HomeMy WebLinkAbout2514 LA GOLONDRINA ST; ; CB920698; Permit~ 11'1 l t
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....... .__ APPROVAL
INSP. .,.. __ DATE.,....~_.
CLEARANCE ____ __
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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Adju::tn•nts:
Iot.-.1 Fees:
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Mi~cellaneous Fee
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FINAL i~~PRu VAi.,
:~ ___ DATE __ ~
.__,,LtARANCE --------
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of carlsbad Building Departaent
207'5 Las Pal ... Dr •• Carlsbad, CA 92009 (619) 438-1161
I. P£RMl I IYPR
A -U Commercial D New Bu1Jdmg U tenant Improvement
B -□ Industrial □ New Building D Tenant Improvement
~ V
C -p Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical Pool pr' Spa □ Retaining Wall □ Solar □ Other
PLAN CHECK NO.
C-PRMT
2. PROJECr INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
J '·D \oY'cl, \ I'\...,. Bmldmg or Smle No.
L.C.,_ U\ • ""-';,,~ I
LEGAL DESCRJP i lbN Lot No. Sulxhvis1on Nam&Number
111-CHECK BEWW IF SUBMll if:U: c..°'"''' \\a t...:::.+b,:\·c::s
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
0mt No.
~"2-
Phase No.
ASSESSOR'S PARCEL zj5 5bl 'l <? EXJSJJNG USE 5 F-g_ PROPOSED USE
DESCRIPTION OF WORK p C:C, \ +-'.'::> f""-
SQ. IT. # OF STORIES
3. WN lACI PrliSON (U Olherenl from apphcant)
NAME M., !:6 i bV' "'c,d.~ (&v,.oe. ~~ 1DRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCXNI }A"LUN1KAL1UK UAl,jt.N I t'UK CUN lHALlUK UUWNtK UAGENI FUR OWNER
NAME M,~..,\on. Pco\:'.:, ADDRESS 755 LU• i,,_,"'-"~ c~
7'-\~-LbQS CITY STATE <;.A-ZIP CODE 9-Zb<. 5 DAY TELEPHONE
5. PROPffliY OWNill
NAME [5-. ,A'"\--slc l'-.,W\ ADDRESS 2-.S IL\ Lo.. U\c,\ <>-'~ , , ,r-c,-. S,1
CITY u..-½~ STATE
6. OONIRACIOk
ZIPCODEC\cL)z_"", DAYTELEPHONE '-\:!, 6-'-\"7 ()6
NAME t,\, 5$·ic, t"-~ \ ".;,
CITY <z.SL, STATE ZIP CODE",.an ... 5 DAY TELEPHONE
STATE UC.# '37.Gj/;O LICENSE CLASS c..-s~ CITY BUSINESS UC. #
DESIGNER NAME r:x._.. (__c, \ e ADDRESS
,-·')
CITY
7. WOkkERS WMPENSAhON
STATE ZIP CODE DAY TELEPHONE STATE UC. # I l'JJ \
Workers' t.Zmpensat1on Declarat1on: I hereby afi1rm that I have a ceruhcate of consent to self-msure issued by the Director of industnal
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 ~800, lab. C).
INSURANCE COMPANY C... f,J (\ POLICY NO_{'...:,(__ I IL. 7 ixi>IRATION DATE l---z.c-1-<"t:;,
1 ';,(_, /',/ •, ,1 .-.• ,-a V'./
Ceruhcafe of Exemption: I cerufy that m the performance of the work for which this pernut 1s issued, i shaii not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNEk-B0UDffi DPl!LAkA:fiON
dwner-Builder Dedarabon: J hereby affinn that l am exempt from the Contracto?s License Law for the foilowmg 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.).
□ 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 punuant to the Contractor's Llcense 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 pennit
subjects the applicant to a ciV1l penalty of not more than five hundred dollars [$500)).
SIGNATURE DATE
COMPLEIE IHIS SEGIION FOR NON-RES!DENIIAt BUILDING PERMll's ONLY:
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 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 □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF 11IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NITT BE ISSUED AFl1!R JULY 1, 1989 UNLl!SS 11IE APPLICANT
HAS MET OR IS MElmNG nm REQUIREMENTS OF TIIE omCK OF EMERGENCY SERVICES AND 11IE AIR FOilll11ON CDNTIIOL DISTIUCf.
9. WNSIRUCIION IENDiNG AGENCY
I hereby afnrm that there 1s a construction lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097 (lj C1V1i Code).
LENDER'S NAME LENDER'S ADDRESS
JO . .AJJlilJCANI CFJtlMCA:iiuN
I certify that I have read the apphcauon and state that the a&ive mformauon 1s correct. I agree to comply with aJJ 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS 111E 01Y OF CARLSBAD AGAINST ALL UABIIJTIES, JUDGMENTS, CXJSTS
AND EXPENSES WIRCH MAY IN ANY WAY ACDUJE AGAINST SAID 01Y IN CDNSEQUENCI! OF nm GRANTING OF nns Pl!RMIT.
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).
APPLICANT'S SIGNATURE DATE: 7-j i,;--'\-z..._
Applicant PINK: Fmance
,
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las Pal-,s Dr., Carlsbad, CA 92009 (619) 438· 1161
I. PF.kMi I hPE
A -U COmmerc1al U New Building Li tenant Improvement
B -D Industrial □ New Building O Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical D Pool □ Spa □ Retaining Wall D Solar □ Other
2. PROJECf INFORMATION
Address Z:5' I Cj L"'
FOR OFFICE USE ONLY
Nearest Cross Street
LEGAL DESCRllfl ION Loe No. SufXhvis,on Name/Number 0nu No. Phase No.
CHECK BEWW IF SOBMI I I Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCTI, PBOJ>OSBD USE
DESCRIPTION OF WORK ~e -1"-&f<c.-\-,0~
SQ. IT. # OF STORIES
3. WN JACJ PF.RSON (II dlIJereni from apphcanO
NAME ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
1-. APPUCXNI
NAME
□WNiRACIOR UAGEN I FOR CON IRACIOR
ADDRESS
□OWNf:R UAGENI FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME M IS,':, 10 1-I
CITY 'i:..-s.c-oov~.~c) STATE
ADDRESS '7 'j-,;
ZIP CODE DAY TELEPHONE
STATE LlC. # IJCENSE CLASS CITY BUSINESS LlC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. WOIUMtS' WMPP.NSXIION
Workers' Compensation Declaratton: I hereby afhrm that I have a cert1hcate of consent to seif-msure issued by the Director of Jndustnal
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 POLlCY NO. EXPIRATION DATE
CertUlcate of Exemption: I cerufy that m the performance of the work for which this pemut 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. OWNmt-B0liDER bECLAkAiiUN
dwner-Bu1lder Deciarauon: I hereby afhnn that I am exempt from the Contractofs Lcense Law for the followmg reason:
□ 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 Llcense law does not apply co 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.).
□ 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. 703 I .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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Qxle)
or chat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATE
CUMPLEIE IRIS S£CIION FOR NON-RES!bt:'.NIIAL BUILDING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 □NO
Is the facility to be constructed within I,000 feet of the outer boundary of a school site?
□YES □NO
IP ANY OF llIBANSWERS ARE YES, A FINALCERllFICATE OFoa:uPANCYMAYNITT BE=m AFI1!RJIILY 1, 1989 UNIJlSS TiffiAPPIJCANT
HAS MET OR IS MEIITING l1IB REQUlREMENTS OF l1IB OFFICE OF EMERGENCY SERVICES AND l1IB AIR POIJ.IJllON CONTROL DISTRICT.
9. WNSIROCIION I.ENDING AGENCY
I hereby afhrm chat there 1s a constructmn iendmg agency for the performance of the work for which thts penmt IS issued (Sec 3097(1) CiVII Code).
LENDER'S NAME LENDER'S ADDRESS
JO. APPIJCArU CEllfiJJCAlidN
I certify that i have read the apphcat1on and state that the aOOve mformauon 1s correct. I agree to comply wllh 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 AGRE!! 1U SAVE INDEMNIFY AND KEEP HARMLESS l1IB CITY OF CARlSBAD AGAINST AIL LIABIIJl1ES, JUDGMENIB, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSl!QUENCE OF l1IB GRANTING OF 11IlS 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).
APPIJCANTS SIGNATURE DATE: ______ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB920698
DESCRIPTION: 690 SF POOL/SPA
TYPE: POOL
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/30/93
JOB ADDRESS: 2514 LA GOLONDRINA ST
APPLICANT: MISSION POOLS PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA PY
PLANCK# CB920698
OCC GRP
CO STR. TYPE NEW
LOT:
REMARKS: MH/JIM
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
--RELATED PERMITS--
CD
59
LVL DESCRIPTION
SW Final Pool
PERMIT#
CB920936
CB921043
TYPE
MISC
MISC
STATUS
ISSUED
ISSUED
ACT COMMENTS
/l/J _________ _
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
112092 Final Pool co PY CONDUITS DO NOT TERM AT BOXES
101492 Fence/Pre-Plaster AP TP DOUBLEGATE FOR CITY ACCESS
092492 Underground Plumbing AP PY ND PERMITS FOR BBQ/PATIO COV
092492 Electric/Conduit/Wiring AP PY
091692 Underground Plumbing NR PY REINSP FEE NOT PAID
091692 Electric/Conduit/Wiring NR PY NO ONE HOME/BIG DOG IN YARD
091092 Underground Plumbing co PY PAY REINSP AGAIN/NO PRESSURE
091092 Electric/Conduit/Wiring co PY
090392 Underground Plumbing NR PY NEED TO PAY FOR REINSPECTION
090392 Electric/Conduit/Wiring NR PY NEED TO PAY FOR REINSPECTION
083192 Underground Plumbing co PY ND PRESSURIZED GAS LINE
082792 Underground Plumbing co TP
082792 Electric/Conduit/Wiring co TP
082692 Underground Plumbing co PY ND TRANS/HOISTED GAS LID
082692 Electric/Conduit/Wiring AP PY
081292 Excav/Steel/Bonding/Fence AP PY ND SPRING AT GATE
072092 Compliance Investigation AP PY POOL PRE-SITE
1200 ELM AVENUE
. CARLSBAD, CALIFORNIA .92008
TELePHONE:
(7141129-1111
etitp of etarl~bab ·
This document will certify that I am aware·of the provisions of the
,California Administrative Code, Title 24, Section T20-l406(c),
"Swimming Pool Heating", as shown on form DPL f297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electri~al permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at 2S-~4--t,;ft (s;,OccJrJDf21NA-$T,
(site address) I certify _that all oft efollowing requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
l. Outdoor poqls shall be equipped wi~~.a pool cover.
2. ON-OFF swi.tch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter ~d
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 751
thermal efficiency.·
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
•
Owners Signature: Date: 7 -I'~ -'1 z_
Print Contractors Name: __ .~~-.,?~~"-'-•~bv\.;.;..,.~\~t~o:;...~_'::> ______________ _
Contractors Signature: 1W:£R SS> , • t::5~-P 'Vi\vivr¼S::D Date:): "22:ff
Address : · l 7> \..,l._) , \>,~ C&N:R <=