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Home My WebLink About2710 LA GOLONDRINA ST; ; CB112649; Permit12-16-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City·of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 112649 Building Inspection Request Line (760) 602-2725 2710 LAGOLONDRINA ST CBAD PME 2155410500 Lot#: 0 GRIFFIN RES-REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/2011 LSM 12/16/2011 12/16/2011 GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 2710 LA GOLONDRINA ST CARLSBAD CA 92009 760-491-9770 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2710 LA GOLONDRINA ST CARLSBAD CA 92009 $0.00 $0.00 $30.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL A 1.. Date: AL 'Ulll Clearance: $0.00 NOTICE: Please take NOTI pproval of your project includes the Mlmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. ve 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 ln 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 applicatlon processing or seivice fees in connection with this project. NOR DOES IT APPLY to any I xinfhih I rhi h <" «~~ Building Permit Application Plan Check No. ~V\~<t1 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 1 -z..,[ 11<:> f ~I ISWPP JOB ADDRESS '2.-"1 ,o LA, ~0(00--=':11",IM>-5-I SUITE#/SPACE#/UNIT# 1: ---- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I 1.;0NSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) 2_.,_(__ __ __ -~4. L'--_ ··c __ .. ' - EXISTING USE lp~+SE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS -tl.ec,.t-YES □#_ NOD YES □ NO □ YES □ NOD APP~NT ,NAM, (Prlm•~nfac!J .c .c~ APPLICANT NUIE (Secondary Contact) I I, • A .... .,.\ \ \A ADDl<:ESS L.A.. G olov,,.cl1r,.,..._ S+ ADDRESS 2-i 10 • CITY ST~ ~ CITY STATE ZIP c.,.. 'II'\'\ i.:, J -z.ooi PHONE '\110 I FAX PHONE I FAX '1<.o '-i"'.>l "";:_o.., \.e. . "\ v-i. ~ r <e2> vs~ c.. ""'; I tMAll PR~~'\N';J-NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX _t.MAI EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# ICLASS I CITY BUS. UC.# (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or that he 1s exemJ!t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permitsubJects the applicant to a c1v1I penalty of not more than five hundred dollars ($500}). " - WORKIIRI" <OM!"IINIATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: □ I have and will maintain a certificate of coneent to self-insure for workera' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, □ I have and will maintain workers' compensation, as required by Section 3700 of ttie Labor Code, for lhe performaoce of ttie work for which this permit is issued. My workera' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars {$100) or less. □ 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 Workera' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ,.6S CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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 (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 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 sokl 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) 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 purauant to the Contractor's License Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide !tie major labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have/ have notj 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 I phone/ contractors' license number): □AGENT DATE .. 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 certify that I have 188d the apptlcatlon and state that the atx,,,e information is conectand that the lnfonnatlon on the plans Is accurate. I agree to oomply 'Mlh all City on:llnances and State laws relating to building oonstruclion. I hereby authorize representahve of !he City of Carlsbad to enter upon !he above mentOned iroperty br inspection pu!l))Ses. I ,ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN Aff'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA An OSHA permit is required br excavations over 5'0' deep and demolition or oonstruction of structures over 3 stores in height. EXPIRATION: Every permit issued by !he Buik:ling Offcial under the provisions of this Oxle shall expire by limitatOn and become null and void if the buik:ling orv.ork authorized by sudl permit is not oommencad 'Mlhin 180 days from lhe date of sudl pennlt or if the building orv.ork authorized by such permit is s~pended or abandoned at any time after the v.ork is oommenced for a peocx:l of 1 days (Sec!On 100.4.4 Uniform Buik:ling Oxle), ASAPPLICANT'SSIGNATURE Qt/?( t'<-. h......¥¥'--DATE IZ. /{. I City of Carlsbad Bldg Inspection Request For 12/22/2011 Permit# CB112649 Title: GRIFFIN RES-REPLACE FAU Description: Type: PME Sub Type: Job Address: 2710 LA GOLONDRINA ST Suite: Lot: O Location: Inspector Assignment: Phone: 7605002818 Inspector: ---- APPLICANT GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 Owner: GRIFFIN ZIEGLER FAMILY LIVING TRUST 01-25-07 Remarks: Total Time: CD Description Act Comments Requested By: ADELLE GRIMMIN Entered By: CHRISTINE 43 49 AirCond/Furnace Set Final Mechanical tw--- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments