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Home My WebLink About2889 BRENTWOOD CT; ; CB070487; Permit02-21-2007 Ce- of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070487 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2889 BRENTWOOD CT CBAD PLUM 1563102700 Lot# Construction Type KORBELAK RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/21/2007 KG Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner KORBELAK ROBERT M&MARY A 2889 BRENTWOOD CT CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 r $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 APRROV 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 lees/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 (ees 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FaradayAve, Carlsbad CA 92008 FOR OFFICE USE PLAN CHECK N EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) Legal Description Business Name (at this address) Lot No Assessor's Parcel # Replace standard water heater like for like Description of Work Subdivision Name/Number Existing Use SQ FT # of Stones Unit No Phase No Proposed Use # of Bedrooms Total # of units # of Bathrooms AZ 85209 (480) 898-0007 (480) 898-0005 Name ;3'l Galina Pavlova Address City 8949 Lombard pi #413 San Diego State/Zip ;l!^!d' CA 92122 Fax# Address City Stale/Zip 2889 Brentwoodct Carlsbad CA 92008 Telephone # 760^34-0771 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 pnor 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 [$500]} California Delta Mechanical, Inc _2500S Power Rd Suite # 120 Mesa 85209 (480)898-0007 Name Address City State/Zip Telephone* State License # 811114 License Class C-36 Citv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # ^alllltf Jlllll^ <- "rt ! ISl^ n " 7 1 '>?"%$ < Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 S 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 earner and p0!icy number are Insurance Company State Compensation Insurance Fund Policy No 1697823 _ Expiration Date 07/01/07 _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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(t1 00,000), in addition to the cost of compensation, damages ue provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE Galina Pavlova DATE 02/19/07 _ $-BUj|Dj£R I hereby affirm that I am exempt Tram the Contractors Li cense taw for tne following reason D I 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 sate (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 buitd or improve for the purpose of sale) D 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) D 1 am exempt under Section _ _ .. Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement D YES D NO 2 I (have/have not) signed an application fof 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 number / 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 number / /ontractors 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 number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FaradayAve, Carlsbad CA 92008 Page 2 of 2 ;dCWj%fTE-tHt^ P£ _ _ „, „_ „ „, t m, _ „ , ,__, „„,„ . ,. , _ _„,„,., _ _ „ __ _ „„ , Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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 8r[W*VS"nac*bfA"''wrMj i eiiimfc*i'«!XV»e»wv~™r'r s* "titr'tisnTssYr ft <~~ " XWtWt? " "^"^"P'wwn1™™ ™ '"inn ™ ^ftf !"t<tlBil «»sp * FPHMJ'H " PPBS-l""*'lTj^!5i1 v!,iK " "S^S"*-I^F^MW«! f-lu« ri T?Hiw M i Mi iFwsr sf AGKtlGYj ^ iji|8j3if!i,s'liSl 4> BII.BK^KJ JatSsb«l, «^J ^iM™ ' ! *. arSah'MMi a^'li,,*^ .'s?18 * I miry i'Lslli^Lj! *i!t8f i !far t£!pf!Sllil™!)*4!& I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME _^ LENDER S ADDRESS 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 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 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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 10644 Uniform Building Code) APPLICANTS SIGNATURE Galma Pavlova /%€& DATE 02/19/07 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/06/2007 Permit# CB070487 Title KORBELAK RES REPLACE WTR HTR Description Sub Type 2889 BRENTWOOD CT Lot 0 Type PLUM Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner KORBELAK ROBERT M&MARY A Remarks Inspector Assignment Phone 7604340771 Inspector Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act/-* Comment Requested By DR K Entered By JANEAN Co m m e^its/Notice s/H(olds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments