HomeMy WebLinkAbout2731 ABEJORRO ST; B; CB072359; Permit09-13-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB072359
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2731 ABEJORRO ST CBAD St B
PLUM
Lot# 0
Construction Type NEW
MISBAH RES- REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/13/2007
LSM
09/13/2007
09/13/2007
Applicant
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner
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
Inspector 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 lo 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 lo 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
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
2731 Abejorro street unit # B
Address (include Bldg/Suite #)
Legal Descnption 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
SQ FT # of Stories
Phase No
Proposed Use
# of Bedrooms
Total # of units
# of Bathrooms
rallfornia Delta mechanical Inc 2500 S Power Rd Suite* 120 Mesa AZ 85209 (480)8980007 (480)8980005
Name
3 APPLICANT H
Galma Pavlova
Name
Jawad Misbah
Name
5 CONTRACTOR
Address
Contractor Q A^'en? for Contractor
2500 S" POWER RD# 120
Address
SAME Carlsbad
Address
COMPANY NAME J_ ^^j^ . .
City
MESA
City
CA 92009
City
State/Zip
^ss^^^CKA^entlfo^Dv
AZ 85209
State/Zip
%£!'!!'!!'!':':
310 701-9243
State/Zip
Telephone # Fax #
" "*™480 898-0007
Telephone #
''W-" •••;.'-Mr...•• • •; -••vW^.-:.
Telephone #
-.-
~*?Hii
TJW
,«fc,.^ ,(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 provision 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 basi= 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 #
frg|»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
[HI 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 /Of?
(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 i rimmal penalties and civil fines up to one hundred thousand
dollars($100 000) in addition to the cost of compensation damages are provided for in Section 3706 of the Laboi Code interest and attorney's fees
SIGNATURE Galma Pavlova _$&f DATE_ 09/07/07
y OWiNiER;WLpERDECLARATIONj.
I hereby affirm that I am exempt from the 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 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 Scile)
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 / addre ss / 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
COMPLETCiTHlS""SECJpN fOK'NON RES/DENTWtmiltDiNGPERIVHTS ONLY •—*"."
Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration for or risk management and prevention program under
Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act9 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
ig^" CONSTRUCTION LENDING AGENCY ^-.^^Pr ^agilfP" ' ' ^ISfe- •. v-r'"" '.' :..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER S NAME LENDER S ADDRESS.
'"9 ..APPLICANTCERTIFICATION .JIP „ ..^.-L,.J... " ...„:.-;••:: ".
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 ove r 3 stones 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 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 penod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT s SIGNATURE Galina Pavlova jtiMy DATE 09/07/07
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 04/14/2008
Permit# CB072359
Title MISBAH RES- REPLACE WTR HTR
Description
Inspector Assignment
2731 ABEJORROST
B Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner
Remarks A M -UNIT A WILL LET YOU IN
Phone 3107019243
Inspector
Total Time
CD Description
25 Water Heater/Vents
Comment
Requested By JAWAD
Entered By KATHY
Comments/Notices/Holds
Cafe aft
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
STATB—— -
POLICYHOLOtft COPT
PO BOX 420807 SAN R*ANC\BCQ,CA 94142-0907
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE ftATft, 07 OH"MJ07 QROUPl
POLICY NUMBEft
CERTIFICATE IDS 8
CERTIFICATE SfP|_RBS 07-?f??W
HDMB DEPOTCOMPLIANCE9075 ECA AL HNV STt 100
Compensation insurance policy in a form appreupd bybrtow for the policy period in«Bc«it«K»
This h m cerflfy that we hatie Isttwrt p validr/iHfoml* ln»urnnri|i Commlwlonw to thB cfnplejer
TNs (tnlloy h not subject te «»ncell«lcn 6y tiie Fun«l
We wttl aho gNi? you 1C <bys «ifvimce netteo
This ftOftlfla-rto of Insuwca Is not an Itmirsnca policy And dMa not imend, extwa or after DID eowageby (he poliay listed haMsta luertwlthsfehdlnfl any rtiqufrwtient, term or condition of iiny corrtrnct or dther documentwith re^pfwt to which tHfa emtlffcolR of fnsurjmoe may On Ixsuad or to which it may partnln, we trwurwec
v th0 poliny rtoscrthflfl hornln l$ g*J«ct to all the terms, axciusiana. and cgnrimons, of auoh policy;
upon 19 days «m/»«:o Mvfi«an notice «> th»
policy be cenesllsd prior to its normal axpfrstioa
FWPLOVER'S UIARlLtTT LIMIT IHCWJB1MB
PKEStDfiNT
COSTS- *1,000.000 PSR
DELTA MECHM4ICAJ.,
CALIFORNIA DELTA IffiOHANZCAL,2300 S POWER RO STP 1*0A?
DBA*
I1MNTED - OS-1B-2007
MQ409
65 /_00Z/SB/i0