HomeMy WebLinkAbout2729 CHESTNUT AVE; ; CB072389; Permit09-17-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB072389
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2729 CHESTNUT AV CBAD
PLUM
1673922200 Lot#
Construction Type
KAMMERER RES REPLACE WTR HTR
0
NEW
Status ISSUED
Applied 09/17/2007
LSM
09/17/2007
09/17/2007
Entered By
Plan Approved
Issued
Inspect Area
Applicant
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866 898 0008
Owner
BELL JASON R&KAMMERER SARAH
2729 CHESTNUT AVE
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
rawrr HAS i AT n r ' » t*
SECTION 10b 4 4 A.» " <r>
DATS _
> c B c
bY C W » 18 04 QW
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
1635 Faraday Ave Carlsbad CA 92008
2729 (ttestnut ave
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit .
Validated By _
9//7 C77
Address (include Bldg/Suite#)
Legal Description Lot No
Assessor's Parcel #
Replace standard water heater like for like
Description of Work
Business Name (at this address)
Subdivision Name/Number Unit No
Existing Use
SO FT # of Stories
Phase No
Proposed Use
# of Bedrooms
Total # of units
# of Bathrooms
f different fromjaptj|pant}
California Delta mechanical Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898 0007 (480) 898 0005
Name Address City State/Zip Telephone* Fax#
3 APPLICANT B CwtractoW D Ag^r^^Ptfactof^^^rowner D Agent for Qv^^ff!T «fl •» "Si
Galma Pavlova 2500 S POWER RD# 120 MESA AZ 85209 4808980007
Name Address
Sarah Kammerer Same
City
Carlsbad
State/Zip
CA92010
Telephone #
"• "'"f"'"*•
760 845 1630
City State/Zip Telephone #Name Address
l£ "jCONTRACTOR COMPANY NMHJL^
(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])
California Delta Mechanical, Inc 2500 S Power Rd Suite # 120 Mesa 85209 (480) 898 0007
Name Address City State/Zip Telephone*
State License # 811114 License Class C 36 Citv Business License # 1214281
Designer Name Address
State License #
City State/Zip Telephone #
e^WQRKER'S COMPINSATJgN
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
P 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 Policy No 1697823 Expiration Date 07/01/08
(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 compensation damages areprpvjjted for in Section 3706 of the Labor Code interest and attorney's fees
SIGNATURE Galma Pavlova J&Cf DATE 09/12/07
7
I hereby affirm that I am exempt from the Contractor's License Law foflhe 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 materials 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 Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave Carlsbad CA 92008
Page 2 of 2
COMPLETE WIS SECTION FORfWOW f^l&SjjWimitUUNGI.PERMITS ONLY
„_<£„„,«_«»,««,» %S!W m*m*UM»~t.~. ~_ j!»*S»»i
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under
Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf DYES 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
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_ APPLICANT CERTIFICATIONS1
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 authonze 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 over 3 stories 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 authonzed
by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after
the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT s SIGNATURE Galma Pavlova DATE 09/12/07
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
Building Department
February 28, 2008
Permit Number CB072389
Issue Date 09/17/2007
SARAH KAMMERER
2729 CHESTNUT AV
CARLSBAD CA 92010
RE BUILDING PERMIT EXPIRATION
PERMIT TYPE PLUM
ADDRESS 2729 CHESTNUT AV 4
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE , f
Our records indicate that your building permit will expire by limitation of time on 03/15/2008 $,- *
,» -
The provisions of UBC, Section 106 4 4 as amended by the Carlsbad Municipal Code state * "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 180 days from
the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit <
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be
one-half the amount required for a new permit for such work, and provided that no changes have been made or
will be made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year In order to renew action on a permit after expiration, the permittee shall
pay a new permit fee
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken No permit shall be extended more
than once
Please check below indicating your intentions and return this letter to us
Project abandoned A new permit will be obtained prior to commencing work
No fee extension requested for 180 days (attach a letter of explanation)
Renewal permit requested
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725
If you have any questions please contact the Building Inspection Department at (760) 602-2700
Christine Wauschek
Office Specialist
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560
POLICYHDLDER COPY
PO BOX 420807 SAN FRANCISCO CA 94142-0807
F-LJNO CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE O7-01-20Q7
NF
COMPENSATION
INSURANCE
GROUP
POLICY NUMBER 1697823-2007
CERTIFICATE ID S
CERTIFICATE EXPIRES 07-O1-2008
07-01-20O7/07-01-2008
HOME DEPOT
COMPLIANCE DEPARTMENT
3075 E IMPERIAL HWY STE 100
BREA CA 82331-8752
This r to certify thai we have issued a valid Workers Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund axcept upon JQ days advance written notice to ths employer
We will also give you j0 days advance notice should this policy be cancelled prior lo its normal expiration
This certificate of insurance is not an insurance policy .and does not amend extend or alter the coverage afforded
by tho policy listed herein Notwithstanding any requirement term or condition of any contract or other document
with respect to which this cartificate of insurance may be issued or to which it may pertain the insurance
afforded fay the policy described herein is subject to all the terms exclusions and conditions of such policy
AA*K/Y^*LA~ WlgX>.J+~-S
V^UTHORIZED REPRESENTATIVE^ PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000 000 PER OCCURRENCE
FMPLGYER
CALIFORNIA DELTA MECHANICAL
CALIFORNIA DELTA MECHANICAL,
2500 S POWER RD STF 120
MESA A7 85209
INC DBA
INC
NF
(REV ? 05)PRINTED 06-15-2007
M0408
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