HomeMy WebLinkAbout2775 TORRY CT; ; CB101473; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-09-2010 Plumbing Permit Permit No: CB101473
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2775 TORRY CT CBAD
PLUM
2164012100 Lot#
Status:
Applied:
Construction Type:
0
NEW Entered By:
Reference #:
PC#: Plan Approved:
Issued: Project Title: SELVAGGIO 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:
SELVAGGIO DOROTHY
2775 TORRY CT
CARLSBAD CA 92009
ISSUED
08/09/2010
KG
08/09/2010
08/09/2010
$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.C0 Total Payments To Date: $27.00 Balance Due:
~ Inspector: ~
VAL
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
refelled to as "lees/exactions." You 1:ave 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 fort!: 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 application processing or setvice fees in connection with this project. NOR DOES IT APPLY to any
lees/ xac ions of which ou h ve reviousl been iven a NOTICE similar t this or as lo which he statute of limitati n has reviousl otherwise ex ir
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS 2775 Torry ct
lct;,eo,ecr, _r" --__ IPHAS:_ ro~~-N-ITS
1, D-ESCRIPTION OF IYORl<1 Include Squa,o Feet ol Affooted A,oa(,) --
Plan Check N
Est. Value
Plan Ck. Deposit
Date
SUITE #/SPACE# /UN IT#
# BATHROOMS TENANT BUSINESS NAME
Replace existing like for alike water heater
EXISTING USE
73
I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE
YES0, IAIR CONDITIONING !FIRE SPRINKLERS ''° ves □,o □ v,so,o□
CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME ' I
~DDRESS
California Delta Mechanical Galina Pavlova
ADDRESS -1 6052 East Baseline rd # 155 6052 E. Baseline road suite# 155
ICITY --------------------------------------Sr ATE ____ ----------I STATE ZIP CITY ZIP
Mesa AZ 85206 mesa az 85206 I ~PH6NE IFAX PHONE l FAX 480-898-0007 1-480-218-5645 858-361-6495 1-858-410-1499 7,
EMAIL EMAIL
california@,deltamechanical.com galiapavlovabg@,yahoo.com
PROPERTY OWNER NAME Dorothy Selvaggio CONTRACTOR BUS. NAME California Delt_a_Mechanic_aL ' -rA□DRESS ----------------------ADDRESS
I 2775 Torrv ct 6052 E. Baseline road suite # 155
ICITi STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Mesa Az 85206
iPHONE I FAX I FAX
-PHONE
I EMAIL
760-431-1026 480-898-0007 ----EMAIL
'I <ern;iies,o,rn 'AMC & ,coeess ----------·[~ -STATE LIC # I CLASS I"" BOS. "'1214281 i 811114 c-36
(Sec, 7031.5 Business and P_rofess_1ons 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 per_mIt to file a sI~ned statement that he Is licensed pursuant to the provIsIons of the Contractor's License LawJChapter 9, commending with Section 7000 of DIvis1on 3 of the B_usiness 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 the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
I
i
-1
(it:1~;lmmunamn ••••1,n11
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations
0 I have and will maintain a certificate of consent to self-insure for 1-YOrkers' 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 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' compensation insurance carrier and policy
number are: Insurance Co Policy No -------"-"-"-'------Expiration Date ___ ~---·
This section need not be completed if the permit Is for one hundred dollars ($100) or less [Z] Certificate of Exemption: I cer1ify that in the performance of the work for which this permit is issued, I Sh3II not employ any person in any manner so as to Decome subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000J, in
addition to the cost of compensation, damages as provided for in Section ~YV>'~ or code, interest and attorney's fees.
,/iS CONTRACTOR SIGNATURE ~!l!!:!:II /$(;'.d,_f
I hereby afflrm 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. 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 tnrough his own employees, provided that such improvements are not intended or offered for
sale. 11, however, the building or improvement Is sold within one year ol completion, the owner-builder will have the burden of proving that he d'd not buid 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 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 pur:;uant 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 constrtJCtion of the proposed property improvement. 0Yes 0No
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)
4.1 plan to provide portions of the wol'K, but I have hired the following person to coordinate, supervise and provide the major wol'K (include name/ address I phone I 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 I type oi work)
Jj$ PROPERTY OWNER SIGNATURE DATE
IEv'W:~r!ZID~Jtli,1:1,,mmx:aarnm,,,u1ii\#iri 1iiii·i!ii
Is the applicant or future building occupant required to submit a business,Qfil),, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tarmer Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building_occupant r~uired to obtain a permit from the air pollution control district or a~ality management district? 0Yes D No
Is the fac1lrty to be constructed within 1,000 feet of the outer boundary of a school srte? Oves LJNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPL/CANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
►~~tf1tm:i!lmtiifiiff:R{Sf¥iiW11' I
J hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. J agree to comply with all City ordinances and State laws relating to building construction
' 1ereby authorize representalil.€ of the City of Carlsboo to enter upon the abol.€ menUoned property for insl)3Clion pul'T,X)SeS. I ALSO AGREE TO SA.VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH t-MY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA perrrnt is require::J for excavatbns over 5'0' deep arx:I demolition or coristruction of structures over 3 stories in height
i EXPIRATION: Every pemiit issued by !17e Building Official under the provisions of this Code shall expJre by limita1ion and become null and lrl:)jd if the building or work authortzed by Sl.lCh permit is rot commenced within
180 days from the dale ct such permrt or rflhe bu11d1ng or work authonz~ '.7rm1t Is suspended or abandoned at any tIrre after the work Is commenced for a penod of 180 days (Seeton 106 4 4 Uniform Bu1ldmg Code}
_gAPPLICANT'SSIGNATURE ~~ ___ DATE Q /-";)~CJ
City of Carlsbad Bldg Inspection Request
For: 09/02/2010
Permit# CB101473
Title: SELVAGGIO RES REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2775 TORRY CT
Suite: Lot: 0
Location:
OWNER SELVAGGIO DOROTHY
Owner: SELVAGGIO DOROTHY
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone:
Requested By: DORTHY
Entered By: JANEAN
25 Water HeaterNents p_ ______ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments