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Home My WebLink About2332 PASEO SAUCEDAL; ; CB061345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-15-2006 Plumbing Permit Permit No: CB061345 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2332 PASEO SAUCEDAL CBAD PLUM Status: Parcel No: 2552724500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: CLARK RES REPLACE H2O HEATER CALIFORNIA DELTA 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 Plan Approved: Issued: Inspect Area: Owner: CLARK FAMILY TRUST 06-16-05 2332 PASEO SAUCEDAL CARLSBAD CA 92009 ISSUED 05/15/2006 KG 05/15/2006 05/15/2006 $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 Date: 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 pennit 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 time!y 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 I . · , iv n N Tl E simil d. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFQIIIIA!'ION 2332 PASEO SAUCEDAL CALRSBAD, CA 92009 FOR OFFICE US Y 'f_(J.f ;/ PLAN CHECK N . (JI :J':1_/ EST. VAL. -----,f-1,f;----- Plan Ck. Deposit --j'{--;/{j------- Validated By ---4'-,(f-<lc-~lt!E'=-c-r>- Date ----------'---':.JI,'-- Address (include Bldg/Suite#) Business Name (al this address) legal Description Loi No. Subdivision Name/Number Assessor's Parcel II Existing Use Replace standard water heater like for like Description of Work SQ.FT 2. CONTACT PERSON (If different from appllcant) California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa Name Address 3. APPLICANT IBI Contra-Oi Agen<lbr Contr•- ROM EL 2500 S. POWER RD# 120 Name Address City .. DQwo,e, MESA City Unit No. Phase No. Proposed Use # of Stories # of Bedrooms AZ 85209 (480) 898-0007 State/Zip Telephone# o··AQentr«O- AZ 85209 480-898-0007 State/Zip Telephone# 4. PROP£RTY OWNER TIMOTHY CLARK 2332 PASEO SAUCEDAL CALRSBAD CA 92009 760-753-3449 Name Address City State/Zip Telephone# 5. CONTRACTOR• COMPANY NAME- Total# of units # of Bathrooms {480) 898-0005 Fax# (Sec. 7031.5 Business and Professions Code: Any City or County v,lhich requires a permit to construct, alter, improve, demolish or repair any structure, prior lo 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 penally of not more than five hundred dollars [$5001). 85209 (480) 898-0007 California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# I 20 Mesa Name Address City State/Zip Telephone# State License# ~8~1 ~I ~I ~14~-----License Class -'C~-~3~6 _______ _ City Business License # _,!_,2:..,lc:4,:,2,c8e..!.1 _____ _ Designer Name Address City State/Zip Telephone# State license# ________ _ 6. WORKER'S COMPl!NSA'ltON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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 IBJ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for v,,hich this permit is issued. My worker's compensalion insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date,s0L7ui!!O_tlLJ!0,.,6,__ _____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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 lo 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 are provided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Romel Maru DATE_.,0.,,5c,i0'"9-"/0,c,6'------- 7. OWNER-BUILDER DECV.RAT101f I hereby affirm thal I am exempt from the Conlractor's License Law for the following reason: □ I, as owner of the property or my employees wilh wages as U1eir sole compensation. will d 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 complelion, !he owner-builder will have !he 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 contraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ________ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I 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 !he major work (include name I address/ phone number/ /ontractors license number): ---------------------------------------------- 5. t will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number I type of work) PROPERTY OWNER SIGNATURE ___________________________ _ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOIi ~9Ull.lllNG PMMITS OIILY Is the applicant or future building occupanl required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicanl or future building occupant required to obtain a permit from the air pollution control district or air quatity management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 8. CONSTRUCTION I.ENDING AGENCY 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 ___________________ _ 9. APl'UCANTCERTIFICA110N I certify lhat I have read the application and state that the 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection pLirposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 reqLiired for excavations of 5'0" deep and demolition or constwction of strnctLires over 3 stories in height. EXPIRATION: Every permit issued by the building Official Linder the provisions of this Code shall expire by limitation and become nLIII and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if th building or work authorized by sLich permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4 ifor Building Cod ). WHITE: File YELLOW: Applicant PINK: Finance ln~pection List Permit#: CB061345 Type: PLUM Date Inspection Item 06/02/2006 25 Water HeaterNents 06/01/2006 25 Water HeaterNents Thursday, June 01, 2006 Inspector Act RI JM AP CLARK RES REPLACE H20 HEATER Comments may be done on Thursday Page 1 of 1