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Home My WebLink About1709 BUTTERS RD; ; CB100986; Permit06-01-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100986 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1709 BUTTERS RDCBAD PLUM 1560524300 Lot#: 0 Construction Type: NEW STONE RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/01/2010 KG 06/01/2010 06/01/2010 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: STONE ISADORE I TRUST 07-15-91 1709 BUTTERS RD CARLSBAD CA 92008 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 A i Inspector: FINAL/APPROVAL Date: (? ' II' /ft Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE(*/UNIT# TPE I OCC. GROUPCT/PROJECT # DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) * BATHROOMS TENANT BUSINESS NAME Replace existing like for alike water heater EXISTING USE P CONTACT NAME (If Different Font Applicant) ADDRESS 6052 East CITY Mesa PHONE 480-898-0007 ROPOSEDUSE GARAGE (SF) California Delta Mechanical Baseline rd# 155 STATE ZIP AZ 85206 FAX 1-480-218-5645 EMAIL california@deltamechanical.com PROPERTY OWNER NAME Isadore Stone ADDRESS <> 1 1 ,/7\ 1709 -Betters -Rd U/fftTS &L, CITY Carlsbad PHONE 760-729-8497 STATE ZIP CA 92008 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. * PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# N0| [ YEsf^JNoQ YES| | N0| | APPLICANT NAME _ ,, _ ,Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite # 155 STATE ZIPMesa AZ 85206 480-898-0007 FAX 1-858-410-1499 (ialiapavlovabg@yahoo.com CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS CITY PHONE 6052 East Baseline rd# 155 STATE ZIP Mesa AZ 85206 480-898-0007 FAX EMAIL STATE LIC.# 811114 CLASS CITY BUS. LIC.# c-36 1214281 (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 theappjicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). .- •' t 'f. •./:•,„ Workers' Compensation Declaration- / hereby affirm under penalty of perjury one of the following declarations: L£J 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. l/J I have and will maintain workers' compensation, as required by 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. 1697823 Expiration Date emm This section need not be completed if the permit is for one hundred dollars ($100) or less. I/I 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 (8,100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. JSZ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: | | 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). I I 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). I I am exempt under Section ________ Business and Professions Code for this reason: 1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I |Yes 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 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): 5. 1 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): .^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? I I Yes I INO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I Ives I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes ["HMo IF ANY OF THE ANSWERS ARE YES,; EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 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 constniction. I hereby authorize 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 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 authorized by such perml 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 ^^^J DATE City of Carlsbad Bldg Inspection Request For. 06/10/2010 Permit# CB100986 Title: STONE RES REPLACE WTR HTR Description: Inspector Assignment: 1709 BUTTERS RD Lot: Type: PLUM Sub Type: Job Address: Suite: Location: OWNER STONE ISADORE I TRUST 07-15-91 Owner: STONE ISADORE I TRUST 07-15-91 Remarks: CALL W/ETA PLEASE Phone: 7607298497 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: ISADORE STONE Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments POLICYHOLOER COPY NF P.O. BOX 420807 SAN FRANOSCO,CA 34142-0807 COMPENSATION INSURANCE F-UNO CERTIFICATE OF WORKERS1 COMPENSATION INSURANCE .tSSIIF tlATP: 0? 01-2009 GROUP: POLICY NUMBER: 1697823-2009 CERTIFICATE ID: 6 CERTIFICATE EXPIRES: 07-O1-201007 01-20O9/07-01-2010 NOME DEPOT NF COMPLTANCE DEPARTMENT 307R R IMPERIAL HWV STF. 1OO RREA HA 9»ftS1-R7S3. This K to esriify th.ii w* liwe is^iimd a valid Workers' Comp«nfiJttion insurance policy In a form approved by California (n.'Hiiftiir-. Commissioner to thfl Brnploynr nsmftft balow for the policy period indicated. TDK policy is i nit -,tihi»-t:f to f.vinri»llation hy fhn f-'und except upon 30 days acfvancs written notica to the ampl.iyer. W» will al",o i)iv« yen ijo riaYE «•*«"«''> notice should this policy he cancelled prior to its nornisl axpirstion, te of insurant is not an insurance policy snd do«s not amend, extend or alter the coverage affordedt or othar ctocumcnr the insurance of such policy. I'his rftrtlficste of insurant is not an insurance policy snd do«s not amend, extend or alter th "V The policy lirtfld dsrein. NntwithsWdfng any requfrument, ten" "r Condition of any contract with renpecf i.n which thk n«rtif|cat« of insurflnfi? may be issupd or to which It may pertain, t nttorilnrt by thr> fidfi(.-y r)osrrih«d hflrein i? sublor* to sll th« t«rms. nxclusfons, flnd conr)Woni5, PRESIDENT EMPLOTER'S I.TARri.JTV LIMIT INClUDtNCI DPFENSE ROSTS: $1,000,000 PER OCCURRENCE- RunmwMFNT /,'i«eiri - rnnoft KITCHUUKOV P. s T EXCtuoCB. ENOORSEMEMT *?20fl5 ENTHtGD CERTIFICATE HOLDERS' NOTICF EFFECTIVE 07-01-2005 IS rHHn TO M*l> FOPMR A PART OF THIS POLICY. CALIFORNIA DELTA MECHANICAL, INC OPA: NP CALIFORNIA DRLT.4 MECHANICAL, INC. ao$S P. BASKUNE RP STR 1BS MESA A; M041D PRINTED : 06-11