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HomeMy WebLinkAbout2503 LA GOLONDRINA ST; ; CB920431; Permitl4 12 t-'c J • 0 f. . it, A, .dr t ~ · i:erm1t ~yr, 1 M .. J I LA <;c >N RTNA .,) ... t ! : > l •· £. E <;i Pr , , c +-N DPV le [.M u t !\h ' l 4 F : ,t •: 7488 05/04/92 0001 01 02 u < t• l t\" : 2. V ll, :: on: PA..,,t >/[H:,LK 1-2 J, ,,22 ye: VN C-PRHT 90-00 ,,r t1 ict 10n C Updr, y GrLll...!:J. ,kr>fe--t•nr•p#: J(ll<"Ct ::.i:: t lvt.: I.. J7 . F ~">E-" •K PER .. >l t ~ App_/Uwnr ~ER< URTO, FRANK A~._) Jr.AN 2. 0 J :.A C,ULOND.t{: l'IIA ~' :R.B.£.,:. CAE.L3BAL,, < A fef~ Require-d ,._ -------- AdJt.,..;;trrent~ : 'i'ota 1 fees: f Pt; ] •script1on ui :<:11nq Pc:::-rr.i t E-,-ir·. Cr,c->c-k ~tro~~ Mct1 >n Fee ;. Bl TL(,TNG "'l,TA:. ---..... ---------~- Cfi. ~911. \. C.1 " AI :., H ( 4 Apr I I ct.. / 4 Vci 1 1t.1te 1 By: f 1 1 4 8-f.'8':i'J . u ( g ) • II l E:xt f r> p,, .. "i ", 4 , II l ) . 0) (.; 0. ' LAPPROVAL INSP. -l-'9A...___ DATE r,,41-fl CLEARANCE-----, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent ESr. VAL e(/f!Y,,;/.6 PLAN CK DEPOSIT f'D 2075 Las Pal118S Dr., carlsbad, CA 92009 (619) 438-1161 VAIJD.BY J]C I. PRkMI I IYPE DATE ¢/WI "2< A -U COmmerc1al U New Buddmg U I enanr Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo D Single Family Dwelling U Addition/ Alteration □ Duplex U Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing U Mechanical □ Pool □ Spa □ Retaining Wall D Solar □ Other 2. PRQJOCT INFORMATION FOR OFFICE USE ONLY mt o. CHECK BEWW IF SUBMI I I ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PBOPOSFP USE DEscmPTioNoFwoRK _f)ec.K Pe;e.S'JfZ-e c..-S' ~ FT. o?o z # OF STIJRIES 3. WN IACI PEkS.JN (17iiereni from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPllCAN I NAME □WNIRACIOR UXGENI FOR WNIRACIOR DOWNER □AGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS 2Jio 3 Uteiot..oJJon..1;.;14-sr-: ZIP CODE~ ZL)09 DAY TELEPHONE 4 3 e, -(f/J2:6 9 NAME CITY STATE STATE UC.# ADDRESS ZIP CODE UCENSE CI.ASS DAY TELEPHONE CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORRERS' WMPRNSAIIUN Workers' Compensation Declaration: I hereby ahirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Ceruhcate of Exemption: I cemfy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUllDRk DEi!DJiXIKJN Owner-Builder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do 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). □ I am exempt under Section ________ Business and Professions Code for this reason: (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, commencing 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 subj applicant to civil penalty of not more than five hundred dollars [$5001). SIGNA: DATE q, / 9 9 2.... Is the app 1cant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account 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 district? □ YES C NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OFoa:IJPANCYMAYNOT BE ISSUJ!DAFfllRJULY 1, 1989 UNLESS TIIEAPPIJCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF nm OFFICI! OF EMERGENCY SERVICES AND TIIE AIR POIJ.IJTION mNTROL DISllllCT. 9. WNSIRUCIION O!NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec :3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICXfH CEit I IFICAIIUN I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMUlSS TIIE CITY OF CARISBAD AGAINSf ALL UABIUTIES, JUDGMENTS, CDSfS AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINST SAID CITY IN OONSF.QUENCI! OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 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 365 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 303(d) Uniform Building Code). DATE:~ 4,92-- WHITE: File YEU.OW: Applicant PINK: Fmance PERMIT# CB920431 DESCRIPTION: 207 SF DECK PER TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 06/10/92 SPECS INSPECTOR AREA TP PLANCK# CB920431 OCC GRP CONSTR. TYPE VN STR: FL: STE: JOB ADDRESS: 2503 APPLICANT: MERCURIO, CONTRACTOR: LA GOLONDRINA ST FRANK AND JEAN PHONE: 619 438-8~ ~:::~CTOR .L OWNER: REMARKS: MH/438-8859 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural £. _______ _ ------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 050792 Ftg/Foundation/Piers ACT INSP AP TP COMMENTS 26X26X12 (3) , ·· .. Gd\ - ,E 2.., < ,LI l ----___ ,. --- -...._ --.._ --Tr : ! ' ' '~ • "1 I