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