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Home My WebLink About2565 NAVARRA DR; B; CB091255; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-29-2009 Plumbing Permit Permit No: CB091255 Building Inspection Request Line (760) 602-2725 Job Address: 2565 NAVARRA DR CBAD St: B Permit Type: PLUM Status: ISSUED Parcel No: 2162002730 Lot #: 0 Applied: 07/29/2009 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 07/29/2009 PC #: Issued: 07/29/2009 Project Title: MILLER RES- REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 MILLER JVNA M r- 2565 NA VAR RAID CARLSBAD CA 92009 Plumbing Issue Fee 7' "\ "— $20.00 Fixture or Trap / / 0 '\ Building Sewer / / 0 'Q) $0.00 Roof Drain / / 0 \ $0.00 Install/Repair Water Line / 0 \ L $090 Water Heater and/or Vent / I \ V$700 Gas Piping System 0 - $PV:QO Vacuum Breaker 0 Other Olumbing Fees Master Drainage Fee SevverFee Additional Fees 1.n. i) \ TOTAL PERMIT FEES $27.00 HAT IE /R la'nce Total Fees: $27.00 j6i1Payments To Date1 9 2 $27.00 Due: / $0.00 (( 1J 0 0 FINAL APPROVAL InsDector: 9 Date: J' ?-/- /0 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 City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application Plan Check No. CPoq Est. Value Plan Ck. Deposit Date I I4 Jo' JOB ADDRESS - . 2565 Navarra Dr.Uflit Br -. SUITE#/SPACE#/UNIT# :. I APN - -7 - . - CT/PROJECT A LOT U PHASE U B OF UNITS U BEDROOMS U BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0cC. GROL" DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . .• - Replace existing like for alike water heater EXISTING USE PROPOSED USE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS F . .GARAGE -- YES []N, NOD YES ONO D YES[—] NOD CONTACT NAME (If Different Fom Applicant) . . California Delta Mechanical, inc. APPLICANT NAME . . - -- Galuna Pavlova ADDRESS - . 6052 East Baseline rd # 155 ADDRESS 6052 E. Baseline road suite # 155 CITY STATE ZIP Mesa AZ . - .85206 ..- CITY STATE ZIP Mesa ..' AZ . 5206, PHONE FAX PHONE - - - FAX 480.898.0007 . -• 71480-218-5645 . -_____480-898-0007 . . 1-858-410-1499 EMAIL . -. californiadeltamechanical.com . • ... EMAIL . . . - . . . qaliapavlovabqyahoo.com.. PROPERTY OWNER NAME . . . . . . 74 Juana Miller: CONTRACTOR BUS. NAME -. ............... - . -. California Delta Mechanical.- inc. . . ...- ., ADDRESS - . . 2565 Navarra Dr. Unit B.. ..., •. . . . ADDRESS .- 6052 East Bseline rd #.155"L CITY STATE ZIP . Carlsbad CA -,. ,,. 92009 CITY STATE .,ZIP - - . . . ,Mesa I . .• Az..,. '-i;.. 85206 PHONE 8584498020 FAX .. -. ..., . . ....r PHONE - 480.898.000r: FAX EMAIL . ------------ EMAIL - ... -- . ............ . I...... ARCH/DESIGNER NAME & ADDRESS - STATE LitU .. STATE LiC.# - . 811114 CLASS .::C.3 CITY BUS LiC.0 - : . .... ..... (sec. 70315 Business and Professions code: Any city or county wflicfl requires a permitto construct, alter, Improve, oemouisn or repair any structure, pnor LU its Issuence, alsO reiuues u.e appl!cant 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 ,.Mi nnit,, nf nnt n,n, thn fh, h,,n,l,,l dnhi I!5Uflflli 2i®ø(o(1L3° (®OPO(W0®1 . Workers' Compensation Declaration: I hereby afflim under penalty of pe4ury one of the following dedaraltons - IZI 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. [ZI I have and will maintain workers' compensation, as required by Sectton 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 - -_ - . PolicyNo. 1697e23. . .!+ . Expirationoate 2-1 ;63141 This section need not be completed if the permit is for one hundred dollars ($100) or less. IZI 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 (8,100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of th abor code, interest and attorney's fees. CONTRACTOR SIGNATURE DATE CJWUODOO GjG?I0®J" _ I hereby affirm that I am exempt from Conkector's License Law for the following reason: [J I, as owner of the propertyor 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 Contractors 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). 1=1 I am exempt under Section — Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed properly improvement. [:]Yes; lNo I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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 (contractors' license number): I will provide some of the work, bull have contracted (hired) the following persons to provide the work Indicated (include name! address /phone/ type of work): *1. £'PROPERTY OWNER SIGNATURE DATE I Is the applicant or future buildingoccupant required to submit a business Ian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes - No ' Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ualitymanagementdisliict? []Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? L:jYes No . IF ANY OFTHE 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. , ffisto w- 4% ( I hereby affirm that'there is aconstructioñ lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). An Lenders Name - F 1 rj). Lenders Addressi ,33 / loartilythatl have mad the application and slatethatthe above information is coniectand tha6 information on the plans is accurrU0 agreft complywith all City ordinances and State kin relatingIlD buildingConstruction. I herebyauthodmrepresentutioftheCtyof Cathnd teruon the above mentioned property forinspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CRLSBAD AGAINST ALL UAU11ES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE RAN11NG OF THIS PERMIT. OSHA: An OSHA pemiit is required for scavations over 5' deep and demolition or construction ofstructuresover3stodesin height - - - EXPIRATION: Every pannit Issued by the Building Official under the provislon's of this Code shag expirie by limftallon and become null and Wd if the building or work authorized by such permit is not commenced within 180 days limm the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any firhs~aflei the work is commenced for a pqrW of 180 days (Section 106.4.4 Uniform Building Code). .APPLICANT'S SIGNATURE . DATE City of Carlsbad Bldg Inspection Request For: 01/20/2010 Permit# CB091255 Inspector Assignment: f Title: MILLER RES- REPLACE WTR HTR Description: Type: PLUM Sub Type: Phone: 8584498020 Job Address: 2565 NAVARRA DR Suite: B Lot: 0 F' Location: Inspector: OWNER , MILLER JUANA M Owner: Remarks: 1-3 PM PLEASE Total Time: Requested By: P0 Entered By: JANEAN CD Description • Act Comments 25 Water Heater/Vents ,4 1 29 Final Plumbing • Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description • Act Insp Comments