HomeMy WebLinkAbout2717 LA GOLONDRINA ST; ; CB921300; Permit.
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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0537 12/18/92 0001 01
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City of carlsbad Building Departaent ~ V
PLAN CHECK NO. r ~-121 o C)
!!Sf. VAL 3700 207S Las PalES Dr •• carlsbad, CA 92009 (619) 438-1161
PLAN CK DEPOSIT dl
V AUD. BY b <.,
I. PFllMII hPR DATE ti</ Jf,/ fZ-.-
A-UCommerc1al □New Bu1idmg U lenanr Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -J!(Residential U Apartment D Condo~ Single Family Dwelling J(Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home )J'Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other 0506 .'.2/16/92 0001 01.
2. PRWECf INFORMATION FOR OFFICE Jg''f8't:&1.Y
Address ;}1-1? LR fr0(4,.J4/fit/Alfl BuUdmg or Suite No.
Nearest Cross Street AL.
mt
□ 2 Energy c.alcs □ 2 Structural c.alcs □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEI, EXISTING USE PROPQSEP USE
DESCRIPTION OF WORK 1,.1,,w,111.y fllCoVf-.
1tv G:8@f/G:~
l.l'lu,./QR,'( R,co/1'\
Ul/t1011 SF 11cg:z SQ. Ff. S I ,t, # OF STORIES /
3. WN IACI PERSON (II dll[erent from appJlcantJ
NAME Iv!'.
CITY DAY TE E
'f69-3C?S/ P.
I ( l/1'7U:?. I :if~)
HRd; ,i
CI1Y ~LSB.AO 6. WN1 Uk
STATEC,Q. ZIP CODE 't',)d<>9 DAY TELEPHONE
NAME JJ/A ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE !JC.# LICENSE CLASS CITY BUSINESS !JC. #
CITY It.I /,,q STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WORRERS' WMPF.NSAIIUN
Workers' Compensation Oeclarauon: I hereby affirm that I have a certlt1cate of consent toseif-msure issued by the b1rectorof lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert.thcate of Exemptmn: I cerhiy that m the performance of the work for which this permit ts ~ued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of c.alifomia.
SIGNATUREa&i DATE !2:/4:fflb 8. OWNRk-BN
Owner-Builder Oeciarabon: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the foiiowmg 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 Llcense 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 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.).
□ 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 Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing 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. Any violation of Section 7031.5 by any applicant for a permit
subjects the a licant to a civil penalty not more than five hundred dollars [$500]).
SIGNATURE 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 ARI! YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AYl1!R JULY I, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEI!TING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.IJTION mNTROL DISI1UCT.
9. WNSIROCIION IENDING AGENCY
I hereby aihrm that ffiere 1s a constructmn lendmg agency for the performance of the work for which this pemui 1s issued (Sec 30970) CiVII Cooe).
LENDER'S NAME A/~ LENDER'S ADDRESS
lo. APPilCXN I CEJtlOJCAl
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail Caty ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMlJ!SS THE CI1Y OF CARlSBAD AGAINST AIJ. UABIUTil!S, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY Aa:RUE AGAINST SAID CITY IN CONSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Ccxle).
DATE: /4W:$k---APPLICANTS SIG~
1 ~(YEIJ.OW: Applicant PINK: Finance
•
PERMIT# CB921300
DESCRIPTION: 51 SF LAUNDRY
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/19/93
AREA IN GARAGE
JOB ADDRESS: 2717 LA GOLONDRINA ST
JOHN APPLICANT: MONTROY, PHONE:
CONTRACTOR: PHONE:
STE:
INSPECTOR AREA PY
PLANCK# CB921300
OCC GRP
CONSTR. TYPE NEW
LOT:
619 931-1451
OWNER: PHONE:
REMARKS: MH/931-145.1 INSPECTOR ~--~./,__
10-+.-----
SPECIAL INSTRUCT: PLEASE CALL WITH TIME FOR APPOINTMENT y·
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
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***** INSPECTION HISTORY*****
DATE
123092
123092
DESCRIPTION
Rough Electric
Frame/Steel/Bolting/Welding
ACT INSP
AP MP
AP MP
COMMENTS