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HomeMy WebLinkAbout2619 DAVIS AVE; ; CB052746; Permit07-25-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB052746 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2619DAVISAVCBAD PLUM 1552720300 Lot* Construction Type GASPAR RES RPLACE H2O HEATER 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/25/2005 KG 07/25/2005 07/25/2005 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner GASPER GARY D TR 2619 DA VIS AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $2700 4532 08/11/05 0002 01 02 CGP 27.00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE thfet approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 6602Q(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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 FaradayAve, Carlsbad CA 92008 FOR OFFICE USE PLAN CHECK N EST VAL Plan Ck Deposit. Validated By Date 2619 DA VIS S pAipji _ ,I_LU-_C.' J& CARLSBAD, CA 92008 *j r Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Replace standard water heater like for like ng Use £rt- A Proposed Use Description of Work SQ FT # of Stones # of Bedrooms # of Bathrooms pm applicant) j.j^tii.i California Delta mechanical, Inc 2500 S Power Rd Suite * 120 Mesa AZ 85209 (480) 898 0007 (480) 898 0005 Name Address City L? ",:ZAPlUCANT3K State/Zip Telephone # I".':.Lri!...!5_Agl!|£forgwner:>22.^J'' Fax# Name Address City State/Zip Telephone #:n D ORTIZ 2619 DAVIS ST CARLSBAD, CA 92008 Name Address City State/Zip Telephone #TORi^ zzrnz^i'viirizi"rzzr3"iiziir:r^irrizziiz3Jii] (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 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 # 811114 License Class C-36 Citv Business License # 12 1428 1 Designer Name Address State License # City State/Zip Telephone # ' "T^TT"' ~±. ~~T7'~:£~,T~ZirT" r~'-3'T"V~ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 S 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 Dale 07/01/06 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION I certify that in the performance of tha work for which this permit \s issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California I WARNING Failure to secure workers' compensation coverage is unlawfuland spall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensationjaam^es areffirovt34d fol; m^Section 3706 of the Labor Code, interest and attorney s fees SIGNATURE Romel Mam \\/A J\ / - ^^>"' DATE 07/18/05 -~* 1 I hereby affirm tlat I am exempt from the ConfractorYkicense Law for trte following reason D I as owner of the property or my employees with wages as theft 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) , 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) D 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 D YES D 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 / 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 / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance AUG-03-2005 WED 08:51 AM CITY OF CARSLBAD FAX NO. 760 602 8558 P. 01 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 la tho applicant or future building occupant required lo nubmii a &u»iness plan, acutely hazardous male-rials registration for or nsk management and prevention program under Section* 25SOS 2SS33 or 2SS34 of the Presley-Tanner Hazardous Substance Account Act? Q YES D NO la the applicant or (mure building occupartl required to Obtain a permit from ihe air pollution control district or *ir quality management dismal O YES Q NO Is the facility to be constructed within 1 ,000 feat of the Outef boundary of * iphoo) efte? 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 AMD THE AIR POLLUTION CONTROL DISTRICT I hereby affirm tnat them is a construction lendlnfl agoncy lor the performance of tho work for wliicn this permit fsTissuttd^Sftc 3097(1) Civir LENDER'S NAME LENDER'S ADDRESS . ....... . II2^%fr£^:S:^I certify thai I hava read the application and state that the above information la correct and 111* tha information on lha plans IJ accurate I agree to comply with all City ordinances and Stata laws relating lo building construction I hereby authorise representatives of (he City or 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSl-IA permit la requimd for excavations of £ 0 doap and demolition or construction of structures over 3 Storios in haignt EXPIRATION Every permit issued by the building Official undar lha provisions of thla cSdo shall axplie by limitation and become null and void if the building or work auuwnzod by such permit u not commenced wltnl n 1 90 days from the data or such psrml! or if the billdlns or work authorized by auch permit is suspended or abandoned at any time after the work |» commenced for a period of 160 days (Section 106 4 4 APPLICANT s SIGNATURE Romel Maru DATE 07/18/05 WHITE Flls YELI OW Aoolicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/31/2005 Permit# CB052746 Title CASPAR RES RPLACE H2O HEATER Description Type PLUM Sub Type 2619 DAVIS AV Inspector Assignment Lot Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner GASPER GARY D TR&GASPER LISA M TR Remarks WILL BE WAITING FOR THE BUILDING INSPECT Phone 7607200609 Inspector Total Time Requested By DOLORES Entered By CHRISTINE CD Description 25 Water Heater/Vents Act Comment, Associated PCRs/CVs Inspection History Date Description Act Insp Comments Extract Date 07/25/2005 * * * Business Information * * * CALIFORNIA DELTA MECHANICAL INC 2500 S POWER ROAD #120 MESA, AZ 85208 Business Phone Number (480) 898-0007 Entity Corporation Issue Date 08/01/2002 Expire Date 08/31/2006 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class {Description C36 .PLUMBING * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6060003 in the arr $10,000 with the bonding company http //www2 cslb cagov/CSLB_LIBRARY/License+Detail asP 07/25/2005 SyRETYj:QMPA_NY_OF_IHE PACIFIC. Effective Date 03/25/2004 BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual i 161627 for ANTON DIMITROV TCHAKAROV in the amount of $7,500 with the bonding c< AMERICAN CONTRACTORS INDEMNITY .COMPANY. Effective Date 07/10/2002 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 1697823 Effective Date 07/01/2002 Expire Date 07/01/2006