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HomeMy WebLinkAbout1533 REGATTA RD; ; CB061328; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 05-15-2006 Plumbing Permit Permit No: CB061328 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1533 REGATTA RD CBAD PLUM 2150715500 Lot#: 0 Construction Type: NEW BERRY RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/15/2006 LSM 05/15/2006 05/15/2006 CALIFORNIA DELTA MECHANICAL BERRY KRISTI L LIVING TRUST 03-01-01 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 Total Fees: $27.00 0 0 0 0 1 0 0 1533 REGATTA RD CARLSBAD CA 92011 $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 Payments To Date: $27.00 Balance Due: $0.00 EXPIRED PERMIT Inspector: PERMIT HAS EXPIF!lcli IN AC:r.:OROANCE WITH C.B.C. SECTION 106.4.4 AS AMENDEIJ BY C.M.C.18.04.030 DATE_~~~ SIGNATI.IRE_~ FINAL APPROVAL Date: 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 Managet 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 atlack, 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 ln connection with this project. NOR DOES IT APPLY to any f x in fwhi I i ii r hi r whi h h flimi in h FOR OFFICE USE ONLY PLAN CHECK NO. <1800 l ~c:).4S PERMIT APPLICATION EST. VAL. __________ _ Plan Ck. Deposit ----r----..---.----- Validated By ___ __.Soi,J"---=e...:....----CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave .. Carlsbad CA 92008 Date ___ ___,_,5-'---l-l...!.1.:..<i...,._,o~l?"'----1 -::J..f 1. PROJECT INFORIIA 110N 1533 REGA IT A ROAD CARLSBAD, CA 9201 1 Address (Include Bldg/Suite #) Business Name (al this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel I Existing Use Proposed Use Replace standard water heater like for like Description of WOl1< SQ. FT. I of Stories I of Bedrooms 2. CONT ACT PERSON (If different from appllca!'.!D California Delta mechanical, Inc. 2500 s. Power Rd. Suite, 120 Mesa AZ 85209 (480) 898-0007 Name Address City State/Zip Telephone I 3. APPLICANT 1B) Contractor O Agent for Conlractar O Owner 0 ~ for Owner ROMEL 2500 S. POWER RD# 120 MESA AZ 85209 480-898-0007 Name Address City Stale/Zip Telephone I 4. PROPERTY OWNER KRISTI BERRY 1533 REGATTA ROAD CARLSBAD CA 92011 760-476-1607 Name Address City Stale/Zip Telephone I 5. CONTRACTOR · COMPANY NAME Total I of units I of Bathrooms { 480) 898-0005 Fax I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit lo 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 lhe provisions of lhe Contractors License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and lhe basis for the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a permit subjects the applicant lo a civil penalty of not more lhan five hundred dollars [$5001). California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 (480) 898-0007 Name Address Crty State/Zip Telephone II State License II 8 1 I 114 License Class C-36 -----------City Business License # --=lc::2:;.;1:...4.:.;2=.8.::...:cl _____ _ Designer Name Address City State/Zip Telephone II State License# _______ _ I. WORKER'S COIIPENSA110N WOl1<ers' CompensaUon Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a cerlifocate of consent to self-insure for workers· compensation as provided by Section 3700 of lhe Labor Code. for the performance of lhe work for which lhls 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 Polley No. 1697823 Expiration Oate,..,OLJ7c../O,u.,1/""0""6'-------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) □ CERTIFICATE OF EXEMPTION: I cenify that in lhe 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' compenH tlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollara($100,000), in addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Rome( Maru DATE--=.0~5/_,1.::.0:....:/0:..:6'---:;;;:::;:::;:::;;:::, __ 7. OWNER-8UILDER OEClARA110N I hereby affirm lhat I am exempt from the Contractor's License Law for the following reason: □ I, as owner of lhe property or my employees wilh wages as their sole compensation. will d lhe work and lhe 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 propeny who builds or improves thereon. and who does such wOl1< 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-bulkler will have lhe burden of proving that he did not build or improve for the purpose of sale). □ I. as owner of lhe propeny, am exclusively contracting with licensed contractors to construct the project {Sec. 7044. Business and Professions Code: The Contractors 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 lhe major labor and materials for construction of lhe proposed propeny Improvement. □ YES □ NO 2. I (have/have not) signed an appllcaUon for a building permit for the proposed work. 3. I have contracted with lhe following person (firm) to provide lhe proposed construction (Include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide lhe major work {Include name / address / phone number I /ontractors license number): --------------------------------------------- 5. I will provide some of lhe work, but I have contracted (hired) the following persons lo provide the wOl1< indicated (include name I address/ phone number / type of w011<): 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 NOIUU!SIDS#TIAL. BUILDING PERWTS 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. I. CONSTRUCTION LENDING AGENCY I 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 __________________ _ I. APPLICANT CERT1FICATIQN. 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 LIABILITIES, 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 provision 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 suchpermi or If the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced for a period of 180 days (Section n 4. un· Build Code). WHITE: File YELLOW: Applicant PINK: Finance