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Home My WebLink About2857 AVENIDA HELECHO; ; CB082205; Permit12-08-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB082205 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2857 AVENIDA HELECHO CBAD PLUM 2552813700 Lot# Construction Type GAGE RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/08/2008 KG 12/08/2008 12/08/2008 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner GAGE WILLIAM P III&JULIE L 2857 AVENIDA HELECHO 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 $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 "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 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 N< Est Value Plan Ck. Depositpate ! JOB ADDRESS 2857 Avemda Helecho | SUITE#/SHACEff/UNIT# DESCRIPTION OF WORK Include Square Feet of Affected Area(s) PHASE* I # OF UMTS I * BEDROOM'S I* BATHROOMS 1 TENANT BUSINESS NA'ME Replace existing like for alike water heater ~|COMSrR~rvPF I'OCC GROUP EXISTING USE FROPOSEDUSE 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 califorma(5)deitamechanical com PROPERTY OWNER NAME William Gage ADDRESS 2857 Avemda Helecho CITY Carlsbad PHONE 760-415-3007 EMAIL ARCH/ntSIGNhR NAME & ADDRESS STATE ZIP Ca 92009 FAX STATE I.IC # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# N0| | YES^NOQ YES| | N0| | APPLICANT NAME _ , _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E Baseline road suite #155 STATE ZIPMesa AZ 85206 FAX 480-898-0007 1-858-410 1499 qaliapavlovabg®vahoo com CONTRACTOR BUS NAME California Delta Mechanical, Inc ADDRESS CITY PHONE 6052 E Baseline rd# 155 STATE ZIP Mesa AZ 85206 FAX j 480-898-0007 EMAIL STATE LIC # 811114 ™°c-36 TgmjL&/ (Sec 70315 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 lequires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 ot 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}) •«s Workers' Compensation Declaration / hereby affirm under penalty of perjury 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' compensation as required bv 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 1M7823 Expiration Date 57ISIS5 This section need not be completed if the permit is for one hundred dollars (S100) 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 (8,100,000), in addition to the cost of compensation, damages as provided for in Sertion 3706 of the Labor code, interest and attorney's fees ^CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractors 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 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 I personally plan to provide the major labor and materials for construction of the proposed property improvement I [Yes I JNo 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 work, 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) >£TPROPERTY OWNER SIGNATURE DATE I certify that I have read die application and statethatttie above information iscorreclandttiatthe information on the plans isaccurate I agreeto comply with allCrtyordmaneesand State laws relatngto building construction 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 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 ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 06/09/2009 Permit* CB082205 Title GAGE RES REPLACE WTR HTR Description 2857 AVENIDA HELECHO Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner GAGE WILLIAM P III&JULIE L Remarks Inspector Assignment Phone 7604153009 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By WILLIAM Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Foirm I am applying to the City of Carlsbad for the following type(s) of construction peimit 13 Building Permit D Right-of-Way Permit 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 Criteria* No Threat Assessment Criteria | | 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 Tierl - 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 15 16 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) Tier 3 - 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 | [ 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 No POLICY HOLDER COPY COMPENSATION I N SURANCfc PO. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE [JATF 07 01~?OOB CONTRACTORS STATE LICENSE BOARD WORKERS COMPBN8ATION UNIT PO BOX iBOOO SACRAMENTO CA 9SH2B-Q02S NF GROUP; POLICY NUMBER- 1887823-2008 CERTIFICATE IP, 70 CERTIFICATE EXPIRES 07-01-2009 07-01-8008/07-01-2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 2 DATED 07-01-2008 LIC PERMIT*, 811114 INCEPTION DATE :07-M-2008 DO NF Thi£ n to certify that we have issued » valid Workers' Compensation Insurance policy In e fprni California lr>sui siiRfi Commissioner to the employer named balow for me policy period indicated by the T)vs nollc.y in not rubject to cancellation ijy the Fund except upon 90 days advance written rtntli e to the amptoysr ^/Ve wil( also glvn yoi< 90 rtsys sdi/ance notle? should Unr policy t>« analled prior to its norrrjd1 expiration. ^his rartifioate rvf insi.r»ne» is not an insurance policy and does not amend, extend or altsi- the :pverege afforded1 by tiiR poiiry ii',fed heiein Notwithstanding any requirement, tarm or cqndltlon of any contract or other documentwim respnci to which iliir, cBrflfleate of insurance may be issued or to which it may pertain, the insurance afforded hy the pollry described nersln Is subfect to all tha terms, exclusions and rondltlons of such policy. VX^ilJTHORIZE PRESIDENT EMPLOYER'S STABILITY LIMIT INCLUDINS DEFENSE COSTS- $1,000,000 PER OCCURRENCE. ENDORSEMENT /flfiOO TQDOR KZTCHULKOV P S T - EXCLUDED. ENDORSEMENT #206B ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-2005 IS • ATTACHED TO AND FORMS A PART OF THIS POLICE. f-MPl.OVR CALIFORNIA DELTA MECHANICAL. INC 8OS2 E BASELINE RD STF 195 MESA AZ 8B20S NF JCAM.CS] PRINTED 07-01"2008