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Home My WebLink About2717 LA GOLONDRINA ST; ; CB941354; PermitB U I L D I N G 10/26/94 1':>:45 Page 1 of 1 1 Job Address: 2717 LA GOLONDRINA Permit Type: ELECTRICAL Parcel No: 215-542-04-00 Valuation : () Construction Type : NEW ST P E R M I T Suite: Lot#: Permit No: C8941354 Project No: A9401993 Development No: 9296 10/26/94 0001 01 C-PRHT 02 20-00 Occupancy Group : Reference#: Status: ISSUED 10/26/94 10/26/94 MDP Description : INSTALL FAN IN FAMILY ROOM : AND HEAT LAMP IN BATHROOM Appl/Ownr : MONTROY , MICHELLE 2717 LA GOLONDRINA STREET CARLSBAD , CA. 92009 *** Fees Required *** fees: Adjustments : Total Fees : Applied: Apr/Issue: 619 Entered By: 931-1451 Fees Collected & Credits Tot al Credits : Tot al Payrrents : 'Balance Due: .00 ,00 20.00 *** Fee description Units Flee/'Unit Ext fee Data Enter "Y'' for Elect:r;i c Enter "Y" for Remodel * ELECTRICAL TOTAL > ) CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10.0U Y 10 .0U Y 20.00 PERMIT APPLICATION PLAN CHECK NO. ' City of Carlsbad Building D-rtaent 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161 EST. VAL. __________ _ I. PHRMII IYPR PIAN CK DEPOSIT, _______ _ VALID. BY, __________ _ DATE From list l (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Los.vGain of Dwelling Units 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address 2 '71 '1 La 6olcrd n ffldmg or SUite Nra r \Sb::::td CA q2C;Cq Nearest Cross Street A-\w. LEGAL DESCkiVi ION Lot . SubChV1ston Name/Numbe 0mt No. Phase No. CHECK BEWW IF SO BMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, I f, E~NG:¥-5 'to PRQPQS~ \JSE "t-ro~, DESCRIPTION OF WORK / II 'Sf iYt/ ~A FJ SQ, FT. I"'-h..tL~ STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PFJtSON (1£ dlIIerent from apphcant) NAME (last.name first) ADDRESS Cl1Y 4. APPUCAN I OCON IRACiOR NAME (last name first) STATE ZIP CODE OAGENI FORWNiRACIUR ADDRESS DAY TELEPHONE 0 OWNER □ AGEN I FOR OWNER CI1Y STATE ZIP CODE DAY TELEPHONE 5-~~1~!.~:;'!'.n:},.,i Me>ntn::>y, NichelleADDREss :2.."117 La 6olci-dr1rt::1 Car-1-sh:?d c11Y Car-1<::>bctd sTATE c,p,._ z1PcoDEC!2004 DAY TELEPHONE 4:>lct ~q3\-l½I 6. WNlitACIOR NAME (last name first) ADDRESS CI1Y STATE STATE LlC. # ZIP CODE LlCENSE CLASS DAY TELEPHONE CI1Y BUSINESS LlC. # DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LlC. # 7. WOllkRks WMPENSAIIUN Workers' Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to selt-msure issued by the Director of 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 POLlCYNO. EXPIRATION DATE Certthcate of Exemption: I certtfy that m the perfonnance of the work for which this penn1t 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0IIDf:k Dfi!LARAiKJN □ □ Owner-Builder DeciaraUon: I hereby afhnn that I am exempt from the Contractors License Law for the followmg 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 pennit 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 License 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 applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE rY"). DATE I0-2lo-q Is the applicant or future building occupant r red 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? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXOJPANCY MAY NITT Bl!~ AFTER JIJLY 1, 1989 UNIJ!SS 1llE APPUCANT HAS MET OR IS MEIITING 1llE RF.QUIREMENTS OF 1llE OFFICE OF EMERGENCY SERVICES AND 1llE AIR POILUTION CDNTROL DISllllCT. 9. WNSIR0CIKJN LENDING AGENCY I hereby afhnn that there ts a construction lendmg agency for the perionnance of the work for which this pem11t 1s lSSUed (Sec 309?(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN I CEklll'JCAliON I certify that I have read the application and state that the above mfonnat1on ts correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGRE!! ID SAVE INDEMNIFY AND KEEP HARMIJlSS 1llE Cl1Y OF CARlSllAD AGAINST AIL LlABIUllES, J\IDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACX:R.\Jl! AGAINST SAID Cl1Y IN CDNSEQUENCE OF 1llE GRANTING OF 'llilS PERMIT. OSHA: An OSHA pennit 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 Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLlCANTS SIGNATURE :::rt) . :m 1'JJ] ~ I 0-2 {p -q4 DATE: YELLO : Applicant PINK: Finance 0 PERMIT# CB941354 DESCRIPTION: INSTALL AND HEAT CITY OF CARLSBAD INSPECTION REQUEST FOR 11/01/94 FAN IN FAMILY ROOM LAMP IN BATHROOM TYPE: ELEC JOB ADDRESS: APPLICANT: 2717 LA GOLONDRINA ST MONTROY, MICHELLE PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB941354 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 931-1451 REMARKS: MW/931-1451 SPECIAL INSTRUCT: 942-1188 PM PLEASE INSPECTO~/Y----------- TOTAL TIME: CD 34 DATE LVL DESCRIPTION EL Rough Electric pn.,c.1 DESCRIPTION ACT COMMENTS ***** INSPECTION HISTORY***** ACT INSP COMMENTS