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Home My WebLink About2759 TIBURON AVE; ; CB063132; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-30-2006 Plumbing Permit Permit No: CB063132 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2759 TIBURON AV CBAD PLUM Status: Parcel No: 1675622900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: SILCOX 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: SILCOX PHILIP L&MADELINE 2759 TIBURON AVE CARLSBAD CA 92010 ISSUED 10/30/2006 LSM $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 APPROVAL Inspector: Date: 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 dale 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 tor 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 annu! 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 I x i n f hi h h I e n iv n N Tf E simil r hi r hi h h f limi i n h r vi I x ir PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT _1635 Faraday Ave., Carlsbad CA 92008 1. PRQJECTINFORMATION 2759 Tiburon street FOR OFFICE USE ONLY PLAN CHECK NO. <2-f>Ole, 51 3:::! EST. VAL. __________ _ Plan Ck. Deposit ----l~c,,<2------ Validated By-----'~'-"='-.''--- Date ____ Lei o'-<-;1-"~=.co~J O=.-Lfo=-- Address (include Bldg/Suite#) Business Name (at this address) Legal DescnptIon Lot No Subdivision Name/Number Unit No Phase No. Assessor's Parcel # Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ. FT # of Stories # of Bedrooms 2. CONTAO'tPER$0!1 (If d!lfei:<1nUl'Otn applicant) California Delta mechanical, Inc. 2500 S. Power Rd Suite# 120 Mesa AZ 85209 (480) 898-0007 Name Address City State/Zip Telephone# 3. ~!i,NT gf Contractpr O Agent for Contractor O Owner □ AgentfOr 0Wner Galina Pavlova 8949 Lombard pl. #413 San Diego CA 92122 858-361-6495 Name Address City State/Zip Telephone# 4. · PROPERlYOWNl;R: Madeline Silcox 2759 Tiburon street Carlsbad CA 92010 760-720-5364 Name Address City State/Zip Telephone# 5. CCNTRACTOR• CQIIIPA!rf t,IAll!E Total# of units # of Bathrooms (480) 898-0005 Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a perr111t 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 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 [$500]) California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 (480) 898-0007 Name Address City State/Zip Telephone# State License # -"'8-'l-'1-'1-'1-'4 _____ _ License Class _C::_c-3:_6::_ _______ _ City Business License# __,l.=2c,lc.4:..:2=-8=1 _____ _ Designer Name Address City State/Zip Telephone# State license# ________ _ 6. WORKER'$.CQMPENSATION Workers' Compensation Dedaration· 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. lEJ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work 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,_,0,_70/"0"11:/0e.7L-______ _ (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 civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, dama ovided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova ~;.<'.'.;)-______________ DATE__,l.cOcc/2"'5"'/0,.,6'------ 7. OWNER-BUILDER DE;C~RA-TION I hereby affirm that I am exempt from the Contractor's License aw for the following reason D 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) D 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) D I am exempt under Section ________ Business and Professions Code for this reason I personally plan to provide the major labor and materials for construction of the proposed property improvement D 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 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/ phone number/ /ontractors license number)· ----------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name/ address/ 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 COMPt..ETI' THl$_$EC110NFO!I ~S/DllllrM4•!!!11LDIIIGPEIUIIITil'~NL Y Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. a. C(l"$TRUCliON teND111<3 A()EN<:'r 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 t;ERJ'IFICA110N 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 authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE ro 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 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 authonzed by such permit is suspended or abandoned at any time after :::~~~::Sm::::~:~ :::j::,:::::::oc 10A Code) DATE _J_0c_/_2_5_/_0_6 __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 12/06/2006 Permit# CB063132 Tille: SILCOX RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2759 TIBURON AV Lot Suite: 0 Location: OWNER SILCOX PHILIP L&MADELINE Owner: SILCOX PHILIP L&MADELINE Remarks: 760-505-8333 Total Time: CD Description 1/omment 25 Water HeaterNents 29 Final Plumbing + Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ ___{3 Phone: 7607205364 Inspector: __ ...,., _,_/___ (s Requested By: NA Entered By: JANEAN