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Home My WebLink About2661 BRIGHTON RD; ; CB090781; Permit05-11-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090781 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2661 BRIGHTON RD CBAD PLUM 2081310100 Lot# Construction Type DRAGUS RES REPLACE WTR HTR 0 NEW Status ISSUED Applied 05/11/2009 KG 05/11/2009 Entered By Plan Approved Issued Inspect Area 05/11/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner DRAGUS JOHN N&ADRIANA 2661 BRIGHTON RD CARLSBAD CA 92010 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPROVAL Date 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application JOB ADDRESS LOT'ft 2661 Brighton rd SUITE#/SPACE#/UNIT# CT/PROJECT (tt or UNITS I ((BEDROOMS DESCRIPTION'OF WORK Include Square Feet of Affected An>a(s) # BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater EXISTING USE PROPOSEDUSE GARAGE (SF) CONTACT NAME (If Different Fom AppHcant) _ .- _ .. .. , ..California Delta Mechanical Inc ADDRESS 6052 E Baseline road suite #155 CITY Mesa PHONE 480-898-0007 STATE ZIP AZ 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME John Dragus ADDRESS Same as site CITY Carlsbad PHONE 760-434-4067 EMAL ARCH/DESIGNER NAME & ADDRESS STATE ZIP CA 92010 FAX STATE LIC # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# N0| | YEsfJ^NoQ YES| | Np| | APPLICANT NAME _Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E Baseline road suite # 155 STATE ZIP Mesa AZ 85206 | CAY 480-898-0007 1-858-410-1499 qaliapavlovabg@vahoo com CONTRACTOR BUS NAME ......California Delta Mechanical Inc ADDRESS CITY PHONE 6052 E Baseline road suite # 155 STATE ZIP 85206 AZ 85206 FAX 480-898-0007 EMAIL STATE LIC *CLASS CITY BUS LIC # 811114 c-36 (Sec 70315 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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)) Workers'Compensation Declaration I hereby affirm under penalty of perjury one of the follomng declarations L/J I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued l/J I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy number are Insurance Co Policy No 1697823 Expiration Date CS31'31 This section need not be completed it the permit is for one hundred dollars (S100) or less . I/I Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of I California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided fqpin Secton 3706 of the Labor code, interest and attorney's fees JS$ CONTRACTOR SIGNATURE /-jfc/J< DATE I hereby affirm that I am exempt from Contractor s /./cense Law for the 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 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 thst he did not build or improve for the purpose of sale) I I I as owner of the property am exclusively contracting with licensed contractors to construct trie 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 contractorfs) licensed pursuant to the Contractor's License Law) I I 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. I lYes I [NO 2 I (have / have not) signed an application for a building permit tor the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractor 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 work (include name / address / phone / 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 / address / phone / type of work) xgTpROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act7 F^Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or aircjuality management distncp QYes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 PHYes l~|No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAf1"" "" EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender s Name Lender's Address - -:'-^:a;-S!^.^S:m-•* I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height. EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within ^APPLICANT'S SIGNATURE DATE 6-' City of Carlsbad Bldg Inspection Request For 05/22/2009 Permit# CB090781 Title DRAGUS RES REPLACE WTR HTR Description 2661 BRIGHTON RD Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER DRAGUS JOHN N&ADRIANA Owner DRAGUS JOHN N&ADRIANA Remarks A M PLEASE Inspector Assignment Phone 7604344067 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By JOHN Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit D Building Permit n Right-of-Way Permit CUMy project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria [ | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below -I Tierl - Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 - Significant Threat Assessment Criteria [ I My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or rj My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards "The City Engineer may authorize minor vanances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Proect Address Assessor Parcel No Owner/Owner's Authonzed AgenlNapie' Owner/Owner's Authonzed Agent Signature City Concurrence DYES Q NO By Date Title Date /0<=> Project ID No. 753!) r i POLICY HOLDER COPY COMPENSATIONINS U R A N C S FUND PC BOX 420807, SAN FRANCISCOCA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DAT? 07 O1-JO08 CONTRACTORS STATE LICENSE BOARD WORKERS COMPfNSATION UNITPO BOX aaooo SACRAMENTO CA 9SH7B-002B NF GROUPi POLICY NUMBER' 1607833-2008 CERTIFICATE IP; 70 CERTIFICATE EXPIRES. 07-01-2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE * 3 DATED 07-01-2008 LIC MROTT0, 811114 INCEPTION DATe:07-r 1-200* OOiNP Hf '"r w8 hsve issueri * v»lld Workers Compensation Insurance policy Ih e form ^provad by thernmrnissioner to th« employer rumert b*low for ihe policy period wdtartacT Tins policy 15 not -ubject to cBncatlstlon l>y Ih« Fund axoept upon 90 days adwwice wittt«n natlie to tlie umployar We wdi slio give you ao diyj Mvsnee notlw should ihV pohcy be rjneMtd prior to fts norm-' with rBSp«c.to-'riorded hy thn in Ism Is Bol!°v "nd does "ot sm!,nd "Xt8nd or *ltir thfl *rS?' Mrmrfor «'"*'{« of »ny contract or oth«r document ST'ii fL S»UtCf °r to,whlch (t "JSV psrtsin, the Insuraftaato ill the terms, exclusions, and condition* of such policy, PRESIDBNfT 'ER'S ITABILITY LIMIT INCLUDIN6 DEFHNSB COSTS' SI.000.000 PER OCCURRENCE. ENDORSEMENT rf-ieOO - TODOR KITCHULKOV P 5 T - BXCLUDED NOTICE BMPl OVE9 o °ELTA MECHANICAL.BAJEUlNe RO STE 138MESA AZ 88208 NF [CAM.CSJ PRINTED 07-01-2006