HomeMy WebLinkAbout2747 ABEJORRO ST; ; CB071323; Permit05-11-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB071323
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2747 ABEJORRO ST CBAD
PLUM
2153200901 Lot# 0
Construction Type NEW
LEDBETTER RES-REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
05/11/2007
LSM
05/11/2007
05/11/2007
Applicant
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner
BURTON MIKE W&VALERIA I
P O BOX 3694
CONROETX 77305
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
0
0
0
01
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
FINAL.ARBRO
Date Ill-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 Jimitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave, Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
2747 Abcjorro str
Address (include Bldg/Suite#)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel tt Existing Use
RepldLe standard water heater like for like
Proposed Use
Description of Work SO FT # of Stones # of Bedrooms # of Bathrooms
12.
California Delta mechanical Inc 2500 S Power Rd Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005
Name
jSl^V APPLICANT V ET
Gal ma Pavlova
Address
2500 S POWLR RD
City
^^!ii,q1 20 MESA
State/Zip
AZ 85209
Telephone #Fax#
480-898-0007
Name Address
[4? " PRQPERTYjOWNER^flf "^h^llAlX
JillLedbctter 2747 Abejorro str
City
Carlsbad
State/Zip
CA 92009
Telephone #
760-310-9117
Name Address City | State/Zip Telephone**
,8. ^ CONTRACTOR^ COMPAQ NAME V f >&£„ ^ I, ^ ,^>tT, I S'J'-. 1 xk /** 1,! '','„ i<"7 •>"'', "^ffi,. ! , ? ^li^ll"' \ ^U'h!,'' Ul'?'C ^iCC," Ilk P"(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 #
D
for which this permit is issued
0 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 earner and policy number are
Insurance Company State Compensation Insurance Fund Policy No 1697823 _ Expiration Date 07/01/07 _
(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
doliars(£100,000), m addition to the cost of compensaton^dajM^S are provided for in Section 3706 of the Labor Code, interest and attorney's fees
SIGNATURE __ Galma Pavlova ^^* DATE_5/8/07 _
7.J ^ OWNER^UILDER DECLARATION
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 sale)
n 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 contractors) licensed pursuant to the Contractor s
License Law)
0 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 /
/ontraciors 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
COMPLE11ETH1SSECTIQN FOR NON-XESiDEMMll BOILDJNG^RMITS ONLY $f2<^\t "^t( jHv ™& V'WSv A' 11V'ifhJ!?'!™, 'I' L!! Ift'lfe It'^il«ffl'i'iVffiil
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration far or risk management and prevention program under
Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
<&$ cG^ueTiQN LINMNG A6a*cY;;;j; ^i^], ^ 'yJHI'ls V! <' il If if:"!«' Is J i ^ >*!'!S ';,"h,'J << $ ,v I1L!Lla ^*i&* f i?'/ ^'"Ttlf I Ui^l^'" Wn T*
I hereby affirm that there 15 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' '
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
OSHA An OSHA permit is required for excavations of 5 0 deep and demolition or construction of structures over 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 period of 180 days (Section 10644 Uniform Building Code)
APPLICANTS SIGNATURE Galma Pavlova ^^^7 DATE 5/8/07
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 05/17/2007
Permit* CB071323
Title LEDBETTER RES-REPLACE WTR HTR
Description
2747 ABEJORRO ST
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
OWNER BURTON MIKE W&VALERIA I
Owner BURTON MIKE W&VALERIA I
Remarks
Inspector Assignment
Phone 7603109117
In spec
Total Time Requested By JILL
Entered By JANEAN
CD Description
25 Water Heater/Vents
29 Final Plumbing
Act Comments
Mo , Ci
Mo Cftfk? OKI
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Dale Description Act Insp Comments
corr
STATE PO BOX 4?ow?t SAN FRANOSCQ.CA 941 42-0807
CBRTfPlCATS OP WORKERS' COMPENSATION INSURANCR
HOWE
K XMPEVtm HHY 3TF. 10Q
Thh h to cm my fttt w* h^n l«u«d » vrtri Worlcwft' Comwiwrtoh fcwi POlov "« >Wrnv*t)
> th» omplnv*r namad
in
tn n-n-iw^ hv th
to IK
of !n«u^c« ft not «i IMUT^HP pollcv nmj ctoM not
Uir pnney H«ii iwrtln, Notwl^wndlna ** rnqiflrflmBnt, ijjjn i or *
PRESin|1NT
OTUOVRft'ft 1 t^tUTY WWT INCUmim WfBWR CflBTS: $1,000,000 PEfi
oven
a