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Home My WebLink About2712 LLAMA CT; ; CB111516; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2011 Plumbing Permit Permit No: CB111516 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2712 LLAMA CT CBAD PLUM Status: Parcel No: 2154101200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: MARSH RES REPLACE WTR HTR Inspect Area: 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 Owner: MARSH DALE K&CHRISTINE J 2712 LLAMA CT CARLSBAD CA 92009 ISSUED 07/11/2011 KG $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: Clearance: $0.00 NOTICE: Please take NO approval of your project includes the "Imposition" of fees, dedications, reseivations, or otrer exactions hereafter collectivefy' referred to as "fees/exactions." Y have 90 days from the date this permit was issued to protest imposition of these fees/exactions. !I you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and me 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 x i n fwhi h h v r i ·v n N E imil hi r whi Ii i i h City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2712 Llama Ct Plan Check No. Ctll-15 I~ Est. Value Plan Ck. Deposit Date ,-J- SUITE#/SPACE#/UNIT# APN CT/PROJEcf#" -----~WT# ---~ASE# #OFUN"S rDROOMS #BATHROOM'"S~~,,TE~NANTBUSINESSNAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~------ Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE /AIR CONDITIONING I FIRE SPRINKLERS YES0, NOD vesONoO vesONoO CONTACT NAME (ff Oltfelent Fom Appllcant) California Delta Mechanical APPLICANT NAME Galina Pavlova -----ADDRESS ADDRESS 6052 East Baseline rd# 155 6052 East Baseline rd # 155 -------------CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE ____ I FAX ------ IFAX PHONE 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 ---- EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Dayle Marsh CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2712 Llama ct 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE I FAX 213-507-1540 480-898-0007 EMAi!.-EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I c,r, sus uc.1214281 811114 c36 (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 per_mit 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 D1vis1on 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 applicanflor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarat10ns: 0 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 by Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensab·on insurance carrier and policy number are: Insurance Co Policy No 1697S23 ExpiraUon Date 0110112012 ~section need not be completed~ the permit is for one hundred dollars ($100) or less LlJ Certificate of Exe111>tion: I certify that in the performance of the work for which this permit 1s 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 worilers' 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 bor c de nterest and attorney's fees. ' ,.f!S CONTRACTOR SIGNATURE {, I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their soie compensation, will do the woril and the structure i~ not intended or offered for sale {Sec, 7044, Business and Professions Code: The Contractor's License Law OOes not app~ 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 w~h contractor(s) licensed pursuant to the Contracto(s License Law). I am exefll)t 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/ have not) signed an application for a building permit for the proposed work 3. I ha~e contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' i1cense 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 I phone / contractors' license number): 5. I will pro~ide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ,.f!S PROPERTY OWNER SIGNATURE DATE " " ------------- J\'!,'01 ' '" '~ ~ -~ '4'' 1'' >t:,11\" _,_ ,t'1 , ,!1,!111 Pl II T fl Y N'U , 5 II£ TI ON F OR N O N 1 R II SI OB N'i't AL a U IL D I N G P I R M I TS O N LY , l s the applicant or future building occupant required to submit a business_a, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the )resl9y-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required lo obtain a permit from the air pollution control district or a~ality management district? []ves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes 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 THE AIR POLLUTION CONTROL DISTRICT. certify that I have read the applicatlon and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with all Clfy ordinances and State laws relating to Wilding construction. h.-eby autholize ,epresenlalive of Ire City of Ca1sboo lo enter upon the ab<>1e 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 perrrit is required for excavations over 5'0' deep c¥'ld derrKllition or ronstruction of structures c,.ier 3 stories in height. :XPIRA TI0N: Every permit issued by the Building Official under the provisions of this Code sMI expire by lirritatiofl ood become null and void if the builcfng or ..wrk authorized by such perm~ is not commenced v.ithin 80 days frool the date of such perm! or if lhe building orwor1< authorized by such permit is suspended or alandonecl at any time after the WJrk is commenced for a period of 180 days (Section 106.4.4 UnifOOTI Building Code). hf(! DATE ? / 07 / II --------------,;r<?""----7-+----Rf APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Re For: 11/10/2011 Permit# CB111516 Title: MARSH RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2712 LLAMA CT Lot: Suite: 0 Location: APPLICANT CALIFORNIA DEL TA MECHANICAL Owner: MARSH DALE K&CHRISTINE J Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents ttf 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 2135071540 Inspector: ----- Requested By: DALE Entered By: JANEAN