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Home My WebLink About2247 PLAZUELA ST; ; CB111384; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27-2011 Plumbing Permit Permit No: CB111384 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2247 PLAZUELA ST CBAD PLUM 2163404100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: KHOROSHANSKY RES-REPLACE WTR HTR Owner: Issued: Inspect Area: CALIFORNIA DELTA MECHANICAL S D W TRUST 07-06-07 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 2247 PLAZUELA ST CARLSBAD CA 92009 ISSUED 06/27/2011 LSM 06/27/2011 06/27/2011 $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: EXPIRED PERMrr $0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. .,JP SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 £,' -~ Inspector: OATE A-\ioj,,Ol(_ S16~TUR:: 1JM-{ ~rJ I c}(tf' 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~ 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 wtth 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 f"""'"X""ti"'"'" nf whir.h "'"' h;iv<> "ff!V. n nivP.n ;i NOT!C:E simil.1r '" 'his or --•-···hi"h •h-· -f Ii · · -ro"j----1 -'h0 rwi---x-ir--'. Cit~. of. Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2247 Plazuela Street Plan Check No . lllo8'4 .. Est. Value Plan Ck. Deposit Date II SUITE#/SPACE#/UNIT# "CTiPROJECT'-,~------,-o-,-.------,-H-A_SE_# ____ #_O_F_U_NI-TS~-.-,-,o-,-o-o_M_S _ _,__,-,A-T-Hif60MS'-~T~E~N~AN~T-,~u~Sl~N,~s~s~,~AMdE--------~c6NSfR. TYPE OCC. GROffP- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I 'FIREPLACE IA1R CONDITIONING I FIRE SPRINKLERS YES0, NO□ YES □No□ YES □No□ CONTACT NAME (If D,,...ntFom App/leant) C l"f . D I M h , I I a r orma e ta ec amca nc. APPLICANT NAME Galina Pavlova .. ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E. Baseline road suite# 155 .. ---CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 I FAX 858-240-6677 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Joseph Khoroshansky CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2247 Plazuela street 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ. 85206 PHONE I FAX PHONE IFAX 760-803-7100 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# l CLASS ICllYBUS. LIC1214281 811114 c36 (Sec: 7031.5 Business and Professions Code: Any City or County which reqwres a permit to construct, alter, improve, demohsh 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 L<.lw {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)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· [Z] I have and will maintain a certificate of consent to self-insure for worxers' compensation as provided by Section 3700 of the Labor Code, for the performance of the won( for which this permit is issued 0 I have and will maintain workers' compenaation, as reQuired by Section 3700 of the Labor Code, for the performance of the wonl for which this permit is issued. My wonlers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date o7K1t12<112 ~section need not be completed if the permit is for one hundred dollars ($100) or less lLJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in ad11tion to the cost of compensation, damages as provided for in Section 3706 of the Labor c d est and attorney's fees. a$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt hum 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, 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. 0Yes Oo 2. I (have I have not) signed an applk:ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to 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/ phone/ contractors' 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/ type of work): ,8$ PROPERTY OWNER SIGNATURE DATE 0 M P I. E T E l Ht ll-$ E' C T I O N F O R N O N • R II SI O 8 N TI A L,., 8 ~ I,~ D I N G P E R M I T S O N I. Y , s the appltant or future building occupant required to submit a business.J!!.Wl, acutely hazardous materials registration form or rlsk management and prevention program under Sections 25505, 25533 or 25534 of the )resl':!y-T anner Hazardous Substance Account Act? 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 D No s the facility to be constructed within 1,000 feel of the outer boundary of a school site? Oves LJNo F Atff 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. certify that I have read the appllcatlon and state that the above Information is coll'8Ct. and that the lnfonnation on the plans is accurate. I agree to comply with all City on:linances and State laws relating to bull ding construction. hereby authorize representative of the City of Ca1sbad to "11erupon the aoo,e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemit is required for excavations fJM 5'0' deep aid dermilion or constructioo of structures CNef 3 stories in height. :XPIRA TION: Every pemit issued by the Builcing Official under the provisions of this Ccxle shal expire by !irritation aid becoole null and void if the building or work authoozed by such perm~ is not corrmencecl \Whin 80 days from the date of such pemil or if the bulclilg or work aJlhorized by such pennil is suspended or alafldoned at any time after the work is commem:ed for a period of 180 days (Section 106.4.4 Uniform Building Code) RS APPLICANT'S SIGNATURE DATE 6 tf1 ...p fa