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Home My WebLink About2708 LA GOLONDRINA ST; ; CB984386; Permitl:llLI[l_..u f ._ / l j: E Ii, l ,t ::. J >li A(,C!Ie..: : l.lv>i IA l.:, ,L~ NL•RlNA ..,1 ~u::.t0 \:-f'rmi t ~vpe: MIS,"ELLANEQUS I H,..(.. Nv: 21':i-.... 4l-C.4-0G L< +--#: t c~ .... E ..tn..:y ~r )UP: : fer encP#: L sc..r 1pt-1or.: hER.:>OF .. >ll0 SF TO (' >MP. 3H [NGL v u.uc1t 1 r. · .. , 39.:. £-, im1t N f I...> l t t Dt: ve L <>[ P1'"'r. t N C ll1..>.\1s~5\1_m'7l9.SL'ilaot :01N£~)2 Sta~ I..i. IE ~-00 Applied: 1 ~ F 7 I '3d Apt: ,--c.., .... uf-'. t .. 1 17 Enter 1 B v : E r Appl, ownr : SPECIAL Y ROOF 1N1; l 31 S INI,:ANA AVE 94U-':l474 VISTA CA 9201-\4 Fee.:; Required ------------------ Fees: A•l -,,ustmc>nt:;: Totc1l FePc,: fP€ rl ,~er 1ption ---~---------------- M1sc~l~aneous F~e # * MI~CELLANEOUS TOT ** I( ---------- . (, 0 • J l, tO. UJ E:xt fet-> cat·. ----------------87.JU PEFMIT FEI 8"/.U) CITY OF CARLSBAD 2075 Las Pa)mas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _____ ,z_;.➔~....:'.-; Plan Ck. Deposit------'>-+-- Validated By _________ _ Date, ____________ _ 1. Businus Name lat this addrusl Legat Description Lot No. Subdivision Name/Number Unit No. PhtseNo. Total I ot units Assessor's Parcel I Proposed Use Des~·ption of~ . \_ ;,-.. SQ. FT. lof St\rifl I of Bedrooms I of Bathrooms e>'( . ~\~ \, ',.Q,".\O~ ... .....:l~Q -~~~ --------· ------····· _ 2, C NTA PERSON CH dlff...,I from iiii,llianiJ , . · ,· \J . ii ,· ,\ "\ (_ [\. Dvwn<" \N<'<:t.;-:\ \3,\ "2 'i~V\°''"'""' ~-"-~'-' t':, ]W 'l'iO "ffM Name Addfns City St1te/Zip Telephone I Fax# Contractor ■ Agent fctr ContraciOf O Agent· ·;o,·0wne, . ""' Name State/Zip Telephone I 4. PROPERTY OWNER t:>C' 'I Cb"' \'Y\: \<.,e q." Name )JO;,) Address (h (l_~ocf\ State/Zip 6. CONTRACTOR~ COMPANY NAMe··. -· --· ... ·------.•. ,. - (Sec. 7031.5 Business end Professions Code: Any City or County which requir" I permit to construct, alter, improve, demoliah or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a sign.ct statement that he Is licensed pursuant to the provisions of the Connector's License Law (Chapter 9, commending with Section 7000 of DMsion 3 of the Business and Professions Codel or that he Is exemp,: therefrom, and the basis for the alleged exemption. A~ "olation t Se ion 7031 .5 by any applicant tor a permit subjectl the ■pplican to civil penalty of not ore than five hundred doll~rs 1860~1). L 'S E . · ~ "'•v\ . ~ , l 160 l\l(O-ll'{ Name State License I aC-:=:-_:'f:\;;;r:c,._.J....;,..,_l..!:~- D~signer Name Address Chy State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION •. -· ·--··-·f..., ..... --~-·-.-·--·-· . . •:. . Workers' Compensation Declaration: I hereby affirm under pen■tty of perjury one of the following declarations: D I have ■nd will maintain a certificate of consent to Hlf-lnsu,e for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My worker's compensation insure~ '\8rrier an ~cy number ~re: . -i...: _ \ \ lnsu,anco Compony · Q CJ ~c.'\.\ ~ Polley No. Q),~-l\\S \ '\\'-., bpirotlon Doto Cf\W).. ,Y L\ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS 1'1001 OR LESSJ 0 CERTIFICATE OF EXEMPTION: I certify thlt in the~~-anc1 of the woric for which this permtt Is llsued, I shall not emplov any person in any manner so H to become subject to the Workers' Co ation Laws o~ifomia. WARNING: FaUure to secure Worll:11'1' '19!"'11:'"'.ih,n conrap-.JI unlawful, and shall ■ullject an employer to c:rlmNI penaltles and clvD fine1 up to one hundred thouHnd dollars lt100,000t, In to· of ....... • provided for In Section 3708 of the~~. lnt■rHt and attorney·• fNs. SIGNATURE "'' l°'.::i<\\, ,C:. ;,, DATE 1J..\I.Jj\'Q;, 7. OWNER-BUILDERDECLARATION -~ , .. ' .. ·:··~··r:', ....... ~., ,., ... ~i·~·•';f>;,·4•_ .-::: ··,-1,T'!"lr. ·,~ .• I hereby affirm that I am exempt from the Cont11ctor'1 Ucense Law for the following reuon: 0 I, as owner of the property or my employees with wegq II th1ir sole compensattOn, wHI do the work end the structure ls not intended or offered for s8'e (Sec. 7044, Business ■nd Professions Code: The Contractor's License L■w does not apply to en own1r of property who build■ or Improves thereon, and who don such work himself or through his own employHI, provkled that such Improvements are not Intended or off•ld for Ale. H, however, the bulldlng or lmp1owement • sold within one year of complation, the owner-builder wlU hive tM burden of provtng that he did not build or Improve for the PIM'PDSe of 1al1I. 0 I, as owner of the property, ■m exclusively contracting wfth licensed contt1ctor1 to construct the project ISec. 7044, Bu■lnns and Profesaior. Code: Th■ Contractor's License L■w doas not apply to an owner of property who builds or Improves thereon, and contflcta for such prot■cts wfth contr■ctarlsl NclftNd pursuant to the Contractor's Licenn Law). · 0 I 11m exempt under Section ______ Buslneu and Prof911ions Coda for this re11on: l . I personally plan to provide the major labor and mat,ri■II for conatructton of the propo■ed property Improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person ffirm) to provide the propoud construction llnclude n■m, I addreu I phone number / contractors license numblrl: 4. I plan to provide ponions of the work, but I have hired thl following peqon to coordinate, aupervila ,net pnMde the ma)or work llnclude name/ address/ phoM number I contractors license number):. _____________________________________________ _ 5. I wlll provide some of the work, but I hive contr1cted Chit1dl thll following per■on1 to provide thl work Indicated Clndude name / addrus / phone number / type of work).:_------------------------------------------------------- PROPERTY OWNER SIGNATURE DATE====-----,-- 'COMPLETE THIS SECTiON FOR N-;-.ON-lll!JIIOENT1--... --.-,-. --:.-;-. -;-i-:-U-ILDIN-;.-;.--Ci .. PERM-::. ;'. .. -;:iTS:: .. -;; .. --ONL--.... y:::,::.,i'::,,~=;· :;;;::;:-_::.f::_,-i,;::, ;::; .. ::,'.'." .... -::.-.~,...:;::.~~7~~ ... ~.::;,·.·:•,-,,, .• -.. ~ . ·. ·'!'··--· · ., .•...... ·-·~·. Is the applicant or future building occupant required to submit • business pl■n. ■cutety haurdous meteriels ,eglatratian form or nu: management and preventian program under Sections 26505, 251533 or 25634 of th■ Prufey-TeMef Huerdoue Substanc. Account Actl C YES □ NO Is the applicant or future building occup■m reQUired to obt1ln a permit fn,,n the air polludon control~ or air qu11ltty m■n■gem■nt distrlctl □ YES O NO Is the facility to be construct■d within 1,000 fHt of the outer boundary of a school ■ital D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. is. •· CONSTRUCTION i.ENDING AGENCY ·,-' • ',-,~ .. _, .• ~ .. •·••.~~ . '"!."'.'C'':"" ·:·--,-,·~~:~,•:"•"---'"'-~' ,. , ..... ~, ·p--• ........ ,.-:·• .. ,~-·•:; ... , ·• -. ' . ., .. , .... I hereby affirm that there is a construction lending agency for the pertormane1 of the work for which this permit ls luued ISec. 3097(1) Civil Code). LENDER'S NAME_____________ LENDER"S ADDRESS, _______________________ _ :s. APPLICANTCERTIFICATibN , ... -·' ·_." .... ",·,,.,..,..,~,.,..,.,-:,-, .. _ .... ""-'","'9;:t_:-r,.,-:,:,·,,-.. '7:':'-~:~~'0".,...:·1·;:r;:~,..,..'l"N"""":•·' 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 agrH to comply with ■II City ordinances and State laws retating to building construction. I herltby authorize represlfltatiYN of the Cttt of C■rtsbed to ent■r upon the above mention1d property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMWS THE CITY OF CARLSBAD AGAINST ALL UABILmES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for 1xcav1tions over s·o• deep and demoHtion or construction of structures over 3 atoriH in height. EXPIRATION: Every permit issued by the Building Official under the provtslons of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commene1d within 386 days tram the date of such l)lfflMt or If the building or work authorized by such permit Is suspended or abandoned at any time after the work ti commenced for a period of 1 80 days I Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE __________________________ _ DATE ____________ _ WHITE: File YEUOW: App4icant PINK: Finance PERMIT# CB984386 DESCRIPTION: REROOF 2300 SF CITY OF CARLSBAD INSPECTION REQUEST FOR 12/24/98 TO COMP. SHINGL TYPE: MISC JOB ADDRESS: 2708 LA GOLONDRINA ST APPLICANT: SPECIALTY ROOFING CONTRACTOR: PHONE: PHONE: STE: 940-9474 INSPECTOR AREA TP PLANCK# CB984386 OCC GRP CONSTR. TYPE NEW LOT: OWNER: PHONE: <?~ INSPECTOR --~-·---1-.-/~-------REMARKS: C/SHAWN SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural --------------------------------------------------------- ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION 122298 Roof/Reroof ACT INSP AP TP COMMENTS DUT