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HomeMy WebLinkAbout2727 SPOKANE WAY; ; CB110070; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-11-2011 Plumbing Permit Permit No: CB110070 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2727 SPOKANE WY CBAD PLUM 1674317200 Lot#: 0 Construction Type: NEW GEE RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/11/2011 KG 01/11/2011 01/11/2011 CALIFORNIA DEL TA MECHANICAL GEE CHARLES P&DEE A FAMILY TRUST 10-17-98 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 2727 SPOKANE WAY 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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Y11 ~s FINAL APPROVAL Date: in{ <Y/( I l Clearance: $0.00 NOTICE: Please take NOTICE tiat approval of your project includes the "Imposition" of fees, dedications, reseNalions, 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 witl bar any subseql·ent 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 ccnnection 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 i n I i h I i h f . City of Carlsbad Plan Che,:k NoC\5 j / 00 7 ~--_ . 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2727 Spokane way Est. Valuo SUITE#/SPACE# /UNIT# CT;PROJECT# r6'r# PHASE~,~~-'#00'F"U~Nl~1S~~#' BEDROOMS ~-•-B_A'_"_"_oo_"_'_~_''_'_A'_'_"_u_,_,,_,,_-s-NA~E---------~C-0-NSTRTYPE r~ GROU~ DESCRIPTION OF WORK: Include Square F8ef0f Affected Area(s) replace existing like for alike water heater EXIS71NG USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESD ,o□ YES □No □ YES □No□ CONTACT NAME (If Different Fom App/leant) California Delta Mechanical APPLICANT NAME Galina Pavlova ------------------------·--·-ADDRESS ADDRESS 6052 East Baseline rd # 155 6052 E Baseline rd # 155 -ZIP CITY SH.TE ZIP CITY STATE Mesa AZ. 85206 Mesa AZ. 85206 ------- PHONE ['" PHONE l"x 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 --------- EMAIL EMAIL california@,deltamechanical.com galiapavlovabg@,yahoo.com PROPERTY OWNER NAME Chuck Gee CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2727 Spokane wav 6052 East Baseline rd# 155 CITY STATE ZIP CITY STl,TE ZIP Carlsbad CA 92010 Mesa AZ. 85206 PHONE I FAX PHONE I""' 760-720-3775 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & AODF<ESS I STATE LIC. # STATE UC.# I CLASS I CITY BUS. LIC1214281 811114 C-36 (Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty 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 hcensed pursuant to the provisions of the Contractor's License Law [Chapter 9, corr mending 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 cpplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). it:@!tiM¥Eti@J)i§ii,ii II I I 111 I 11 11111 II 11 1111 11 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarafions· [2] 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 performanct of the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compe!1sativ,, i~surance ca;r;er and policy number are: Insurance Co Policy No,--·-1697823 Expiration Date__ 0110112011 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 ol the work for which thi~ permit is issued, I shall not employ any person in any manner so as to becor1e subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker&' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines lip to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 o th Labor de, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason D I, 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. 7(144, Business and Professions Code: The Contractor's License Law does not aoply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided tnat 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 Contr<ctor's License Law does not apply lo 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. 0Yes []No 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 construction (include name address I phone I contractors' license number) 4. I plan to provide portions of the worl<., but I have hired the following person to coordinate, supervise and provide the major work {include name I address I Jhone ,' 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 I address I phone/ type of work)· JES PROPERTY OWNER SIONA TURE DATE ~ the applicqnt or future building occupant required to submit a business,.12W.!J, acutely hazardous materials registration form or risk management and prevention prograrr under Sections 25505, 25533 or 25534 of the :>resley-Tanner Hazardous Substance Account Act? D Yes L..JNo s the applicant or future building_occupant required to obtain a permit from the air pollution control district or a\Lll!lality management district? []ves D No s the facility to be constructed w1th1n 1,000 feet of the outer boundary of a school site? 0Yes 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 THI: REQUIREMENTS OF THE OFFICE OF :MERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. tPtfmiit~tii ili·iUi·l1i&J:ii heret'y affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code) . . ender's Name 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 Ctfy ordinances and State laws relating to building construction. hereby authorize representative of lhe City of Ca1sbad 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 Am WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRAl'mNG OF THIS PERMIT )SHA: An OSHA permit is required ror excavations over 5'0' deep crid demolition or conslruction of structures (Nfl 3 stories in height. :XPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by !irritation and become null and void if the building orv.ork authcrized by such permit is oot commenced v.ithin 80 days from the date of such perrrit or if the building or work authorized by such permit is suspended or ct>andoned at any time after the work is commenood for a pericxl of 180 days (Section 106.4.4 Uniforr(I Building Code). _gAPPLICANT'SSIGNATURE dlJ47 DATE / //{;;;/// . City of Carlsbad Bldg Inspection Request For: 02/03/2011 Permit# CB110070 Title: GEE RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2727 SPOKANE WY Suite: Lot: 0 Location: Inspector Assignment: Phone: 7607203771; Inspector: Ml--~-- OWNER GEE CHARLES P&DEE A FAMILY TRUST 10-17-98 Owner: GEE CHARLES P&DEE A FAMILY TRUST 10-17-98 Remarks: AFTER 11:30AM Total Time: Requested By: DEANNE GEE Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents tlf' &xt.:St1'4ca .l-0'-""~ , ~.sr-,it c. , s.-r~.s ~ f'i-A--C'.6 'Pl Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments --------•-----------------