The URL can be used to link to this page

Home My WebLink About2884 CAMINO SERBAL; ; CB091023; Permit06-22-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091023 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2884 CAMINO SERBAL CBAD PLUM 2552830100 Lot #: 0 Construction Type: NEW CODIGA RES REPLACE WTR HTR Status: ISSUED Applied: 06/22/2009 Entered By: KG Plan Approved: 06/22/2009 Issued: 06/22/2009 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: CODIGA FAMILY TRUST 10-03-00 2884 CAMINO SERBAL 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 Otner 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 s Inspector!,- FINAL APPROVAL Date: 7^0^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 No. Est. Value Plan Ck. Deposit JOB ADDRESS 2884 Camino Serbal SUITE#/SPACE#/UNIT# CT/PROJECT »PHASE # # OF UNITS * BEDROOMS # BATHROOMS ["TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater CONST ^ TYPE | OCC. GROUP 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 AZ ZIP FAX 1-480-218- 85206 5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME Richard Codiga ADDRESS 2884 Camino Serbal CITY Carlsbad PHONE 760-634-6958 STATE ZIP CA 92009 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. * PATIOS (SF)DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL FIREPLACE YES[~)# NO|~~1 AIR CONDITIONING FIRE SPRINKLERS YES | |NO| | Galina Pavlova 6052 E. Baseline Mesa STATE 480-898-0007 FAX road suite # 1 55 az ZIP 85206 1-858-41CI-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME ADDRESS CITY PHONE California Delta Mechanical Inc. 6052 e. Baseline STATE Carlsbad 480-898-0007 road suite #155 AZ ZIP 85206 FAX EMAIL STATE LIC.#811114 CLASS c-36 797^2 £•/ (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 'equires 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 tie 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: I* 11 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 t;s' "3d.mLLJI 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 workere' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date °80"31 This section need not be completed if the permit is for one hundred dollars ($100) or less. I/I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. J£$ CONTRACTOR SIGNATURE / 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 cffered 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: 1.1 personally plan to provide the major labor and matenals for construction of the proposed property improvement. I [Yes I |NO 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): x€$"pROPERTY 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? I I 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? d^es I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I |Yes llNo IF ANY OF THE ANSWERS ARE YES,/' EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 that I have read Hie application and state that Hie above information is correct and that the information on the plans is accurate. I agree to comply with all City oidinances and State laws relaflngto building consttuction. 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 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 5'0' 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 Storm Water Compliance Exemption Form am applying to the City of Carlsbad for the following type(s) of construction permit: D Building Permit Q Right-of-Way Permit CD My 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 I | 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 drain 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 I [ 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. Project Address:Assessor Parcel No. Owner/Owner's Authorized Agent Name: City of Carlsbad Bldg Inspection Request For: 07/20/2009 Permit* CB091023 Title: CODIGA RES REPLACE WTR HTR Description: Inspector Assignment: 2884 CAMINO SERBAL Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER CODIGA FAMILY TRUST 10-03-00 Owner: CODIGA FAMILY TRUST 10-03-00 Remarks: Phone: 760 Inspect Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: RICHARD Entered By: JANE AN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ).1535 P. POLICYHOLDER COPY STATsl po BOX 42030?, SAN FRANCISCO,CA 94U2-oso7 COMPENSATION CERTIFICATE OF WORKIRS' COMPENSATION IN8URANCB ISSUi DATE: 07-01-2008 CONnUCTQRS STATE LICENSE BOMD WORKKR4 COHMNSATION UNIT fO BOX 2ROOO SACRAMENTO CA naai-oon NF GROUP:POLICY NUMBER: 1W7I39-20O* CBRTIFICATE ID: 70 CSrWFlCATE EXPIRES: 07 -01 -SOW0--- THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE If 2 DATED 07-01-20M LZC PERMIT*; S1 11 14 INCEPTION DATE: 07-01 -20M DO:NP This Is to certify rhtt w« h»/« li»u«d * valid Workft*1 CompenMtlen ln«ur«nc« policy In • form »pprov«d by ttiw California hsuwes Cnmmlssioner to th« «mploy»r n»m«d b«low for the policy p«r!0d indl«t5* This policy is not sub)*ct to o»no«ll»tlon by tti« Fund «>cc»pt upon 30 days «d«ine» written notlc« to thd «mploy«r. w« will also give you 30 d«ya idvinoe notice should thli policy ta ctnctfllftd prior to its normal •xpfratlon. This cjrtifiMto of lnsur»ne« I* nol in Ingurmc* policy Jnd does net «m«nA extend or iltw the :over«ge afforded by th» policy listed h«r«ln, Notwlthjtwdlnfl «ny r«quirtm»nt, torm or condition of my contract or other documentvuitti respect to which this certlflpite of Trnurane* m«v be l«sued or to which ft may pertiln, the Insurance afforded by the policy riejcrlbad haraln U subject to •!! the term*, exclusions, and conditions, of such policy. JTHORIZ5D REPRESENTATIVJkJ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000 PER OCCURRING!. ENDORSIMBNT 11100 - TOOOR KITCHULKOV P S T - EXCLUDED. ENQORSCMENT MOQB ENTITLED CIRT1PICATB MOLDSRS' NOTICE EPrECTIVE O7-01-2OO1 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER WLTA WCHANICAU, INC-INi RO STC IBBNCSA AZ 8B208 NF [CAM.CSJ PRINTED : 07-01-2008