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Home My WebLink About1337 SHOREBIRD LN; ; CB070117; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-16-2007 Plumbing Permit Permit No: CB070117 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1337 SHOREBIRD LN CBAD PLUM 2157912100 Lot#: Construction Type: RITTER RES REPLACE WTR HTR 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/16/2007 KG CALIFORNIA DEL TA MECHANICAL RITTER GREGORY A&MAROLYN S FAMILY TRUST 10-28-92 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 1337 SHOREBIRD LN 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: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of es, 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 in1orrnation 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, •"" .......... -.. -------.... -... -,~------------------ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 t. PROJECTINBlRIIAllON 1337 Shorebird lane FOR OFFICE USE ONLY PLAN CHECK No.C;ffj70 // 7 EST. VAL.-------+------- Plan Ck. Deposit --v.11----------- Validated By ---=~w...~-......-.---- Date -----~1--1---1--"'::.......-><--- Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms CONTACT~RSON(lf..glfferentlrom:am,J.lam} ________________________ ...;;..._-.. California Delta mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa Name Address City .,.,__"'A.PPI.ICANT'--" _151 Conljic:to, C,.Aolntk!r.,~ Galina Pavlova 8949 Lombard pl.# 4 I 3 Name Gregory A. Ritter Name Address 1337 Shorebird Jane Address 5. CONlRACTOR • COMPANY San Diego City Carlsbad City AZ. 85209 (480) 898-0007 (480) 898-0005 State/Zip Telephone# Fax# ~ CA 92122 858-361-6495 State/Zip Telephone# CA 92011 760-603-1 188 State/Zip Telephone# (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, a!so 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 State/Zip Telephone# City State License # 8 11114 License Class C -36 City Business License # 1214281 Designer Name Address City State/Zip Telephone# State License # Workers' Compensation Declaration: I hereby affirm under penalty 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 worl< 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 worl< 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~Ou7.t.:IO!.Ll.!1/..i;0~7 ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 tq criminal penalties and civil fines up to one hundred thousand dollars($100,0001, In addition to the cost of compensation, d re provided for in Section 3706 of the Labor Code, Interest and attomey's fees. SIGNATURE Galina Pavlova DATE 01/12/07 ciWNER:aJ!LDER Di:CLARAllON I hereby affirm that I am exempt from the Contractor's License 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 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). □ 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 permtt 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/ 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 I address I 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 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 □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distrid or air quality management distrid? □ YES □ NO Is the facility to be construded within 1,000 feet of the outer boundary of a school site? □ YES □ 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 ~ I hereby affirm that there is a oonstrudion lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME------------:_:_:_::_,:_:_:_:_:_:_=- t ~;11·· ~~K:;:::::::;:=::::::::::..=::===::::::;==-==-=======-===========:;:::::=.:;::1 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 LENDER'S ADDRESS ____ ----,... ______ -.., __ -.. -., -..,. __ -.., -,.. -,... _________________________________ _ ordinances and State laws relating to building construdion. 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 construdion of strudures 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 s~ch 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). APPLICANT'S SIGNATURE _G_a_l_in_a_P_a_v_lo_v_a ___ ---,~~W£-""'-+---------DATE O 1/12/07 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/26/2007 Permit# CB070117 Title: RITTER RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1337 SHOREBIRD LN Lot 0 APPLICANT CALIFORNIA DEL TA MECHANICAL Inspector Assignment: Phone: 7605189910 Inspector: ---- Owner: RITTER GREGORY A&MAROLYN S FAMILY TRUST 10-28-92 Remarks: Total Time: CD Description Act Comment Requested By: GREG Entered By: CHRISTINE 25 Water HeaterNents ~----- -----~---· -----·-····· Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments