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Home My WebLink About2806 SEASIDE WAY; ; CB063252; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 11-14-2006 Plumbing Permit Permit No: CB063252 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2806 SEASIDE WY CBAD PLUM 1674802122 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: Project Title: LAMB RES-REPLACE H2O HEATER 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: LAMB MARY LOU 2806 SEASIDE WAY CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 11/14/2006 RMA 11/14/2006 11/14/2006 $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 Inspector: 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/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 !T APPLY to any f r i I Tl imil r hi r hi flimi in I ' FOR OFFICE USE ONLY;1 J1 j/ ! f) (''] PLAN CHECK NO. lLl.J fJ.)./J\/ /'-. PERMIT APPLICATION EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit 4-= Validated By 1 / ~ Date It { f '4 f O ~ 1. PROJECTINFORMATION 2806 Seaside wa Address (indude Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel# Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ. FT. # of Stories # of Bedrooms 2. CONTACT PERSON (If different from aP.Jillcant) California Delta mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa AZ 85209 (480) 898-0007 Name Address City State/Zip Telephone# 3. APPLICANT IEL_Contractor a Agent for Contractor a Owner .P Agent tor Owner Galina Pavlova 8949 Lombard pl. #413 San Diego CA 92122 858-361-6495 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Maty Lamb 2806 Seaside way Carlsbad CA 92010 760-434-7 198 Name Address Chy State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME Total # of units # of Bathrooms (480) 898-0005 Fax# (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# --"-8_1 _11'-1'-4 ____ _ License Class _C_-_3_6 _______ _ City Business License# _1_2_1_4_2_8_1 _____ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSAllON Workers' Compensation Oedaration: I hereby affirm under penahy of perjury one of the following dedarations: □ 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 for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Compe nsation Insurance Fund Policy No. 1697823 Expiration oate.~0~?~/~0~1/~0~7 ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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 lines up to one hundred thousand dollars(S100,000l, In addition to the cost of compensation s are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE 11/14/06 7. OWNER-BUILDER DECLARATION -------=====:..._~ I hereby affirm that I am exempt from the Contractor's Lice Law for the following reason: □ 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). □ I, as owner of the property, am exdusively contracting wilh 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). □ 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. □ YES □ 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 coordinate, supervise and provide the major work (indude name I address I phone number/ /ontractors license number): ---------------------------------------------- 5. I will provide some of the work. but I have oontracted (hired) the following persons to provide the work indicated (indude name/ address I phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PE~MIT•APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS 8EC110N l'OR NON-ReSIDl!NTIAI. BUii.DiNG PERMITS ONl. Y 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 Ad? □ 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? □ YES □ 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. CONSTRUCTION LENblNG 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. APPLICANT CERTIFICATION 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 s·o· 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 160 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 160 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _G_a_l_in_a_P_a_v_lo_v_a __ ~-~-...,,,_ __________ DATE _l_l_/ 1_4_/_0_6 ________ _ WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE )-L\-OW PERMIT# CZ:}Q(Q 3;;> M-. INSPECTOR _...L...fC-'--""<-- . PLAN CHECK# ___ _ JOB ADDRESS ---td6f2;;,<-l..).l..<.l..l{ o"'--':::)...,,__,,_e .... tc='\...,,lc(.Q_,===----...11..._.04..~~------- U lJ-M, , C)r{;lrVf5YlA DESCRIPTION _..,_t """')a::b=-A..,~, .... hl<,...>,.,L-R..,,~=---=----\)-\ __ df-" ___ _ CODE DESCRIPTION ACT COMMENTS , ~ ~ DA_'/Jd1(j --1 1 1 l SZ:: - ~ v-J o_Ll-