HomeMy WebLinkAbout1744 BLUEBIRD LN; ; CB110073; Permit01-11-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB110073
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1744 BLUEBIRD LNCBAD
PLUM
2158801216 Lot#: 0
Construction Type: NEW
ARELLANO RES REPLACE WTR HTR
Status: ISSUED
Applied: 01/11/2011
Entered By: KG
Plan Approved: 01/11/2011
Issued: 01/11/2011
Inspect Area:
Applicant:
CALIFORNIA DELTA MECHANICAL
SUITE #27
12440 OAK KNOLL RD 92064
866-898-0008
Owner:
ARELLANO PEDRO&SONG IRMA L
1744 BLUEBIRD LN
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
$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: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
Est. Value
Plan Ck. Deposit
Pate /-//-//
JOB ADDRESS 1744 Bluebird In
SUITE#/SPACE#/UNIT#
CT/PROJECT #PHASE # # OF UNITS # BEDROOMS # BATHROOMS 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
CON1ACT NAME (If Different Font Applicant)
ADDRESS
6052 East
CITY
Mesa
PHONE
480-898-0007
ROPOSED USE 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
1744
CITY
Carlsbad
PHONE
310-773-7117
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Pedro Arellano
Bluebird In
STATE ZIP
CA 92011
FAX
STATE LIC. #
PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESQ* N0| | YES^NOQ YES| | NOJ
APPLICANT NAME _ „ _ ,Gaima Pavlova
ADDRESS
CITY
PHONE
EMAIL
6052 E Baseline rd# 155
STATE ZIP
Mesa AZ 85206
FAX
858-361-6495 1-858-410-1499
galiapav ovabg@yahoo.com
CONTRACTOR BUS. NAME „ . . _ , ..-' . . ,California Delta Mechanical
ADDRESS
CITY
PHONE
6052 East Baseline rd# 155
STATE ZIP
Mesa AZ 85206
FAX
480-898-0007
EMAIL
STATE LIC.#CLASS CITY BUS. LIC.#
811114 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 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:
/ 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.
blJ 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 c?m/2mi
This section need not be completed if the permit is for one hundred dollars ($100) or less. . -'
I/I Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in
addition to the cost of compensation, damages as provided for in Section ^06 of the Labor code, interest and attorney's fees.
J£$ CONTRACTOR SIGNATURE
/ hereby affirm thai 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, 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 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 JYes I JNo
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
Dresley-Tanner Hazardous Substance Account Act? I |Yes I iNo
s the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality 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? PlYes FllMo
F ANY OF THE ANSWERS ARE YES,/
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
hereby affirm that there \s 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 Cily ordinances and State laws relating to 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'G" deep and demolition or construction of structures over 3 stories in height.
iXPIRATION: E
JS$ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 01/31/2011
Permit# CB1 10073
Title: ARELLANO RES REPLACE WTR HTR
Description:
Sub Type:
1744 BLUEBIRD LN
Lot 0
Type: PLUM
Job Address:
Suite:
Location:
OWNER ARELLANO PEDRO&SONG IRMA L
Owner: ARELLANO PEDRO&SONG IRMA L
Remarks: GATE CODE/ 3255
Inspector Assignment:
Phone:
Inspector:
Total Time:
CD Description
25 Water Heater/Vents
Act Comments
Requested By: PEDRO
Entered By: KATHY
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
IMO
, in » r»'<«
„„.,„
" '>•""' l>v
..011114-
, OAUWRWA
«»CC«P