HomeMy WebLinkAbout2255 PASEO SAUCEDAL; ; CB063377; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-01-2006 Plumbing Permit Permit No: CB063377
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2255 PASEO SAUCEDAL CBAD
PLUM Status:
Parcel No: 2552712300 Lot#: 0
NEW
Applied:
Construction Type: Entered By:
Reference #: Plan Approved:
Issued:
Project Title: RETHWISCH RES REPLACE WTR HTR Inspect Area:
Applicant:
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
Owner:
RETHWISCH BRUCE E&I MARIANNE
2255 PASEO SAUCEDAL
CARLSBAD CA 92009
ISSUED
11/28/2006
KG
11/28/2006
12/01/2006
$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:
FINAL AP,PROVAL
Inspector: /t1'v ~ Date: l ob Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpo ition" 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 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
I x ions I whi hav r vi I n iv n NOTICE imil r his r I which th ta e f limitati n h
FOR OFFICE USE ONLY
PLAN CHECK No(:OO{R 3 3 77
PERMIT APPLICATION
EST VAL. __________ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PRQJac;;T l!IFQ!IMAllON .;
2255 Paseo Saucedal
Address (include Bldg/Suite#) Business Name (at this address)
Legal Description Lot No Subdivision Name/Number
Assessor's Parcel# Existing Use
Replace standard water heater like for like
Description of Work SQ. FT
2. C()t,ITACT PER$0N p!.diffl,n,nf frorn-appl~!I
California Delta mechanical, Inc. 2500 S. Power Rd. Suite# 120
Name Address
3. APPLICANT GI @!rt"'®! □ Agont-forC<>M~
Mesa
City
□"Owi\ei:
Unit No Phase No
Proposed Use
# of Stories # of Bedrooms
AZ. 85209 (480) 898-0007
State/Zip Telephone# · ',E~to,°""""
Galina Pavlova 8949 Lombard pl.#413 San Diego CA 92122 858-361-6495
Name
4. PROPEI\TV .dWIIP
Bruce Rethwisch
Name
Address
2255 Paseo Sauceda!
Address
City State/Zip Telephone#
Carlsbad CA 92009 760-753-1511
City State/Zip Telephone#
Total # of units
# of Bathrooms
(480) 898-0005
Fax#
6. COtflRACTl>R •:ClblllltAll'fl'/l\l\!E'. ··
(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 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 penalty of not more than five hundred dollars [$500]).
California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 (480) 898-0007
Name Address City State/Zip Telephone#
State License# ~8,_l ,_11,_1,_4,__ ____ _ License Class -'C'---'3'-'6'---------City Business License# _cl~2"1,_4~2~8=1 _____ _
Designer Name Address City State/Zip Telephone#
State License# ________ _
6, -KEll'S C()!,lHN$\llOf!I,
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. !El 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 carrier and policy number are
Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date,_,O.c7ui.,,Oc,l"/Oe.7'------~
(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 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 compensatio d are provided for in Section 3706 of the Labor Code, interest and attorney's fees.
SIGNATURE Galina Pavlova ~,e:;:>----------------DATE-"-1-"l/-"2-'-'7/-"0-"6 _____ _
T, OWlleR,SUll.OER.()~!-/>RATI<:>N
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
□ I, as owner of the properly or my employees with wages as their 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
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)
P 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/ 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 I 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 f address/ phone number/ 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.SE<mC!N-~QR.NCJM.RSIDENTIA~-BUILlllNG -,-S00NCY
Is the applicant or f-~i'~r~ b~"ildin,g occupa~t req-~ired tO'submit a bu~iness Plan, acut~IY tia2ardous ~at'erials 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 applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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. CC!N$11W(;'IIQ~;~J!l!!l~G A~V
I hereby affirm that there is a construction lending agency for the performance of the work permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _ LENDER'S ADDRESS ____________________ _
9. APPU9'\NIQ~lffll'ICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate 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
purposes 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 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 authorized
by such permit is not commenced within 180 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 work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
~-,~-APPLICANT"SSIGNATURE_G=.a::.l:cin::.a:c.c:.Pccac:.v:_lo=-v:..:a::__~~~.,.,..=,,.L>-----------DATE_l_l_/2_7_/_0_6 ________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For 12/12/2006
Permit# CB063377
Title: RETHWISCH RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 2255 PASEO SAUCEDAL
Suite: Lot 0
Location:
APPLICANT CALIFORNIA DELTA MECHANICAL
Owner: RETHWISCH FAMILY TRUST 10-25-06
Remarks:
Total Time:
CD Description Act Comment
25 Water HeaterNents fl_
29 Final Plumbing y
---------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7607531511
Inspector: ~ C,,
Requested By: BRUCE
Entered By: CHRISTINE