HomeMy WebLinkAbout2702 LA GOLONDRINA ST; ; CB962349; Permit.., ) .
t
' J ,I: Ac n , ,
r,u t "'YE
tctlC-t..l [\; :
V udi r.:
. ,7(J ~ A c,c,;:. •l\ h .~A
• L L:JM, r N'";
~lJ
' c; f E: •., i! I r
., , l t P
:. >t #:
CJcr u:.,an y ,r 1u,: .;:-{E)feli,nce#:
De-;_r ir,t 1n: WATFk HEA'::'U{ Rr.PLACtMLN"'
ff'!: 1'I.): r I '
f-t ·t ~ A
DP V 'l l t. t ' :
l '
At pl l '' ·
ApL I I ·,::L.t .
T
vr"
I
r l'1 t (.> l • • [ \f : ML
A:pl/uwnr M,]RATH e_1;j 43t 49L·1
Fee_;:
Adjustm{.nt,:
'Tl>t -... Fe<:.:.::
~ I 1.l LA G1 LUN[ .<INA L 1 REE
'AR~SBAD, rA. 9 1008
l(
E :>
I I J
/ _lf
2 7 . l (,
Ex .. fp,:;, ) • 1-C
E1.tcr Y' f >t Plumbi
E:ach Water HE'uter an; ~ E LUMBINC Tv':'AL I l
FINAL APPROVAL
INSP.~ ) DATE {&1J1/f 4
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT J\PPUC/\TION PLAN CHECK NO.
City of tarlsbed luilding Depart-,t
lO~ LN Pol-Dr., Carlsbed, CA 92009 (619) 438-1161
1. PfJiMII IVl'I!
F.'IT. VAl,~----------
PI.AN CK llEl'061T
VAUU. DY --,--
1
---,/1/4.,
rrum I.is, I {'tt' hack) give code-or Pcnnit-Type: _______ ..._ ___ _ IIATI! 1 ·;;i;.. 110_ q L
················································-
for J\csidcntlal rrojccts Only: From Ust 2 (~ back) give
Coch~ or Slructure-Typc: ---------"'.:.15-----------
Ncl los.•/Gain of Dwelling Uniu
2. PIIWlr.f IHmRMA'llON
AJ<lrcs.s FOil OFFICE USii ONI.Y
2702 La Golondrina St. Du,IJong or Sune No.
Nrarrs1 Cross S1rce1 r • llc,AL Otstlli PI ION Lot No. Suli.hY1s1on Name/Number 01111 No. Phase No.
Cl ltCk UF.IDW IF SODMI I I £0: □ 2 F.nrrl!)' ,,.lo D 2 Structural Cales O 2 Soil, Hrport □ I Addr.,,_,cd ~nvelope
ASSESSOR'S PAHC[j. EX~B V!ifu: DESCHIPTION OF WOii!( water Heater Replacemenllon PUOPOSFIJ USI~
SQ. FT. # OF S1URIES
J. WN IACI PERSON en ~i_llqcnlWm aJ)J)IICani) 2702 # OF BEDROOMS # OF IJATIIH<><JMS
NAME (last name firso) JVIC\jram, Mr. ADDRESS La Golondrina St.
CllY Carlsbad STATE CA ZIP CODE 92008 DAY TEI.F.PIION~36-4910 ◄. APJ>UCAN I □ WN IIOICIOR QAGEN I FOR WN IIOIC IOI( JlOWN.Ell a AGER l IOiftlwl'lER . NAME (last name first) Shelly Johnson ADDRESS lj /Ub Highway tl 1:susiness, Suite B
CITY El Cajon STATE CA ZIPCODE 9202l DAYTEI.F.PHONE 39o-4477
S. PHOPut 11 OWN mt ·
NMIE (last name firstJMcGrath, Mr. ADDRES:f 702 La Golondrina St.
CllY Carlsbad STATE CA ZIP COllF.92008 IJJ\Y TEI.F.PIION~36-4910
6. WNlilXCIOk
NMIE (last name fim) A & J. Foster, Inc. ADDRESS 13706 Highway 8 Business, Suite B
Cl'IY El Cajon ZIP CODE 91977 DAY TELEPIIONE 39o-44 77 STATE CA
STATE I.IC. # 630120
DESIGNEll NAM£ (last name Ursi)
I.ICENSE Cl.ASS C-36 1200354 CllY BUSINESS LIC. #
AUDllESS
(]TI STATE ZIP CODE DAY TELEPHONE 7. WOltkfJlS OOMJif:NSAilC;H . STATE I.IC. #
Workers' Compensauon Declarauon: I hereby alhrm that I have a ceruhcate ol consent to seil-msure 1ssucil by the IJ,reclor ol lllllwunal
Relations, or a cenilicate or Workers' C.Ompensa1lon Insurance by an admitted Insurer, or an exacl copy or duplicate thereof ccrtiOcJ
by the Director of the insurer thereof filed with the Buildln1 Inspection Dcpart/!>Cnt (Section 3800, Lab, C).
INSURANCE•COMPANY Fanners POLICY NO. N2007-56-5txrmATION DATE 5-1 -97
Cert1hcate ol hempuon: I cen1iy that m 1he perionnance ol the work lor which Ulls pennlt 1s 1ssueJ, I shall not employ any person III any manner
so as to become subject to the Worken' Compensation Law1 o( California,
SIGNATIJHE DATE
8. OWNtJ(.UOIIDJ.l( D~LtAAAIION
Owner-Uuaider Declaration: I hereby alhnn Dial I am exempt (rum U1e Coriliacloh Ucense Law (or Die ioll~wmg reason:
D I, as owner or the propeny or my employees with wages a11helr sole compensatlon,.wlll do the work and the srructurc I~ not i111e11ded or
orrcrcd for sale (Sec:. 7044, Business and Pro(esslon1 c.ode: The Contraclor's Ucense Law does not apply to an owner or properly who builds
or Improves lhereon, and who does such work hlmselr or through his own employees, provided that such lmprovemenlJ are not lntcndetl
or orrered for sale. If, however, tbe buildina 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.).
D 1, as owner of tJi~ property, am exclusively contrac1lng with licensal conlracton to construct the project (Sec. 704-4, Business and l'rnfcs.<::iom1
Code: The Conlractor's Ucense Law does not apply to an owner of propeny who builds or Improves thereon, and contracts for such projects
wilh contractor(s) licensed punuant to the Contractor'• Ucense Law).
□ I am exempt under Secllon _______ Business and Proresslons Code for this reason:
(Sec. 703 l.S Business and Proresslons Code: Any Ory or County which requires a penni1 lo construct, alter, Improve, demolish, or repair
any structure, prior to ils Issuance, also requires the applicant for such pennlt to lile a signed statement that he is licensed pursuant to 1he
provisions or the Contractor's Ucense Law (Chapter 9, commencing with Section 7000 or Division 3 of t11e Business and l'rure-..-.ions Co<le)
or lhat he Is exempt thererrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
sobjccll the applicant lo a civil penally of not more than five hundred dollars ($5001).
SIGNAlURE DATE
COM PU It I ms Stci ION FOR NON-lltslQEN I 11\L DOIWING PEHMI IS ONLY:
Is the applicant or fu1ure building occupant required to submit a business plan, acutely har.ardous materials registration form or risk management and
prevention program under Sccllons 25S05, 25533 or 2.5534 of the Presley•Tanner Hazardous Substance Account Act7 □YES □NO
Is the applicant or ru1ure building occupant required to obtain a permit from the air pollution control district or air quality management di~trkt7
0 YES ONO
Is the facility 10 be constructed whhln 1,000 feet of the outer boundary or a school slte7
□YES □NO
IF ANY OF TIIE ANSWERS AIIE YES, A FINAL Cl!ll11FICATI! OF OOCUPAHCY MAY NCJr DE IS.~UEI) AFTEll JULY I, 1989 UNIJ~'i.~ 11 IE Al'l'IJCIINT
HAS MIIT OR IS MEEllHG TIIE RI\QUIRl!MEHTS OF TIIE OmCI! OF l!Ml!IIGF.NCY SERVICES ANll TIIE AIR l'OIJ.lfllON U)tflllOI. IJll>llUGr.
9. WNSIR0CIION WWING MJF.NCV
I hereby alhnn o,Jdl\.~e II a construcfion l~ndang agency lor Ule pedonnance of U1e work lor wiuch Uus penml 1s issued (&'1.: 3097(1) Civil C@c).
U:NDER'S NAME LENDER'S ADDRESS
10. XPPUCXNl QJ(llFICAIION
I certUy that ! h_ave read Ute apphcallon and stale that [he aboye 1nlormauon 1s correct. I agree io comply with all C1~y orJmanccs and ~late la_ws
relating to bulldmg construction. I hereby authorize representatives of 1he City of carlsbad to enter upon the above menuoncd prnprny for ms(l('Ct1on
purposes. I ALSO AGRE£ 1U SAVI! INDEMNIFY AND llEEP IIARMLF.SS TIIE OTY OF CJ\111581\D I\GAIN:IT AIJ. IJAlllllllF.<;, JUIX:MEHTS, U)S'n;
AND EXl'ENSFS WIIIOI MAY IN ANY WAY A[D\UR AGAINST SAID 0TY IN WNSl!QUENCI! OF TIIE GI\AN'llHG OF 11IIS l'lmMrr.
ostlA: An OSIIA pennit is required for excavations over S'O" deep i'nd demolition or construction or structures over 3 stories in height.
•
Expiration. Every pennil issued by the Building Official under the provisions or this Qxle shall expire by limitation and, ~omc null and void if the
building or work authorh.ed by such permit Is not commenced within 365 days from the date of such pennit or If the bu1ldm,t or work au1hori1ctl hy
such pcnnit Is suspended or •~nod at any time artcr the work is commenced for a period or 180 days (Section J0J(d) Uniform. lluild,_wd. ~
APPIJCANTS SIGNATIJRE ~h,\.,(Xj I') IJA IE: \ . \l · lp
.-1---. --
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB962349 FOR 12/19/96
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
LA GOLONDRINA ST
INSPECTOR AREA
PLANCK# CB962349
OCC GRP
CONSTR. TYPE VN
STE: LOT: JOB ADDRESS: 2702
APPLICANT: MGRATH
CONTRACTOR:
PHONE: 619 436-4910
OWNER:
REMARKS: MW/LINDA/431-8066
SPECIAL INSTRUCT:
TOTAL TIME:
CD
25
LVL DESCRIPTION
PL Water Heater/Vents
PHONE:
PHONE:
INSPECTOR ___________ _
ACT COMMENTS
_±e+:,tvd'--
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS