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Home My WebLink About2715 LA GOLONDRINA ST; ; CB981000; PermitB U I L D I N G U4/(l7/98 14:48 Pa'Te 1 of 1 1 Job Address: 2715 LA GOLONDRINA ST PerMlt Type: MECHANICAL Parcel No: llS-542-03-00 Valuation : o P E R "1 I T Suite: Lot#: Perm1t No: CB9H:.ooo Project No: A9801~~q Developmt"nt Ne-: 24-00 Occupancy Group: Reference#: 'S796 04/07/98 0001 01 02 C-PRMT Construction Type: NEW ~tatus: ISSUED Applied: 04/07/9b Apr/1ssue: 04/07/98 Entered By: JM 679-7951 Description: REPLACE 100000 BTU FURNACE Appl/C>wnr : COASTAL AIR 12860 WARHORSE STREET SAN DIEGO CA 92129 **Ir. Fees Required Fees: Adjustments: Total Fees : Fee description Enter 'Y' for Mecha Install Furn/Ducts/ *** 619 .00 . c, 0 24.00 *** Ext fee Data 15.00 Y 9 .00 - ---------=~-,--FINAL APPROVAL \ INJP ... --DAT[ __ _ \ CLEARA: ~CE ----.::.==::--:- , ----- CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Wt@ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. --..,..,rr,,-,-;r--- Plan Ck. Deposit._._...,~~"'--,-- Validated By ___ ....,7:;>7-:;-;"/2J~- Date _______ ~...l/..{r4"-- 5c Addrest linclud• Bldg/Suite'II Bu.IMP Name tit thil addreul Ltg■.1 Description Lot No. Subdivision Nlme/Numblr Unit No. Ph■H No. Total # of unit■ AH81S0f'I Parcel I fu+ ?etJµa /oo,cw Description of Work SQ.FT. #of Stana I of Bedrooms # of Bathrooms Nam■ --Clty Slate/Zip T.iephone I Fax I :3. APPLICANT ~r■otor 'tl,fl//L> M? ;St?A( ~ 8Z'~'cZ,f~is7~~ Agoni .ffi'.°S':' ••···•~-~ :.• ... -r·-·•• t,/f-s,1✓-f3. f'z:, Name Addre11 City State/Zip Telephone I 4',0_uATY£w Z-?/S" ?-4 (i,,,Le~;~:,,IJ.•S°r. -····~--.' •i·-•-• 7~ -93/-f>+Z-"L-· Name Addrau City Tellphone I S. CIJNTMCTOR • COMPANY NAME .. ISec. 7031.5 Business end· Prof■Hions Code: Anv City or County which reQUN'u I permit to construct, ■tter, improve, dlmolilh or repair ■nv stnrclW9, prior to ha issuance, 1110 requires the applicant for 8\ICh perm6t to file I aigned ltatemtnt thllt he ii licenalld pur9Ulnt: to the PFOYt9tont of the Contrai:tar'1 Ucense Law (Chepter 9, cammending with Sect:lan 7000 af OM1ion 3 of the BUlffllU 1nd PrafNliont Code) or that he 11 exempt thllrefram, and the b1si1 for the alleged exemption. Any viol1tian 'jf Section 7031.& by any 1ppllC1nt tor• permit aub' I the •~icant to I ctvllptn■lty °"'"°' men thin five hundred daHarl (t&OOI. ,4 n /f-1. mkK o ~€ Sr .S,D 1z..1z. 'I-~ _ '1-~I Name ./ S1010 Liconoe I _ _,U':..._'-1.._.f.....,Q"-'~__.r:_ Addfe11 City . State/Zip T altphone I Uconoo CloP __ (!.~_2._0 ___ _ CltvB_U_ I ______ _ Designer Name Addru1 Ctty State/Zip State Licenae I ________ _ &. WORKERS' COMPENSATION Warkert' Campen11tion Declaration: I hereby affirm undar penetty of perjury ane at the fallowing dactntion1: 0 I have and will maintain I c1rtlllc1te of consent to Hlf•lnsure for wark.,.' compen11tian ea pravided by SectiDn 3700 at the Llbar Code, far the performance of the work for which this permit i1 lnued. O I hive and will mtintain workers' compenutian, 11 required by Sect:kffl 3700 at thl Lllbot' Codi, far the pertormenc:e of the work for which this permit ii issued. My worker's compen1atkm insurance c,mer and policy number 11■: Insurance Company___________________ f'oficy No.___________ Expiratton Date ______ _ CTHIS SECTION NEED NOT IE COMPLETED If THE PERMIT II FOR ONE HUNDRED DOUARS lt100J OR LUii ~ATIFICATE OF EXEMPTION: I certify thlt WI the parfarmenca of the wark for which thil permit it inued, I aheU not emptoy any parson in any manner ■o u to became 1ubjact to the Workers' Campenntton Llwa of C1tiforn61. ~E~~~2_=.:_~~:=:~=,:;Eifi!:.~:::~~~ I he,et,y affirm that I am •••mPt from the Contractor's Ucenle Law tor the following reuan: O 1. 11 owner at the property ar my emptayeea with w■gea u their 1DI• compene1tkln, wlll do the work and the structure la not Intended or ottered far ■■ta (Sec. 704M, Buainen ,n·d Pratusionl Code: The Contractor'■ Ucenn Llw doel not IPPIV to ■n owner of Pl'OPWtY who build■ a, lrnprOVN thereon, Md who cloN auch work him■eH a, through Na own emploVffS, provfded lhlt MIGi, ~11p.owwntt ar■ not tntended or ottered fDr Nie. H, hOwever, the bulldlng or knpro"Nmtnt la sold within one ynr of comp~tkm, the owner--buHder wltl Mv■ the burden of proving that he dkl not bulld or tmprow tor the Pll'PCINI of Alel, D I, ■1 owner of th■ property, am axcluslvety oontract:lng with licensed cantr■ct:ora to COIIIINCt the pratlct: llec. 7044, BUlinNa and Profeulonl Code: The Contractar'a Llcenaa Law dou not ■PPY to an owner at proplrty wha build■ or improvN: thereon, and aontracta for auch pro;aat■ with contract:ortal lk:eMed pursuant to the Contractor'• Ucensa Lawl. 0 I ,m exempt under Section _____ lk.-'neu and Proteuiona Coda for thil re1soa: 1 . I per■onally plan to provid1 the ma}or labor end fflll■rilll for conatruetion Of the propoNd property Improvement. 0 YES ONO 2. I lhan / have not I signed an appHcntan for • building permit for the proposed work. 3, I have cont,acted with the falloVWng person ftirml to provide the propaud construction (Include name I ■ddrea I phane number I contractorl lk:enle number I: 4. I plan.ta provide panions at the work, but I have h6red the fallawing peflOn to coordinate, auperviu end provtcte the ma)ar work Onclude name I lddrNI / phone number I contract:ar1 license numberl:, _____________ ..,.. ___________________________ _ 5. t wlll provide oomo of tho WOfl<, but I hllvo -■ctod lhlrodl 1h11 followlng ,.,_ to -thll -k -•-Nmo / -/pt_.,_,._ at workl: ___________________________________________________ _ PROPERTY OWNER SIGNATURE ________ ,_--,----===--==== DATE=======-- 'COMPLiTII TIIIS IEC110N FOR ~ iulLiliifli PPMiti ONl.fcl~. 1.,,,_ • ~..,.:"1~7~:'.-fl'""'"" ' ·-~ .......... , ..... . t■ the 1pplic■m: ar future buikling oocupent required to •ubn'ttt • buainN■ plan, ■outetv ......._ ,_......, 1egilbatioa1 farm or riek management and prewntion prag,am under s9ctions 215505, 25633 or 21634 of 1h11 "-fey-Tanne, Haurdaua Sub9tance AccoUnt Act? 0 YES O NO Is the applicant or future building occupant required to obtlitn • permit from tht atr poHutlan control Cllltft_ct or •r QUIUty management diltriGt7 0 VES D NO Is the facility to be constructed within 1,000 fHI af the out• boundary of a tchoal 11tli1 0 Y~S D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CIRTIFICATE OF OCCUPANCY MAY NOT IIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS DF THE OFRCE OF EMERGENCY IIERVICES AND THE AIR POLLUTION CONTRDL DISTRICT. ti ... coNSTilucnoN LENDING AGENCY'··,,, •.. ,., ..................... ., . ..,. .. r···-r··"':.., •• '.':';~~~~·,.._,...,,.""".,.1.,.~"""' . ..,.,,·=••:··"",io-,:i.:~-:-,,, ....... ,-;-;·,·..-.-~· .-,,f""'"-· I hereby affirm that there Is I con,truction lending agency for the performance of the work for which thiS permit ta il1ued tSec. 30970, CMI Coda). LENDER'S NAME______________ LENDl!R'SADDRESS. _______________________ _ !9, APPLICANT CERTIFICATiON .,.. .. . . . -····· ..,.. ,.. ,., ........... ~~,:-,,";l'"!"""ll!".,.. .. ·~••:""':-i,:-.·,·;:,c.··· f'"""""'-,t--r.;~•·.•.-:-n;m-~,.,,.""._. •-t,F,.~.~"'"""'"'~,,-'.-\ I certify that I have read the application and Ital• th1t the above lnfarmllion ii correct and that thl lnform■tlDO on the plans 11 ■ccunte. I ag,e1 ta compty with all City ordln1nc11 and State lewt relating to building canstructian. I hereby authorize represem:IIIWN of the Cltt of c■rtlbed to enter upon the above mentioned property for inspection purpoaea. I ALSO AORIE TO SAVE, INDEMNIFY AND KEEP HARMLIIS THE CITY OF CARLSBAD AGAINST AU 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 11 required for excev1tlona over &'O'" dHp and demoHdon or conatrUCtlon of atructure1 over 3 stories in height. EXPIAA TION: Every permit i11ued by ldlng Official under the PfOVilion• of thll Code shall expire by limitation and become null end void It the building ar work authorized by such permit ii na o m~1d hhin 386 days from the date of. auch permit or It thl building or work 1uthori11d by such permit 11 suspended or abandonad at any time after 1h11 k · corn cod t porlod of 180 doyo CSoction 106.4.4 Unlfom, Bultding Coda!. : ! ! APPLICANT'S SIGNATURE • fu-:. DATE ~.ti WHITE: File YELLOW: Applicant PINK: Flnsnce