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HomeMy WebLinkAbout2745 AVALON AVE; ; CB040304; Permitw' 01 -29-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB040304 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1675630200 Lot #: 0 Applied: 01/29/2004 Reference #: Pian Approved: 01/29/2004 Issued: 01/29/2004 Project Title: LIN RES- COPPER REPlPE Inspect Area: 2745 AVALON AV CBAD Construction Type: NEW Entered By: KMT Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: LIN MICHAEL K&SHlNE 2745 AVALON AVE CARLSBAD CA 92008 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 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 ~~ ~~ ~ Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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. PERMIT APPLICATION CITY OF' CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Pakeb Existing Use Proposed Use cription of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City Statelzip Telephone # (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 provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged ny 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 [$5001). QC CZ G wr-c G/ /N c 11/73 &ce/*, e/ ZI O, CA 9r/zf city State/Zip Telephone # 858 -uo r-/7L3 exz;:&/fl/ * De/&? H Name Address State License # S////Y License Class - 36 City Business License # 1 2 y 28 1 Designer Name Address city StateIZip Telephone 0 I have end 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. @ 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 permit IS Insurance Company c;lci c -e Policy No. \&q%23 Expiration Date d7-o/-' 5/ issued. My worker's compensation insurance carrier and policy number are: 0 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 aecure worken' compensation coverage is unlawful, and shall subject an employer to criminal penakies and civil fines up to one hundred thousand dollars ($100 00 , in addi 'on to the cos /- (THIS SECTION NEED NOT BE COMPLETED IF THE PER~T IS FOR ONE HUNDRED DOLLARS ~siooi OR LESS) compensation, damages aa provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE AA%4-77 G 0 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). 0 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). 0 1. 2. 3. 4. am exempt under Section personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO (have / have not) signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): Business and Professions Code for this reason: 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 1 contractors license number): 5. of work): 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 PROPERTY OWNER SIGNATURE DATE program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 0 YES 0 NO 0 YES 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 Cit) 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. JUDGMENTS, 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 over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Evety 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 period of 18 APPLICANT'S SIGNATURE fi/eJf d? DATE ys (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/11/2004 Permit# CB040304 Title: LIN RES- COPPER REPIPE Description: Inspector Assignment: JM Type: PLUM Sub Type: Phone: Job Address: 2745 AVALON AV Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: LIN MICHAEL K&SHINE Remarks: Inspector: 32. Total Time: Requested By: CD Description iOMEOWNER Entered By: CHRISTINE Act Comment 29 Final Plumbing EG- Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 02/04/2004 24 RougWopout AP JM CWBOK License Detail Page 1 of 2 . License Detail CALIFORNIA CONTRACTORS STATE LICENSE BOARD Contractor License ## 81 1 I1 4 A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is DISC LA1 MER subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. are disclosed. the arbitration. onto the Board's license data base. Per B&P 7071 -17, only construction related civil judgments known to the CSLB Arbitrations are not listed unless the contractor fails to comply with the terms of Due to workload, there may be relevant information that has not yet been entered Extract Date: 01/29/2004 * * * Business Information * * * CALIFORNIA DELTA MECHANICAL INC 2500 S POWER ROAD #I20 MESA, AZ 85208 Business Phone Number: (480) 898-0007 Entity: Corporation Issue Date: 08/01/2002 Expire Date: 08/31/2004 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 161587 in the http://www2. cslb.ca.gov/CSLB-LIBFURY/License+Detail .asp 01/29/2004 License Detail 1s . Page 2 of 2 amount of $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(1): This license filed Bond of Qualifying Individual number 161627 for ANTON DlMlTROV TCHAKAROV in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 07/10/2002 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1697823 Effective Date: 07/01/2002 Expire Date: 07/01/2004 Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request 0 2003 State of California. Conditions of Use Privacv Policy http : //m2 .cslb sa. gov/CSLB-LIBRARY/License+D etail. asp 01/29/2004