The URL can be used to link to this page

Home My WebLink About1655 CORTE ORCHIDIA; ; CB090407; Permit03-11-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090407 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1655 CORTE ORCHIDIA CBAD PLUM 2159502500 Lot# Construction Type ABERNATHY RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/11/2009 KG 03/11/2009 03/11/2009 Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner ABERNATHY FAMILY TRUST 12-20-04 1655 CORTE ORCHIDIA 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 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition df 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 required information with the City Manager for processing in accordant 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 City at Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 Building Permit Application Plan Check No Est Value Plan Ck Deposit ate - JOB ADDRESS 1655CorteOrchidia SUITE»/SPACEff/UNIT* CT/PROJECT #PHASE * # OF UNITS » BEDROOMS DESCRIPTION OF WORK Include Square Feet of Affected Area(s) » BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP I Replace existing like for alike water heater EXISTING USE PROPOSEDUSE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ... - _ .. .« .California Delta Mechanical Inc ADDRESS 6052 E Baseline road suite #155 CITY Mesa PHONE 480-898-0007 STATE ZIP Az 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME Mane Lampone ADDRESS Same as site CITY Carlsbad PHONE 619-200-2282 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP CA 92011 FAX STATE LIC » PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES [ |# N0| | YES^NOQ YES| | Np| | APPLICANT NAME _ . _ .Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite # 155 STATE ZIPMesa AZ 85206 FAX 480-898-0007 1-858-410-1499 qahapavlovabg@yahoo com CONTRACTOR BUS NAME „„.•••. i iCalifornia Delta Mechanical Inc ADDRESS CITY PHONE 6052 E Baseline road suite #155 STATE ZIP Mesa Az 85206 FAX 480-898-0007 EMAIL STATE LIC #CLASS CITY BUS LIC # 811114 C-36 (Sec 70315 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 Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)) -iffi;:',,_..'. '*- Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations LG I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued LCI I have and will maintain workers' compensation as required bv Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance earner and policy Policy No Expiration Date1 number are 'nsuranceCo ! This section need not be completed if the permit is for one hundred dollars (S100) or less I L^J Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in I addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees J$Z CONTRACTOR SIGNATURE tfM DATE I hereby affirm that I am exempt from Contractors License Law for the following reason _J 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 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) | |_J 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) . |_J 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 improvement I JYes I ho 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 / contractors' license number) I 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 / contractors license number) j 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 / type of work) | xgfpROPERTYl^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' r~|Yes |__|No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airjjyality management district' I Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' "~~" IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPY EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT LjYes I I No I 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 reitfythat I have readttieapplicafionandstatetJiattfieabmeinformatoniscoTOrtandthatthe information on the plareisaccurate I agreeto comply with allCityordmancesand State laws relatingto building construction I hereby autnonze representative 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 JUDGMENTS 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 over 5 0 deep and demolition or construction of structures over 3 stones 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 .^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 03/25/2009 Permit* CB090407 Title ABERNATHY RES REPLACE WTR HTR Description Inspector Assignment 1655 CORTE ORCHIDIA Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER ABERNATHY FAMILY TRUST 12-20-04 Owner ABERNATHY FAMILY TRUST 12-20-04 Remarks PLEASE INSPECT AS EARLY AS POSSIBLE Phone 6192002282 Inspector Total Time CD Description 25 Water Heater/Vents £pt Comments \ -L> Requested By MARIE Entered By CHRISTINE Comments/Notfces/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments No. / POLICY HOLDER COPY PO BOX 420807, SAN FRANCISCO CA 94142-0807 PLJMD CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATION IN SURANCB ISSUE DATF O7 Ol 9O08 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT PO BOX 2BOOO SACRAMENTO CA 9SB2B-QOZB NF GROUP; POLICY NUMBER- 1607823-2008 CERTIFICATE ID- 70 CERTIFICATE EXPIRES 07-01-2008 07-01-2008/07-01-2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE » * DATED 07-01-2008 LIC PERMIT*, 811114 INCEPTION DATE :07-<" 1-2008 00 NF NF This is to certify th« w« have wsued « v»fld Workers C'ornpensstfon Insurance policy In a form .ar.provad by thu (,nltf ornia Irwui »nro Commissioner ?o th« employer named b«low for the policy period indicated. Tins noliny m not -ubject to csncallatlon Ijy lh« Fund avcept upon 30 rfays aduwca written nntli e io the employer W« will also oivo you 30 risyj sdvanee notice should tor policy be rinc«l!scl prior to Jts norrnii < "]s.r»nr« is nat an insurancs policy ™d does not amenrf extand or iltec the :over»ge affordsd to"wWHf' K1 No*w'th'i»rid'r'9 W requirement, tarm or condition of sty contract or other documentth« r«« rf Rwt'j'cste of insurance may be issuer) or to which tt may pertain, the Insuranca tUn Pol|ry rt^qnhed ner*m Is subject to «ll th» terms, exclusions and rendition* of such policy. PRESIDENT EMPLOYER'S ITABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - TOOOR KITCHULKOV P S T - EXCLUDED #2066 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-20<1S IS AND FORMS A PART OF THIS POLTCr FMPI OYE:? CALIFORNIA DELTA MECHANICAL. INC 8032 G BASEUINE RD STE 1.15 MESA AZ SB209 NF (REV 2 OH) [CAM.CS] PRINTED 07-01-2008