HomeMy WebLinkAbout2208 PLAZA DE LAS FLORES; ; CB110990; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-12-2011 Plumbing Permit Permit No: CB110990
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2208 PLAZA DE LAS FLORES CBAD
PLUM Status:
Parcel No: 2152322050 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: SLANE RES-REPLACE WTR HTR Inspect Area:
Applicant:
CALIFORNIA DEL TA MECHANICAL
SUITE# 27
12440 OAK KNOLL RD 92064
866-898-0008
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
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
SLANE RANDAL
2208 PLAZA DE LAS FLORES
CARLSBAD CA 92009
ISSUED
05/12/2011
LSM
05/12/2011
05/12/2011
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27 00 Total Payments To Date: $27.00 Balance Due:
Inspector:
FINAL APP.RO AL
Date: (,. I Cl 2..i> II Clearance:
$0.00
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 wlth this project. NOR DOES IT APPLY to any
f ·now'h TIE ii hi whih
·City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS 2208 Plaza De Las Flores
Plan Check No.
Est. Value
Plan Ck. Deposit
Date I I
SUITE#/SPACE#/UNIT#
CT/PR:CT, _
1
,ol# rHASE, # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected-Aie~a(~,-,)~--~-----~~
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) !FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS
YESO NO□ ves □No □ YES□No□
CONTACT NAME (lfDlfferentFomAppllcantJ C l'f , D I M , a I orma e ta echamcal Inc. APPLICANT NAME Galina Pavlova ----ADDRESS AD□Rf,SS 6052 E. Baseline road suite# 155 6052 East Baseline rd # 155 -. CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206
PHONE rAX --PHONE ·---·
___ _] FAX 480-898.0007 1-480-218-5645 858-361-6495 1-858-410-1499 --·-EMAIL EMAIL
california@ldeltamechanical.com galiapavlovabg@lyahoo.com
PROPERTY OWNER NAME Randal Slane CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
2208 Plaza De Las Flores 6052 E. Baseline road suite# 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 858-245-9527 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS l STATE LIC, # STATE LIC.# I CLASS I CITY BUS. LIC 1214281 811114 c36
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an}: structure, pnor to its issuance, also requires the
applicant for such permit to file a si~ned statement that he 1s 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
civit penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
[Z] 1 have and will maintain a oertificate 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
[{] I have and will maintain workers' compensation, as required bv 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 ~1m112011
This section need not be completed if the permit is for one hundred dollars ($100) or less. [Z] 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.
£S CONTRACTOR SIGNATURE !llll:l!z ,:,{',£,
I hereby affirm that I am exempt from Confractor's License Law for the following reason: D 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 1mprovernenls 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) 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)
□ I am exempt under Section ____ .Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes Do
2. I (have/ have not) signed an application for a building permit for the proposed worll.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone/ 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 I address I phone I contractors' license number):
5. I will provide some offue work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone I type of work):
~ PROPERTY OWNER SIGNATURE DATE
s the applicant or future buikling occupant required lo submit a bLJsiness~, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-Tanner Hazardous _Substance Account Ac!? . D Yes LJNo
s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? []ves 0No
s the facility to be constructed within 1,000 feel ol the outer boundary of a school site? Oves LJNo
F 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
:MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
hereby affinn that there is a co
certify that I have read the application and state that the above information Is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1£1 building construction.
hereby authorize representative of the City of Ci:llsbad to eoter upoo the abo.te mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
\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 pemil is required for excavations over 5'0' deep clld demolition or ronstruction of structures CNer 3 stories in height.
:.XPIRA. TION: Every permit issued t,, the Building Official under the provisioos of this Code shall expire by limitation clld become null ood void it the building oc work authorized by sudl pemit is I"()! commenced within
80 days from the date of such pemit or if the building or work aithorized by sudl 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).
RS APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For 06/10/2011
Permit# CB110990
Title: SLANE RES-REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2208 PLAZA DE LAS FLORES
Suite: Lot: 0
Location:
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner: SLANE RANDAL
Remarks: AM PLEASE CALL WITH ETA
Total Time:
CD Description
25 Water HeaterNents
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Phone: 8587366571
Inspector: ----
Requested By: RANALL SLANE
Entered By: CHRISTINE