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Home My WebLink About2866 RANCHO PANCHO; ; CB071682; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-19-2007 Plumbing Permit Permit No: CB071682 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2866 RANCHO PANCHO CBAD PLUM Status: Parcel No: 2225912900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: BURKE RES REPLACE WTRHTR 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: BURKE KEVIN P&TINA 2866 RANCHO PANCHO CARLSBAD CA 92009 ISSUED 06/19/2007 KG 06/19/2007 06/19/2007 $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-CPPROV~L Date: -3 · D ~ 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 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 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/exactlons 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 Ix tins fwhich o ha I I E imilar hi r whi h t fli i i h I FOR OFFICE USE 0~ C.. "') J PLAN CHECK NcC,t;i) 7/ ~0 .,,L/ PERMIT APPLICATION EST. VAL. __ -,,,.,:::_ _____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By ~:c....,,~----,,,..,..-r--:z~-- Date ---~L-.Y.-,_,_'----=--+--- 1. PROJECT INFORMATION 2866 Rancho Pancho 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. CO~CT P,i~SON {If different from applicant) California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Name Address 3. APPLICANT GI Contractor a A~ for C2fltractor ROM EL 2500 S. POWER RD # 120 Name Address 4. PROPERTY OWNER Mesa City □Owner MESA City Tina Burke 2866 Rancho Pancho Carlsbad Name Address City Unit No. Phase No. Proposed Use # of Stories # of Bedrooms AZ 85209 (480) 898-0007 State/Zip Telephone# a A!l!nt fQr Owner AZ 85209 480-898-0007 State/Zip Telephone# CA 92009 760-213-2666 State/Zip Telephone# Total# of units # of Bathrooms (480) 898-0005 Fax# 5. CONTRACTOR • COM.f!''i'( NAME (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 ($5001). 85209 ( 480) 898-0007 California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa Name Address City State/Zip Telephone# State License# .....:;.8.:..1.:..l .:..1 :...14.:...._ ____ _ License Class _C_-_3_6 _______ _ City Business License # --=1-=2:..:lc...4:..:2:..:8::...1:..... ____ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 8. WORKER'S COM PENSA 110N 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. IE) I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work fcir which this permit is issued. My worker's compensation insurance carrier and policy num))er are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date..,0'-"7-'-'/0"-'-'-1/..,.0.,,6 ______ _ (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 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 com or in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Iii a Iliev DATE.__::0~6:....:/lc.::5.:...:/0::...:7'----;:===;:===---, 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property 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 Contractors 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 I 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 / 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 SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D 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. a. CONSTRUCfiON LENDiJIG AGENC 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. APPLICANT CERTIFJCA TION 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. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Ca~sbad 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). APPUCAfH'S """'lURE Uiya Iliev ~ ~ om_0_6_/1_5_/_0_7 ________ _ WHITE: File YELLOW: Applicant PINK: Finance m . . City of Carlsbad Bldg Inspection Request . . Permit# CB071682 For: 06/03/2008 Title: BURKE RES REPLACE WTRHTR Description: Type:PLUM Sub Type: Job Address: 2866 RANCHO PANCHO Suite: Lot: 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: BURKE KEVIN P&TINA Remarks: DID NOT SAY WHAT TYPE OF INSPE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7602132666 lnspectorrl±_ Requested By: NA Entered By: CHRISTINE 24 Rough/Topout vJ (_.--------+------------ ~··· W-cll-~ . -'f ~--~/[If A-1-- comments/Nolices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments