HomeMy WebLinkAbout2808 FAIRFIELD AVE; ; CB070482; Permit02-21-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA^ 92008
Plumbing Pefmlt Permit No: CB070482
Building inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2808 FAIRFIELD AV CBAD
PLUM
1674802114 Lot#:
Construction Type:
LIFF RES REPLACE WTR HTR
0
NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/21/2007
KG
02/21/2007
02/21/2007
/Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 0/V< KNOLL RD 92064
866-898-0008
Owner:
LIFFALEX&EUGENIA
PO BOX 3733
RANCHO SANTA FE CA 92067
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
1
0
0
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$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 APPROVAL
Date: oO ^Clearance:
NOTICE: Please take NOTICE ttiat approval of your project includes the "Imposltloh" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions.' You have 90 days frorn the date this perrnit 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 fie the protest and any other required Infomatlon with the City Manager for
processing In accordance with Carlst)ad Municipal Code Section 3.32.030. FaUure to Bmely follow that procedure will trar any subsequent legal action to attack,
review, set aside, void, or annul ttiek knpositlon.
You ate hereby FURTHER NOTIFIED that your right to protest the spedfled fees/exactions tXlES NOT APPLY to water and sewer connection fees and capacSy
changes, nor planning, zoning, grading or other similar application processing or service fees In connection with thfe project. NOR DOES IT APPLY to any
fees/exactions of which vou have orevlouslv been given a NOTICE similar to this, or as to which the statute of limitations has orevlouslv otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PROj^ 1
2808 Fairfield ave.
Plan Ck. Deposit^
ValkJated By.
Date
FOR OFFICE USE ONLY
PLAN CHECK N
EST. VAL.
Address (Indude BIdg/Surte #)Business Name (at this address)
Legal Descnpbon Lot No.Subdivision Name/Number Unit No.Phase No.Total # of untts
Assessor's Parcel #Exisbng Lisa Propoaed Use
Replace standard water heater like for like
Description of Worit SQ. F=T.# of Stories # of Bedrooms # of Bathrooms
2. CO^ACT PH?SpN (H dJffarent.tronLSBPll^jm^
Califotnia Delta mechanical, Inc. 2500 8. PowerRd. Suite# 120 Mesa AZ 85209 (480) 898-0007 (480)898-0005
Name Address City State/Zip Telephono#Fax#
3. APPUCANT E Contractor.13 Agent for Contractor □ Agent forOwfier
(jaliiia Pavlova 8949 Lombard pi #413 San Dieeo CA 92122 858-361-6495
Name Address City State/Zip Telephone#
4. PROPERTYOWNER
Vitalv LifF 2808 Fairfield ave. Carlsbad CA 92010 760-729-8911Name Address City Stata/Zlp Telephone#
6. COtnKACldR-COMPANY NAIK ~ "(Sec. 7031.5 Business and Professlona Code: Any City or County which requires a perrnrt to construct, alter, improve, demoBsh 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 ttie provisions of ttie Contractor's License Law [Chapter 9, commending withSection 7000 of DIvWon 3 of ttie Buslnoss and PnofessKins Code] or ttiat he is exempt therefrom, end the basis for ttie alleged exemption Any violation of Section 7031.5 by
any appTicant for a permit suti)ects ttio applicant to a cnni penalty of not more than five hundred dollars [J500]).
California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 (480) 898-0007
Name
State License # 811114
Address
License Class C-36
City State/Zip
City Business License # _
Teieptxjne 1
1214281
Designer filame Address City State/Zip Telephone#
State License#
8. WORKER'S COUP^t^TlON "
Woftofs' ComporBabon Declaration; I hereby affirm under pon^ of perjiay one of ttie follovring dedarahons:
□ 1 have and win maintain a certificate of consent to setf-insure for workers' compensabon as provided by Secbon 3700 of ttie Labor Code, for ttie perfdrmanca of ttie work
for which this perrrkt is issuedS 1 have and will maintain worker's compensation, as reqiired by Section 3700 of ttie labor Code, for tfie performance of the work for which this permit Is Issued. My
worker's compensabon Insurance carrier and policy numtier are:Insurance Company State Compensation Insurance Fund PoicvNo 1697823 Exoirabon Date 07/01/07
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS [$100] OR LESS)
□ CERTIRCATE OF EXEMPTION: I certify brat In ttie performance of ttie work for which ttiis permit is issued, I shaD not employ any person In any manner so as to
become sul^ect to ttie Workers' Compensation Laws of Califbmia
WARNINQ: Fslhjre to secure workers' compensation coverage Is unlswhil, and shib subject sn employer to crimkril paniitles and clvl] tines up to one hundred thousanddollarB($100,000), In addition to ttie cost of compensstlon, dama|mu^^ovlded for In Section 3706 of the Libor Code, krterest snd sttomey's fees.SIGNATURE Galina Pavlova DATE 02/19/077. " OllW^lBUKJgRlteCiJtRATlOW ) '
i hereby afflmn tlirt I am exempt from the Contractorisljiinse Law^or thofolowing ra^n: " ~ ~ "
□ I, as owner of ttie property or my employeee with wages as tfieir sde compensation, will d the work arxJ ttie structure Is not Intended or offorad for sale (Sec. 7044,
Business and Professions Code: The Contractor's Lconse Law does not apply to an owner of property who btilds or improves ffretocn, arxl who does such work himself or
through hie own employees, provided ttiat such improwemonts are not Intended or offered for sale. If, however, the building or improvement is sold within one year of
compiotlon, the owner-btider will have ttie burden of proving ttiat he ifd not bulkJ or Improve for ttie purpose of sale).
□ I, as owner of ttie property, am exclusively contracbng with Rcensed contractors to construct ttie project (Sec, 7044, Business and Professions Code- The Contractor's
Liconso Law does not apply to an owner of property who builds or improves ttiereon, and contracts for such prpiects with conlractof(8) licensed pursuant to ttie Contractor's
License Law).
□ I am exempt under Secbon Business and Professions Code for tins reason
1.
Z
3.
I personally plan to provide the major labor and materials for constnxlion of ttie propoeed property Improvement □ YES □ NO
I (have/have not) signed an appScalion for a bulding permit for the proposed work,
1 have contracted with the follcwing person (flrni) to provide ttie proposed constnicbon (indude name / address / phono number / corkractors liconso number):
4. I plan to provide porbons of ttie work, but I have hired ttie following person to coorSnate, superviso and provido ttie mqjor work Ondudo name / address / phono number /
/ontractora (cense number):
6. I will provide some cf the work, but I have contracted (hired) ttie follcwing persone to provide the work Indicalod (Indude name / address / phono number / typo of work).
PFiOF>ERTY 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
COMPLETC THK SECTON BUfLDING"rtlWITSlOliltY
Is the applicant or fututa buildng occupant required to submit a business plan, aixitely hazardous materials registration for or nsK management and prevention program urvfer
Sections 25505, 25533 or 25534 of the Pieslay-Tanner Hazardous Substance Account Act? □ YES □ NO
is the applicant or future bdkfng occupant required to obtain a permit from the air pollution control district or air quaSty management dstnct? □ YES □ NO
Is the facility to be constructed wltftin 1,000 feet of ttie outer boundary of a school site? □ YES □ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUJREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTTON CONTROL DISTRICT.
8," CONSTRUCTION LENDING AGENCY
I hereby affirm that ttiore IS a construction lentSng agency for ttie perfomiarK* of the work for wtiich this permit is Issued (Sec, 3097(1) Civii Code).
LENDER'S NAME LENDER'S ADDRESS
,9. APPUCANT CQrnFICA"nON.I certify that I have le^ the applicatiOT and state tfiat ttie above Infonnation is conect and that the Information on the plans is accurate. I agree to comply with ail City
ordnances and State laws reamg to building construction. I hereby auttxxize represerkatives of ttie City of Carisbad to enter upon ttie above mentioned property fOr inspection
purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABtLTTIES, JUDGEMENTS, COSTS AND
EXPENSES WHKH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An GSHA permit is required for excavations of S'O" deep and demolttion or construcbon of structures over 3 stories in height
EXPIRATION: Every permit issued by ttie building Offtaai under ttie provisions of ttiis Code sheil expire by limitation and become nuil and void if ttie building or work auttiorizedby such permit Is not commenced wittiin 180 days from ttie date of such permit cr If ttie building or work auttiotized by such permit Is suspended or atjarxloned at any time afterthe work is comnier*»d for a period of 180 days (Section 108.4.4 Unifomi Building Code).
APPLiCAt4rS SIGNATURE DATE 02/19/07
WHITE; File YELLOW: Applicant PINK: Finance
City of Carlsbad BIdg inspection Request
For 03/01/2007
Permit# CB070482
Title: LIFF RES REPLACE WTR HTR
Description:
Sub Type:
2808 FAIRFIELDAV
Lot 0
Type: PLUM
Job Address:
Suite:
Location:
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner: LIFF ALEX&EUGENIA
Remarks: ABMIBHEggg
inspector Assignment
\tcn ^
Phone: 8585091522
inspector: (Vj ^
Total Time:
CD Description
25 Water HeaterA/ents
Act Comment
Requested By: VICTOR
Entered By: CHRISTINE
Comments/Notices/Hoids
Associated PCRs/CVs Original PC#
inspection History
Date n ' Description Act Insp Comments