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Home My WebLink About2619 LA GOLONDRINA ST; ; CB980365; Permit\ \ I 8 U I L D I N G 02/06/GB 12:01 P E R M I T Permit No: C8980365 Project No: A9800459 Development No: Page 1 of 1 Job Address: 2b19 LA GOLONDRINA ST Permit Type: MECHANICAL Parcel No: 215-562-15-00 Valuation: 0 Suite: Lot#: Occupancy Group: Reference#: Description: REPLACE A/C UNIT W/ ELECT Appl/Ownr : AS I HASTINGS 1250 GREENFIELD DR EL CAJON CA 92021 619 3846 02/06/98 0001 01 ? Construction 't¥fflPIT NE~ 44•00 Status: ISSUED Applied: 02/06/98 Apr/Issue: 02/06/98 Entered By: RMA 590-9300 *** Fees Required *** Fe~ Collected & Credits *** Fees: Adjustments: Tota.L Fees: Fee description Enter •y• for Mee 1n Install Furn/Duct 1H Other FINA .00 .oo 44.00 Ext fee Data 15.00 Y 9.00 20. 00 ELECT FEI I INSP.i . CLEARA; ~ ~ -------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERM.IT APPLICATION ' PLAN CHECK NO. qro sfz r CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Validat Date_.::...;-=,.."2-.i-::7-li<:--------- 1. PROJECT INFORMATION <£ /,. // ,a ;ti ;i .)Cl 'l /.i O O /Jrr/ Tl Address (Include Bldg/Suite II Buslneu Name lat this addressl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use lot Stories # of Bedrooms I of Bathrooms Nam• Address State/Zip Telep one I Fax# ::1. . APPLI ·er-Agent for Contractor >-" City □ 6Wl'lir ---,.□ Ageni· tor Owner ,5-r 9;;/0/ l<t) ).2. ?~9tJI~ Name State/Zip 4. PRO~~R / ,.;t--1r!l]!_ Cr._ a rd{,., 1 t e-1 , Name I o~/4 :zt19 GrlsZ(IJ·~ Address City State/Zip Telephone I S. CONTRACTOR -COMPANY NAME . {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to conttruct, alter, Improve, demoli1h or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he Is licenHd pursuant to the provisions of the Contractor'1 LicenH 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 exemption. A~ violation of SectiOIJ.-7031.5 by any applicant for~rlJ)it subject1 th pplJC,nt t • civil 11.J.Y,of not more than five ndre dollars ($500)). ..l s/ asr ,,-_g ,?.57) r.rre.a, td<I -(_c,, c!n IJ. J-3(lv Name Stata Licensa I _J'"_/~J~/_I_J __ _ Address City State/Zip elephone # License Class C. f cl /J d City Buslnen Licano• I / ;;2... D (,J~{J <j Designer Name Address Cttv State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION .. -,.. -· . .-. '-· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fotlowing deeterations: 0 I have snd will maintain a certificate of consent to self-Insure for WOfkers' compensation H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is i11ued. tR-" 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 issued. My worker's com:':ation insuranceyrrier f1d policy number are: !'. eJ../ ,-? q ~ ) _ ,-,p Insurance Company (J:::...,e_ )J -e. Y"'€(' I z, .s,. Policy No. f!JL c. o, L .!> 0 J L Expiration Date r-;r ?1 (THIS SECTION NEED NOT BE COMPLETEO IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1'1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit it iuued, I shall not employ eny person In any manner so e1 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ~olld111an la unlawful, and ahall ~ an employer to crtminll penaltiu and dvll fine• up ta one hundred ~~~~:;~:11.,. 1•1 . dam■gu., provided tor In Secdan 3~:aT~ the;!:-?..:?: and ■ttomey'1 tNa. 7. OWNER-BUILDER DECLARATION ·· · ·' '"'.''..~•i"ri'·~/f~'-<-f~~-•·fi! ···•••·c, .. 'fl·n ·•-: . .-· I hereby affirm that I em exempt from the Contractor'• Licenae Law for the following rea1on: 0 I, aa owner of the property or my employees with wages H their sole compensation, will do the work and the atructure II not Intended or offered for sele {Sec. 7044, Bualneu and Profasslons Code: The Contractor'• License Law does not apply to an owner of property who builds or Improves thereon, and who does ■uch work himHlf or through his own employees, provided that such Improvements sre not intended or offered for sale, H, however. the building or Improvement Is sold within one year of completion, the owner•buildtr will have the burden of proving that he dtd not build or Improve for the purpo,e of sale). 0 I, as owner of the property, am exclutlvely contracting with licensed contractor, to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's Licenae Law does not apply to an owner of proparty who builds or lmprov91 thereon, and contracts for such pro}ect■ with contractorls) licenaed pursuant to the Contractor's License Law). D I am exempt under Section ______ Buslnus and Profe11lons Code for this reason: 1. I personally plan to provide the major labor and m1terial1 for conttruction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) aigned an application for a building permtt for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction (Include name I addrus /phone.number/ contrectore licenae number): 4. I plan to provide portiona of the work, but I have hired the following p1r1on to coordinate, 1upervise and provide the ma)or wotk (Include name / addrus I phone number/ contractors Hcenae number):. ____________________________________________ _ 6. I will provide some of the work, but I heve contracted (hired) the fotlowlng persons to provkle the WOfk Indicated (Include name/ addreu / phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE=====:----- 1COMiUJE TH1s secTiON FOR ~ iulli>iNei NliMits 0Ni.-.Pf,•~~-,'f~"'1'.·"•.;'·:~'T'.'~,F,t~.¥··.;,'.!ot''t~~~1~·,t.r•.:=•,. • ·-··¥ .-·. ··'""~-~ .. ~ ~-• ··, ·-'.7 ·~ ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials reglatr■tlor, form or risk management and prevention program under Sections 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain e permit from the air pollution control dlstrt_ct or air quality management district? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. ia. .. coNsTRUCTION lENDiNO .AGENCY . ' , .... ,·, ., .. ..,., ............ "1":'.'';"' '"\'"· .::·:·~;~·7:='~!.'~~ r•il"'.r .. -.·r--"'· :"' ,c.,,-, ,.,..,. :>-.;"" .,...,, .. •'."'""""C"C ... ~ "··-: . ..,...,-~· ,. I hereby affirm that there Is a construction lending agency for the perform1nce of the work for which this permit 11 l11ued (Sec. 30971i1 Civil Code). I certify that I have read the applic1tion and state that the above Information Is correct and thlt the Information on the plans Is accurate. I agrn to comply with all City ordinances and State laws relating to building construction, I hereby authorize represantlltivn of the Citt of Carlsbad to enter upon the above mentioned property for inspection purpose•. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CrrY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO 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 ttructures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provltions of this Code thsll expire by limitation and become null and void if the building or work authorized by such permit is n m enced within 365 days f m the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after th or~ Commenced for• pe BO days !Section 106.4.4 Uniform Building Code). / (}c/7' APPLICANT'S SIGNATURE -i..--£: -DATE ;; .-/p-T "------------- YELLOW: Aps>licant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980365 FOR 02/13/98 DESCRIPTION: REPLACE A/C UNIT W/ ELECT TYPE: MECH JOB ADDRESS: 2619 LA GOLONDRINA ST APPLICANT: AS I HASTINGS CONTRACTOR: OWNER: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB980365 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 590-9300 CD ;;_ COMMj;J LVL DESCRIPTION 43 ME Aircond/Furnace Set ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS