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Home My WebLink About2886 SANFORD LN; ; CB072949; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-27-2007 Plumbing Permit Permit No: CB072949 Job Address Permit Type Parcel No Reference # ProIecl Title: Applicant Building Inspection Request Line (760) 602-2725 2886 SANFORD LN CBAD PLUM 1674723200 Lot#: 0 Construction Type: NEW WARMBRAND RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/27/2007 KG 11/27/2007 11/27/2007 CALIFORNIA DELTA MECHANICAL WARMBRAND MARA L TRUST 02-08-02 SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plurnb1ng 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 Add1l1onal Fees TOT AL PERMIT FEES Total Fees. Inspector: $27.00 0 0 0 0 1 0 0 2886 SANFORD LN CARLSBAD CA 92010 $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: Clearance: $0.00 NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectlvely referred to as ·'fees/exact1ons." You have 90 days from the date this pennit was issued 1o protest imposition of these fees/exactions. If yoLI protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information wlth the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, . review. set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes. nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any foe~/exac1.i ns of wh1 h have r vio I een iv n NOTI E simil r hi r whi h h e f limitati n ha r vi I h IWi FOR OFFICE USE~ PLAN CHECK NO.(L2L/ ;?1$(y PERMIT APPLICATION EST. VAL.--------====------- CffY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By -~~,.....,..--,--=....,..--::.-:: __ _ Date -----1-'--,_,,_-~-L----- 1. PROJE T !MfORMATION 2886 Sanford In Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Replace standard water heater like for like Description of Work SQ.FT. 2. CONTACT PERSON (If different from applicant) California Delta mechanical, Inca 6052 East Baseline rd# 155 Mesa Name Address 3. '•'"'='"""-"".....,,..:,cs-'-' or D Agent for Contractor Galina Pavlova 6052 East Baseline rd# 155 Name Address City -' ~l"ER]l OWNER Maralen Warmbrand Same as Site adress Carlsbad Name Address Ci1y Proposed Use # of Stories # of Bedrooms AZ 85206 (480) 898-0007 State/Zip Telephone # D Agentt AZ 85206 480-898-0007 Sta1e/Zip Telephone# CA 92010 760-889-81 S8 State/Zip Telephone# Total # of units # of Bathrooms (480) 898-0005 Fax# 5. ~C • COMPANY 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 [$500]). 85206 ( 480) 898-0007 California Delta Mechanical, Inc. 6052 East Basel ine rd # 155 Mesa Name Address City State/Zip Telephone # State License# _8.::..:..1 :..I :..I :..14.;.._ ____ _ License Class _C.:;_;-3'--6'---------City Business License# ~l-=2:.::lc..4;..;;2:..8:..lc.... ____ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 6. WORKER'S COMPENSATION 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. ~ 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.,.Ow.7.,_/0"-"-'1/..,,0..,,8'-------- (TlilS 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 i nlawful, 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 compensati d es are provided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE 11/26/07 7. OWNER-BUILDERDECLARATION •......;;.:..;...:::..::.:....::..:...._-=;;===~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 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). 0 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 I phone number I contractors license number}: 4. I plan to provide portions of the work, but I have hired the following person to ooordinate, supervise and provide the major work (include name I address I phone number I /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 I 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 RcTION FOR NON-RESIDEN11AL BUILblNG 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. 8. CONSffWCTION LENDING AGENCY 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. PPU~NT CER11FICA 110N 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 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 permtt 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 ::~::=: ::i::::::"" ,oo,, uoao;g? 0.,, _l_l_/_2_6_/_0_7 _________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/14/2007 Permit# CB072949 Title: WARMBRAND RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2886 SANFORD LN Suite: Lot: 0 Location: APPLICANT CALIFORNIA DEL TA MECHANICAL Owner: WARMBRAND M Remark : a m please Total Time: L TRUST 02-08-02 Act Comments Inspector Assignment: Phone: 7607297762 Inspector: Requested By: MARILEE Entered By: CHRISTINE CD Description 25 Water HeaterNents er_ _____ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments