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Home My WebLink About2361 TERRAZA SALVO; ; CB081915; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2008 Plumbing Permit Permit No: CB081915 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2361 TERRAZA SALVO CBAD PLUM Status: Parcel No: 2155713600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: ZEPEDA 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 Buildlng Sewer Roof Drain lnstall/Repalr 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: ZEPEDA RUBEN&TERRY L 2361 TERRAZA SALVO CARLSBAD CA 92009 ISSUED 10/09/2008 LSM 10/09/2008 10/09/2008 $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: r': ~ 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 pennit was issued to protest imposition of these fees/exactions. If y•Ju protest them, you must follow the protest procedures set forth in Government Code Section 6602D(a), and file the protest and any other required informatioo with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to tlmely follow that procedure will bar dlf'/ 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 APPl Y to water and sewer coonection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in conneclio!l with this project. NOR DOES IT APPLY to any I i n fwhi h h i Tl whi h lim i 11 i FOR OFFICE USE ONLY PLAN CHECK NO. ~ I q ~S' PERMIT APPLICATION EST. VAL. __________ _ Plan Ck. Deposit _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By __________ _ Date 10 J 09. J~ I 1, PROJECTINFOfUAATION 2361 Terraza Salvo Address (include 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 SQ. FT. 2. CONT ACT PERSON (If different from applicant) California Delta mechanical, Inc. 6052 E Baseline rd# 155 Name Address 3. A >; UCANT GI Contractor □ Agent for Contractor Galina Pavlova 6052 E Baseline rd# 155 Name 4. . PROPERTY OWNER . · Ruben Zepeda Name Address Same Address s. · CONTRACTOR-cowiPANY NAME · Mesa City □.Owner MESA City Carlsbad City Unit No. Phase No. Proposed Use #of Stories # of Bedrooms AZ 85209 (480) 898-0007 Stale/Zip Telephone# · □ Agent for Ownet AZ 85206 480-898-0007 State/Zip Telephone# CA 92009 760-431-5447 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 Contracto(s License Law [Chapter 9, commending with Section 7000 of Divis;on 3 of 1he 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, Inc. 6052 E Baseline rd# 155 Mesa 85206 (480) 898-0007 Name Address City State/Zip Telephone# State License # _8_1 _l _11_4 _____ _ License Class _C_-_3_6_· _______ _ City Business License# _1_2_1_4_2_8_1 _____ _ Designer Name Address City State/Zip Telephone# State License # ________ _ 6. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 0 I have and will maintain worker's compensation, as required oy Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My work~r' , -:.o-npensation insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date...,O'-'7-'-/O=l/'--'O'-'9---------- (THIS SECTION NEED NOT BE COMPLETED IF THE 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 suoject 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 doliars($100,000), in addition to the cost of compensatio , es are provided for in Section 37D6 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE_j_Q/_0_6/_0_8 _____ _ 7. OWNER-BUILDER DECLARA110N \ hereby affirm that I am exempi irom the Contractor's □ 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 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 Profess1ons 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. l personally p\an 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., to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I lontractors license number): 5. I will provide some of the work. out I have contracted (hired) the following persons to provide the work indicated (indude name I address/ phone number I !ype 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 COMPLETE THIS SECTION FOR NON-RESID~TIAL SUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sect1c,•5 ?5505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the <i.,>plic:ant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY 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 _____________________ _ 9. APPLICANT CERTIFICATION 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 ordinances and State laws relating to building construction. I hereby authonze 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 ANO EXPENSES WHICH MAY IN ANYWAY 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 h~ight EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become nutl 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 such permit Is suspended or abandoned at any time after the work is commenced for a pen·od of 180 days (Section 106.4.4 Unifom, Building Code) APPLICANT'S SIGNATURE Galina Pavlova ztf/~ □ATE_J0_/_0_6/_0_8 _______ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/30/2009 Permit# CB081915 Title: ZEPEDA RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2361 TERRAZA SALVO Suite: Lot: Location: OWNER ZEPEDA RUBEN&TERRY L Owner: ZEPEDA RUBEN&TERRY L Remarks: AM PLEASE Total Trme: 0 CD Description Act Comments Inspector Assignment: \ I?/ I ?i '.9 /~/..,/ ' · .. ' . Phone: 6197873142 Inspector: ~ Requested By: RUBEN Entered By: KA THY 25 Water HeaterNents '-:>%11Ji-a _ t..0c.,4-aoJ1 G. &,,.:l~ tl -G~..;; Mi t. -~~-, -~-\? ..... .. . ----.... -~ -l~~ ~9. ~·~ Comments/Notices/Holds Associated PCRs/CVs Original PC# p1,...~ ~£.=Al,t=> USr?"l' ~ ~l+ 1Z-~~- Inspection History Date Description Act lnsp Comments 't'O H~owt..l~ ~s ..