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Home My WebLink About2808 AVENIDA VALERA; ; CB090409; Permit03-11-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090409 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2808 AVENIDA VALERA CBAD PLUM 2164600600 Lot# 0 Construction Type NEW ALLEN RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/11/2009 KG 03/11/2009 03/11/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner ALLEN DON A&FAMIR S 2808 AVENIDA VALERA CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Oti-ier 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 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 'tees/ex&ctions 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 City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 Building Permit Application Plan Check Est. Value Plan Ck Deposit I JOB ADDRESS 2808 Avenida Valera CT/PROJECT #PHASE # |¥OFUMTS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS I TENANT BUSINESS NAME DESCRIPTION Oh WORK Include Square Feet of Affected Area(s) Replace existing like for alike water heater A-CONSTR TYPE TOCC GROUP EXISTING USE F ROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) _ .- _ .. .« , ..California Delta Mechanical Inc. ADDF ESS 6052 E Baseline road suite #155 CITY Mesa PHONE 480-898-0007 STATE ZIP Az 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical com PROPERTY OWNER NAME Don Allen ADDRESS Same as site CITY Carlsbad PHONE 760-918-0189 STATE ZIP CA 92009 | FAX i EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# N0| | YESQNOQ YES| | N0[ | APPLICANT NAME _ . _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite # 155 STATE ZIP Mesa AZ 85206 i FAX 480-898-0007 1-858-410-1499 qaliapavlovabg@yahoo com CONTRACTOR BUS NAME ICalifornia Delta Mechanical Inc | ADDRESS CITY PHONE 6052 E. Baseline road suite # 1 55 \ STATE ZIP Mesa Az 85206 [FAX 480-898-0007 | | EMAIL | STATE LIC #CLASS CITY BUS LIC # ] 811114 C-36 (Sec 70315 Business and Professions Code Any City o ..applicant for such permit to file a signed statement that heBusiness and Professions Code) or that he is exempt therecivil penalty of not more than five hundred dollars ($500))applicant to a Workers' Compensation Declaration / hereby affirm under penalty of penury one of the following declarations L/J 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 L£J I have and will maintain workers' comDensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co Policy No 1697a23 Expiration Date 8a3"31 This section need not be completed if the permit is for one hundred dollars ($100) or less I/I Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for infection 3706 of the Labor code, interest and attorney's fees J&$ CONTRACTOR SIGNATURE ^K/t/(S\ DATE I hereby affirm that I am exempt from Contractors License Law for trie following reason | | 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 Contractors 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) I I 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) | I 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 [~~lYes I INO 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 / contractors' license number) 4 I plan to provide portions of the wort but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors 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 / type of work) -4ETPROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf I [Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjuality management district' Qves I I No Is the facility to be constructed within 1 000 feel of the outer boundary of a school site? I lYes [_]NO IF ANY OF THE ANSWERS ARE YES, /" EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender s Address I certify that I have read the application and statettiatttieabove information is correct and thatthe information on the plans is accurate I agreetocomply with all City ordinances and State laws relatingtobuildmgconstiiiction I hereby authorize representative 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 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 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 tme after the work is commenced for a period of 180 days (Secton 105 4 4 Uniform Building Code) J&?3 APPLICANT'S SIGNATURE A DA1E ...J Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit D Building Permit D Right-of-Way Permit QMy project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria4 No Threat Assessment Criteria I | My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tier 1 - Low Threat Assessment Criteria | | My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 1516 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) TierS - Significant Threat Assessment Criteria I I My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or I | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, | | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Project Address Assessor Parcel No Owner/Owner's Authonzed Agent Name Owner/Owner's Authonzed Agent Signature City ConcWfence ^ES D NO Title Date City of Carlsbad Bldg Inspection Request For 04/06/2009 Permit* CB090409 Title ALLEN RES REPLACE WTR HTR Description Sub Type Inspector Assignment 2808 AVENIDA VALERA Lot 0 Type PLUM Job Address Suite Location OWNER ALLEN DON A&FAMIR S Owner ALLEN DON A&FAMIR S Remarks am is good Total Time Phone 7609180198 Inspector Requested By DON Entered By KATHY Act CommentsCD Description 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments H;:AM POLICY HOLDER COPY NF PC BOX 420807, SAN FRANCISCO.CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPBNSATIONIN SURANCB ISSUE DA.TF O7 O1-9OOH CONTRACTORS STATE LICENSE BOARD WORKERS COMPBMSATIfm UNIT PO BOX 28000 SACRAMENTO CA 9S82B-002S NF GROUP: POLICY NUMBER- 1667823-2003 CERTIFICATE ID; 70 CERTIFICATE EXPIRES 07-01-2008 07-01-2008/07-01-200* THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE * 2 DATED 07-01-2O08 LIC PERMIT*, S1111H INCEPTION DATE :07-M-2004 00 NF ]"hi* is to certify that w* have issued « valid Workers' Compensation Insurance policy In a form atprovad by theCalifornia Insui imr-fi Commissioner lo th« employer named bslow for the policy period indicated Tins policy ,r, not -ubjftct to cancellation t?y lh« Fund axoept upon 30 days aduanee written nntli a to trie amployar Wo will afso (jivn you 30 rinyj isdvance notice should th« policy be cancelled prior to its normn1 expiration. rhis rnrtifirato of mjiranr* is n6t an insuranco policy and does not amend extend or alttt the :over»ge affolded by tha noiiry d'fed hciem Natwittrjtsndina any requirement, tarm or condition of any contract «r other documentwith rn<>ppr.i to whirl) Ihir, nrartifical^ of insurance may be issued or to which it may pertain, the Insurance hy #\n policy described Persm Is subject to all tho terms, exclusions, and conditions, of such policy. r^\*UY^B-O^ JTHOR1ZFD RFF>RE$ENTATI\te.,J PRESIDENT ITABILITY LIMIT INCLUDING DEFENSE COSTS' 41,000,000 PER OCCURRENCE. ENDORSEMENT /ClSOf) - TODOR KITCHULKDV P S T - EXCLUDED ENDORSEMENT #2086 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-0<-20O5 IS •ATTACHED Tft AND FORMS A PART OF THIS POLICY. FMPI OYE9 CALIFORNIA DELTA MECHANICAL., 8092 E BASEUNE RD STR 1H5 MESA AZ 86209 INC NF (RKU 2 OR) fCAM.CS] PRINTED 07-01-2008