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HomeMy WebLinkAbout2406 MAJANO PL; ; CB062380; PermitCity of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 .... 08-21-2006 Plumbing Permit Permit No: CB062380 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2406 MAJANO PL CBAD PLUM 2550810400 Lot #: 0 Construction Type: NEW SLEIGHT RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/21/2006 LSM 08/21/2006 08/21/2006 CALIFORNIA DELTA MECHANICAL SLEIGHT BRIAN T&ABOUGHAZI SQUAD SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2406 MAJANO PL CARLSBAD CA 92009 $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 Payments To Date: $27.00 Balance Due: $0.00 EXPIR.ED llERf~IT Inspector: FINAL APPROVAL Date: PERMIT HAS EX?iF\'O IN ,\cCORDf\NCE WITH C.B.C. ~3ECTl0~1I 106.4.1! AS AMFNDfJJ SY C.M.C.18.04.030 DATE A~~ s1GNATURE-"A=.,.r ____ _ 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 pemiit was issued to protest imposition of these fees/exactions. ff 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 f f I ·rn·l r hi r hi h i i n h I FOR OFFICE USE ONLY PLAN CHECK NO. ~ /"J 0 ol of() P1:RMIT APPLICATION EST. VAL. _________ _ Plan Ck. Deposit ___ t.L::i......,,,_ __ .,-_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By --~~-=,::7'-"l(.VylVc-"--'-_c:.-- Date -------=%:..,/,_,£}-=--l+l 'O<o="-------- t. P!ltOJlll;'r ---2406 Maano I. Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Replace standard water heater like for like Description of Work SQ. FT. ,t, · •CONTACT P&IIION IV._,_ frDnl llPllll..i) California Delta mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa Proposed Use # of Stories # of Bedrooms AZ 85209 (480) 898-0007 Name :~:-•----~ Galina Pavlova Address &-~~,--.,Cl:_....,.o. ,.., 8949 Lombard pl. apt.413 City State/Zip Telephone fl Name Address Brian Sleight Majano pl Carlsbad Name Address 0.- San Diego City o:. --°""41r CA92122 858-361-6495 State/Zip Telephone# CA 92009 760-476-2682 City State/Zip Telephone# Total # of units # of Bathrooms ( 480) 898--0005 Fax# ·e.:. :, ,~-ca• il.fftlWlli,, --. , ... (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]}. California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 Telephone# ( 480) 898-0007 State/Zip City Business License# _,1__,,2:.,lc;4:,:2,:c8:.,1~----- Name Address City State License# 811114 License Class ____.:C::.•..:3..:6 _______ _ Designer Name Address City State/Zip Telephone# State License# _______ _ !I,: -_..ea-■_IIIIIAllOII Workers· Compensation Declaration: 1 hereby afflnn under penalty of perjury one of the following declarations: □ t have and wm maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. 1B) I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the pertonnance of the work for which this pennit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Dateu0la7u.i,i0,_l/'-'0'-"7'------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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' compenuHon coverage Is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars($100,000), In addition to the cost Df compensa d a s are provided fol' In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE.-.,0c,e8,:_ilec7c_i,c06"--------- r, ~ 1111111.MAllOII I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ 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•OO~der will have the burden of proving that he did not build Of 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 for this reason: 1. I personally plan to provide the major labor and matenals for construction of the proposed property improvement. □ YES □ 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 (indude name I address I phone number I contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the ma;or work (indude name /address/ phone number/ /ontractors license number): --------------------------------------------- 1. I will provide some of the work, bl.It I have contracted (hired) the following persons to provide the work indicated (indude name /address/ phone number/ type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance - - POLICYHOLDl!II COPY STATE -COM .. ■NBATIO" 'INSUR AN C:: Ii P.O. BOX 420807, SAN FRANCISCO.CA 94142-0807 FUND CERTIFICATE: OF WORKERS' COMPENSATION INSURANC& lSSUe DATI: 0'1·01·2008 NINI! IIEl'OT COMPI.JANCE DEP- I07!1 E ll•EltlAL HlfV sn 100 -CA 92821·8712 NF GROUP: POLICY NI.MIER: !1871H·200ll CEIITIPICA TE 10: G CERTll'ICATE EXl'IR!!S: 07·01·2007 07•0!•2008/07•01·2007 TIiis Is to ...-tlty lh.lt we haw• is-,j a valid War~ors' Compenoation inour1neo pellcy in • form approved by the Califomia lhJura,ce Carnmi1$ioner to tho amployar named b6low tor !ho policy period indicoted. We vvitl also gtY• yOU 10 days advancei notice should this policy be ca1celled prior to rta normal •xpiratiOfL This certificate of insur4W1':• ill not ., insurance policy and dou not anend. ,xtend or alter th• oovaraae afforded by the poliey listed h«•in. Natwithat>ndl"9 any requir-~ ltlrm or condition of 111y contract or other doeumont ,..;11, rupoct to whiot, thi• certificate of nurance may be iasued or to Which ii may pertain, the insura,ce afforded by the policy dNcribed h«eln Is lllbjec,t to .U 1lttl ta.,,,., o,cclusiono. and conditions, of such poliey. PRESIO!NT l;W'LOYElt'S LlAllLlTY LlMlT lNc;UJDlNlil DEPtN$1 COSTS: $1,000,000 l'Elt DCQ,JfllllNC!, EMPLOYER C.U.lPOIINlA DELTA N£CHAll1CAI., INC DB&: NP CM.lFOIINlA lll!LTA M-lCAL, INC -S PCWD RO ITE 120 iasA AZ 81109 llf\l.J•IIOI PRINTED : IXl·11•2Clllll NF - n7.J -:rlCJlHJ c,.,_~ I T • .,. T nn,....,. ,,,_ T , ' ... 70 "X)W..J