HomeMy WebLinkAbout2600 LA GOLONDRINA ST; ; CB970908; PermitCITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB970908 FOR 04/24/97
DESCRIPTION: COVERED PATIO/BALCONY
AS BUILT
TYPE: PATIO
JOB ADDRESS: 2600 LA GOLONDRINA ST
INSPECTOR AREA PD
PLANCK# CB970908
OCC GRP
CONSTR. TYPE NEW
STE: LOT: APPLICANT: DAUGHERTY, WILLIAM
CONTRACTOR:
OWNER:
REMARKS: BJN/
SPECIAL INSTRUCT:
PHONE, ,,o ,as-as,~
:g:: a1-2
INSPECT~!c:,./,L:..L:_~::S:,C::::::::::::::====
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMEN~, • I It-, ,./
_19 __ sT _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 ______ f_ --~L)_'--_,__f_V_ lf'I_ -----------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
042197 Final Structural
ACT INSP
CO PD
COMMENTS
ON CARD
APR-16-97 WED 15 :32 CITY OF CARLSBAD COMM DE FAX NO. 438089 4 P, 07
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No. C:ZJofoB
CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. ___.2,___,")d)~ ...... t.J-=-----
Plan Cl<. Depos;;,,;it ____ q'c......,,CJ._ ..... "(l'._....),._ __ _ 2075 Las Palmas Dr., Carlsbad
(619) 438-1161
CA 92009
Validated By...,J ::;._ ..... ~--------Datr::#++ff-1rC:/-'-7 __ _
:1~::;,:~cr.~Wf,OJUMTJP·N~}~;L~~-~_;~,~~~;.{.r~;:;t= .. ~rn;4::~:;-::;:·~~-,--~::.~~~:;17·;;Z-:Z;,~'B.,:;';·1e:1;f
E ~ 0 0 ~a... Ge /4 "2 dr / ~-s-S~-,l~,___,,. .......... 9~2.'-'--C'__.o.._9 ____ ,--___________________ _
Addr8!lS (1nel11Cle B,dg,Su1t0 ¥) 8usme~ Name lat thi& addlOSS)
U"4 C ~ 7.3-;;:_ 9 / C£ 8""Ylr/er1,>s a.., c" "'rl fv-1-
Legal O=i;t;On Lot No. Sul)division Nome/Numl;)or
Assessor's Parcel ,
Stu-, .Qec.L
l;_>cini119 Uce
Zoo
Unit N0. Phase No. Toni • 01 units
Proposed UH
Desc:,pt,on of \Vor, SO-. -:Fc.:T". --•ot Stones I of Bedroom~ , of Batrirooms
N~mc Adoro:;5 City State/Zip Telephone •
~f ~CANT ·: □ Con~0,:~: . .'GJ.:Ai•ri-~t~Coriii:ii~i'::,-o Q~c .. ,t:'.: ,•Cr Agern·{oc:Owne·,,.:~~~.5;.)ffii;r,;;¢'.µ'::TI?:,·.'~,' ':\ · ·, . ·. -~:m':3,'/ l,4 ~· £:) Pa.; /2 ~;~~s ·c;;·-;· tz'~,~~--:-....... -~~-y -------Smemp ~~~~~::;~·,
~;;.;,~PB?.P.eu-3<0.~:;:1~·:;~~;~~-----!}-:~~~r~:~;.;~?:r;rD¾7~l14ferrmrrrma:smwr«~~-t.;::~t:~.~;~--~~~~·-
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N&mc Addr!I.$.$ 'tw;l:Nl!l!<"'-=--::c: City Steto/Zip T•l•phone,
:t;~~COHTirA~R;:,C0"1i.~~~giFffi8?iWMAMtW4Sit-r&JRt½t H:BSHS&ectt111&1ttSiif§Wj··~.wL
(Sec. 7031 .S Business and P!'ofeuions Code, Any City Of County which require,~• permit to construet, 8lt81, improve, ~molish or repair any structure, prior to it;
issuance. a/so reouires tM 8PPlicant tor ;uch permit to file 4 ~i9ned i.1etcment that 118 is licensed pur,u.1m to t~ prQvisiONi of tt'le Contractor, Ucense Law
(CMPter 9. commending with Seetion 7000 of Division 3 of tne 811-:;1nesa ond Professiol'IS CCX1el or that he iS e11ompt therefrom, end the basi$ for tho elle1Jed
e11em0tion. A.ny v,l)l~tion of S11e11on 7031.S by ony appli~nt for a p~1mit subjecu tl'l8 applicant to a elvil penalty 0t not more than fiv• hundtod dollar• I$ !)OOJ).
,..N_a_m_e _________ ----------.,..,-d-d-rtt_s_s----------------,C::-ltV---______ S_t_a-,.-Ji::-.P-----,T::-a-1-o-ph_o_n_e_ll ______ ~
State License 11 _________ l.Jcense Class __________ _ Ciw 8u.:,ino3s Wcon,o II _______ _
De~1g,,~, t1~me ,,ddress Cnv State/Zip TehlphQne
Stats ueeMt " -----------
IQ-. .. ,.:~~;,.cOMPfN.SA TIO~J.t~.,.',::::~.;~.·.~!;·~~: .~.-2~~1:,:~~. ~~:.-:.·.:•/~.~:: ";~::.:;·; -~~~·~::~ __ ; ~-~~--;-~ ·:~J~;e:-rll'\(~S,W;~~~);!.§::ii\; .. ;:~ii~.~~~~•,.::rr..':.::ii ... :· : :.:.: .. : ... ~:--... :
Workerr;:' Coml)E>l'l&at,on D•claration: I nereoy affirm under ponalty ot perjury one of tt'le following declarati0t'IS:
0 I nave and will ma,nta1n a cemf,~to of cor, ... nt to ..,11-iMure fqr workors' c.omp,,nsation u proviaad r:,y Sktion 3700 of 1ho 1...1.>ur Coae, ror tne pertormanco
vt ,he worK Tor wn1cn tNs J)trmit is issued.
O I have an<.'l will ma,nt~,n workers' eompensat,on, as reQwed by Section 3700 o1 the labor Code, for tl'1e perfottMnce of tt'le work tor 'which thi5 otrmrt is
l~ued. My w0tker's compol'\Sation irl$uron<::e c.rritr and policy number are:
bv;uror,co Compony ______________________ Polley No._____________ E;,:piration Date _______ _
(THIS SECTION N£W NOT 8£ COMPLETE!> IF THE PERMIT IS FOR ONE HUNDRED DOLI.ARS 1~1001 OR L£SS)
0 CfRTIFlCATe OF !:)(EMPTION: I ctrtity that in tho perform~nco of th~ work for wl'lict'I this permit is i&$uod, I aha/I not employ any porson in onv mann•r 50 as
to become sutiioct to the Workers' Compensation u,w5 of California.
WARNING: Failure 10 IOCute· won:o,-s· compoMation cov11151e is IJNbwful, e11d ah&!/ aubJect on emplQ-,,.,-to ct~ penatllQ •nd ciYil fines 11P to one hundred
thouA/'ld dol~ ($100,000). in eddition to the CO.$! of compensation, dam19e& u provided for in S.ction 3708 of tht ~ cod•, int•rNt end enomey'a fHs.
SIGNATURE__________ _____ ___________ DATE _________ _
:7..• .. :,OWNm.aulLOER DECLARATION .: -.. ·, ·. . ... . . . ::: _ .... · : ... · •.· ... _··.:~:·:~~'.::;,i,{5.f~;.:-,~g;~~~ft~:•!~i.: .. ~;J}~,~i~r":Z.f•'..~]::;~-:~~:;:~;~·.: .. : t(~.
I herel)y aHirm that I am exempt from tne Contractor's License Law for the lollowing rea,on:
0 I, os owne, ct l~e properw or my emi:,1oyt1es with wa11es &e \hoir sole eompensatiun, will cio the work and the strve1ure is not intencted or offerea for sale
(Sec. 7044, Bus,nes, and Prolo~:;ions Codo: The Contractor's License Law 00$$ not apply to an owr,or cif property who builds or Improve$ tritreon, and who dotl
suer. work himself or through his own omp/oyees, provided thot such improvements are not inuM~d or ofl•rltd for u lo. If. however, ttlo building or improv•m•nt ie
~old within one year ot eomplet,on, the owner-builder will ,-,.ve the i:,..,rden of proYing that ~ did not build or improve for,,... purpoM of u le),
1Si:J' I. •• ow,,.,, ol tnt properry, am GxclU5•VtlY c0ntncting with lic•~•a contractor• tc co~ruc:t thf, PfOject (S•c. 7044, 6uain .. , end PlofnaioN Code: The
Contr'letor'$ License l-aw doe& not apply to 1n owner of propertv who builds or imp,ov•• thereon, end c:onttaci. tor •u~h p,ojeeu1 witn contraC1or(1) licenaad
pur&uant to me Contrae10r's Ucenu LawL
0 I am exempt under Se.:1,on ______ Busi~ and Professions Codo for tl'1it reason:
1. I i:,or,,ono/ly ,:,1a11 to prov1ae 1ne ma1or labor end materials for con~truct:ion ol tho 0ropo$od propertY improvement. 0 YES ONO
2. I (h~vo / nave not! signed &n application tor a b1,1ilding permi: lor Jhe proposed work.
3. I have comractACI w,in ,no tollow,n9 po,~o" (firm! to pro,id• the proposea construc:t10n (include name / addre55 / phone number / conttac:tor< l,c~nse numbvrl:
4. ! plan to prov1oe portions of rne worlc. 0,11 r h~ve hire(l the tc:iowing person 10 coordinste, supervi$8 end provide the major worf( (include name / addr8$.S / phone
numb~, / contrac101s license number J:
ing persons to provide the work indic~ted (include Mme / 1ddres~ / phone number / type
DATE z>1 ;---'l'.Z
. I.Y ,;.•:-:.:_)f ;!,~ ~:1.U. ':-°~~-~${t7t~~~~S7~~~~~t,: .. ~t~ :; ::;_.'.£:):· _: -.
t.s ~., :i~:,!i:-~~t or fi.;t~te ~U-!!~;r,i; ..::..ccvpG.nt i'g-Q;...;rir.3 l\) :!tutmH .. bu~ir.,er,-.. µian, acvuWy no.tDraous malorial.& utg.LS'tfat1on torm or ri..c.k managernent ind prevention
pr091om under S~ions 25505, 25533 or 25534 ol tt'le Preal11y-1'1rmer Haz.arooU$ Subsunc• A.Ccount Aet7 O YES O NO
I• the appu,:-..,nt or future building oe.~p•m required 10 obtein I permit 1rom the tir pollution control di.s'trict or tur Q..ality m.onagoment district? 0 YES O NO
Is the faeility too,, constructed within 1,000 feet ot me outer bouna.,y ol a school aite? 0 YES O NO
IF AJ-lV OF THE ANSW'l:RS ARE YES, A FINA!. CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUE!) UNL.E.Ss THE Af>t>UCAl(T HAS Mfl OR IS ME.E'TlNG THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT •
. ret:;-~: £;0NS'TRUCTION LENDING ·~cENcY .... = ·::;~~~;~::~;·~.:.~~~:-:.~:)WV~~~-~: ,: rJ .... ~-~~:~~~~~:.·. :·::. ": ~ .. :·7.::.~-:~~~e:~~~~;;~~~~Fi;:~~.G~-~;;;·~-~-~. •.~: .. :,;_
I hereby affirm 1n~r t hc,ro •s • construction lending ageney for the porformenee of the work for wt\ich this permit i.s LUued (See. 3097(i) Civil Coc,e1.
~cNDER'S NAME ________________ _
APPUCANT CERTIFICATION
LSNDeR'S ,l.OORESs. __________________________ _
I cert1!y that I h&v~ reao ,n~ applic,tion and suto that tho above information ,s correct Dnd that tn& information on the Plans ,s accurate. I a9r&o 10 comply with all
CttV o:d1naneos and Stato liW~ relot1n11 to building con;trucuon. I hereby &uthorize represent•tives of the Crty of Car1sbtd to en1or upon the abov& mentioned
propertv for 1nspect1011 purpo;es. I Al.SO A.GREE TO SAVE, INDEMNIFY AND KEEP KARMLESS THE CITY OF CAALS!I.AD AGAINST Al.I. LIA511.ITIES,
JUDGMENTS, C0$TS A.Nt, EXPENSES WNICH MAY IN AHY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE GRANTINO OF THIS PEAMIT.
OSHA: An OSHA permit is reQu,rtd tor excavitions over 5·0• deep and demolition 0r constructioo of $!ruct1,1ru over 3 $lode~ in neii,ht.
EXPIRATION: Every permtt ,~ued by tn& Building Official und6r tho prov~i0ns ot tt'lis Codo il\all OXQire bY limitation and beeom9 null and void if tho t>uildina or
work autt\onzed by ~uci'\ p.rm,t it. not c:on'lmoncod within~65 oa s from tl'1 d~te 0t suet\ pormlt or if the building or w ork aumori2.ed by 6ucn pormrt 1£ Sl.l$penoec,
or al)•ndon&d •t ~nv umo atc•~_»jommeneed • p of 18 BY$ (Section 106.4.4 Uniform Building Code).
pPLJCANJ'S SIGNATURE ~~ / ~ . OATE 4/-,i ,Y---97