The URL can be used to link to this page

Home My WebLink About2705 LA GOLONDRINA ST; ; CB081097; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2008 Plumbing Permit Permit No: CB081097 Job Address: Permit Type: Parcel No: Building Inspection Request Line (760) 602-2725 2705 LA GOLONDRINA ST CBAD PLUM Sta s: 2155431500 Lot#: 0 Construction Type: NEW Apph : Entered B;,;y:::,-.,;..;...--c="--'-- Reference #: PC#: Plan Approved: Issued: 06/10/2008 06/10/2008 Project Title: TRAPOLINO RES REPLACE WTR HTR Inspect Area: 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 Owner: TRAPOLINO DONNA 2705 LA GOLONDRINA ST CARLSBAD CA 92009 $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: FINAL APPROVAL Date: 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. Fanure 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/exaclons 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 f f hih i I h limi h I ----~·--·-~----- FOR OFFICE USE 9,t4~: O J t) 7 PLAN cHEcK No. C Wo O 7 . PERMIT APPLICATION EST. VAL __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Cf. Deposit ~ Validated By~----=,-/~-+~~ Date u -1 O::::OR'. 1, 2705 La folondrina street Address (include Bldg/Suite#) Business Name (al this address) Legal Description Lot No. Subdivision Name/Number Assesso(s Parcel # Existing Use Replace standard water heater like for like Description of Work SQ. FT. 2.. (;OIIT~.-e~~!;~~'ip~I),;. California Delta mechanical, Inc. 6052 E Baseline rd# 155 Name 3. APl'UCANT ROMEL Name Address I!! COntiactOll .. c:r'.tfl!l'Gii<llt!!CIOI . 6052 E Baseline rd# 155 Address Mesa City a~ MESA City 4, PROl'!!ltl't.QWl!ER Donna Trapolino Same Carlsbad Name Address City Unit No. Phase No. Proposec. l_lse # of Stories # of Bedrut1ms AZ 85206 (480) 898-0001 State/Zip Telephone# , o011g,inj:ldr~; AZ 85206 480-898-0007 State/Zip Telephone# CA92009 760-7(]3-0606 State/Zip Telephone# li: CON!!!A4!;tl&f~'~LU . . . . . Total # of units # of Bathrooms (480) 898-0005 Fax# (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 Contrat,1.cu's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Godel 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 East Bseline rd # 155 Mesa 85206 ( 480) 898-0007 Name Address City State/lip Telephone# State license# _8~1~1_1~1~4 ____ _ License Class _C_-3_6 ________ _ City Businesi: License# ~1~2_1~4_2~8_1 _____ _ Designer Name Address City Stall!/Zip Telephone# State license# ________ _ &; WQRKl!R'Jl;~'!!Qff ' · \Y wOrkerS· c~~pe~~-~iO~' D~~~~t;~~-:' i"he'~by"affi~' ~-~d~~-~~~iY'J ;;erj~'ry, On~-~-the"f~u~ng d~arations: □ 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 wll"ch this permit is issued. [El 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 Date,~0~7.,_/0"-"l /~0~8~------ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall ,101 employ any person in any manner so as to become subjed 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 compensa ·o SIGNATURE Galina Pavlova 7• -)~~~,;-~;•:~~uili!i/vi ·_:,~---::·,,,,. -----rn--'!ii(!;~:C;:;!,'r:'.:.::v'>!_~'-· , ,,·:-:--i:':> I hereby affirm that I am exempt from the Contractor's License Law for the foltowing 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 Protessions Code: The Contractor's License Law does not apply to an owner of property wh:l builds or improv,,s 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 buil•:!hg 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 contracting with licensed contractors to construct the project (Sec. 7044, Busmess 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 c,i11tractor(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. I have contracted with the following person (firm) to provide the proposed construction (include name I 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/ phone number/ /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 I phone number/ type of work): PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance