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Home My WebLink About1940 SWALLOW LN; ; CB112252; Permit10-20-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112252 Building Inspection Request Line (760) 602-2725 1940 SWALLOW LN CBAD PME 2150521312 Lot#: 0 SALMI RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/20/2011 LSM 10/20/2011 10/20/2011 CALIFORNIA DELTA MECHANICAL SALMI ELLABLANCHE K SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1940 SWALLOW LN CARLSBAD CA 92009 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APP Date: I I Clearance: $0.00 NOTICE: Please take NOTICE that ,ipproval 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 NOTIF!ED 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 applicatlon processing or service fees in connection with this project. NOA DOES IT APPLY to any fwhih Tl ih fiii ------·· City.of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 1940 Swallow L n CT/PROJECT It 1 LOT# _ _r~-ASE-~ r OF UNITS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) SUITE# /SPACE# /UN IT 11 I# EJ[DROOMS- Plan Check No~ L ;}-d-.,;-d- Est. Value Plan Ck. Deposit Date (0 2-0 I I APN Replace existing like for alike water heater EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) I FIREPLACE YESQ I AIR CONDITIONING I FIRE SPRINKLERS No□ YES □No □ YES □No□ CONTACT NAME (If Different Fom Applicant) California Delta Mechanical APPLICANT NAME Galina Pavlova ---------------------------------ADDRESS ADDRESS 6056 East Baseline rd# 155 6056 E Baseline rd # 155 ----------CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE ------------------ __ _I__F~X-~ -T:'AX ------------------- PHONE 480-898-0007 1-480-218-5645 858-361-6495 1-858-240-6677 ------------------------------------------EMAIL EMAIL california@,deltamechanical.com galinap@,deltamechanical.com PROPERTY OWNER NAME Ellablanche Salmi CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 1940 Swallow Ln 6056 East Baseline rd# 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE IFAX PHONE IFAX 760-431-6983 480-898-0007 480-218-5645 -----EMAIL EMAIL i\RCH/DESIGNER NAME:. & ADDRESS I STATE LIC _n" ____ STATE UC.# ----- !°LASS C36 lmveus uc1214281 811114 (Sec, 7031.5 Bu.,me.,., end P_rofesi11on'1 Code: Any City or Coun_ty which requ1rM e permit to.construct. alter. improve, demolish or repair any structure. prior to its issuance, also requires the eppl1cent for such per_mit to file e eiiined etetement thet he ii l1cenead pursuent to the provisions of the Contractor's License LawjChapter 9, comme_ndmg with Section 7000 of Div1s1on 3 of the B_u1meM end Profeee1one Code} or thet ha,., e:1.ampt therefrom, and the bee1e for the alleged exemption. Any vmlat1on of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penelty of not more then five hundred dollere {$500)). Workers' Compensation Declaration· I hereby affirm under penalty of perjury one of the following declarations [Z] 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 [Z] I have and will maintain workers' compensation. as required bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697623 Expiration Date 01101120121 This section need not be completed if the permit is for one hundred dollars ($100) or less 0 Certificate of exemption: I certify \hat in the performance of the work for which thi~ 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 lo 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 Sectio J the Labor code, interest and attorney's fees. _25 CONTRACTOR SIGNATURE I hereby affirm Iha/ I am exempl from Contraclor's License Law for lhe following reason· □ □ □ I. as owner of the property or my employees with wages as their sole compensation, will do lhe 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 lo 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. II, 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 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). 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 lhe proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide 1he proposed construction (include name address/ phone 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/ address I phone I contractor_;' 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 I address I phone I type of work) JiS PROPERTY OWNER SIGNATURE DATE - s the applicant or future building occupant required to submit a business,..llli.Q, acu1ely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the )resley-Tanner Hazardous Substance Account Act? D Yes LJNo s the applicant or future building occupant required to obtain a permit from lhe air pollution control district or ai.Llll(ality management district? 0Yes D No s the facility to be construcled within 1,000 feet of lhe outer boundary of a school site? 0Yes LJNo F M~Y 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 :MERGEN CY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code) 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. hereby authorize represen\abve of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLE:.SS THE CITY OF CARLSBAD IGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constrnction of structures over 3 stories in height :XPIRATION: Every permit issued by the Building Official under the provisions of this Cooe shall expire by limitation and become null and void if the building or work authorized by such per,--iit is not commenced within 80 days from the date of such permit or if the building or work authorized by such permrt is su ended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Un form Building Code). 2S APPLICANT'S SIGNATURE DATE . m . . · City of Carlsbad Bldg Inspection Request For: 11/08/2011 Permit# CB112252 Title: SALMI RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: 1940 SWALLOW LN Suite: Lot: 0 Location: OWNER SALMI ELLABLANCHE K Owner: SALMI ELLABLANCHE K Remarks: Total Time: CD Description 25 Water HeaterNents Inspector Assignment: Phone: 7604316983 Inspector: ----- Requested By: ELLA SALMI Entered By: CHRISTINE 29 Final Plumbing ~Comments ~------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments