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Home My WebLink About2425 LA COSTA AVE; D; CB090783; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 .., 05-11-2009 Plumbing Permit Permit No: CB090783 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2425 LA COSTA AV CBAD St: D PLUM Status: Parcel No: 21624055111., Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: HARARI RES REPLACE WTR HTR Inspect Area: Applicant: CALIFORNIA DEL TA 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 1 0 0 Owner: HARARI TORPAKAI 2425 LA COSTA AVE #F CARLSBAD CA 92009 ISSUED 05/11/2009 KG 05/11/2009 05/11/2009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: FINAL APPROVAL Inspector: f1-:'\: ~ Date: ..io:O~.....=;;..,,q..-=--""--Clearance: $0.00 NOTICE Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32 030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition CH:y of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2425 La Costa ave # D CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOM$ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Plan Check NCl5<Jf6 Est. Value Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSI NESS NAME Replace water heater . Same size and location EXISTING USE ROUP I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YESQ I AIR CONDITIONING I FIRE SPRINKLERS NcC] YES □No □ YES□No□ CONTACT NAME (If Dltferent Fom Appl/cant) C l"f . D It M h , I I APPLICANT NAME Galina Pavlova a I orma e a ec amca nc. ADDRESS ADDRESS 6052 E. Baseline road suite # 155 6052 E. Baseline road suite# 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ. 85206 PHONE PHONE 480-898-0007 I FAX 1-480-218-5645 480-898-0007 IFAX 1-858-410-1499 EMAIL EMAIL california(@.deltamechanical.com galiapavlovabg(@,yahoo.com PROPERTY OWNER NAME Janet Philips CONTRACTOR BUS. NAME California Delta Mechanical Inc. --·· ADDRESS ADDRESS Same as site 6052 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92009 Mesa AZ. 85206 PHONE IFAX PHONE I FAX 760-721-6869 480-898-0007 EMAIL EMAIL california(@,deltamechanical.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# 'CLASS I 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 an~ structure, prior to its issuance, also requires the applicant for such pemiit to file a sii!lled 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 fhat he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section i031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)), Wor;;ers' Compensation Daclarallon: / hereby affltm under penalty of perjury one of the fo!loWing decl!lflltions.· 0 I have and will maintain a certificate of consentto self-insure for workers' compensation as provided by Section 3700 of the Labor Code, !or the performance olthe work for which this permit is issued. (Z] I have and will maintain workers' compensation, as re<iuireo by Secijon 3700 of the Labor Code, !or the performance of the work for which thls permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co Policy No. 1697123 Expiration Date 01113m, ~section need not be completed if the permit is for one hundred dollars ($100) or less. L{j Certificate of Exemption: I certify that in the performance of the !Mlrk for wt1ich this permit is issueo, I shall not employ any person in any manner so as to become subject to the Workers' Compensation La-..s of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cr1mlna1 penalties and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees. 2$ CONTRACTOR SIGNATURE I hereby afflm1 lhat I am exempt from Contractor's LJcense Law for lhe following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intendeo or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himseW or through his own employees, provided that such improvemen1S 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 lor \tie purpose of sale). □ □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business arid Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon. and contrac1S for such projeC1S with contractor(s) licensed pursuant to 1he Contractors License Law). I am exempt under Section ____ .Business and Professions Code for tllis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (fimil to provide the proposed construction {include name address I phone I contra::tors' license number): 4. I plan to provide portions of me work, but I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone I contractors' license number}: 5. I will provide some of the work, but I have contracted (hired) 1he following persons to provkle the v.<Jrk indicated (include name I address/ phone I type of work): l~PROPERTYO~_ER_sr_G_NA_T_u_R_E ___________________________ oA_T_E ________________ ~ -- Is the applicant or future building occupant required to submit a business,.IDfill, 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? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management distri:;t? 0Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I ceftifythatl lia'le read the appfieation and s1alll thattheat,o,,,e lnformaVon is correct and that the lnfonnation on the plans Is aw.11c1te. I agree to comply'Mtll all Cityonllnanres and State lawsrelatlngtobui1dlng construction. I hereoy authorize representative of !he Cityci' Carlsbad to enter Upoll the abo'le mentioned property for inspectl)ll purp:ises. 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 permtt is requirej for excavations Ol'8f s·o· deep ard deroolilion or oonstru::lim ci' structures over 3 stories in height EXPIRATION: Every permit issued by the &Jilding Official under Ille proviS1011sc:t this Cooe shall exrire oy limitation ard te::ome null and \od if 1he buildirg or worx authorized by stJ::h permij is oot comrnelmd within 1BO days from the date ot such permit ex W the building cxwOit authorized bysl.dl penni 1s susperded ex abardoned at anytime after the wori( is comrneo:::ed for a period of 180 days (Sa::tion 106.4.4 Uniform Building Oxte). 5~//0~ I ~-------------0,,#,,,,,_--f--------------------------------,,<..._----~I ,NS APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/02/2009 Permit# CB090783 Title: HARARI RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2425 LA COSTA AV Suite: D Lot: 0 Location: OWNER HARARI TORPAKAI Owner: Remarks: P M PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7607216869 Inspector: M ~ Requested By: JANET Entered By: CHRISTINE 25 Water HeaterNents _Ae_ p)<L~" L.-oG411PiJl I P\6lDf.-\;Ja.r ·~ ~. w/u. ~--~~--6~ t,J~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments