HomeMy WebLinkAbout2806 LA DUELA LN; ; CB091097; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-01-2009 Plumbing Permit Permit No: CB091097
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2806 LA DUELA LN CBAD
PLUM
2551010200 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: DEBEER RES-INSTAL WTR HTR
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
1
0
0
Owner:
DANFORTH SUZAN E
2806 LA DUELA LN
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
07/01/2009
LSM
07/01/2009
07/01/2009
$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:
Inspector: tzjj
I>
FINAL APPROVAL
Date /;L~:>-..3 ~t?,9 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 pennit 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 fo!low that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition,
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS 2806 La Duela In
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS
-D-ESCRIPTION OF WORK: Include Square F98fcif Affected Area(s)
SUITE#/SPACE#/UNIT#
Plan Check No. Q..&09 IO 0, I
Est. Value
Plan Ck. Deposit
Date "7 /, \ O'I
APN
# BATHROOMS TENANT BUSINESS NAME OCC. GROUP
Replace existing like for alike water heater
I
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
v,so N<O v,s □No0 vesONoO
CONTACT NAME (lfDlffeMnlFomApplleant) California Delta Mechanical Inc, APPLICANT NAME Galina Pavlova
ADDRESS ADDRESS
6052 E. Baseline road suite # 155 6052 E. Baseline road suite # 15!. -------CITY STATE ZIP CITY STATE ZIP
Mesa AZ. 85206 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 480-898-0007 1-480-218-5645 480-898-0007 1-858-410-1499
EMAIL EMAIL
california@,deltamechanical.com 11aliapavlovab11@vahoo.com
PROPERTY OWNER NAME Matt Debeer 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 I FAX PHONE I FAX 714234-9044 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY BUS, LIC.#
811114 c36
(Sec. 7031.5 Business and Professions Code: Any Crty 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} orfhat 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)).
Workers' Compensation Declaration: I hereby affinn under penalty of perjury one offhe following declarations:
[ZI I have and ,,,ill maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for 111e performance of the work for which this permit if issued
[Z} I have and will maintain workers' compensation, as required by Secijon 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. 1897823 Expiration Date oimm
~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 (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 fthe Labor code, Interest and attomey"s fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense 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 buik:ls or improves thereon, and who does such work himself or through his own employees, provided that si.x:h improvements are riot 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 contracUng 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
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 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 I address I phone/ contractors' license number)
5, I will provide some of lhe work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
I ~ PROPERTY OWNER SIGNAT_U_RE ______ -----DATE --------'
J 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 infonnatlon is correct and that the lnfonnation on the plans is accurate. l agree to comply with all City on:llnances and State laws relating to buildi11t, constru<.tion.
I hereby authorize representative of the Cityd Carlsboo to enter u~ the above mentioned property for ins~ pu1JX!S8S. 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 permit is require:l for excavaOOl"\S over 5'0' deep and demolijion orronstruclion of structures over 3 stones 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 autoorized by such permit is oot commenced within
180 days from the date of sudl permit or if the building orworll authorized bys h permit is suspendej or abandoned at any fime after tre work is rommenced for a period of 100 days {Section 100.4.4 Uniform Building Cooe).
_g APPLICANT'S SIGNATURE DATE ____ J
. m City of Carlsbad Bldg Inspection Request
.
.
Permit# CB091097
For: 12/22/2009
Title: DEBEER RES-INSTAL WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2806 LA DUELA LN
Lot:
OWNER DANFORTH SUZAN E
Owner: DANFORTH SUZAN E
Remarks: un.ple<!_se
Total Time:
0
Inspector Assignment:
Phone: 7142349044
Inspector: _..,.>-::::::::::::
Requested By: MATT
Entered By: CHRISTINE
CD
25 ~)--_!J
Description Act Comments
Water HeaterNents H--------------------
--_ -·--···-lLP --· __
---------·-------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments