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HomeMy WebLinkAbout1750 NOLINA CT; ; CB052744; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-25-2005 Plumbing Permit Permit No: CB052744 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1750 NOLINA CT CBAD PLUM Status: Parcel No: 2158810701 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan App roved: Issued: Project Title: SAMONS RES RPLACE H2O HEATER Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: SAMONS FAMILY TRUST 1750 NOUNA CT CARLSBAD CA 92009 ISSUED 07/25/2005 KG 07/25/2005 07/25/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 4532 08/ 11/05 0002 01 CGP Inspector: FINAL APPROVAL Date: f: ',;J.--J-'~ 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f n h. h iv ·1 hi whi I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Address (indude Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use Replace standard water heater like for like Description of Work SQ. FT. # of Stories FOR OFFICE USE 9tl~ . I 1/!U PLAN CHECK NO C:_(Y)2,l_ 7"1_j EST. VAL. _________ _ Plan Ck. Deposit -~1-,ff-,------ Validated By __ ➔4~.-:=.-....,_­ Date -------JL-+-4='--'="-- Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms California Delta mechanical, Inc. 2500 s. Power Rd. Suite II 120 Mesa AZ 85209 (480) 898-0007 (480) 898-0005 Name Address City State/Zip Telephone# Fax# ·~1~¥®¥Jltfi1i!li>i!IiJl°/~lot~ii:~'lll'lb1,~~~r;iio;~IQ/tia~;i!•~~:•J'.iil,iJ.,,fit;~ Name Address City State/Zip Telephone# ~~~·&·«mf~~~~MgJ,l;i~!~~.~;i~1~~~~1~t·-~\;:..:1~Zj~~J:;~:;s;,_t~-~1t:~';·S':.~~~1~~~\~~;•·,,~:1~l1~f~;JBf~l{ MACHIKO SAMONS 1750 NOLINA CT CARLSBAD, CA 92009 (760)602--0677 Name Address City State/Zip Telephone# ,~,~~'fffi:~~:~t~7i-~-~iCJ.ii.Ylb2h\~l~~ti:s:·?;:·::.~~-·:•-·.:r~p;,r;-~ :::y~_:1%{~J~t-~::?1f\~'.--~~;'~~---~:~1Jt":!?~?;?{~~~zl~'l'/ ;t: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct., alter, improve, demolish or repair any strudure, 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 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 # ...28.!.l .!.l .,_11,:4!.._ ___ _ License Class _C:c..c·3c.6c... ______ _ City Business License # ~1~2c.lc.4-"2=8;1 _____ _ Designer Name Address City State/Zip Telephone# State License# _______ _ i-~-~119!: -~~~i.i'ttfJr~~J:~:4;;;t\'i\~;:1t-i);,:iV\$!~:\iltH\f;iiii/.\;·:~ \. \Jill,;\l'.··~{,,},r~::lt:~t}~.i.!~-~~rlt/~8'~"1i-t+l Workers' Compensation Declaration: I hereby affirm under penalty of perjury ooe 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 c.ompensation insurance carrier and policy number are: Insurance Company State Compensation Insurance Fund Poticy No. 1697823 Expiration Date,00,,.7ul"0"'llc.0e.6c_ _____ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$100] OR LESS) D 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 WARNING: Failure to secure workers' compensation shall aubject an employer to criminal penalties and civll fines up to one hundred thousand dollart1($100,000), In addition to the cost of compensatl r in Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE Romel Maru DATE.-'0'-'7'-'11~8'-'/0~5 _____ _ :7;)1.~~~~ '!flJ(j•;_:.-:, ,: t ,di: ·i;_!t, \~,~;,;;~tt\iftfJ~i'/:~::?//,)i: t\.);2(;;;_.,t·l.~::\ '·J,\\·{~::t,'.:·· ::.f;{(~:~y~;j;'.'.f~:~1.~:-1t~fi< ,;:;:_'.{~'-.~i::l~~~i'. I hereby affirm that I am exempt from the Contract s Li nse La for the following reason: D I, as owner of the property or my employees 'Mth wages their sole compensation, will d 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 'MIi have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively oontracting with licensed oontractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Licerlse Law does not apply to an owner of property who builds or improves thereon, and oontracts for such projects 'Mth oontractor(s) 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 materials for construction of the proposed property improvement. D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have oontracted with the following person (firm) to provide the proposed construction (indude 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/ phooe 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 (include name/ address/ phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance AUG-03-2005 WED 08:51 AM CITY OF CARSLBAD PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 FAX NO. 760 602 8558 P. 01 .· .. -. l~~lflJ:W~,'j,~~'JZ,1t1~- re lht appticanl or Mure buHQlng occupant required 10 aubmit Q Oll&ineaa pfan, ac:1o1te!y hezardcu, mlllerials registrallon for or ri&k managemenl and prevenlion program under Ssettotis 2SSCIS, 25633 or 25534 Of lhe Preslay,-Tannet Hemrdoua $uba:tanoe ACCQW'II Act? 0 VES □ NO la the applicant or timJre building OCCIJf)flnl required 10 obtain a permit from tlrle air polluHon control dl81rlct or air quality managamont diatrict1 0 YES □ NO lathefaeJlltylobeoonstl'Udedwithin 1.0ooreetoftheoutorboundaryotI:1qhoolslfe? □ YES C NO IF ANY OF THE ANSWERS Af;:E YES, A FINAL CERllFJc:ATE OF OCCUPANCY MAY trilQT B& ISSUED UNI..ESS THE APPUCANT HAS MET OR IS MEETING THE Rl:QUIREMENTS OF THE OFFICE Of au!ERGIENCY SERVICES AND THE AIR POLLUTION.CONTROL DISTRICl'. ~ll!~-~'iil~&'Vii;Jl:¥iffi&fflR I tierebr llffirm that thera ia a COMtrudion lending IIQ111"1CV tor 1ne potfomlenc.o Of the work 1or whii.n thia pemM Is Issued (Sec. 3087(1) Civil Code). L.CNDM'S NAME•-~••EM!iimimiiiimiiijmi:-LENDER'S AOORESS >PRHLB...._MC:il fi~~.JJi~;f:ii~~~~~'-lf:~~~1\t~:Z.~~~·~•?bZ,~{t~~J.:.~~~ I certify th■ I have reed iha .appfle;etion and !ilalo lhllt the al:IO'vo informatJon Is correct ana ttiat the irtonnauon on tha plans Is aCCIDte. J agree to comply With all Cily ordinanca11 and Stlte laws relating: lo bulldJng construction. r h11n1by au1h0t'i• rapresen1atives at it,e Clty or CarisbEid 10 tnler upon !he al:)0116 mentionetJ propmrty rar inspeeiion purposea. I ALSO AGREE TD SAVI:, INDEMNIFY AND KEEP HARP,11,.ISSS THE err, Of CARL.SBAD AGAINST ALL LIABILITl~S. JUDGEMENTS, COSTS ANO •XPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSiQIJENCE Of THE GRANTING OF THIS PERMIT, OSHA; An OSHA pcnnit ia required for eaVltiona cl S'O" deep and demolition or ~nstruc:rion "'Wudures over ,1 sioti&a in hsigt,t. EXPIRATION: Ever; permit issued b~ the bLllleling Offtclal undor 1he provl11iona of this C BhaU explro by limitation and become null and 'JOid if the bu!lding or work authorized b)'suctt permit ia not commenced will'lln 180 days rrom th4!I data or such perml1_9f ii tha b I!:fin~ o, work etJtPlorlle(I by sud! permit i:s auapentled er ab.-.doned ot any time after the 1.Wrk Iii eommenced ,Or a perlOCI Of 180 days (section TDBA.4 a~ Iii_ Code). WHITE: FIio YELi.OW: APoliconl PINK: Finance (( ;;-7 PL/ m City of Carlsbad Bldg Inspection Request ll'i. For: 08/24/2005 Permit# CB052744 Title: SAMONS RES RPLACE H2O HEATER Description: Type: PLU Sub Typ · Job Addre . 1750 NOLINA CT ite: ---------t::Ol Location: 0 APPLICANT CALIFORNIA DELTA MECHANICAL Owner: SAMONS FAMILY TRUST Remarks: Total Time: CD Description Act Comment Rf Inspector Assignment: Phone: 7606020677 Inspector: Requested By: MS SAMONES Entered By: CHRISTINE 25 Water HeaterNents ------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments