HomeMy WebLinkAbout1735 PIPIT CT; ; CB063071; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-24-2006 Plumbing Permit Permit No: CB063071
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1735 PIPIT CT CBAD
PLUM
2158812510
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
BECKSTROM RES REPLACE
WATER HEATER
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
Plan Approved:
Issued:
Inspect Area:
Owner:
BECKSTROM SUZANNE L
1735 PIPIT CT
CARLSBAD CA 92011
ISSUED
10/24/2006
KG
$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. OD Balance Due:
Inspector: 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.
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
f . n f hi h h n iv n N Tl hi r h t flimi in h I h i
PERMIT APPLICATION
FOR OFFICE USE ON~ /
PLAN CHECK NO. Crl.M 3<51
EST. VAL.----+--------
Plan Ck. Deposit-~/#--------
CITY OF CARLSBAD BUILDING DEPARTMENT ""'::~:;_~" Validated By _--1--1-4-~---.--1~ff-
1635 Faraday Ave ., Carlsbad CA 92008 oate ____ ---',.,'--=-=---~----"--1'-
1. PROJECTINFORMAllON
1735 Pipit ct
Address (include Bldg/Suite#) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel # Existing Use
Replace standard water heater like for like
Description of Work SQ. FT.
2. CONTACT l'ERSON (If different from asmllcantl
California Delta mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa
Name
4.
Suzanne Beckstrom
Name
1735 Pipit ct. Carlsbad
Address City
Unit No. Phase No.
Proposed Use
# of Stories # of Bedrooms
AZ. 85209 (480) 898-0007
State/Zip Telephone#
State/Zip Telephone#
Ca 92011 760-930-0430
State/Zip Telephone#
Total # of units
# of Bathrooms
(480) 898-0005
Fax#
5. CONTRACTOR· COMP~E
(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 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 [$5001).
California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 (480) 898-0007
Telephone# Name Address City
State License# 8 1 l 1 14 License Class _C_-_3_6 _______ _ City Business License# --=l-=2:..::lc...4:..::2:..;8:..;1=-------
State/Zip
Designer Name Address City State/Zip Telephone#
State License# ________ _
8.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one 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.
~ 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 compensation insurance carrier and policy number are:
Insurance Company State Compensation Insurance Fund Policy No. 1697823 Expiration Date-"0'--'7.t.;/0"-'-'1/..,,0:..,.7 ______ _
(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
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($100,000), In addition to the cost of compensation, a ge
SIGNATURE Galina Pavlova
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's Li se Law for the following reason:
D I, as owner of the property or my employee with wages as 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 will 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 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. 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 contracted with the following person (firm) to provide the proposed construction (include name/ address / phone number I 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 I phone number I
/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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDll',IG PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
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.
8. CONSTROCTION"1:lNDINGAGENCY ----------------------
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _
9. APPLICANT CERTIFICA 110N
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City
ordinances and State laws relating to building construction. I hereby authorize representatives 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 AGAINST ALL LIABILITlES, JUDGEMENTS, 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 excavations of 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 or 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).
APPLICANTS SIGNATURE _G_a_l_in_a_P_a_v_lo_v_a __ ~..,,,,_,.,.r::.,,(f/'c-,,,,'------------DATE _l_0_/1_9_/_0_6 ________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/12/2007
Permit# CB063071
Title: BECKSTROM RES REPLACE
Description: WATER HEATER
Type:PLUM Sub Type:
Job Address: 1735 PIPIT CT
Suite: Lot 0
Location:
OWNER BECKSTROM SUZANNE L
Owner: BECKSTROM SUZANNE L
Remarks:
Total Time:
Description Act CD
25 Water HeaterNents ..B:{)___
Comment
Inspector Assignment:
Requested By: SUZANNE
Entered By: CHRISTINE
(1,JvrL--
__ _J1__ ___ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments