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Home My WebLink About2404 ALTISMA WAY; B; CB111476; Permit (2)07-07-2011 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing Permit Permit No: CB111476 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2404 ALTISMA WY CBAD St: B PLUM 2152401717 Lot#: 0 Construction Type: NEW ROSS RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/30/2011 LSM 07/07/2011 07/07/2011 Applicant: CALIFORNIA DELTA MECHANICAL Owner: NIELSEN JANET R SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 2404 ALTISMA WAY#A CARLSBAD CA 92009 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Buiiding Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date Due: $0.00 Inspector: FINAL APPROVAL Date: oe>/lS>h^\i Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit ms issued to protest imposition of these fees/exactions. If you protest them, you must follovi the protest procedures set fortn 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 attacl<, 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute ot limitatipns has previously othenwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Appiication Plan Check No. (2£> 1 I I Q^fo Est. Value Plan Ck. Deposit Date JOB ADORESS 2404 Altisma Way #B SUITE#/SPACE#/UNIT# CT/PROJECT # L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(sj Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* Non AIR CONDITIONING YES| |NO| 1 FIRE SPRINKLERS YESj |NO| CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NA ME Galina Pavlova ADDRESS 6052 East Baseline rd # 155 ADDRESS 6052 East Baseline rd # 155 CITY IVIesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE 480-898-0007 FAX 1-480-218-5645 PHONE 858-361-6495 FAX 858-240-6677 EMAIL california@deltamechanical.com EMAIL galiapavlovabg@yahoo.com PROPERTY OWNER NAME Vicky Ross CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS 2404 Altisma Wav #B ADDRESS 6052 E Baseline rd# 155 CITY Carlsbad STATE ZIP Ca 92009 CITY Mesa STATE AZ ZIP 85206 PHONE 760-931-0802 FAX PHONE 480-898-0007 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 811114 CLASS c36 CITY BUS. LIC.# 1214281 (Sec. 7031.5 Business and Professions Code: Any City or County whicti requires a permit to construct, alter, improve, demolisti or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is iicensed 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)). COMFSNSATION Wortters' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe foliowing deciaratbns: ^ I have and will maintain a certificate of consent to self-Insure for workers'compensation as provided by Section 3700 of tlie Labor Code, forthe performanceof the worl< for wtiich ttiis permitis issued. :^ I liave and will maintain woriiers' compensation, as reguired by Section 3700 of the Labor Code, for the performance of the work for wtiich this pemiit is issued. My workers' compensation insurance carrier and policy numberare: Insurance Co PolicyNa ^^^^23 Expiration Date miimj This section need not be compleled if the permit is for one hundred doiiars ($100) or less. [/] 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 criminai 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 3706 of the Labor code. Interest and attomey's fees. . y CONTRACTOR SIGNATURE //yC^ OATE ^/^J^/ ^ 7¥ / hereby affirm that i am exempt from Contractor's License Law for the foiiowing reason: I [ I, as owner of the property or my employees with wages as Iheir sole compensation, will do the work and the staicture 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 buiWing 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 contractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section _ .Business and Professions Code tor this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenl, [^Yes I iNo 2.1 (have / have nol) signed an application for a building permit for Ihe proposed wort<. 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, bul I have hired Ihe following person to coordinate, supen/ise and provide the major wort( (include name / address / phone / contrxtors' license number): 5,1 will provide some of the worit, but I have contracted (hired) Ihe following persons to provide Ihe worit indicated (include name / address / phone / type of work): , JgS'pROPERTY OWNER SIGNATURE DATE ETHIS SeCTtOM P O tt NON "^8 UVt DING PERMITS O NH. Y s the applicant or fulure building occupant required to submil a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the ^'resley-Tanner Hazardous Substance Account Act? [^Yes I iNo s the applicant or future buikiing occupant required to obtain a permit from the air pollutton control distfict or air qualitv management district? I IVes I I No . ail qui s the facility to be constructed wilhin 1,000 feet of Ihe outer boundary of a school site? CUYOS \ \NO F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS HEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CTION LENDING AOENCY hereby affimn that there is a constmction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code), .ender's Name Lender's Address CERTIFICATION certify that I have read the application and state that the above Infbmiation Is conect and that the Infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws rel^ hereby authorize nepresentative ofthe City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT )SHA: An OSHA pemiit is required for encavations over 5'0' deep and demolilion a oonstnidion of stmctures over 3 stories in height. •XPIRATION: Every pennit issued by the Building Official under the proviskxis of this Code shall expire by limitation and become null and void if the building or wod< authorized by such pemiit is not commenced within 80 days liwn the date of such permit or if the building or wort; authorized by such peimit is suspended or abandoned at any time alter the wortt is commenoed for a period of 180 days (Sectkxi 106.4.4 Unifbmi Building Code), -fiS'APPLICANT'S SIGNATURE /"^^ DATE Inspection List Permit*: CB111476 Type: PLUM ROSS RES-REPLACE WTR HTR Date Inspection Item Inspector Act Comments 08/18/2011 25 Water HeaterA/ents MC AP ELEC W/H EXISTING LOC 08/18/2011 29 Final Plumbing MC Fl SEISMIC STRAPS OK Tuesday, September 30, 2014 Page 1 of 1