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Home My WebLink About2517 LA GOLONDRINA ST; ; CB940808; Permit07/05/94 16:39 Page 1 of 1 B U I L D I N G Job Address: 2517 LA GOLONDRINA ST Permit Type: ELECTRICAL Parcel No: 215-561-35-00 Valuation: O Construction Type: NEW P E R M I T Suite: Lot#: Permit No: CB940808 Project No: A9401137 Development No: 7654 07/05/94 0001 01 C-PRHT 02 20.00 Occupancy Group : Reference#: Status: ISSUED 07/05/94 07/05/94 MOP Description: ELECTRIC FOR FUTURE SPA Appl/Ownr : HILL, ANNE 2517 LA GOLDRINA STREET CARLSBAD, CA. 92009 *** Fees Required *** Fees: 20.00 Adjustments: Total Fees: Applied: Apr/Issue: 619 Entered By: 438-9205 Fees Collected & Credits Total Credits: Total Payments: Balance Due : .00 .00 20.00 *** Fee description Enter "Y" for Electric Enter "Y" for Remodel Units Fee/Unit Ext fee Data * ELECTRICAL TOTAL > > CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 10.00 Y 10 .00 Y 20.00 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palaaas Dr •• Carlsbad, CA 92009 (619) 438-1161 EST.VALc._ _________ _ I. PRR.Mli N'PE PIAN CK DEPOSIT ________ _ VAIID.BY __________ _ DATE From Llst 1 (see back) give ccxle of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Ccxle of Structure-Type: ______________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMA"I10N FOR OFFICE USE ONLY ress d.St7 LA u1 mg or u1ce o. 6-<-'-,;,,•., :J ~IIV ,'/ '$..1--· Nearest Cross Street llGAL DESCRIP I ION Lor No. Su6d1vts1on Name/Number Omt No. Phase No. D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEi EXISTING USE PROPOSED USE DESCRIPTION OF WORK ~ .-, ~ # /< t:f'"CT·< / < r• ., SQ, IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PERSON (I[ diricrcnt from applicant) NAME (lase name first) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE 4. APPIJCANI OCONIRACIOR7.]Aq£,W'i FORWNIRACIOR NAME (last name first) C) c.....,," rJ-L-(,\__....-ADDRESS DOWNER DAG£NI FOR OWNER CilY ST A TE ZIP CODE DAY TELEPHONE 5. PRUPfltiY OWNlli NAME (last name first) I-I ILL ::::r, ,'11 f .A/\.J/J/E. ADDRESS :;?_ S / 07 Z..,,o f DAY TELEPHONE LA 6-vCo,-.,I 0/-? ,/1,/,1 -?Los· STATE CA ZIP CODE NAME (last name first) CilY ~/J'r(L, STATE ZIP CODE ADDRESS DAY TELEPHONE STATE UC.# LICENSE CLASS CilY BUSINESS UC. # DESIGNER NAME (last name hrst) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORKERS' UJMPENSA' I ION Workers Compensation Declaration: l hereby affirm that I have a certificate of consent to self-msure issued by the D1rector 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 POLICY NO. EXPIRATION DATE Cert1hcate of Exemptmn: I certify that IO the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNlli-BOnnrut DECLARAIION □ □ Owner-BuUder Declaration: I hereby afhrm that I am exempt from the Contractor's license Law for the following 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 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 Llcense 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 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 Contracto Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt th fr. m, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant vii pena).w" of ot m~re)han,Jiv hundred dollars [$500)). SIGNATIJRE /✓c_, DATE Is the applicant or future building occupant required to submit a business plan, acutely hazar materia registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 THE ANSWERS ARE YES, A FINALCERTIHCATR OF OCDJPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MIT OR IS MEETING THE REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND THE AIR POU.lfllON ffiNTilOL msnucr. 9. WNSIROCllUN nrnomc AGENCY I hereby afhrm that there 1s a construction lending agency for Ule performance of the work ior which this permit 1s issued (Sec 3697(!) CiVJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CERIIFICAIIUN I certify that I have read the application and state that the above mformat1on 1s correct. l agree to comply wnh all City ordmances and Stale 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 AJS() AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS THE CT1Y OF CARISBAD AGAINST AIL IJABIUTIES, JUDGMENTS, CDSfS AND EXPENSES wrnrn MAY IN ANY WAY ACXJUJE AGAINST SAID CT1Y IN OONSEQIJENCE OF THE GRANTING OF TIIIS 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 B · ding ·official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such~ it i not commenced th' 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandon time after thew r is co enced for a period of 180 days (Section 303(d) Unifonn ilding Code . APPLICANTS SIGNATURE D PINK: Finance C, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940808 FOR 07/07/94 DESCRIPTION: ELECTRIC FOR FUTURE SPA TYPE: ELEC JOB ADDRESS: 2517 LA GOLONDRINA ST APPLICANT: HILL, ANNE CONTRACTOR: OWNER: REMARKS: MW/JOHN/740-7518 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB940808 OCC GRP CONSTR. TYPE NEW STE: ,,-, LOT: 619 438-9205 CD 31 39 LVL DESCRIPTION ACT COMMENTS EL Underground/Conduit-Wiring EL Final Electrical ~ c-vr,,.,,c,(_-c (t?A & eP ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS