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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