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Home My WebLink About2530 LA GOLONDRINA ST; ; CB983059; Permit✓.30/g:I B U I L D I N G 09/11/98 08:59 Page 1 of 1 1 Job Address: 2530 LA GOLONDRINA ST Permit Type : PLUMBING Parcel No: 215-561-06-00 Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB983059 Project No: A9803973 Development No: Occupancy Group: Reference#: Construction Type: NEW Status: ISSUED Applied : 09/11/98 Apr/Issue: 09/11/98 Entered By: BT Description: WATER HEATER REPLACE Appl/Ownr : MAIO PLUMBING 9333 TRADE PLACE SAN DIEGO CA 92126 *** Fees Required *** Fees: Adjustments: Total Fees : Fee description Enter "Y" for Plumbi q Each Water Heater an 1 619-566-12 ~1 09/11/98 0001 01 02 C-PRMT 27 • 00 .00 .00 27.00 *** Ext fee Data 20 .00 Y 7.00 PPROVAL INS -~,-...-DATE/rJ-2-9):,_ CLEARANCE CITY OF CARLSBAD 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. -------L-j:,f-//'- Plan Ck. Deposit ---r,-,,...,,..~-'-"---'- Velidated By ___ -/61+,-:-f..,-,r,I---- Date, ______ J<+j....j,.i-!-"4--fl--- 1. PROJECT INFORMATION1A as?x:J __ Go1-011orsznJ4, Address hnclude Bldg/Suite II Businea Nam• tat this 1ddt1HI Legal Description Lot No. Subdivision Naffl9/Numblr ,1 l.uoJ:e-:i: ~ ~~ I\A,sess:;t. rs' 5 (o I O (o ao Exilting UH Unit No. Phase No. To~•I I of units Propond UH Description of Work SO. FT. lof Starin I of Bectrooms ti of Bathrooms Name &. CONTRACTOR. COMPANY NAIIIE (Sec. 7031 .5 Business and Professions Code: Any City or County which requires ■ permit to construct, alter, improve, demolish or repair ■nv structure, prior to Its issuance, also requires the applicant for such permit to fHe ■ ligned statement 1hlt he ls tlclfflNd pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section. 7000 of Dlvilion 3 of the Businen and ProfHlions Codtl or thlt he la uemp,: therefrom, and the basis tor the alleged ex ~tion. Any violation of Sectior 7031. v • ■ppllc■n~ for a permit aub)ects the ■pp1¼=pnt to• civil penalty of t more th■n five hundred dollars lt&OOI). I(_ V 6 'A ~ f l b .. 3 -rrtXI-P. rt c}.I, u- City State/Zip T eklp one I (! , -:3 (R cttv a .. , ... l.ic8nN , % 5 I O O ' Designer N me Stoto Liconse I ;f1'3 sq7 6. WORKERS' COMPENSATION Address Cttv Workers' Compensetion Declaration: I hereby affirm under penalty of perjury one of the foHowing decl■r■tlons: State/Zip T■iephone D I have and will maintain a certificate of consent to ult-Insure tor workers' compen■atton as provtded by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, 11 required by Sectkm 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's comptmsation insurance cenier and policy number are: lnsu,.nce Company L 1hd'f [)1qh;qf Polley No£t)tJ.J-!q I-'-(/ffi'22.~xpintlon D■te ~/JI /qi ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREO DOLLARS It 1001 OR LESS)/ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the won: for which this permit ii ilsued, I lhaN not employ any peraan in ■ny mamer 10 ■a to become subject to the Workers' Compensation Laws of Callfomla. WARNING: F■lture to HCUre worktn' compena■tlon co.erage ls unlawful, and 1h11 ■ullject ■n employer to crtmlnel .......,_ llhd d¥ff flnaa up to ~ ~ ~~:~~::■~2:l"3=;~--~-~-~~;~;~~~.~=m:Zi,[':,~~=··~· 1 hereby affirm that I ■m exempt from the Contractar's Ucenn L■w tor the following ruaon: D I, as owner of the property or my employee, with w■gu •• their •• compena■tion, will do the work ■net the structure I■ not intended or offered fa, Aki (Sec. 7044, Buainep and Professions Coda: The Contractor'■ Licenl• Law don not apply to en owner of prap■rty who buMd■ or lmprov■a thereon, and who don such work himHlf or ~hrough t\i1 own emptoyen, provided that such tmprovementa ■re not tnt■nded or offered for ul■. H, however, th■ bultctmg· a, lrnpronm■nt II sold within one year of completion, the owner-builder wlll have the burden of prov6ng that he did not buNd or Improve tor the purpoaa of ■■ta). D I, as owner of the property, ■m exclusively contracting with licensed contr■cton to conttruct the protect flec. 7044, Busln■■a ■nd Prof■-lonl Cod■: The Contractor'• License Law don not apply to an owner of property who buitds or improvn thereon, end contract■ for auch protectt with contr■ctorla) llcenlecl pu,suant to the Contractor's Llcann Law). O I am exempt under Section _____ Buainas end Professions Coda tor 1h11 reason: 1 . I personally plan to provide the major labor ■nd matari■II for construction of th■ propot■d property Improvement. D YES ONO 2. I (have / have not) aigned an application tor • bulleting permtt for th■ propoud work. 3. I have contracted wtth the following person (firm) to provide the p,opoaed construction finch.Id■ name/ ■ddrNI / phone number/ contractors licen■■ number): 4. I plan to provide portions of th■ work, but I have hired th■ following peraon to coordin■te, aupervis■ ■nd provide the rna)or won: flnctude name I addre■■ I phone number/ contractors license number): _________________________________________ _ 6. I will provide soma of the work, but I h■ve contr1ctff Chtradl the foltowfng persons to provide the want Indicated flnctude n■me I addren I phone number I type of work): ___________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE·=====-.,..--:coMPLETE THIS sEcTioN FOR •~ iul.i>iNG PlliMirii Ola. y.1,"~~-·:--~~,.. ,,,,,..,..~~~~:::~~~-·~!;,·.;;t•, .. · ,. -·-·· · -···'I('"-•~-.~-··--.. ·-·•-•H Is the opp!ic:nt or 1L.'tunt bulldir.e occupant Nlqllired to aubmtt ■ bustneu plan, acutely h■w'dcN.-m■ltlriel■ 1egieh■tkw1 form or risk rn■nevem-m and pnivrention program under Sections 25505, 25533 or 25534 of th■ Prnt■y-T■nn■r Hulf'doul Substance Account Act? D YES □ NO Is the applicant or future building occupam required to obtain• PM'ffltt from the air poUutlon control~ or ■Ir qu■Nty management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boWldary of e school site? D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSum UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ia. •-CONSTRUCTION LENDING AGENCY · '., .. .,., ., ...... ..,. · ., .. , -, ·-f ~-.. ,·~·::c-::!t"""'·....,. ... ,_,,,.,~ ... ,. .. -" , ___ ,-,..,..._ .,..~ •. ,, ... -..... , .. -_ ...... -... , .. ~ ~ :·'"'. .... ,.~. ,, .... . I hereby affirm that thMe is a construction lending agency for the performance of the work tor which thia permit Is luued (Sec. 3097(1) Clvil Code). LENDER"S NAME-,--------------LENDER'S ADDRESS. _______________________ _ rg, APPLICANT CERTIFICATION -·· , ... -.-.. ---··••>.-,. .. ~_•, .......... ·".--~·,·,7:":;·•r--·••,,;T''"'"".'''.l:l.~i!""'"•-r-·;,.~.r"/•,,..·,,,.,,,r·r, .. ·,-, I cenify that I have read the application ■nd state that the above Information is correct and that the tnform■tkm on the plan■ ii ■ccur■te. I agru to comply with all Citv ordinances and State laws ret1ting to buildtng construction. I hereby authorize r■prHentltiva of the Cttt of C■rllbed to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIN&T SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over 3 storHis in height. EXPIRATION: Every permit issued by the Building Official under the provtsions of this Code ■hall e,cpire by limitation ■nd 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 tor-:~~ 1~~ days !Section 106.4.4 Uniform Building Code}. } ) i APPLICANT'S SIGNATURE JlA ( /Ju ee ~~ DATE _?5_, _<;;=,,1---7-1-+t)-l------- WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983059 FOR 10/01/98 DESCRIPTION: WATER HEATER REPLACE TYPE: PLUM JOB ADDRESS: 2530 LA GOLONDRINA ST APPLICANT: MAIO PLUMBING CONTRACTOR: PHONE: PHONE: INSPECTOR AREA PLANCK# CB983059 OCC GRP CONSTR, TYPE NEW LOT: STE: 619-566-1234 OWNER: PHONE: \,) INSPECTOR --·---'-~-::25 ______ _ REMARKS: C/DAVE MYRES/431-6724 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents b ____ _ --------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS \. w_, vi/ &.:J.Z n , v (Ec9JL I Y1 i' T f.j )1rttt1~r1-eo