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Home My WebLink About2504 LA GOLONDRINA ST; ; CB030051; Permit\ o L~ 3.9:J City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-07-2003 Plumbing Permit Permit No: CB030051 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2504 LA GOLONDRINA ST CBAD PLUM Status: ISSUED 01/07/2003 RMA 01/07/2003 01/07/2003 Parcel No: 2155612500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FINCHER RES-REPLACE H2O HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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: $27.00 0 0 0 0 1 0 0 5222 0.1./08/03 ()002 ]1 Owner: GAGLIAONO RYAN J&FINCHER MICHELE S CGP 2504 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: $0.00 Balance Due: $27.00 EXPIRED PERMIT PERI.\: r HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 SIGNATURE_....e\w.......,_..._ FOR OFFICE USE ONLY PER~IT ~PPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK No.(,"i3e3oc,S") EST. VAL.---------~ Plan Ck. Deposit=--------- Validated By_5.,_"5"""-------- Date, ______________ _ fu'J)ijfilm~Ml~~IJ~NfiRMAlll.Qtllli~i~Ji!(J~iffilllf~iri@'.~~l~iil(if~;~(!W!ru~~lli--~~liii Address (i·n~~~ 31d~u1t':'l1loRdz.: j pa S+ Business Name (at this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phr,se No. Total # of units Assessor's Parcel II Existing Use Proposed Use Do,cdpiil,J;Q1 ~gj!: 25 00 SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone II Fax # l~ijjii~i~B~lJ~A:M~l,lilN.f.B.WtlBJ!'nrn!~mtemi.s1tW~BD~J;~~il-illl1Sll~J:i~~jllUff81ITTlti~tlift~~mi~iWliif~~: ;i '·~ -~ c · ~l· F~s~e£ · U706 ..,· H""' 8 Bus EJ Cajon, · ca 92021 (619)390-4477 ihi Cf'l: OS C:t/ ar Address 1: City State/Zip Telephone II ill\!i~~ttBJl~i!M~Wl~l~r.zj!~iffiliil111WOOWIWJll~.iii~ilRIB~"lllfilf~,t-•1•rn~w~1~1it~-lmffll.-~i-Ril~lu,~-~IIOOli:!~i~li~1~~ii~:H~ill~i i(;j;/Jcher Michelle ~l,l£;,La Elol0Hdlcif'la6t£afl□900 Ga. ~~S~P 76qe,?pt~ne~850 liil~i1\liit!~M.!!il'lllllil.~:i!Mliiiti:ii!~llfl'l.lilililiiiiii!ll.1Jl!llilil!l1=-!i!llll~ul!llll!ll.l!lllliilllilll!!si~J!!IIJ~illli1 (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, commending 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). W,;/;l:!.9 B HWy. !l !las. :E:l Ca.is!+ ili,m1, J Poster Plumbing Stete License # .,6,.,3'\1()A'l~2~()c-------License Class -IC"-'lJ,f,6,------City Business License # J 2] Q 8 36 Designer Name Address City State/Zip Telephone State License # -~~.------,---- ~iyf[~kt,B.f!l;ffSl~lt~M.~JW8ilf~1ffi~iJil~m!~iiWij~~J!IP.rui!~~fflillTu.~i!it~fflti;M&12!~l~lffllili~~/lir~~-l:'6ijJ~~H1~1!1J~!i~~1~:hil~~~l1!iM~al1)&~i~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is }{!ssued. My worker's eompensation insurance carrier and policy number are: Insurance Company ~===-,-,=,;;,;--,;,;;a;---------Policy No~ fn-81 80 0071 J 1rn1s SECTION NEED ii&tiit1:6ii11Jlil-eil-114AE PERMIT 1s FOR ONE HUNDRED DOLLIO!ll 111001 OR Less, Expiration Date,_.1,(l1-<4H()Jcl!,-IJQ-dJ'-- 0 CERTIFICATE OF EXEMPTION: I certify. that In the performance 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. age IJ unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred SIGNATURE ,on, damagea as provided for In Section 3~:~:fthe Larzr• Interest and attorney's fees. 17i~!lli~~mwNM[iiUI~PlftillGgijJiijjQl!l~!!!@~!1 " ' . '.! Xi~~lifllB.J.llllmll~-j~IJ]~-m--1Jtllt!RWaml!Wi~!li~!lf.~~~!1l!!1~t~ii~~~~™imffii~ I hei"eby affirm that I am exempt from the Contractor's License La"." for the following reason: 0 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, Busines, and Professions Code: The Colltractor'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 emplo.vees, 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 ownerwbuifder 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: Th9 Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contrector(s) licensed pursuant to the Contractor's License Law). 0 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. D YES ONO 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 / address / phone number / 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 / phone number/ contractors license number):. ____________________________________________ _ 6, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address / phone number / type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE rli:\$Jii.i~ii,'i:~JtHl~!il~i;(iii_il~ll!llf!l11M1illftJll¥i!imllii.1!1ij!iI!l.lirJ/liifiil~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk. management and prevention program under Sections 26605, 25533 or 26534 of the Presley•Tanner HazardoiJs Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the nir pollution control district or air quality management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY 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 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !ili!!!~:l!~Jlli:t!i!!li;Ttl!!ti!ili;nw[gJ~l!,lt!ii~ri'il!l.11!!fl.lffii!!!!llli!llillM-!ltR'.._i111i!l:/lli,t-1i!Jil'll\lll!!lll!~llilflllil"!!f!~!!lliillJ~l!!!!!]!,li!i'l!li.illii,,~I'!ti:l I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit Is issued (Sec. 309711) Civil Code). LENDER'S NAME =====-..re-::-=..,,.,....---------LENDER'S ADDRESS rd','"'"'''""~l"~ii;;;•''"""~'•'""·~"''lil~i'"'"'•'""'"'"'""'"l\W"''""'~'"""'"""'"'"'"'""'"'"'"'·"-.-,,,,,,.,.-_ -,.,. -, -,~--.. ~• -,, .. -.,,.,.-.~-,,"'-·"-. ...,.-,-,... · -,.-... -,.,-.,.,,,-,,., -.. .,-~,.-.,,-,, .. -,,.-m,m1m-, •• -,,-,.,.-,..-.•. ,,.-"l',,-.,,,.,-,1,,-,,,, ,,,-,,,,,-,,,,1-.'"''". ~ ... !JljHw.i~lli!Bl, .~~~,_~, ~'l<!MJf:cWJ..-1~[~ ,;UJmt'llli:iJlflilijl~l'.ll'lllmt~.u~wanw~~~'V;t/,'JIUJ,~illll!'JJ.i=l~~JgJWjilll).~,tltllJ~l~i'I/OOJ/Qlij,\iijW!ffil!.!.li!!JlilUOOJ;;J.ITTi~~~rid .. M/1!1,Hrn.,!o~"~ I 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 buildlng construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCR_UE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 610• deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Ing Official under the prov! ns of this Code shall expire by llmltatlon and become null and void If the building or work authorized by such permit Is not comm d w 18 ~~m the • of s h permit or If the bullding or work authorized by such permit Is suspended or abandoned at any time after the work Is comm d f y,u/f~S . Uniform Bulldlng Code). . j /is APPLICANT'S SIGNATURE ____________ 7 ,________________ DATE • -~ --~+-1,'-'d-------- YELLOW: Applicant PINK: Finance