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HomeMy WebLinkAbout2415 LA PLANCHA LN; ; CB102025; Permit,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-01-2010 Plumbing Permit Permit No: CB102025 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2415 LA PLANCHA LN CBAD PLUM 2550912900 Lot#: 0 Construction Type: NEW LIMBACH RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/01/2010 KG 11/01/2010 11/01/2010 CALIFORNIA DEL TA MECHANtCAL LIMBACH KEVIN&CAROL FAMILY TRUST 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: Inspector: $27.00 0 0 0 0 1 0 0 2415 LA PLANCHA LN 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: FINAL APP~O;:,';L,, Date: // .,. (i? -/~earance: $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 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 vou have 01eviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise ex□ired. City of Carlsbad i635 Fa'raday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2415 La Plancha In Plan Check N~Bi ~.)_.Q ?-~ Est. Value Date SUITE#/SPACE#/UN IT# CT/PR:CT# ___ ,LOT# 1f>HASEII 1#0FUNITSr~ #BATHROOMS DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(s) - ....J._TE-NA_N_T_BU_s_,N_ES_S_N_A_M_E ____ =rNSTR. N1_occ_ GRO~ Replace existing like for alike water heater EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (Sf) I DECKS (SF) I FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS YES[)t N<Q YES □No □ YES□NOLJ CONTACT NAME (It Different fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRi~--. -----1-,..--.,-------·--·-----··----ADDRESS 6052 East Baseline rd # 155 6052 E. Baseline road suite# 155 -··· -·· ---. .--r------------CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 ----·••" )FAX ----·-PHONE IFAX PHONE 480-898-0007 1-480-218-5645 858-361-6495 ----1 .. 858-410-1499 ---EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERlY OWNER NAME Kevin Limbach CONTRACTOR BUS. NAME California Delta Mechanical --ADDRESS ADDRESS 2415 La Polancha In 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE IFAX 760-942-1448 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC. I# STATE UC.# 'CLASS I CITY BUS. LIC.1214281 811114 c-36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an',' structi;re, prior to its issuance, also requires the applicant for such permit to fite a signed statement tl\at he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9. commending with Section 7000 of DivisiOI') 3 of the Business and Professions Code} or that he is exem_pt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars t$5QO)). Workers' Compensation Declaration: / he!l1by aff1m1 under penalty of perjury one of the fotrowing declarations: 12] 1 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 111is permit is issued. 0 I have and will maintain workers' compensation, as reouired by Section 3700 of lhe Labor Code, for the performance of the work for which this perm~ is issued. My workers' compensation insurErlCe carrier and policy number are: Insurance Co State Fund Policy No. 1697823 Expiration Date ____ ,m11111_1. _______ _ This section need not be completed if the permit is for one hundred dolars ($100) or less. (Z] Certificate of Exemption: I certify that in lhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subjecl to the Workers' CoJT1)ellsalion Laws of California. WARNING: Failure to ncure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. /IS CONTRACTOR SIGNATURE I llareby affirm that I am exempt from Contractor's License Law forthe following reason: D I, as owner of lhe 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 clld Professions Code: The Contractor's License law does nol apP,y ta an owner of property who buids or improves thereon, and who does sucl1 work himseW or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building 01 improvement is sold Wllhin one year of completion, the owner-builder wiM 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 cootractor(s) licensed purS1Jant 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 ma1erials for construction of the proposed property improvement. 0Yes 0No 2.1 (have I have nol) 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 I phone I contractors· license number): 4. I plan lo provide portions of the work, but I have hired the foUowing person to coordinate, supervise and provide the major work (inClude name I address/ 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 I prone / type of workt .ft5 PROPERTY OWNER SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 11/15/2010 Permit# CB102025 Title: LIMBACH RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 2415 LA PLANCHA LN Lot: 0 Inspector Assignment: RB Phone: 7609421448 Location: Inspector: OWNER LIMBACH KEVIN&CAROL FAMILY TRUST Owner: LIMBACH KEVIN&CAROL FAMILY TRUST Remarks: AFTER 1 :30 PLEASE Total Time: CD Description 25 Water Heater/Vents &Comments ---- Requested By: CAROL Entered By: JANEAN 29 Final Plumbing +----~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 11/10/2010 25 Water Heater/Vents CO RB NOACCESS@11:15(1147-G3)