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Home My WebLink About2705 LA GOLONDRINA ST; ; CB072243; PermitCity of Carlsbad .. • 1635 Faraday Av Carlsbad, CA 92008 08-29-2007 Plumbing Permit Permit No: CB072243 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No Reference #: Project Title: Applicant: 2705 LA GOLONDRINA ST CBAD PLUM 2155431500 Lot#: 0 Construction Type: NEW TRAPOLINO RES REPLACE WTR HTR Owner: CALIFORNIA DEL TA MECHANICAL TRAPOLINO DONNA Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 2705 LA GOLONDRINA ST CARLSBAD CA 92009 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 ISSUED 08/29/2007 KG 08/29/2007 08/29/2007 $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: FINAL APPROVAL Inspector: Date: 0 .:fl 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 rght 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 e /exa ion f whi h hav r vi e iv n N E 'mila I i ht f Ii i I h 1Wi ---·-·------··- FOR OFFICE USE ONLY PLAN CHECK NoC"31JV.:Z 1/-3 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 EST. VAL.----~----- Plan Ck. Deposit~ Validated By ~ Z, - Date -)ly-C7,7 • 71 II HI IIBII 2705 I a CokndP,ut SU:@fi Address (lndude Bldg/Suite#) BuSlness 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 standard water heater like for like Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms 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# t 11111 Ji:nFi? □71 Fi 7 717 ?RE! 1777 l?lllill?i7M1ft1Tili I r:::rzrrz: rrrr:□r11'1r::::1 Galina 2500 S. POWER RD# 120 MESA AZ 85209 480-898-0007 Name Address City State/Zip Telephone# IIPIP F Ill I UBL 7717LB!II JJB71711111-LB!i 11□■7 llllllliil717llBIIFfiffll l Tiii111U?i7'P Donna Trapolino same Carlsbad CA 92009 760-703-0606 Name Address City State/Zip Telephone# 11111 ii 711 717 l &l2-FJ11777E"Ji17 IIHl□IJIT fflllll 1111 2iail 211111 (Sec. 7031. 5 BuSiness and Professions Code: Any City or County which requires a permit to construct, atter, 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 Name Address City State/Zip Telephone# State License # _8,c.1,_J,_l"J'-4~----License Class_C_-3_6 ________ _ c;ty Bus;ness License # ----"1=2_,1__;4_,,2c,8c:1~----- Designer Name Address City State/Zip Telephone# State License# _______ _ IE !liS?ii ii lfili■1T"?i7-ll!i1111111F■lllffllllr::::l7B111P?i7,,,_"1TLB'1111 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. IBI 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 oate."0~7~1~9~) 1~9~8~------ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) □ CERTIFICATE OF EXEMPTION: l 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 ciYII fines up to one hundred thousand dollars(S100,000), in addition to the cost of compensation, are provided for In Section 3708 of the Labor Code, interest and attorney's fees. SIGNATURE Galina Pavlova DATE 08/28/07 I hereby affirm that I am exempt from the Contrad.or's Icense 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). □ I, as owner of the property, am exclusively contrad.ing with licensed contract.ors 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. □ YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name/ address / phone number/ contract.ors 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/ phone number/ /ontractorslicense number): -------------------------------------------- 5. I will provide some of the work, but 1 have contracted {hired) the following persons to provide the work indicated (include name I address/ phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/11/2007 Perm it# CB072243 Title: TRAPOLINO RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2705 LA GOLONDRINA ST Suite: Lot O Location: OWNER TRAPOLINO DONNA Owner: TRAPOLINO DONNA Remarks: SIDE GARAGE DOOR WILL BE LEFT OPEN Total Time: Act Comment Inspector Assignment: Phone: 7603318110 Inspector: tyl, C: Requested By: HOMEOWNER Entered By: CHRISTINE CD 25 Description Water HeaterNents fl_ W j l--\ C!. ti--X: L6:f I J &i LoLA:rle>N , t-J ----------------L.,IA.V:, b{L, --------------- ----~----------------------~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments