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Home My WebLink About2855 NANTUCKET LN; ; CB053377; PermitCity of. Carlsbad .4 1635 Faraday Av Carlsbad, CA 92008 09-26-2005 Plumbing Permit Permit No: CB053377 Building Inspection Request Line (760) 60272725 Job Address: 2855 NANTUCKET LN CBAD Permit Type: PLUM Parcel No: 1674722200 Lot #: 0 Construction Type: NEW Reference #: Project Title: DEA RESIDENCE WATER HEATER REPLACEMENT Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/orVent Gas Piping System / .Vacuum Breaker. J Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees ( TOTAL PERMIT FEES Total Fees: It'CRPORATED / $27.00 (Total Payments To Date:952 $27M0 Balance Due: $0.00 \ - - / P I R E D"P ERMT 1 tIAS EXPIRED IN ACCORDANCE WITH C.R.C. 106.4.4 AS AMENDED TY Ci.C.814.O3O DAlE_&-,ISlGNATUREaeL - FINAL APPROVAL Inspector: 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 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 orevioustv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. Status: ISSUED Applied: 09/26/2005. Entered By: MDP Plan Approved: 09/26/2005 Issued: 09/26/2005 Inspect Area: 0 0 Owner: DEA MICHAELS-,,, 2855 NANTUCKET LN - CARLSBAD CA 92008 $20.00 0.00 (k7 nnk 17 $6.00 $0.00 -$0.00 $0.00 $0.00 $27.00 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 PROJECT INFORMATION 2855 NANTUCKET LANE CARLSBAD, CA 92008 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 # Existing Use Replace standard water heater like for like - Proposed Use Description of Work. SQ. FT. # of Stories 4 of Bedrooms # of Bathrooms Ji -EbONTACT-11 $J ' 1 California Delta mechanical, Inc. 2500 S. Power Rd. Suite #120 Mesa AZ 85209 (480) 898-0007 (480) 898.0005 Name . Address City State/Zip Telephone 4 Fax 4 J3.—'APPL1CANT- 3, OOwner OAitfOwner- Name Address City State/Zip Telephone U .PROPERrfoWNER1 MICHAEL DEA 2855 NANTUCKET LANE CARLSBAD, CA 92008 760-855-5024 Name Address City State/Zip Telephone U (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 penally of not more than five hundred dollars [$500]). California Delta Mechanical, Inc. 2500 S. Power Rd. Suite # 120 Mesa 85209 (48 0) 898-0007 Name Address City State/Zip Telephone U State License 4 811114 License Class C36 City Business License # 1214281 Designer Name Address City * State/Zip Telephone U State License # 16WORKER'SCOMPENSA11ON ': Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. Il 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 Policy No._1697823 Expiration Date 07/01/06 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) - E3 CERTIFICATE OF EXEMPTION: I certify that in the perform ce 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 C lifomia., WARNING: Failure to secure workers' compensa co a - nla I, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to the coat of compe a to a a reip ovided for In Section 3706 of the Labor Code, Interest and attorneys fees. SIGNATURE Romel Maru DATE 09/20/05 [7.OWNER.BUILDERDECLARA11ON''4 ' 2:,' I hereby affirm that I am exempt from the Cont s Lice e for the following reason: Cl I, as owner of the property or my employees th ges 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 aw 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). O 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). O I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0 NO I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address! phone number! contractors license number): - 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 / /ontractors license number): S. I will provide some of the work, butt 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 jP ' - .. PERMIT APPLICATION' - ..• CITY OF CARLSBAD BUILDING DEPARTMENT. 1635Faraday'Ave., Carlsbad CA 92008 Page 2 of 2 [COMPLETE THIS SECTION FOR NONRESIDENflALBUILDING'PERMITSONYFI iJ ;4; •- I - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under - Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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. [8CONSTRUC1ION LENDING AGENCY Lj rfr i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(l) Civil Code). LENDER'S NAME • '- -' - ' LENDER'S ADDRESS 9APPLCANT4 t -4 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 authorize 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 UABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF ThIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0 deep and demolition or construction of structures over 3 stories in height. . EXPIRATION: Every perfnit issued by the building Official under the provisions ófth 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 As 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 1 .4 nifo - ing C e). - APPLICANTS SIGNATURE Romel Maru DATE 09/20/05 - - •. . • , . ' • - . .1 - 4 , ' - . '' ' . ' - WHITE: File YELLOW: Applicant - PINK: Finance