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Home My WebLink About1716 BLUEBIRD LN; ; CB102262; Permit11-24-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB102262 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1716 BLUEBIRD LNCBAD PLUM 2158801209 Lot #: 0 Construction Type: NEW HOLMER RES- REPLACE WTR HTR Status: ISSUED Applied: 11/24/2010 Entered By: LSM .Plan Approved: 11/24/2010 Issued: 11/24/2010 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 . 866-898-0008 Owner: KAMDAR BHARAT&MEERA REVOCABLE LIVING TRUST 09-23 2722 ASCOT AVE CARLSBAD CA 92009 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 Inspector: FINAL APPROVAL Date: <*•*•(*[ U 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 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 No. QjgaVQ Est. Value Plan Ck. Deposit Date JOB ADDRESS 1716 Bluebird !n CT/PROJECT* SUITE#/SPACE#/UNIT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE P CONTACT NAME (If Different Fom 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 ADDRESS 1716 CITY Carlsbad PHONE 760-717-7339 EMAIL ARCH/DESIGNER NAME & ADDRESS Jim Holmer Bluebird in STATE ZIP CA 92011 FAX STATE LIC. ft PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES [ |# N0| | YESQNOQ] YESJ | N0| | APPLICANT NAME _ ., _ .Galina Pavlova ADDRESS CITY PHONE EMAIL 6052 E. Baseline road suite # 155 STATE ZIP Mesa AZ FAX 858-361-6495 1-858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME ^ ... ._.„., . ,California Delta Mechanical ADDRESS CITY PHONE 6052 East Baseline rd # 155 STATE ZIP Mesa AZ FAX 480-898-0007 EMAIL STATE LIC.#CLASS CITY BUS. LIC.# 811114 c36 (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 theapplicant 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)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: bU 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 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. : 1697823 Expiration Date orairam 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 (4100,000), in addition to the cost of compensation, damages as provided for in Section 37j|6 oftiie Labor code, interest and attorney's fees. JSli CONTRACTOR SIGNATURE /T/£^J DATE ////<~'? //' / 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, 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I |Yes I ho 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 s 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 Drestey-Tanner Hazardous Substance Account Act? | |Yes I iNo s the applicant or future building occupant required to obtain a permit from the air pollution control district or airguality management district? I JYes I I No s the facility to be constructed within 1,000 feet of the outer boundary of a school site? I JYes llNo F ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code), .ender's Name Lender's Address certify that I have read the application and state that the above information is correctand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto building construction. 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 \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: 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 Buildinq Official under the provisions of this Code shall expire by limitation and become null and void if the buildinq or work authorized by such permit is not commenced within ^APPLICANT'S SIGNATURE DATE /Q City of Carlsbad Bldg Inspection Request For: 04/25/2011 Inspector Assignment: MCPermit* CB102262 Title: HOLMER RES- REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 1716 BLUEBIRD LN Suite: Lot: 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: KAMDAR BHARAT&MEERA REVOCABLE LIVING 2003 TRUST Remarks: gate code 2879 Phone: 8584143594 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Af* JQ Requested By: ANDREW Entered By: KATHY i-OcA--rto4 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit: D Building Permit D Right-of-Way Permit EH My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria" A/o Threat Assessment Criteria I I My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria | | My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). TierS - Significant Threat Assessment Criteria \ I My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or | | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, I I My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted. Project Address:Assessor Parcel No. Owner/Owner's Authorized Agent Name: Owner/Owner's Authorized Agent Signature: City Concurrence: Q NO By:Date: Title: Project ID: