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Home My WebLink About2857 NANTUCKET LN; ; CB061335; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-15-2006 Plumbing Permit Permit No: CB061335 Building Inspection Request Line (760) 602-2725 Job Address: 2857 NANTUCKET LN CBAD Permit Type: PLUM Status: ISSUED Parcel No: 1674722500 Lot #: 0 Applied: 05/15/2006 Construction Type: NEW Entered By: KG Reference #: Plan Approved: 05/15/2006 Issued: 05/15/2006 Project Title: SMILEY RES REPLACE H20 Inspect Area: HEATER Applicant: Owner: CALIFORNIA DELTA MECHANICAL SMILEY MABEL B TRUST 08-27-02 - SUITE #27 - 2857 NANTUCKET LN 12440 OAK KNOLL RD 92064 CARLSBAD CA 92010 866-898-0008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent I $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees . $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DAt(. SIGNATURE_0,W 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 FOR OFFICE USE N Y PLAN CHECK Nó 1/53 EST. VAL. Plan Ck. Deposit Valida• By________________ Date PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 T1ROJECTINFORMA11ON 4 . 2857 NANTUCKET LANE 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 Proposed Use Replace standard water heater like for like Description of Work SQ. FT. # of Stones # of Bedrooms # of Bathrooms [2CONTACT.PERSON(lfWffiiiifrom appliint) 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# Fax # . . OjiifóFOwner ROMEL 2500 S.POWER RD.#120 MESA AZ 480-898-0007 Name Address City State/Zip Telephone# 4EPR0PER1Y.OWNER JANET LALONDE 2857 NANTUCKET LANE CARLSBAD CA 760-729-6425 Name .. Address . City State/Zip Telephone # (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 penalty of not more than five hundred dollars [$500]). California Delta Mechanical, Inc. 2500 S. Power Rd. Suite # 120 Mesa 85209 (480) 898-0007 Name Address City State/Zip Telephone # State License # 811114 License Class C36 City Business License # 1214281 Designer Name - Address City State/Zip Telephone # State License # [6WORKER'S COMPENSATION Workers' Compensation Dedaration: I hereby affirm under penalty of peiury 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. O 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 carder 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) 0 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 are provided for in Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE Romel Maru DATE 04/05/06 - [7:--OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D ! as owner of the property or my employees with wages 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 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). 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 I 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): ' I will provide some of the work, but I 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2of2 [COMPLETE THIS SECTION FOR NONRESIDENflAL BUILDING PERMITS ONLY 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. [8ONSyRUcfloN LENDING AGENCY. •'--. .,. ..-... .,. 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 pPLANfCERTWICA11ON .• .. :., .' - 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 LIABILITIES, JUDGEMENTS, 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 of 5'(r 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 time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE Romel Maru " DATE 04/05/06 WHITE: File YELLOW: Applicant PINK: Finance