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Home My WebLink About2912 AVENDIA VALERA; ; CB100818; Permit05-10-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100818 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2912 AVENIDA VALERA CBAD PLUM 2164620100 Lot#: Construction Type: MUNOZ RES REPLACE WTR HTR 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/10/2010 KG 05/10/2010 05/10/2010 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: MUNOZ ELOY L 2912 AVENIDA VALERA 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 $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: _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 Est. Value Plan Ck. Deposit Date JOB ADDRESS 2912Avenida Valera SUITE#/SPACE#/UNIT# CT/PROJECT *PHASE * # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: bic/ude Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE P CONTACT NAME (If Different Fom Applicant) ADDRESS 6052 East CITY Mesa PHONE 480-898-0007 ROPOSEDUSE GARAGE (SF) California Delta Mechanical Baseline rd# 155 STATE ZIP AZ 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME Eloy Munoz ADDRESS Same as site CITY Carlsbad PHONE 310-613-9025 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP CA 92009 FAX STATE LIC. # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# Nd| | YES^NOQ] YESJ | N0[~~| APPLICANT NAME _ ,. _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite #155 STATE ZIP Mesa AZ 85206 FAX 858-361-6495 1-858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME . .California Delta Mechanical ADDRESS CITY PHONE 6052 E. Baseline road suite #155 STATE ZIPMesa AZ 85206 FAX 480-898-0007 EMAIL STATE LIC.#CLASS CITY BUS. LIC.# 811114 c-36 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 Siection 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: / 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. 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. 1697823 Expiration Date IBIMBOIO 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 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 of sale). 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 contractors) 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 |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): xfif 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? F~|Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aiyjuality management district? QYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I Ires I JNo 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 the application and state that trie 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 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 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 1 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 wort; is commenced for a period of 1 80 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/24/2010 Permit# CB100818 Title: MUNOZ RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2912 AVENIDA VALERA Suite: Lot: 0 Location: OWNER MUNOZ ELOY L Owner: MUNOZ ELOY L Remarks: Inspector Assignment: Phone: 7602772742 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: MR MAOUS Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit: CH Building Permit Q 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 Criteria4 No Threat Assessment Criteria I 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 I | 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 I | 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 typefsj 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. Owner/Owner's Authorized Agent Name Owner/Owner's Authorized Agent Signature: 29. 2009 I is; 49AM POLICYHOI.DER COPY NF COMPENSATION INSUBANCB FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-01-20OB GROUP: POLICY NUMBER: l897a23-20Oft CERTIFICATE ID: 8 CERTIFICATE EXPIRES 07-O1-201007-01-20O9/07-01-2010 HOME DEPOT COMPLIANCE DEPARTMENT 307H C IMPERIAL HWY STE 100 BREA CA 92821-8792 NF This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. W« will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. •'; This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed hereia Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate Of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclustons, and conditions, of such policy. ^w •PRESENTATIVSLJTHORIZED REPRESENTATlftLj PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000.000 PER OCCURRENCE. ENDORSEMENT #1600 - TODOR KITCHULKOV P. S T - EXCLUDED. ENDORSEMENT #20«S ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-2005 IS . ATTACHED TO AND FORMS A PART OP THIS POLICY. EMPLOYER CALIFORNIA DELTA MECHANICAL, INC DBA: CALIFORNIA DELTA MECHANICAL, INC BOSS B BASELINE RD STE 138 MESA AZ 88208 NF M0410 IR6V.J-Q5) PRINTED : 08-18-2009