of 180 days (Section 106 4 4 Uniform Building Code) j ^APPLICANT'S SIGNATURE /-d&y^} DATE L ^_^ _ Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit Cf(Buildmg Permit D Right-of-Way Permit ^project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical MobileHfi Tumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler 'Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria I | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tierl - Low Threat Assessment Criteria | | My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 - Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 - Significant Threat Assessment Criteria I I My project includes clearing, grading or other disturbances to the ground resulting in son disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or I | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, | | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Project Address Assessor Parcel No Owner/Owner's Authorized Agent Name'' Owner/Owner's Authorized Agent Signature City Concurrence Q NO 'By Date Title Datex Project ID City of Carlsbad Bldg Inspection Request For 08/27/2009 Permit* CB090498 Title HURD RES- REPLACE WATER HTR Description Sub Type 2392 APPIAN RD Lot Type PLUM Job Address Suite Location OWNER ELMORE FAMILY TRUST 07-10-97 Owner ELMORE FAMILY TRUST 07-10-97 Remarks PLEASE INSPECT 1PM - 5PM Inspector Assignment Phone 7607209709 Inspector Total Time CD Description 25 Water Heater/Vents omments Requested By YEVETTE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs :ta Contractors State License^oard Contractor's License Detail - License # 811114 DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations >' CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information >' Per B&P 7071 17 only construction related civil judgments reported to the CSLB are disclosed '•• Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration » Due to workload there may be relevant information that has not yet been entered onto the Board's license database License Number Business Information Entity Issue Date Expire Date License Status Classifications Certifications Extract Date 03/26/2009 Bonding Workers' Compensation 811114 CALIFORNIA DELTA MECHANICAL INC 1235 GRAND AVENUE SPRING VALLEY, CA 91977 Business Phone Number (480) 898-0007 Corporation 08/01/2002 08/31/2010 This license is current and active All information below should be reviewed CLASS DESCRIPTION C36 PLUMBING _ _C10 __ ELECTRICAL B GENERAL BUILDING CONTRACTOR CERT DESCRIPTION ASB ASBESTOS - (for bidding purposes only) CONTRACTOR S BOND This license filed Contractor's Bond number SC6060003 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 03/02/2009 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1 This license filed Bond of Qualifying Individual number 161627 for ANTON DIMITROV TCHAKAROV in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 BQI s Bonding History This license has workers compensation insurance with the STATE COMPENSATION .INSURANCE.FUND Policy Number 1697823 Effective Date 07/01/2002 Expire Date 07/01/2009 Conditions of Use | Privacy Policy Copyright © 2009 State of California https //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 03/26/2009