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Home My WebLink About2607 LA GOLONDRINA ST; ; CB041906; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 J~:1~ 2>)~\~,t.Q 05-20-2004 '2J}Yl ~ Patio/Deck Permit Permit No: CB041906 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2607 LA GOLONDRINA ST CBAD PATIO Status: Parcel No: 2155622100 $1,860.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: DYVIG RES 240 SF ALLUM PATIO PATIO COVER ICBO # 3190P SKYLINE SUNROOMS 8075 ALVARADO RD LA MESA, CA 91942 619-469-9556 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Plan Check#: Owner: DYVIG FAMILY TRUST 07-30-01 2607 LA GOLONDRINA ST CARLSBAD CA 92009 ISSUED 05/20/2004 SB 05/20/2004 05/20/2004 $36.45 $0.00 $23.69 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00 $81.14 Total Fees: $81.14 Total Payments To Date: $0.00 Balance Due: Inspector: Clearance: $81 .14 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required Information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f xactions of hi h o h r vi sl b n iv n a N Tl E imil r thi r s whi h h e f limi i h I PERMIT APPLICATION FOR OFFICE USE ON!,J PLAN CHECK NO. C /4:1--/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ' ~ Gz, Business Name (at this address) Lot No. Designer Name Address State License # _________ _ 8,1;'.; !:WOAkEl!$!illl:iMl'lilil$'.11t'9tfi::. ' c. Subdivision Name/Number \_) #o Stories City CQl'C!iii111ei,, :l!l>-Mi...,t:fo,'9woer · City City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Unit No, Phase No. Proposed Use # of Bedrooms State/Zip Telephone Total # of units # of Bathrooms D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance ~ he work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is ed. My worker's o e tion insurance carrier and policy number are: . '7{\Lr.:.,...)1 I">/ o I . . ft JNL Insurance Company,_..,L!"-'~1-----------------Policy No. W~ Exp1rat1on Date f (J/ /...k/- lTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallur to secure orkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1 • I addition to the cost of compensation. damages as p,ovided for In Sactlon 3~":.T:f. trtf/'.~7!.r~ast ~nd attomey"s faes. TION:t::,:-.->'.:.,.-,:: -------.---.,",. <,e:.,_.,~~1t·--· .,.-· · · 0 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 ISec. 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). 0 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). 0 I am exempt 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. t (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number),,_------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address f phone number / type of work): __________________________________________________________ _ 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? 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? 0 YES O NO ls the facility to be construc:ted within 1,000 feet of the outer boundary of a school site? 0 YES O 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '!i;,,;:i:e~Nffl!9ll:tli>Nii.J!!'lij!liijit,!i~l',(Ct' '.'' · ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). I certify that I have read the application and state that the above information is correct and that 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 representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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" 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 commen_,red within 180 s from the date of such permit or if the building or work authorized by!h pe it is suspended or abandoned at any time after the work is commence fa a ri d of ays (Section 106.4.4 Uniform Building Code). D5 ~ ',v/. APPLICANT"S SIGNATURE ----/-~'---ILl.44,t~:\....L______________ DATE _ _,_ _ _,_""f_:_ _______ _ YELLOW: Applicant PINK: Finance . m. City of Carlsbad Bldg Inspection Request . . Permit# CB041906 For: 07/12/2004 Title: DYVIG RES 240 SF ALLUM PATIO Description: PATIO COVER ICBO # 3190P Type: PATIO Sub Type: Job Address: 2607 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT SKYLINE SUNROOMS Owner: DYVIG FAMILY TRUST 07-30-01 Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 8582777666 Inspector: J '/v' Requested By: SARA Entered By: ROBIN 19 Final Structural ~------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 07/08/2004 19 Final Structural CO JM GLAZING NOT ALLOWED $60 REINSPECTION FEE REQUIRED