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Home My WebLink About2528 LA GOLONDRINA ST; ; CB002804; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/31/2000 Miscellaneous Permit Permit No:CB002804 Building Inspection Request Line (760) 602-2725 Job Address: 2528 LA GOLONDRINA ST CBAD Permit Type: MISC Subtype: OTHER 0 Status: Parcel No: 2155610700 Lot#: Applied: Valuation: $600.00 Reference#: Project Title: BECCARI RESIDENCE INSTALL 2 SKYLIGHTS NER 216 Applicant: D D COUNSTRUCTION 3926 MADISON AVE SAN DIEGO, CA 92116 619-733-4207 Entered By: Plan Approved: Issued: Inspect Area: Owner: BECCARI JOHN&JUSTIE R 2528 LA GOLONDRINA ST CARLSBAD CA 92009 ISSUED 07/31/2000 MOP 07/31/2000 07/31/2000 _;_, __ ,/ ,, ..,: .. :•.:.: .. Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FINAL APPROVAL Date: I'-/a-DQ $60.00 $0.00 $60.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval ot' our project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance wtth Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacUy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY lo any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as lo which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # -Z.t 5 -'56/-07-<20 Existing Usa .hr.8- Name FOR OFFICE USE ONL V PLAN CHECK No.~ro~ .. _2--=8:...o_Ll EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms i~Wl:J]~_fB.llilWf:O.Wilii~~i1=!d~f~Wli.U[l~i[t~i$.~~t~~~l~likr~~L~!~~li~i~~51~fJ~i~J~~1:iij~P;~ifiti:~,4iJ~~~r}S~;~ffif;~[1ij~~;~~~t~~[~i~i~~-~]~~~i~!~til1i~[fj,t{;~j~J~~fj~j~ij\(~~~:,;1~1~;~1lii•i*-~~~i~f.:r:~!;~1~~~4.!!;·l7lfi~~i.!~l;li~l~i Jv~h 16-P,.CL.M{ Name Address City State/Zip Telephone # -~~~~~~!larlltiU~itbllill■f.-liNftfiDR~t~L~illa;tf~~~Mt~fiim~!g~;&~ftm~~mi~-~~i~~ru1"il1$)frJ!E~t~~~fJ~t~i~II~~:~l1~4£~!~0C~i~~~~~~~tri~~~t·~~ !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 ls licensed pursuant to the provisions of the Contractor's Lieense 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 exe~on. Any violation of Section 7031.5 by any appHcant tor a permit subjects the 11pplicant to a civil penalty of not more than five hundred dollars ($500]1. Q D CQe..6t-evc..bcw :$.O cA. 611 L"53 1:zaz Name Address City State/ZiP. Telephone# State License # ·7 7 Z. 4 S8 License Class B City Business License # 1-Z. 0 C,, Z 8 I ~ Designer Numa Address City State/Zip Telephone State License # _________ _ -i~'~:hf:s'.Wl~IU~GIMi.lNJ.AtlQ~~~W.Gtfr~Ji~~~~~l~~~~r;M\W1!i:~l~'.~M~~~g~~~~~~~~:'.~f,~~W~~~~~t~i~~iJH~~~:!=Ni4,~ll!itJiii~~~~J~l,~~i~~~~=~J~t~;;~~~t~~~J~~~~,i~.=;~:{i.=X,~J~ ;_:_:_~~:_'.~~~·Z5:~;-~!:f~,~?~~\'.,~_~:.;~ ::_.;; _ _.,-_.-;:_=:;:~~~'.,:~~:-~:r;:~~:::~~,~~: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I hive and will maintain a certificate of consent to self-insllfe for workers' compensation es providad 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, es raquired by Section 3700 of tha Labor Code, for the performance of tha work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No. ___________ _ Expiration Date'--------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) p:;_ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is i&Sued, I shall not employ any person in any manner so as to bacome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaallon coverage 11 unlawful, and llhal subject an amployer to criminal penalllea and clvil fines up to one hundred thousand dollar■ ($100,000), In addlllon to the coat of compensation, damagu as provided for In Section 3706 of the Lebor coda, lntentat -,d attomey'a fau. SIGNATURE______________________________ DATE _________ _ ti~1i~J¾ilWfl'-t~Jllllf.il.l_~itif~~l~itiif&!f~M!fli~~1~il:~it~i~.1~~~~tH~?~J~~~~!~~ifJ~~l~~~!~~1i~~~~l~~1~iH!~~~~;~~~~i~:~i1~i~~J~~f:!?i~T~~~~1r~~~i~11~~~f£Wff!i I hereby affirm that I am exempt from tha Contractor's Licensa Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, wal 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 improvamant is sold within one year of completion, the ownar-buildel will have the burden of proving that he did not build or improve for the pwposa of sale). D I, as owner of the property, am exclusively contrecting with licensed contractors to construct the project (Sec. 7044, Business end 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 contn1ctor(sl licensed pursuant to the Contractor's License Lawl. 0 I am axempt 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. 0 YES ONO 2. I {have I have not) signed an application for a building permit for the proposed w01k. 3. I have contracted .with the following person (firml to provide the proposed construction (include name / address I phone number / contrectors ~cense number): 4. I plan to provide portions of tha work, but I have hired tha following person to coordinate, supervise and provide the major work !include name I address / phone number/ contractors licensa number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name/ eddress / phone number/ type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ ,coMutii!l':irifsile!j{Q:i:FQR1itw'iiie~-lmtiif!IBM1ltfl8~if~1n;~]f;~!illl~l:;t~•:!il~[!I~~Vi~~l,;~1l'i'ff~~j[,1!['~tMltl'J;;~rff,!(;!?jjfitjf~l)lf1ti!t•::;iltl!t;;tfJ;;;fiii1i Is the applicant or future building occupant required to submit ■ 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 Actl O YES O NO Is the applicant or future building occupant required to obtain e parmit from tha eir pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of tha out8' boundary of a schocl site? 0 YES D 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 OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,a]i[:,,t'f(Q~,.$llllJ<l'OQ~lleiP!NcGfi.tE'1itr«ril~~1~j~f:1":/i~~li1itlJ#:ilil~l~fo'iru.~j(!\j/~~1Jii~~it~~~;f,!i)(!);:i;i,;,:,;;m1,'.a::,;:i1!},i·/YkU:JFs,I\:l!;~l;',/i01J,,,",\{t':•:•;cc;;:;,:1,•: · I hereby affirm that there is a construction lending agency for tha perform11nce of the work for which this permit is issued (Sec. 3097(i) Civil Coda). LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ I certify that I have read the application and state that the above information is correct and th1t the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize repressntatives of the Citt of Carlsbad to anter upon tha above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" dee11 and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official und th 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 180 days f m e 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 com or eriod of O ay (Section 106.4.4 Uniform Building Code). n APPLICANT'S SIGNATURE DATE __ _.7.__-__,3,._._;_-__,.(Ql)~..__- YELLOW: Applicant PINK: Finance ) City of Carlsbad Bldg Inspection Request For: 8/9/2000 Permit# CB002804 Title: BECCARI RESIDENCE Description: INSTALL 2 SKYLIGHTS NER 216 Type:MISC Sub Type: OTHER Job Address: 2528 LA GOLONDRINA ST Suite: Lot Location: APPLICANT D D COUNSTRUCTION Owner: BECCARI JOHN&JUSTIE R Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: JL --- Phone: (pfq 7 ~-'5 4 z.,d7 Inspector: ---- Requested By: NA Entered By: CHRISTINE 17 lnte_rior L,th/Drywall i!L±Jtlt, Bi}_ t1Gt/ L------- Associated PCRs Inspection History Date Description 8/3/2000 14 Frame/Steel/Bolting/Welding Act lnsp Comments AP JL ' . . ·: ~ r I. 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