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Home My WebLink About1314 STATICE CT; ; CB080154; Permit' City of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 01-22-2008 Plumbing Permit Permit No: CB080154 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1314 STATICE CT CBAD PLUM 2145702200 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: Project Title: VUDUC RES REPLACE WTR H 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: VUDUC GEORGE 1314 STATICE CT CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 01/22/2008 KG 01/22/2008 01/22/2008 $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: fv\ ~ 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 procooures 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 wtth 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 capac~y changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY lo any . h v . hi . f imi i h . FOR OFFICE USE ONLY PLAN CHECK NO. 0080/Sf I PERMIT APPLICATION EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By __ c_...:+------------ Plan Ck. Dep~sit D ate :_ .7 2-: -0:f'.: 1. PROJECTINFORMATION 13 14 Statice ct Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel # Existing Use Proposed Use Replace stan dard water heater like for like Description of Work SQ.FT. # of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa AZ. 85209 (480) 898-0007 (480) 898-0005 Name Address City State/Zip Telephone # Fax# 3. APPLICANT [El Contractor □ Agent for Contractor □ Owner □ Agent for Owner Galina Pavlova 6052 East Baseline rd# 155 MESA AZ. 85206 480-898-0007 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Sharon Martinson Same as site Carlsbad CA 92011 760-271-8020 Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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 ($500]). California Delta Mechanical, Inc. 6052 E Baseline rd# 155 Mesa 85206 ( 480) 898-0007 Name Address City State/Zip Telephone# State License # _8.;:....;;...l .c..l '-11'-4'-------License Class _C_-_3_6 _______ _ City Business License # --=l-=2:..:1;_4.;..;2;;;.8~1 _____ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATION Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. 1B] I have and will maintain worker's compensation, as required oy 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 Compensatio n Insurance Fund Policy No. 1697823 Expiration Date-'Ow.7.L.:/0"-'-'l /_,,0""8'-------- (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 dollars($100,000), in addition to the cost of compensalio lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand are provided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE 01/15/08 7. OWNER-BUILDER DECLARAT10N .n I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees 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 I 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 I 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 BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials registration for or risk inanagement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Aocount Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dis1rict? □ YES □ NO Is lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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. 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 __________________ _ LENDER"S ADDRESS ___________________ _ 9. APPLICANT CERTIFICA.TION 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 Ca~sbad 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 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 . WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/06/2008 Permit# CB080154 · Title: VUDUC RES REPLACE WTR H Description: Type: PLUM Sub Type: Job Address: 1314 STATICE CT Suite: Lot: 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: VUDUC GEORGE Remarks: Total Time: CD Description Act Comments Inspector Assignment: \l "2, '1 E;;, A- l. 66 ¼.,cc,;.;,( &>> l ~ J Phone: Inspector: M, L- Requested By: TOM MARTINSON Entered By: CHRISTINE 25 Water HeaterNents ~ i2 ><l·•;:?(1r---\~ kO 6A:f\C>\.l L-klt¼ (!. gU?tq 7 t.9 'ftNAL-Pl ~L>Pl~-( Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments POLICYHOLDER COPY STATE COMP'l!NSATION INSUPIANCE PO. BOX 420807. SAN FRANCISCO.CA 94142-0807 FUND Cl!RTIFICATE OP' WORKERS' COMPl!NSATION INSURANCE ISSUE 01\Tf: 07··01•2007 HOME DEPOT CDMPLIANCf ce,A•TM~NT 3075 E IMPIRIAL HWY STE 100 BREA CA 12121-8792 NF GROUP: POLICY NUMBER: 1897123·2007 CERTIFICATe 10: 5 CERTIFICATE EXPIReS: 07-01•2008 07•01-2007/07-0!·2008 fh1s is to cierti fy tha't we ha'lle issued a valid Workers.' CompenHtlon ins1.1r.1nce Policy ir, a form approved by the C.=1l11orni.a !risuranee Commissioner to the employer named below for thlil i:iolicy i:i-eriod indicated This policy is not subject to cancellatlon by the F1,md except upor, 10 days advance writtein notice to the employer We wilt also give you 10 days .advMce notice shoulr-t this pollcy be cancelled prior to .its normal expiration. This certificate of insuranca i5 net ll'l ir,surlVlee ))olicy .arid doet not amend, ext•nd or a!tor the coverage afforded by the policy listed herein. NotwlthsUlnding any r'e(luirement. t1rm or condition of any contract or other document with respaer to which this certificate of irnsurancei may be iHUfld gr to which it may pertain, the insur.1:1nce ,\)Horded by the polir.y described herein is subject tc all the terms. exclusions, and ,;1:;mditions, cf such policy. a:::-REPRESENTATI El!PLOY!R'S LIA8ILITY LfMIT INCLUDING DEFENSE COSTS: FMPLOYFR CALrFORNIA DELTA MECHANICAL, INC au, Nf CALIFORNIA DELTA MECHANICAL, INC 2500 S POWER RD STE 120 MESA A7. 85209 PRESIDENT $1,000,000 PER OCCURRENCE. M0409 PRINTED: OB-15-2007 9P99BtiOBP :~:60 LOOZ/~O, NF