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HomeMy WebLinkAbout2830 AVENIDA VALERA; ; CB100020; Permit01-06-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100020 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2830 AVENIDA VALERA CBAD PLUM 2164601600 Lot#: 0 Construction Type: NEW DAY RES- REPLACE WTR HTR Status: ISSUED Applied: 01/06/2010 Entered By: LSM Plan Approved: 01/06/2010 Issued: 01/06/2010 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: DAY FAMILY TRUST 07-01-06 2830 AVENIDA VALERA CARLSBAD CA 92009 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 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 mus: 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 No. (26 [O Est. Value Plan Ck. Deposit Pate t \ ^ ( JOB ADDRESS 2830 Avenida Valera SUITE#/SPACE#/UNIT# CT/PROJECT #PHASE » # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) _ ... .California Delta Mechanical Inc. ADDRESS 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 Lary Day ADDRESS 2830 Avenida Valera CITY Carlsbad PHONE 760-476-0441 STATE ZIP CA 92009 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESQ* N0| | YEs|~~]NOn YES[~|NOr~~] APPLICANT NAME _ .. _ ,Galina Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite # 155 STATE ZIP Mesa Az 85206 FAX 858-361-6495 858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME . .California Delta Mechanical Inc. ADDRESS CITY PHONE 6052 E. Baseline road suite # 1 55 STATE ZIP Mesa AZ 85206 FAX 480-898-0007 1-866-692-5275 EMAIL STATE UC.#CLASS CITY BUS. LIC.# 811114 c-36 (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 re, -lires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars {$500}). 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 ssued. L/J 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 issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date tmm This section need not be completed if the permit is for one hundred dollars ($100) or less. [/] 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 dollars (&100,000), in addition to the cost of compensation, damages as provided fjt in Sectipn 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the 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 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). 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 am exempt under Section ___ Business and Professions Code for this reason: 1 . 1 perconally plan to provide die major labor and materials for construction of the proposed property improvement. | |Yes 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 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 / contractors' license number): 5. 1 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): xgfpROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? | |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? I JYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? r~lYes I INO EMERGENCY SERVICES AND THE MR POLLUTION CONTROL DISTRICT. ^^W^WaSi^Sg^gi^S'^^ ,>i> VPsPlpIPp^ 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 tflat I have read the application and state tiiat ttie above information is correct and thatthe information on the plans is a<x«i^. I agree to comply with all City oidinancesand State laws relating to buildingconstniction. 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 Or 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 50' deep and demolition or construction of structures over 3 stories 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 ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/17/2010 Permit* CB100020 Title: DAY RES- REPLACE WTR HTR Description: Inspector Assignment: 2830 AVENIDA VALERA Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER DAY FAMILY TRUST 07-01-06 Owner: DAY FAMILY TRUST 07-01-06 Remarks: A M [PLEASE Total Time: CD Description 25 Water Heater/Vents Act Comments Af Phone: 7604760441 Inspector:V" b£* Requested By: LARRY Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments •'>:>'. ?). jiiii') iM'MM ;;TEVF N°- 1066 P. i UPMUCVmUMR COPY STATK PO BOX 42080?. SAN FRANCISCO,CA 94142-000? COMPENSATIONIN S U R AMC« FUND CBRTIFICATB OP WORKWW COMWIWATION IMSUrUNCB MSUf DATE: 0? <M-MO« JJJ^f NUMBER iMTatt-aOOli £•» 07-0,-tOlO 1/07-01-1010 HOME DEPOT OOMPLIMMt3078 e HPHMAL HWV STn too This is to Certify »hm w« h«v« i«*u«d « villd WorKw*1 CompanwMon Iwurinca pottey in « form ipprovtd by tn» c»itfnrni» insurance Oflmmlsslonw to th« wnployw n«m«d b«tew for 4h* policy This pminy is not iuhjitfit to c»«o«ll«»on fey *» Fund »xe«pt upon «o ^'V* •*'*«'• written nctlca to th8 ampteyer. w« will xlflo give you 3Q rttys «<tv*ne* notle* *houW thta polley b« cwc«l!<id prior to la norm*l axplritton. of in«uf»nc« l» net m Intumri** poMey ««» *»« not «m*«t »xt«nd or *ltw tf» eowm«» «ffordtc( hy ttiR peiioy lintnd hertlft NotwIthttwrtlBO *w r«qutr»n»nt twm or condition of any contract or othw docwrwnt with rffuptet tn whfoh thit c«n!flc«t« of "n»ur»ne» m«y be iMucd or to «wntcn ft m«y p«n*n, th* iniurmce «fforrt*ri by th« policy cfesermari h«rsln I* subject to *« tl» ttrirw, •xctattont, «nd conoWorw. of «och policy. ;D REPftPSfiNTATMLJ PR68ICMWT RMPLOYEft'S t,lA!ILtTY LIMT INCLUDING OtPflNM BOtTS: $1,000.000 P8R OCCUPJfNCt. #i«00 - TODOft KITOHUUOV P. S T - IXCLUDB6. S2QII WfTITLIO CIRTIP1WTI HOLDtW MOtlCf IPreCTZVI 07-6«-«»8 IS ATTACWB TO AND FOMK A PART Of THIS POLICY. f-MPLOVER MD410