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Home My WebLink About2701 ABEDUL ST; ; CB071753; Permit06-28-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB071753 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2701 ABEDULSTCBAD PLUM 2153502500 Lot# Construction Type GILLEY RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/28/2007 KG 06/28/2007 06/28/2007 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner GILLEY MELVIN 119 N EL CAMINO REAL #157 ENCINITAS CA 92024 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 PERMIT HAS? • SECTION 106 *•V ,¥«'« \.1804030 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1 635 Faraday Ave, Carlsbad CA 92008 1 PROJECTJINFORMATTipN '"''"[ M: _ "'"" . jSiii*-- 2701 Abcdul St FOR OFFICE USE PLAN CHECK NO EST VAL 'ffiffins? Plan Ck Deposit Validated By Address (include Bldg/Suite #) Legal Description Lot No Assessor s Parcel # Replace standard water heater like for like Descnption of Work Business Name (af (his address) Subdivision Name/Number Unit No Existing Use SQ FT # of Stories Phase No Proposed Use # of Bedrooms Total # of units # of Bathrooms California Delta mechanical,Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 Name Address ;3 ... APPLlCANTs^EJ.iContractor-i*:- D AgentfSr Contractor Ihyalliev """ 8949 Lombard PI #413 Name 4 PROPERTY OWNER" "" Mclvin Gillcy Name Address 2701 Abedul St Address City D Owme'r^ ;-_. San Diego City Carlsbad City (480) 898 0007 (480) 898-0005 State/Zip Telephone* Fax# D Agent for Owner^^lP*'- .,*!*•• ' ' ;*•«. |jt J| CA92122 858-531-1369 State/Zip CA 92009 State/Zip Telephone # 760-431-9596 Telephone # """"*"";5jsi: CONTRACTOR - COMPANY NAM||;: ... . . (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 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 civil penalty of not more than five hundred dollars [S500]) California Delta Mechanical, Ine 2500 S Power Rd Suite #120 Mesa __ 85209 _ (480) 898-0007 Name Address City State/Zip Telephone* State License # 811114 LicenseClass C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # P^WORKER'S COMPENSATION^:, '" •.,-.••. • - Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 S I have and will maintain worker's compensation as required by Section 3700 of the labor Code for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company State Compensation Insurance Fund PolicvNo 1697823 __ Expiration Date 07/0 1 706 _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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($100,000), in addition to the cost of compen^aben, damages are providedAjjSn Section 3706 of the Laboi Code, interest and attorney's fees SIGNATURE Hiya Ilicv _ .-^^-^ ^-k, ^^^^— -- DATE 06/25/07 _ ... . , . . .. I hereby affirm that I am exempt from the Contractor's Lii-ense Law for the following reason D 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-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) D 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 D YES D 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 (include name / address / phone number / 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 work (include name / address / phone number / /ontractors 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 number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Firance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS'SECtlON FOR WOW-R£ap£/Vn/». BUILiDINGgERMITSONLY ;^>~ • • -,-'.,-... '^^ ';••: Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES D NO IF ANY OF THE 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 8*3*CONSTRUCTION LENDING AGENCY -^*M«»-- • ^^pIpiSK-' • ''• ""'•'•''^^S^jjS^Sff^ZK'' '••'• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME LENDER S ADDRESS 9;:SAPPUCANTCERWICATIPN .,^ • .. :' "Sg Us I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives 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, JUDGEMENTS, 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 of 5 0 deep and demolition or construction of structures ovei 3 stones in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitat-on and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANTS SIGNATURE Uiya IllCV ^e::^^^-^~^ S^*e^—^^S DATE 06/25/07 WHITE File YELLOW Applicant PINK Finance POLXCVHOUMEK COPY PO BOX 420807, SAN FRANDSCO,CA 94142-0807 COMP>«N«ATION I N S U n A M CM .FUND CERTIFICATE OP WORKERS' COMPENSATION INSJ4ANC1 OATB- 0^01-2008 GROUP: POLICY NUMBER. 18071*3-2006 CERTIPICATE ID B TB EXPfRES: 07-OI-MOT07- o \ -aooe/07-01-100? HOMI DEPOT COMPLIANCE WTB B IMPERIAL HMV STE 1OO MBA CA 0X8(1-BT« NP Thl* l« to certify <twt w« lwv» teKNKl • v«»d Wprt^r*1 Compftnutton (n«ur«e« policy In « form ipprowd by »t lh»ur»nee Comml«$lona>- to tii» amployar named below for rh» policy parted indicated. Thta peltcy Is not subject to oanoellaHort by th» Fund except upon 10 <fay» tritano* wrlttan notle* to tf» W» will rtrno gtv» you 10 day* idvane* notio» »hould thlt poticy b» e«ne«««l prior to ttt normal expiration. Thl« cwtfflewi of insurance is not an Insurance policy md does not amend, extend or liter the aow«o» afforded by the policy ll*ted herein. NotwWwtandrna any requirement, term or condition of any fjon""" SSTT-SSf""1 with re«p«»ct to wMoh *lf oeriifkate of fcaurano* nwv be Iwued or to which it rtuiy PBrttn. «w lr»tfanfle •fforded by ttm policy dwcnbed herein IB subject to «ll ttw twm*, axcKnlons. «wl conditions, of *ueh policy WZED nEPReSB«TATI>)»lJ PRESDiNT EMPLOYER'S LIABILITY LIHIT UCtUDIMB OEFeNSB COSTS: »1,Ofl0,OOO PE« OCCUMINCI SMPLOYER CALIFOWMIA DELTA MECHANICAL. INC MA CALIFORNIA WLTA MECHANICAL, INC 5BOO « PONBR HO STE HO MISA AZ 80109 PMNTID : 08-18-2001 M0408