HomeMy WebLinkAbout2400 ALTISMA WAY; D; CB080152; Permit01-22-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB080152
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2400 ALTISMA WY CBAD
PLUM
2152401701 Lot*
Construction Type
ALVAREZ RES REPLACE WTR HTR
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
01/22/2008
KG
01/22/2008
01/22/2008
Applicant
CALIFORNIA DELTA MECHANICAL
SUITE # 27
12440 OAK KNOLL RD 92064
866-898-0008
Owner
ALVAREZ MARK W&REBECCA A
2400 ALTISMA WAY #A
CARLSBAD CA 92009
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Dram
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
$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
PERtW HAS EXPIRED IN '
SECTION 108 4 4 AS AW
DATE
MC 1804.
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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
2400 Altisma way
FOR OFFICE USE ON
PLAN CHECK NO
EST VAL
Plan Ck Deposr
Validated
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Uni Phase No Total # of units
Assessor's Parcel # Existing Use
Replace standard water heater like for like
Proposed Use
Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms
2 CONTACT PERSON (if differint from applicant) '
California Delta mechanical. Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898 0005
Name Address City
3 '. APPLICANT' ' H" Contractor „„' D "Ageni"fprmCpntractor ,r" _. D.O
Galma Pavlova 6052 East Bascimc rd # 155 MESA
State/Zip
1?*!Lr5 ;
AZ~85~206
Telephone*Fax#
480-898-0007
Name
Perry Garcia
Address
:;^^ .;' "
Same as site
City
:--^----
Carlsbad
State/Zip
CA 92009
Telephone #
760-390-1679
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 6052 E Baseline rd # 155 Mesa 85206 _ (480) 898-0007
Name Address City State/Zip Telephone #
State License # 811114 License Class C-36 City Business License # 1214281
Designer Name Address
State License #
City State/Zip Telephone #
f6 WWQRKER'S^dMPJENSATION •.^V^*BSV. : • -^^im^affa&t'^f^^f^^ > .^ ...................
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D 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
El 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 earner and policy number are
Insurance Company State Compensation Insurance Fund PohcvNo 1697823 _ Expiration Date 07/01/08 _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 compensatjajv^jjpages are provided for in Section 3706 of the Labor Code interest and attorney's fees
SIGNATURE Galma Pavlova DATE 01/15/08 _
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
D 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 contractor(s) 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 matenals 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 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 number /
/ontractors 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 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
"COMPLETE THIS SECTO^FOR NOAWJES/OENTIflL BUILDING reRMiTS£NLYj ^. ^ .. _ .
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 AcP D YES 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
8" "CONSTRUCTION"llENDINGlVGENCY,r ^ ~ '""" """ "~" ••""^||r™^~ """: :'"™- T? pf ™22Ts"jF "~~yf~"
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
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 suspended or abandoned at any time after
the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANTS SIGNATURE Galma Pavlova stfZ^r DATE 01/15/08
• '
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
June 17,2008
PERRY GARCIA
2400 ALTISMA WAY UNIT D
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PLUM
Building Department
Permit Number CB080152
Issue Date 01/22/2008
ADDRESS: 2400 ALTISMA WY #D
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 07/20/2008
The provisions of UBC, Section 10644 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
1635 Faraday Avenue •
Building Counter
Carlsbad, CA 92008-7314 • (760) 6O2-27OO
• (76O) 602-2719 • FAX (76O) 6O2-8558
POLICYHDLDER COPY NF
COMPENSATION
INSURANCE
PO. BOX 420807 SAN FRAIMCISCO,CA 94142-0807
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 07-01-200?GROUP
POLICY NUMBER 1697823-2007
CERTIFICATE ID. 6
CERTIFICATE EXPIRES 07-O1-2008
07-01-2007/07-01-2008
HOME DEPOT
COMPLIANCE DEPARTMENT
3075 E IMPERIAL HWY STE 100
BREA CA 82821-8752
This is to certify that we have issued a valid Workers' Compensation insurance policy m a form approved by the
California Insurants Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund axcept upon ^Q days advance written notice to tha employer
We will also give you ^0 days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is. not an insurance policy and doss not amend, extend or alter the coverage afforded
by the policy listed herein Notwithstanding any requirement, tarm or condition of any contract or other document
with respect to which this certificate of insurance may be issued gr to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms exclusions, and conditions, of such policy
<H*^
LITHORIZED REPRESENTATIVEJ
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS
PRESIDENT
$1,000,000 PER OCCURRENCE
EMPLOYER
CALIFORNIA DELTA MECHANICAL, INC DBA
CALIFORNIA DELTA MECHANICAL, INC
2500 S POWER RD STE 120
MESA A? 85209
NF
(REV 2-05)
cm
PRINTED 06-15-2007
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