HomeMy WebLinkAbout2866 ANDOVER AVE; ; CB102500; Permit12-21-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB102500
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2866 ANDOVER AV CBAD
PLUM
1674801844 Lot#: 0
Construction Type: NEW
KANEVSKY RES REPLACE WTR HTR
Status: ISSUED
Applied: 12/21/2010
Entered By: KG
Plan Approved: 12/21/2010
Issued: 12/21/2010
Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner:
KANEVSKY RAISA&POCHEPTSOV LEONID
2866 ANDOVER AVE
CARLSBAD CA 92010
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', o - •,..,.•••••"
'•.*'•;'. ' i;'': ''' :: ,' ",'• •'- - -:;
$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: 2 It Clearance:
NOTICE: Please take NOTICE thatapproval of your project includes the "Imposition" of/fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Ycynave 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
16?5 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check
Est. Value
Plan Ck. Deposit
Date
7JOB ADDRESS 2866 Andover street SUITE#/SPACE*/UNIT#
CT/PROJECT #PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE P
CONTACT NAME (If Different Fom Applicant)
ROPOSED USE GARAGE (SF)
California Delta Mechanical
ADDRESS 6052 East Baseline rd
CITY
Mesa
PHONE
480-898-0007
STATE
AZ
#155
ZIP
85206
FAX
1-480-218-5645
EMAIL
caiifornia@deltamechanical.com
PROPERTY OWNER NAME Raisa Kenevsky
ADDRESS
2866 Andover street
CITY
Carlsbad
PHONE
760-964-4883
STATE ZIP
Ca 92010
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF)DECKS (SF)
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
FIREPLACE
YES|~~|# N0| |
AIR CONDITIONING
YES | | NO | |
FIRE SPRINKLERS
YES | |NO|
Galina Pavlova
6052 E. Baseline
Mesa
STATE
858-361-6495
FAX
road suite # 155
AZ
ZIP
85206
1-858-410-1499
gaiiapav!ovabg@yahoo.com
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
California Delta Mechanical
6052 East Baseline rd # 1 55
Mesa
480-898-0
STATE
007
AZ
ZIP
85206
FAX
EMAIL
STATE LIC.#
811114
CLASS
c-36
CITY BUS. LIC.#
1214281
(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 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}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Lill 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.
LLJ 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. 1897KB ^___ Expiration Date 07(0112011
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I/I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
£$ CONTRACTOR SIGNATURE ///fs& DATE /J? //^ //
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 uf 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 I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I INO
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):
^PROPERTY OWNER SIGNATURE DATE
s the applicant or future buildir|g 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
Dresley-Tanner Hazardous Substance Account Act? FHYes flNo '
s the 30plicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I JYes I I No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes PlNo
F ANY OF THE ANSWERS ARE YES,/ ~
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
.ender'sName Lender's Address
GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
)SHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
iXPIRATION: 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
80 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 />'/^T DATE
City of Carlsbad Bldg Inspection Request
For: 02/16/2011
Permit* CB102500
Title: KANEVSKY RES REPLACE WTR HTR
Description:
Inspector Assignment:
2866 ANDOVER AV
Lot:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
OWNER KANEVSKY RAISA&POCHEPTSOV LEONID
Owner: KANEVSKY RAISA&POCHEPTSOV LEONID
Remarks: a m please
Total Time:
CD Description
25 Water Heater/Vents
Act Comments
Phone: 7608288182
Inspector:
Requested By: IRENA
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
Adoo isaa
OUOYHOI.DF.f-M'.Or'Y
STATF I'.O. HUX 47.0HOV. SAM IMAMCIS. - OflOV
r.ATR Of WORKPRfi' COMPENSATION INSURANCE;
I '-'.Mil IVi |l >'•• !>! '•'!)•!>COMCV A'ff- »>: 203
Am FXPtRf-S: 07-61- SOU
07 01 -9.0 10/07 01-2011
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