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HomeMy WebLinkAbout1808 COTTONWOOD AVE; ; CB100468; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-17-2010 Plumbing Permit Permit No: CB100468 Building Inspection Request Line (760) 602-2725 Job Address: 1808 COTTONWOOD AV CBAD Permit Type: PLUM Status: PENDING Parcel No: 2155033715 Lot#: 0 Applied: 03/17/2010 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: PC#: Issued: Project Title: RODRIGUEZ RES- REPLACE WTR HTR Inspect Area: Applicant: Owner: CALIFORNIA DELTA MECHANICAL PAOLETTI YVONNE SUITE # 27 1808 COTTONWOOD AVE 12440 OAK KNOLL RD 92064 CARLSBAD CA 92011 866-898-0008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL APPROVAL Inspector: A Date: ^/>7/'*> 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.(jlfo IOQM(£%" Est. Value Plan Ck. Deposit Date 5[r7JlO JOB ADDRESS 1808 Cotton wood ave SUITE#/SPACE#/UNIT# 1CONSTR. TYPE I OCC. GROUPPHASE *I # OF UNITS I # BEDROOMS 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 Fom 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 Joe Rodriguez ADDRESS Same as site CITY Carlsbad PHONE 760-438-7838 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP CA 92011 FAX STATE LIC. # PATIOS (SF)DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# Nd| | YESQNOQ YEs| | NO) | APPLICANT NAME _. .. _ ,Galma Pavlova ADDRESS CITY PHONE EMAIL 6052 East Baseline rd# 155 STATE ZIPMesa az 85206 480-898-0007 FAX 1-858-410-1499 galiapavlovabg@yahoo.com CONTRACTOR BUS. NAME , .California Delta Mechanical Inc. ADDRESS CITY PHONE 6052 E. Baseline road suite # 155 STATE ZIP Mesa AZ 85206 480-898-0007 FAX EMAIL STATE LIC.# 811114 CLASS CITY BUS. LIC.# c36 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: 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. LLj 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 07m"° This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 (8.100,000), in addition to the cost of compensation, damages as provided for in SectionjJTOe of the Labor code, interest and attorney's fees. J&Z CONTRACTOR SIGNATURE DATE 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 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. | |Yes I No 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): >€f 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? | [ 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? LjYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [""Ires CjNo 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 tte plans is accurate. I agree to comply wftli all City oitiinances and State laws relating to building construction. 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 CARLSBADAGAINST 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 excavatbns 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 a work authorized by such permit 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). x€S" APPLICANT S SIGNATURE /%K£/*^) DATE City of Carlsbad Bldg Inspection Request For: 04/02/2010 PermiW CB100468 Title: RODRIGUEZ RES- REPLACE WTR HTR Description: Sub Type: 1808 COTTONWOODAV Lot: 0 Type: PLUM Job Address: Suite: Location: OWNER PAOLETTI YVONNE Owner: PAOLETTI YVONNE Remarks: water heater in garage Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Inspector Assignment: Phone: 7605002048 Inspector: Requested By: JOSEPH Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments STEVE No. 1066 P. POUXCYHDWOM COPY 8TATB P.O. BOX 420S07, SAN fflANOSCOCA 94142-0807 CffltlFICATE OF WOHKHW C6MWMSATICN IW8UMNCE ISSUF DAT6: 8? 01-500* none nrar etWPUAJiet PIMMTMNT WB B HPIMSAL HWV STB 100 MWA CA .MM1-87B2 NP GROUP: POLICY NUMBER; CERTIFICATB O 1tt7Stt-lOOt 8 This i*th« w* h»v* i«u«d • v.lirt w0rk«r«' Cwpwwrtion ln«urinc» peiiev in «Commissions to tht tmployar mnud Iwldw for th* policy prtod lnaic««f. by *• Thl* policy Is nof »uhl«r.t to o»nB«ll«tlon by «vi Fund «x««pt upon so «HV« «elV*ne* wW« nolle* to th» «mplov»r. W« will also give you -JQ cfiys (rrfvanod notice HwsuW thl* policy b» c«nc*H»d prior to iti norm»l «xplr«toa This c*rtlfleite of irtiurmec ia fusl an ln>ur«ne» policy iivJ tow not mvnA ixttlVl or liter J» hy rh« policy iistad h«r*in Notwmwttndlnq my rtqulrimint, wnior condition of iny oontrjiet orwith rffgpsct to wrtlch thl« c«rtlf!c«t« of ln«ur«n«» miy be Ittuixi or to wh'c* It mw p»««ln. tn* by the policy drtsoribMl herein I* «ubj»et to all tt» ttrnw, axelualorw. «nd conatlont. of »uen poiiey. PR65IDBNT LTAtlLlTY LIMIT INCLUDtW CCPINSt COSTS: $1,000,000 KR OWUWttNCI. *1WO - tOOOft KITBHULKOV P. S T - BXCLUDBO. em no** BNTITLIO CIIITIPICATI HBLDEM' NOTICEATTACHRB TO AHR FOUMR A MRT OP TH18 WJLWSV. o7-oi-a«B is fMPlOYPR .DILTA MECrWIIOAL, INCR •AifiTNf KO m isft •KSA A2 •0t(N) DBA: M0410