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2775 BERKELEY AVE; ; CB061904; Permit
07-03-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB061904 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2775 BERKELEY AV CBAD PLUM 1675633500 Lot #: 0 Construction Type: NEW FENLON: REPLACE WATER HTR. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/03/2006 JMA 07/03/2006 07/03/2006 Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: FENLON PAUL&BETTY 2775 BERKELEY AVE CARLSBAD CA 92010 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 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL 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 6602Q(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 similarJo 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 ". "-^^RCffl^T w^pWftHKJII . • .: . ~* '•' .' ..V 2775 BERKELEY AVE CARLSBAD, CA 92010 FOR OFFICE USE ONLY PLAN CHECK NO.CBg)fel °( EST. VAL. Plan Ck. Deposit Validated By. Date 7/3 JWt 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 SQ. FT. # of Stories Phase No. Proposed Use # of Bedrooms Total # of units # of Bathrooms California Delta mechanical, Inc. 250QS. Power Rd. Suited20 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name ROMEL Address City State/Zip 2500 S. POWER RD # 120 MESA AZ 85209 Telephone #Fax* 480-898-0007 Name Address City State/Zip Telephone # PAUL FENLON 2775 BERKELEY AVE CARLSBAD. CA 92010 760-434-5605 Name Address Cliy State/Zip 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 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* 811 114 License Class C-36 Cftv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone * 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 trie work for which this permit is issued. E 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 PollcyNo. 1697823 Expiration DateJJ7/Q1/06 (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 to unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollara($100,000), In addition to the cost or compensation, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Romel Maru DATE 06/29/06 7. 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). 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 conlractor(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 O 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 / tontractors 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 City of Carlsbad Bldg Inspection Request For: 07/17/2006 Permit* CB061904 Title: FENLON: REPLACE WATER HTR. Description: 2775 BERKELEY AV Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: FENLON PAUL&BETTY Remarks: Inspector Assignment: Phone: Inspector: Total Time: CD Description 25 Water Heater/Vents Act CommentX U Requested By: PAUL Entered By. CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments License Detail Page 1 of 2 California Home Monday, J License Detail Contractor License #811114 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before 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 subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071T17, only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 07/03/2006 Business Information * * * CALIFORNIA DELTA MECHANICAL INC 2500 S POWER ROAD #120 MESA, AZ 85208 Business Phone Number: (480) 898-0007 Entity: Corporation Issue Date: 08/01/2002 Expire Date: 08/31/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * (Class [Description PlUMBINOT * * *Bonding Information * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6060003 in the arr $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 07/03/2006 License Detail Page 2 of 2 SURETY COMPANY OF THE PACIFIC. Effective Date: 03/25/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual i 161627 for ANTON DIMITROV TCHAKAROV in the amount of $7,500 with the bonding cc 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: 07/01/2007 Personnel List •License Number Request •Contractor Name Request I Personnel Name Request: _-: 1 • '~'~—_ — 1 • _ zz: I Salesperson Request I Sa jesperson Name. R_eguest © 2006 Slate of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB JJBRARY/License+Detail.asp 07/03/2006