HomeMy WebLinkAbout2503 LA GOLONDRINA ST; ; CB920431; Permitl4 12
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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 £. _______ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
050792 Ftg/Foundation/Piers
ACT INSP
AP TP
COMMENTS
26X26X12 (3)
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