The URL can be used to link to this page

Home My WebLink About2718 LA GOLONDRINA ST; ; CB131188; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-13-2013 Permit No: CB131188 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2718 LA GOLONDRINA ST CBAD PME Status: Parcel No: 2155410900 Lot #: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: GRIFFITH RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATION Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GRIFFITH FAMILY TRUST 11-21-06 2718 LA GOLONDRINA ST CARLSBAD CA 92009 ISSUED 05/13/2013 SKS 05/13/2013 05/13/2013 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: 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 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 in connection with this project. NOR DOES lT APPLY to any f x i n I i h ha i I Tl i ii hi r wh" h h \imi i n h r i I h i City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2718 La Golondrina St Plan Check Noffi ( 3\ l W Est. Value Plan Ck. Deposit SUITE#/SPACE#/UN\T # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. Tl'PE OCC. GROUP --------.------"--- Replace existing like for alike water heater r fXISTING USE I PROPOSED USE I GARAGE (::if) PATIOS (SF) I DECKS {SF) I FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS ' v,so "'° ves □No □ YES□No□ CONTACfNAME (lfD/fferentFomAppllcantJ C J"f , D It M h . I" APPLICANT NAME Galina Pavlova a I orma e a ec amca me. ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd# 155 -----·--------CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE IFAX PHONE I FAX 480-898-0007 1-480-218-5645 858-361-6495 858-240-6677 EMAIL EMAIL california(@,deltamechanical.com galinap(@,deltamechanical.com PROPERTY OWNER NAME John Griffith CONTRACTOR BUS. NAME California Delta Mechanical Inc. A-DDRESS~------------~ .ADDRESS 2718 La Golodrina St 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 760-685-3718 480-898-0007 EMAIL EMAIL california(@,deltamechanical.com I :,RCH/OES\GNER NAME & ADDRESS I STATE tic.# STATE UC.# 'CLASS I CITYBUS. LIC.1214281 811114 c-36 (Se~, 7031.5 Business and Profe.o:;sIon!. Code: Any City or Coun,ty which requires a perm1t to_construct, alter, improve, demolish ·Jr repair any structure, prior to Its issuance, also requires the apollcant for such perm,t to file a signed statement that he Is l1censed pursuant to the provIsIons of the Contractor's License LawjChapter 9, commending with Section 7000 of DIvIsIon 3 of the B_usmess and Professions Code} or {hat he is exemI;it therefrom, and the basis for the alleged exemption. Any vIolat1on of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not mure than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations· - [ZJ I have and will maintain a certificate of consent to self-Insure for wor'r<.ers' compensation as provideci by Section 3700 of the Labor Cocie, for the per1ormance of the work for wt,ich this permit is issueci. [Z1 I have and will maintain workers' compensation, as reQuired by SecHon 3700 of the Labor Cocie, for the per1ormance of the work for v.tiich this permit is issued, My workers' colll)ensation insurance carrier and policy numt>er are: Insurance Co Policy No. 1897823 Expiration Date o7,01r13 ~section need not be completed if the permit is for one hundreci dollars ($100) or less. I lLJ Certificate of Exemption: I certify that in the per1ormance 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 of the Labor code, interest and attomey's fees. I NS CONTRACTOR SIGNATURE ,@ff ,Zi1iiii•i;i1iii~ii1M~iiid1Eilk·iJ 1 -.. I I hereby affirm that I am exempt from Contractor's License Law for the following reason: : D I, _as owner of the property or my employees with wayes as their sole compensation, will cio the work anci the structure is not intencied or offereci for sale (Sec 7044, Business and Professions Code: The Contractor's I License Law does not apply to an owner of property who bullcis or improves thereon, and who does such work himself or through his own employees, provicied that soch improvements are not ·ntencled or offereci for I sale. 11, however, the builciing or improvement is solci within one year of comple1ion, the owner-builcier will have the burcien of proving that he ciid not builci or improve for the purpose of sale). ' I L,] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProlessiOns Code: The Contractor's License Law cioes not apply to an owner of property v.tio builas or improves thereon, anci contracts for such projects with CMtractor(s) l~sed pursuant to the Contractor's License Law), D I am exempt unde1 Section _______ Business anci Professions Code ior this reason: 1. I personally plan to provide~ majOr labor anci materials for construction of the proposeci property improvement. OYes O,o 2. I {have Ir.ave not) slgneci an application for a buikling pennlt for the proposed work. 3. I have contracteci with the following person {firm) to provide the proposed cor.',truction {include name adciress I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hireci the following person to coordinate, supervise and provide the major work (inclucie name I acidress I phone i contractors' license number) 5. I will provicie some of the wor'r<., but I have contracted (hired) the following persons to provide the wor'r<. indicated (include name I aciciress I phone I type of work) - - Ji:5 PROPERTY OWNER SIGNATURE DATE .----__ j Inspection List Permit#: CB131188 Type: PME Date lnspectio11,ttem _ _ __ 06/04/2013 25 Water HeaterNents 06/04/2013 25 Water HeaterNents 06/04/2013 29 Final Plumbing 06/04/2013 29 Final Plumbing Wednesday, June 05, 2013 Inspector Act PD PD RI AP RI AP GRIFFITH RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATIO Comments Page 1 of 1