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Home My WebLink About2378 TERRAZA RIBERA; ; CB053815; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-01-2005 Plumbing Permit Permit No: CB053815 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2378 TERRAZA RIBERA CBAD PLUM 2155822400 Lot#: 0 Construction Type: NEW CRISPEN RES-REPLACE WATER WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/01/2005 LSM 11/01/2005 11/01/2005 CALIFORNIA DELTA MECHANICAL CRISPEN FAMIL V REVOCABLE TRUST 09-21-01 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: $27.00 ~ Inspector: /4 0 0 0 0 1 0 0 2378 TERRAZA RIBERA CARLSBAD CA 92009 $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 APPROVAL Date: I .2.-/4/4 :> ' Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~ referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf 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 app~cation processing or service fees in connection with this project. NOR DOES IT APPLY to any fhi 1 T iii 1· inh vi x· FOR OFFICE USE ONLY PLAN CHECK NO. Clfi ()5:,j\:l:;- PERMIT APPLICATION EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By _ __,%::,;J'---'-------CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. -P!'<GJECTINFOW'IIOtl< 2378 TERRAZIA RIBERA CARLSBAD, CA 92009 Address (indude Bldg/Suite#) Business Name (at this address) legal Description Lot No. Subdivision Name!Number Assessor's Parcel# Existing Use Replace standard water heater like for like Description of Work sa. FT. Z. CONTAC1' l'l!R$0N(II dlffeNilnlfl'Omappllcant) California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa Name Address City a mll<lAH't · !El-:Go®oClor . .0 -lot Comractof ROMEL 2500 S. POWER RD #120 Name Address 4..-!'!IQPllll'TY~ Cl <l'Nl!or MESA City Unit No. Phase No. Proposed Use # of Stories # of Bedrooms AZ 85209 (480) 898.0007 State/Zip Telephone# 0 Aoentlot Ownor AZ 480-898-0007 State/Zip Telephone# RICHARD CRISPEN 2378 TERRAZIA RIBERA CARLSBAD CA 92009 760-431-8484 Name Address City State/Zip Telephone# '8. ·.. ~-• llOIO',\~M-. 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. Arr/ 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, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 ( 480) 898-0007 Name Address City State/Zip Telephone# State license # ...:,82.l 2.l .cl ,:l 4,_ ___ _ license Class ---'C"-'-3"6'---------City Business License# __,1"2"1'-4'-'2"-8=1 _____ _ Designer Name t.L Slate License • _su__,_/ _,/__,_/ _,_l _ _,L_ Address City State/Zip Telephone# ,ar -. \,-~~t~Plf'PnlQrf· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. iEI I have and will maintain worker's compensation, as required I>)' Section 3700 of the labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance canier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date,0Q,._7u.l.s0c,11.1/0,,6.,__ _____ _ (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 clvil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, damages are provided for in Section 3706 of the Laber Code, interest and attorney's fees. SIGNATURE Rome! Maru DATE_---'!~0""/2=5"-/0=5'--------- 1, ~~.llllQ!.Al!AJ19N . . . 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). □ \, 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 permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ 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/ /ontractorslicense number): ---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ 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 COMPUT&"lNIS Sl!QnON!'Mc~clllJILDINGP-fl'ScOfjl.Y• Is the applicant or future building occupant required to submit a buSlness 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 Act? D YES □ 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 D NO Is the facility to be constructed 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 OCCUPANCV 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 • •. '~Llti!)INGJIOl!Jl!)Y• 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 ____________________ _ f. APPIJCANT~"IION · l certify that 1 have read the application and state that the above information is oorrect and that the information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby author1ze representatives of the City of Carlsbad 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 5'0" 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 C 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 su perm[t,drif the b I ·ng or work authorized by such permit is suspended or abandoned at any time after the work \s commenced for a period of 180 days (Section 106.4 Umf rm Bdlfding Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/07/2005 Permit# CB053815 Title: CRISPEN RES-REPLACE WATER Description: WATER HEATER Type: PLUM Sub Type: Job Address: 2378 TERRAZA RIBERA Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Inspector Assignment: Phone: Inspector: L Owner: CRISPEN FAMILY REVOCABLE TRUST 09-21-01 Remarks: NO NUMBER LEFT Total Time: CD Description Act Comment 25 Water HeaterNents Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Requested By: RICHARD Entered By: JANEAN