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Home My WebLink About1533 REGATTA RD; ; CB111877; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-30-2011 Plumbing Permit Permit No: CB111877 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1533 REGATTA RD CBAD PLUM 2150715500 Lot#: 0 Construction Type: NEW BERRY RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/30/2011 KG CALIFORNIA DEL TA MECHANICAL BERRY KRISTI L LIVING TRUST 03-01-01 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 1533 REGATTA RD CARLSBAD CA 92011 $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 Payments To Date: $27.00 Balance Due: EXPIRED PERMIT PERMIT HAS EXPiR!:D IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENOf:l) ?h~~-04.030 11ATE_ 4l~~~ SIGNATUR~---->~UL,....:C~----A--- FINAL APPROVAL 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 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 anv subsequent legal action to attack, review, set aside, void, or annul tne1r 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 f x in fwhi h n iv n i ii r hi r flimi in h rwi City of Carlsbad Plan Check NoC'f> //-/ <t'1 J • • 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 J 2718; 2719 Est. Value Fax: 760-602-8558 Building Permit Application Date JOB ADDRESS SUITE#/SPACE # /UNIT# DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS vesO NO□ vrn □No □ YES □No□ CONTACT NAME (If Different Fom AppllcantJ California Delta Mechanical APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6056 East Baseline rd # 155 6056 E. Baseline road suite# 155 cnY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 858-361-6495 IFAX 858-240-6677 EMAIL EMAIL california@deltamechanical.com galiapavlovabg@yahoo.com PROPERTY OWNER NAME Kristi Berry CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1533 ReaQat Dr 6056 East Baseline rd # 155 CITY STATE ZIP CITY STATE Zi? Carlsbad CA 92011 Mesa AZ. 85206 PHONE lFAX PHONE I FAX 619-985-5363 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS l STATE UC.# STATE UC.# I CLASS I CITY BUS. UC 1214281 811114 c36 (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 sii;!ned 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 B.u~iness and Professions Code} or fhat 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 c1v1I penalty of not more than ftve hundred dollars {$500)). ' •l!IIORKERS' COMl"ENSAT(ON , Woril:ers' Compensation Declaration: I hereby affirm under penalty of perjury one of fhe following declarations: [Z] 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. 0 I have and will maintain woril:ers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No 1697823 Expiration Date 07/0112(112 This section need not be completed if the permit is for one hundred dollars {$100) or less [Z] Certificate of Exemption: I certify that in the performance of the work for which thi~ 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 ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundrei thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ !, as owner of the property or my employees with wages as their sole compensation, will do 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 ttiereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 propertv improvement. 0Yes 0No 2. I (have I 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 construcUon {include name address I phone/ contractors' license number)· 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provkle the major work (include name I address I phone I contractors' 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 I phone/ type of work): ~ PROPERTY OWNER SIGNATURE DATE . -•~-~ . . OMPLITI ... ,~•S.,_SICTION FOR NON-Rll~toeN'l'.IAf_lHULOING PERMITS ONLY • s the applicant or future building occupant required lo submit a business,.i2W!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Jresley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? []ves D No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes LJNo F 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 :.MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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. hereby aulhOOZe representative of the City of Caisbad to enter upon the above menboned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD \GAIN ST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA pemil is required fer excavations over 5'0' deep a,d demolition or oonstruction of structures CNer 3 stories in height. :XPIRATION: Every pemit issued by the Building Official under the pr<111isKlfls of this Code shall expire by limitation a,d become rk.Jtl and YOO if the building or work authorized by such permit is not ccmnenced "!Nithin 80 days from the date of such pemit or if the building orwcrk a.ilhorized by such pennlt is suspended or abandooed at any bme after the work is commenced for a pericxl of 180 days {Section 106.4.4 Uniform Buiklng Code). ,/ES APPLICANT'S SIGNATURE DATE --F /.:, .;F/4- (.., / ,----:,' '--· , /