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Home My WebLink About1417 CRESSA CT; ; CB070116; Permit01-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070116 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1417CRESSACTCBAD PLUM 2156211800 Lot# 0 Construction Type NEW BRISTOL RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/16/2007 KG Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner BRISTOL STEPHANIE E TRUST 07 26-94 1417CRESSACT CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPROVAL lflJ/7-t=~l 'Date Clearance 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 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 lequired 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 service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date 1417Cressact Address (include Bldg/Suite #) Legal Descnption Business Name (at this address) Lot No Assessor's Parcel # Replace standard water heater like for like Descnption of Work 2 CONfACllllSON (i California Delta mechanical Name V3. ..... ., AlPPLIClANf^rjD^&itrai Gal ma Pavlova Name ^'iMiPROPfiRTY OWNER •"&& f different from appl Inc 2500 S Power Rd Address sor^-b AgelllSr 8949 Lombard pi Address m "... :, Subdivision Name/Number Existing Use SQ FT Suite #120 #4l"3 ., - David Bristol 1417 Cressa ct Carlsbad Name Address ;- rrr # of Stones • Mesa City /.J'p.OwnerJSS San Diego City CA92011 City ' AZ 85209 State/Zip Unit No Phase No Total # of units Proposed Use # of Bedrooms # of Bathrooms i--' ' ' • ' : "'"111 1.480) 898 0007 (480) 898 0005 Telephone # Fax# """ '"^CA 92122 ""'" 858-361-6495"' •Jt^~J*i" "" -" State/Zip ::Mll^lI^ State/Zip Telephone # JiiSis^. - ••••:.;ay'..-. .'agif^Sd 760-930-9818 Telephone #. .(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor 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 # 811114 License Class C-36 C itv Business License # 1214281 Designer Name Address State License # City State/Zip Telephone # ^^^^R^^C^MPENSATWorkers 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 El 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 earner and policy number are Insurance Company State Compensation Insurance Fund PohcvNo 1697823 Expiration Date 07/01 /07 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR I ESS) D CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is i >sued 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 damages are provided for in Section 3706 of the Labor Code interest and attorney's fees SIGNATURE Galma Pavlova ^S&f/Jr DATE 01/12/07 I hereby affirm that I am exempt from the 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 d the work and the structure is not intended or offered for sale (Sec 7044 Business ana 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 sail) 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 contractors) licensed pursuant to the Contractor's License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvempnt D YES D 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 / 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 (mdude 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 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D 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 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 . 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 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 stones in height 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 period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT s SIGNATURE Galma Pavlova DATE 01/12/07 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 01/29/2007 Permit* CB070116 Title BRISTOL RES REPLACE WTR HTR Description Inspector Assignment 1417 CRESSA CT Lot Type PLUM Sub Type Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner BRISTOL STEPHANIE E TRUST 07-26-94 Remarks Phone 7609309818 Inspector Total Time CD Description 25 Water Heater/Vents Act Comment Requested By STEPHANIE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments PO BOX 420607, SAN FRANCISCO,CA 94142-0807 COMPENSATION IN9URAKCB •FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE XSSUB DATE: 07-01-2006 GROUP! POLICY NUMBER: 19876*3-2009 CERTIFICATE It* 6 AfE EXPIRES. Ot-01-200707-01 -3009/07-01-8007 HOME DEPOT NP COMPLIANCE DEPARTMENT3079 B IMPEP.XAI HHY 8TC 100 8RBA CA 9ZeZ1"B782 TWs ftt to certify mat w« have tewed * yritd Workers' Comptnserion Insurince policy m a form spprov^rt by tht CiJlfornn lnffir»nc« Comrnhw'On*'1 to th» employer iwrnvd Balow for to policy pwfod TW« pelfey Is not sutject to ennevllztion by 9w fund except upon ^ day* ad/wiM written notice to th* We will also gjv* you 10 tdiyi» edvejiee notiea should this policy be cmeeiMcf prior to its narrrwl «xptr«*on. This certiflcita of ln$ur«pce )• not *n insurance policy «w» does net mnend extend or «lter tb» covarwe «ffordea by tha policy lined, herein. Notwlthnvrdtng my requirement term er eondipon of my eorttriet or ether ttocwnemwKH respect to wMeh this aerttficetc of msurmcw m»v be l*sy«tf or to wnlcA It may perMrv the lnsur«wa •fforded toy tne policy dworibod herein Is subject to all me terms, mxcluskm and conditions, of nueti policy W2EO EMPLOYER'S LIABILITY LIMIT IMCLUOINO WrKNSIB COSTS' S1,000,090 PEP) OCCURRENCE. 6MPUOVCT CALIFORNIA DELTA MBCHANICA1., INC DBA; GAI.2PORHKA DELTA MECHANICAL, INC 2BOO S POWER KO STB 1SO MBA AZ MSO» PRINTED - OB-18-2008