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Home My WebLink About2705 OLYMPIA DR; ; CB090287; Permit/ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-19-2009 Plumbing Permit Permit No: CB090287 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2705 OLYMPIA DR CBAD PLUM Status: Parcel No: 1674330800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: CHRISTOFF RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL 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 0 0 0 0 1 0 0 Owner: CHRISTOFFELSZ ASHTON D 2705 OLYMPIA DR CARLSBAD CA 92010 ISSUED 02/19/2009 KG 02/19/2009 02/19/2009 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: -&? FINAL APPROVAL Date: "3 3 o 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 m 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 i n f hi n N Tl E imil r hi i h h f limi ti n h s revi I h 1 City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2705 Olympia Dr. CT/PROJECT# I LOT# I PHASE# I# OF UNIT~ I# BEDROOMS fo"ESCRIPTION OF WORK; Include Squa111 Feet of AHected Atea(s) SUITE#/SPACE#/UNIT# Plan Check No.C~,9"~ / Est. Value Plan Ck. ~eposlt Date cx-/'/-v, IM /- # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE v,so, I AIR CONDITIONING IFIRE SPRINKLERS NO v,s □No0 v,s□NoD CONTACT NAME (ff om.mot F= Appl~•nt) C l"f . D It M h . I I a I orma e a ec amca nc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 e. Baseline road suite# 155 6052 E Baseline rd # 155 CITY Mesa STATE AZ ZIP 85206 CITY Mesa STATE AZ ZIP 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 480-898-0007 IFAX 1-858-410-1499 EMAIL EMAIL califomia@deltamechanical.com 11aliapavlovab11@vahoo.com PROPERTY OWNER NAME Dianne Templar CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS Same as site ADDRESS 6052 E Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92008 Mesa AZ 85206 PHONE 760-729-6296 IFAX PHONE I FAX 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY ,us. uc.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 any structure, pnor 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 {$500}). WORKERS' COMPENSATION • • Workers' Compensation Declaration: / hereby affltm under pena/t'f of petjury one of the fol/owing declarations: [Z] I have and will maintain a certificate of consent to self-Insure for'AOrkers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the \\Ork for which this permit is issued. [Z] l have and wm maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is Issued. My workers' compensatlon insurance carrier and policy number are: Insurance Co Policy No. 1891823 Expiratioo Date 011131131 ~section need '10t be completed If the permit is for one hundred dollars {$100) or less. l.:lJ 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 subjeci 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 compensation, damages as provided for In Section 3706 of the Labor code, interest and attomey's fees. fiS CONTRACTOR SIGNATURE I hereby affitm that I am exempt from Contractor's Ucense 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 bulkls or Improves thereon, and whO does such work himself or through his own employees, provkled that such improvements are not Intended or c"fered 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profess.ons 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). I am exempt uncler Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the majo( labor and materials for construction of the proposed property improvement. Oves ONo 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have controcted with the following person (firm) to provide the proposed construction (Include name address I phone I contractofS' license number): 4. I plan to pro\lkle portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the f~lowing persons to provide the \\Ork indicated (Include name I address I phone I type of work): JES PROPERTY OWNER SIGNATURE DATE • COMl'LliTli 'l'HIS SECTION FOIJ NON•IJliSll)l!NTIAL BUii.DiNG PERMITS ONLY Is the applicant or Mure building occupant required to submit a business,.Q!mJ, acutely hazardous mate!1als registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tan Mr Hazardous Substance Account k:.tJ D Yes LJNo Is the applicant or future buHdlng occupant required to obtain a permit from the air polllJtion contro!,m!rtct or a~ality management district? Oves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo 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. CONSTRUCTION ••LENOING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this penn1t lS tssued (Sec 3097 0) Civil Gode) Lender's Name Lender's Address APP LI.CANT. CERTI.FlCA TIO.N I certify that I haw read the application and state that the abolle infonnation Is correct and that the infonnation on the plans Is accurate. I a~to comply with all City ordinances and State laws relating to building construction. I hereby authorize representalM3 of the Qty of Ccllsboo to enteT upon the above mentioned prq:ety fcr inspectioo purp::>S8S. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES \o'v'HICH MAY IN At-N WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perrrrt is requil"OO fcr excavatbns over 5'0' deep and demolb or CO'lS1.rUCocrl of sin.du res over 3 stories in height EXPIRATION: Ewry pe-mil issued by the Buildhg Official under the provisions of this Ccx:le shell expire by lirritatkln and becoole null cm >.ok:l W the buk.1ing or work oothorized by such permit is oot oorrrnenced within 180 days from the dae of such permit or W the l:x.Jik.1ing or work authorized by such J):!(ITlit is susi;ended or abancbned at any time after 1t'e work is ronrrenc:ed for a perm of 180 days (Secoon 100.4.4 Unifoon Buik.1ing Code) . ..@S'APPLICANT'.SIGNATURE DATE ,.:f' ~?-/v City of Carlsbad Bldg Inspection Request For: 03/02/2009 Permit# CB090287 Title: CHRISTOFF RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2705 OLYMPIA DR Suite: Lot: 0 Location: OWNER CHRISTOFFELSZ ASHTON D Owner: TEMPLAR DIANE L Remarks: 12-2 Total Time: ----- CD Description Act Comments Inspector Assignment: Phone: '"'""'' 12- Requested By: DIANE Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing L------~------ -'---------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments