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Home My WebLink About1330 STATICE CT; ; CB091845; PermitCity of Carlsbad ,, 1635 Faraday Av Carlsbad, CA 92008 11-04-2009 Plumbing Permit Permit No: CB091845 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1330 STATICE CT CBAD PLUM Status: Parcel No: 2145702600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: PC#: Issued: Project Title: ROST 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: ROST-ELLIS MARJORIE A 1330 STATICE CT CARLSBAD CA 92011 ISSUED 11/04/2009 LSM 11/04/2009 11/04/2009 $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 AP.PRO AL Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE at 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 Munic;pal Code Section 3.32.030. Failure to timely follow that procedure wiU bar any subsequent legal action to attack, review, set aslde, 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 f x i n fwhi h h v r vi I n iv n N Tl imil r hi r hi h h f Ii i i h h i .Citl' of Carlsbad .. r, e1. ,,..,("\ t i ~ 6"' • Plan Check No. ~·: 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Fax: 760--602-8558 -~,.:-· Plan Ck. Deposit .. Building Permit Application Date? I <1> I 410'7 1~ . , JOB ADDRESS SUITE#/SPACE#/UNIT# APN 1330 Statice ct --- CT/PROJECT# rOT# l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TY'.:;': I OCC, GROUP DESCRIPTION OF WORK: Include Square Feet of Affected .41911(8) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AJR CONDITIONING I FIRE SPRINKLERS YES0, NO vesONoD vesONoO coNTACTNAME '"DlffoN,,,..,...,,. .. ,, California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova ADDRESS ADDRESS 6052 E. Baseline road suite# 155 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 IFAX 1-480-218-5645 480-898-0007 IFAX 1-858-410-1499 EMAIL EMAIL california@ldeltamechanical.com galiapavlovabg@lyahoo.com PROPERTY OWNER NAME Gerald Rost CONTRACTOR BUS. NAME California Delta Mechanici! Inc. ADDRESS ADDRESS 1330 Statice ct 6052 East Baseline rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Mesa AZ. 85206 PHONE IFAX PHONE I FAX 760-560-6140 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# rASS I CITY BUS. LIC.# 811114 c36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, pnor to 1ts ,ssuance, 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 031.5 by any applicant for a permit subjects thf! applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION • Work.en' Compensation Declaration: / hereby affirm under pena/t'f of perjury one of the fol/owing declarations: [ZJ 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 perfom1ance of the worll. forwhieh this pem1it is ISsued. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for v.tlich this pem11t is issued. My workers' compensauon insurance carrier and policy riumber are: Insurance Co Policy No. 16&7823 Expiration Date IM1ll1 itli§.section need not be completed lf the permit is for one hundred dollars ($100) or less. l:lJ Certificate of Exemption: I certify that In the performance of the work for which tfllS peimit IS issued, f shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure woril.en' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ''-100,000), in addition to the colt of compensation, damages as provided for in 3706 of the Labor code, interest and attomey's fees. 85 CONTRACTOR SIGNATURE I hereby affirm that I wn exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees witfl wages as tflelr sole compensation, will do 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 lo an owner of property who builds or improves !hereon, and who does such 'NOrk himself or through his own employees, provided that such improvements are not intended or offered for sale. If, ho-..wver, the bullding or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he dl'.I not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with lk::ensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an ownerol property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo 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 male<lals for construction of the proposed property improvement. 0Yes Oo 2. I (have/ have not) signed an ~plication for a building pem,lt for the proposed WOik. 3. I have contractael with Iha following person (fiim) to provide the proposed construcliOn (Include name address/ phOne / controctors' license number): 4. I plan lo provide portions of the 'NOrll, but I have hif'8d the following person lo coordinate, supervise and provide the major work {Include name/ address I phone/ contractors' license number): 5. I will provide some of the 'NOrk, but I have contracted (hired) the following persons to provide the 'MX1I indicated (include name I address I phone/ type of work): Ji$ PROPERTY OWNER SIGNATURE DATE COM f"L ET I! TH IS SECTION FOR NON -RESIDENTIAL BU IL DING.PERMITS ON L V Is the applicant or future bulkliog occupant required to submit a business,.m, acutely hazardous materials registration form or rtsk management ard prevenlion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes L_JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Oves D No Is the facility to be constructed within 1,000 feet of the outer bouOOary of a school site? Oves LJNo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I haYe read the appllcatlon and state that the at>cwe information Is coned: and that the lnfonnation on the plans Is aa:urate. I agree to comply with all City ordinances and State laws nilatlnglD building construction. I hereby authorize representatiYe ct the City of Ca1sba::l to eotef up:11 the im\18 menooned property for Clspection purp:,ses. I ALSO AGREE TO S-WE, INOEt-.t-JIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGti.ENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemlit is ia:iure:I b eXC8Vlibns CNer" 5'0' deep and demc>itkn or oonstndio'l cl strudures OYer 3 smBS in heighl EXPIRATION: Every permit issued by the 0.ilding Ofocial uooer Iha provisklns of this Code shall expire by limitation and bocome nul and \00 if the bu:k:llrg or work autoorized by such permit is oot commenced within 180 days fn:m the date cl sudl pemit or if the buikling orwctk authoozed bysoch · is SUSJ):lnded or abanooned at anytirre after the wont is oorrmmced for a perioo of 100 days (SEmJn 100.4.4 Unifam Buik:lirg Code). ~APPLICANT~SGNATURE DATE ,,f" / ,I?(' 4 m' . . . City of Carlsbad Bldg Inspection Request For: 01/22/2010 . Permit# CB091845 Title: ROST RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 1330 STATICE CT Lot: 0 A losp,cto, "'"gomeo" '/ Phone: 7603997887 Location: Inspector: ---- OWNER ROST-ELLIS MARJORIE A Owner: ROST-ELLIS MARJORIE A Remarks: PLEASE INSPECT 2PM -4PM ltopk RU W9Fk) Total Time: CD Description 25 Water HeaterNents .;:ff-Comments ----------·--------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Requested By: MARGIE ROST-ELLIS ntered By: CHRISTINE ;;