HomeMy WebLinkAbout2514 LA GOLONDRINA ST; ; CB921043; Permit~ I
_.
( t> A . l
.. f ... ,.-~ .
:4
~
~ .n Ml
) .
I A ,' • < >N ' r ':I.A ~.
EI.T;\,"()
' ...
02
C • r· \ ) . ' I. 2 C ) +-ff :
9523 09/30/92 0001 01
:::-PRMT 1oc.oo
\J.:1 t !. , I . 4
, t t 1 l ) ' YP' ~ 'V
·l rn•~y ;r , <E. ., t8tPn •tt:
~ c r :r ~ ~nr 144 f-F FRE.t,0,' A.~: T;\ r AM'
,',VEH,2.7-> .f C.IY ~ .. t..' tA'lL ,t1
A['f?..1./ Jwr.r
A l I t· tr en t
;., E P
CSAt\i ', J lM
~Sl4 ~A Gu[J~~Rl~A
ARL.~RA:, ~A. <i~ l
l
.J
--~ -~ -------__-,Iii
"'llSJ..f' .L.,t,E OL.. rPl• . (
~ M !:.,C'F.. I '\NE' >, ., '"( (,
.., -
4
IN
<, I-t t ll ·
At t J.
A._ . .:: / .,_ -•• l -:
Ve.,_ .......... tc.(. :...1: -~
. '
'I, ' • ') f'
E:xt fc•
l. Cc
) • t .
r, r • r-•
· APPROV~L _, , _
........... _DATE~
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
•.
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las PalMS Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL ex 7 N
PIAN CK DEPOSIT, _______ _
VAIID. BY, __________ _
I. PFJtM1 I liPE
A -Li COmmerc1al
B • □ Industrial
C • □ Residential
□Duplex
□New Bu1ldmg D tenant Improvement
D New Building □ Tenant Improvement
□ Apartment D Condo D Single Family Dwelling □Addition/Alteration
□ Demolition □ Relocation D Mobile Home □ Electrical □ Plumbing
□ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other
DATE
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
.Address z. 5' I 4-Lil-6ot-o/V P/'L/ NA ~•.ldmg or Suite No.
Nearest Cross Street ArL 6P ('2L:I A--£>
LEGAL DESCRIM ION Lot No.
/72,.
SuixhV1s1on Name/Number
fOrJ{)CfUJ>A cc<.1111-r/Uf -
Phase No. /
CHECK BEWW IF SOBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
i,S-SQ. FT.
SQ. FT.
NAME J1 "'1 ADDRESS fT.
CllY Ltr COS T.lt ZIP CODE q .,_00 DAY TELEPHONE 4J 'I', -7.,~o
NAME
CllY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME
CllY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME
CllY STATE
STATE UC.#
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CllY BUSINESS UC. #
CllY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOkkERS' WMPENSA:I ION
Workers' Compensatlon beclarat1on: I hereby affirm that I have a cert.1tlcate of consent to self-insure issued by the Director of lndustnai
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 POLICY NO. EXPIRATION DATE
Cerohcate of Exemption: I certllY that m the performance of the work for wblch 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-BOllDkk DP.l!OOlAllUN
Owner-Bmlder Oeclarat1on: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for the followmg 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 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 pennit 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
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIIRE DATE
CDMPLEIE IHIS SECIIUN FUR NUN-RESIDEN111AL B0IIDING 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 disoict?
□ 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 THE ANSWERS ARE YES, A FINAi.CERTIFiCATE OFoa:tJPANCY MAY NOT BE ISSUED AYfER.JIJLY 1, 1989 UNIJlSS THEAPPIJCANT
HAS MET OR IS Ml!l!TING THE RF.QUlREMENTS OF nm omCE OF EMERGENCY SEIIVlCl!S AND THE AIR POLLUTION OONTII.OL DISl1UCT.
9. WNSIR0CIION LENDING AGENCY
i hereby afhrm that there 1s a construction iendmg agency for the performance of the work for which this penmi 1s issued (Sec 3097ll) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APl'IJCAN I CPJtlOICAIION
I cen1fy that I have read the apphcat1on and state that the above mformauon 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 AL'iO AGREE ID SAVE INDEMNIFY AND KEEP IIARMLF.SS THE CTIY OF CARISBAD AGAINST AIL lJAIIIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY NilUJE AGAINST SAID CTIY IN mNSEQUENCI! OF nm 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 pennit 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 pennit 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).
S SIGNATURE DATE: '1 -30 •) -i--
WJ-IlTE: File YELLOW: Applicant PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB921043 FOR 06/18/93
DESCRIPTION: 144 SF FREESTANDING PATIO
COVER,275 SF CITY SPECS PATIO,MISC ELEC
INSPECTOR AREA PY
PLANCK# CB921043
OCC GRP
TYPE: MISC
JOB ADDRESS: 2514 LA GOLONDRINA ST STE:
CONSTR. TYPE NEW
LOT:
APPLICANT: GRANT, JIM PHONE: 438-7500
CONTRACTOR:
OWNER:
REMARKS: MH/GRANT/438-4706
SPECIAL INSTRUCT:
PHONE: ~~ PHONE:
INSPECTO ~-_....,_..._~~------
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
CB920936 MISC
ACT
STATUS
ISSUED
CD
39
COZNTS
EL _Fi_· n_a_1_E_1_e_c_t_r_ic_a_1 ______ 1£ ---4-r-'-rJa...,~c....;c_--1l'--"'Cz/L:=-.... 111-'-r .... c ___ _
------------------
***** INSPECTION HISTORY*****
DATE
033093
101692
100592
100292
100292
DESCRIPTION
Rough Electric
Rough Electric
Ftg/Foundation/Piers
Underground/Conduit-Wiring
Ftg/Foundation/Piers
ACT INSP
PA TP
AP PK
AP PY
AP PY
NR PY
COMMENTS
METAL BOXES@ BBQ TO BOND
IN WALLS OF BAR
FOOTING/PATIO COVER
ND VERTICAL RISERS