The URL can be used to link to this page

Home My WebLink About2690 SAUSALITO AVE; ; CB080056; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-04-2008 Plumbing Permit Permit No: CB080056 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2690 SAUSALITO AV CBAD PLUM Status: Parcel No: 1675612900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: HUGGINS RES REPLACE WTR HTR 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: HUGGINS FAMILY TRUST 03-15-07 2690 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 01/04/2008 KG 01/04/2008 01/04/2008 $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: Inspector: FINAL ifl Date:C:a 'C 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 Ca~sbad 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 ii r f i I FOR OFFICE USE O~~ V/"v'C? _ PLAN CHECK NoQ.........,f'5,,,,,_"'""(,Q'----'(1_i"--...::(.A..../_=-J )<:--"_ PERMIT APPLICATION EST. VAL. ____ ___......_ ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By -,,1.=:,.L--.,........,,---..-+:_ Date ----1-;.L--+-~,L_--=----===--- 1. PROJECT INFORMA TlON 2690 Sausalito ave Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assesso(s Parcel # Existing Use Replace standard water heater like for like Description of Work SQ. FT. 2. CONTACT PERSON (If different from appllcant) California Delta Mechanical, Inc. 6052 East Baseline rd# 155 Name Address 3. APPLICANT 1=J Contractor D Agent for Contractor Galina Pavlova 6052 E Baseline rd# 155 Name Address Mesa City D Owner MESA City 4. PROPERTY OWNER Catalina Huggins Same as site Carlsbad Name Address City 5. CONTRACTOR· COMPANY NAME Unit No. Phase No. Proposed Use # of Stories # of Bedrooms AZ 85206 (480) 898-0007 State/Zip Telephone# D ~ for Owner AZ 85206 480-898-0007 State/Zip Telephone# CA 92010 760-434-3054 State/Zip Telephone # 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 Contractofs 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}. California Delta Mechanical, I nc. 2500 S. Power Rd. Suite# 120 Mesa 85209 ( 480) 898-0007 Name Address City State/Zip Telephone# State License# _8=-..:...1 .:..I .:..I .:..14.:...._ ____ _ License Class _C_-_3_6 ________ _ City Business License# -=lc=2c.::l:...4;.;:2:;.;8:::..1=------- Designer Name State License # 6. WORKER'S COM PENSA TlON Address City Workers' Compensa1ion Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone# D I have and will maintain a certificate of consent to self-insure for workers' compensa1ion 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 worke(s compensa1ion, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worke(s compensation insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date..,0'-'7.1../0,,_..,l/_,,0"'8'-------- (THIS SECTION NEED NOT BE COMPLETED IF TliE 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(S100,000), in addition to the cost of compensation, da a vided for in Section 3706 of the Labor Code, interest and attorney's fees. SIG NATURE Galina Pavlova DATE.__::Oc..:.I:....:/0:..:2::.:/0::..:8::..._--::====:--. 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contracto(s License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensa1ion. will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(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 Contractofs 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 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 (include name / 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 (indude name/ address / phone number I type of work}: PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 06/23/2008 Permit# CB080056 Title: HUGGINS RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2690 SAUSALITO AV Suite: Lot: 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: HUGGINS FAMILY TRUST 03-15-07 Remarks: PM Total Time: ----- CD Description 25 Water HeaterNents 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604343054 Inspector: Requested By: CATALINA Entered By: JANEAN