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Home My WebLink About2707 OLYMPIA DR; ; CB110888; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-28-2011 Plumbing Permit Permit No: CB110888 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2707 OLYMPIA DR CBAD PLUM Status: Parcel No: 1674330900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: MANDRIGUES RES-REPLACE WTR HEATER Applicant: CALIFORNIA DEL TA 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 Plan Approved: Issued: Inspect Area: Owner: MANDRIGUES RICHARD&MARY 2707 OLYMPIA DR CARLSBAD CA 92010 ISSUED 04/28/2011 LSM 04/28/2011 04/28/2011 $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. DO Balance Due: Inspector: 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 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, vold, 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 h v r i I Tl I r whi h h I rm· i n h i ir City of Carlsbad Plan Check No. Q5 l I O 8 '(;" 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2707 Olympia Dr. Est. Value Plan Ck. Deposit Datet..f~I\ SUITE#/SPACE#/UNIT# APN OCC. GROUP CT/PROJECT# ... l~,o~,~,~---_-_-_ ~"PH"'A~sc,.,-~,~O"'F"U'"N"'IT"s~,~a~,~o"RO~o"M"S~-t,~a"AT~H·R~O"OM"'S~~.,,~N"A"NT~B"'U'S"IN'ESS~N"'A"M",--------~,,o~,.,~TR'. TYPE DESCRIPTION OF WORK: Include Square Feet ot•A-'tt"'ec~t"ed""A,~e~a"(s7)---~-----~-----~-------------~----~- Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES0, No0 ves □No □ YES□No□ CONTACT NAME (ffDlfre~ntFomAppJlcant) C l"f . D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. . -ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 -··· PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 !"'AX 1-858-410-1499 ----EMAIL EMAIL california@ldeltamechanical.com galiapavlovabg@lyahoo.com PROPERTY OWNER NAME Rick Mandriguez CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2707 Olympia Dr 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 Mesa AZ 85206 PHONE I FAX PHONE IFAX 760-120:2337 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS LIC 1214281 811114 c36 (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 hcensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commendmg with Section 7000 of Divisiol) 3 of the Business and Professions Code} or that he is exempt 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 per.alty of not more than five hundred dollars {$500}). ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [2] 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, 0 I have and will maintain workers' compensation, as required bv Section 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 Policy No 1697823 ________ Expiration Dale ___ . c'-'''c"~~c" ___ _ This section need not be completed if the permit is for one hundred dollars ($100) or less [2] 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 lo 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 attorney's fees. ~ CONTRACTOR SIGNATURE • I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 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 contractor(s) licensed pursuant 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 materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed wonc 3. I have contracted with the following person (firm} to provide the proposed construction (include name address/ phone/ 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 / 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 phone / type of work): ~ PROPERTY OWNER SIGNATURE DATE ¾ ~-" , o ~ "'""'"~~ '1% ~'""'""'>"'-"~ ' ,~" ,_, w""' "'" '!'•'" w "' «>t;= ½"" 11 , , ~ ""'"'!~"' i i:i,l!;f1LIITII c'.U:11$ Sl!CTIQN l'QR NQlll,!Ullli>lilllTl~L ~g~I.DIIIIG Pl!RMITS QNLY ' ~ ' 'M~ --" ' ' ' A "" s the applicant or future buik::ling occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the :>resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the ap~l.icant or future building.occupant required to obtain a permit from the air pollution control district or a~ality management district? []ves D No s the fac1hty to be constructed w1th1n 1,000 feet of the outer boundary of a school site? Oves LJNo F 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 ;.MERGENCY SERVICES AND THI: AIR POLLUTION CONTROL DISTRICT. 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. h€reby autholize representative of Ille City of C"1sbal to enter upon the_, mentioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is required br excavations '11/Cf 5'0' deep and demolition or construction of strudures over 3 stories in height. :XPIRATION: Every pemit issued by the Building Official under lhe provisions oflhis Code shall expire by lirmation a,d become null and void if the building or work aulhOOZed by such perm~ is not corrrnenced \Whin 80 days from the date of such penrit or if the building or work authorized by such permit is suspended or abandoned at any time after lhe work is rommenced for a period of 180 days (Section 100.4.4 Unifoon Buildi!XI Code) . ..@S° APPLICANT'S SIGNATURE DATE o/" ,,;;,? / /4- m m City of Carlsbad Bldg Inspection Request For: 09/02/2011 Permit# CB110888 Title: MANDRIGUES RES-REPLACE WTR Description: HEATER Type:PLUM Sub Type: Job Address: Suite: Location: 2707 OLYMPIA DR Lot: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: MANDRIGUES RICHARD&MARY Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7605865098 Inspect/£ Requested By: NA Entered By: CHRISTINE 25 Water HeaterNents !Jj----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments