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Home My WebLink About2411 LA COSTA AVE; A; CB091560; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 09-25-2009 Plumbing Permit Permit No: CB091560 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2411 LA COSTA AV CBAD St: A PLUM 2162405539 Lot#: 0 Construction Type: NEW TAVAKOLI RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/23/2009 LSM 09/25/2009 09/25/2009 CALIFORNIA DELTA MECHANICAL SEYED-TAVAKOLI SABIHE TRUST 01-15-08 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 2411 LA COSTA AVE #A 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: Inspector: ft\ ~ Clearance: $0.00 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 Cartsbad 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 . n hi h flimi in h i I h i City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2411 Lacosta ave# A Plan Check No. {:pA, I ~L) Est. Value Plan Ck. Deposit Date $UITE#/SPACE#/UN IT# CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) replace existing like for alike water heater IAIR CONDITIONING I FlkC: SPRINKLER§"""""" EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES[), Nc0 YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 E. Baseline road suite # 155 6052 E. Baseline road suite # 155 -----STATE ZIP CITY STATE ZIP CITY Mesa Az 85206 Mesa AZ 85206 PHONE PHONE I FAX I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499 EMAIL EMAIL california@,deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Sabi Tavakoli CONTRACTOR BUS. NAME California Delta Mechanical Inc. -A-DDRESS-ADDRESS 2411 La Costa ave# A 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa Az 85206 PHONE I FAX PHONE I FAX 760-622-5126 480-898-0007 EMAIL EMAIL '--) ARCH/DESIGNER NAME & ADDRESS I STATE LIC, # STATE LIC.# I CLASS I ""'i"?t'1'4 ~ 'i5 I 811114 c36 (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 suet-. permit to file a s11l,ned statement that he 1s licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following dedarations: [Z] 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 wtlich this permit is issued [Z] 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 08/31131 ~section need not be completed if the permit is for one hundred dollars ($100) or less. L{J 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 !he 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 addl!ion to the cost of compensation, damages as provided f in Section 3706 of the Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for /he 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 intend Ad 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 thtt 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 a,, owner of property wtlo 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. OYes ONo 2. I (have I 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/ 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 WJrk (Include name I address I phone I 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 I address/ phone I type of work): JiS PROPERTY 0\NNER SIGNATURE DATE ----------------. ----- City of Carlsbad Bldg Inspection Request For 10/06/2009 Permit# CB091560 Title: TAVAKOLI RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2411 LA COSTA AV Suite: A Lot: 0 Location: OWNER SEYED-TAVAKOLI SABIHE TRUST 01-15-08 Owner: Remarks: Total Time: Description Act Comments Inspector Assignment: Phone: 7608095126 Inspector: Mc Requested By: NA Entered By: CHRISTINE CD 25 29 Water HeaterNents Final Plumbing _,4e_ 1a<\6:CI~ ~, --G~~t,,UL. 6~ ~{L a _3'>.:..c...:::..A=Kii;~'----1:1?:....!1__,,,_-sw""""'-'N,,_,l1JW;,__,..:.a::::~~-___ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments