HomeMy WebLinkAbout2716 LA GOLONDRINA ST; ; CB961199; PermitB U I L D I N G P C: R M [ r Pt Yffi t Nv: cb~it11~,
Pro~e~~ ~0: A~6llb9<
Deve:opll'ent No:
06/2.//96 14:?b
1 Page : •of 1
,Tub A(l lress: 2.116 LA GOLONDRINA S:' $uite: !r..'81 Ob/27/90 0001 0~ u:
C-PRMf 1C .c-.. ?ezm1t mypE>: PA'!'lO/DEC"'K
PdrCGl N0: ~1~-541-08-00 Lot#:
Valuation: 3, !08
uccupancy Group: Refezence#:
Des er 1ptior.: 490 ::>F PATIO COVER-PER CITY SP
AI->Pl/Ownr : PUC(' [0, JANET
2716 LA GOLONDRINA ST
CARLSBAD CA 9200
*** Fe-es Required
r00s:
AdJustments:
Total Fees:
Fee 'iescriptic,n
Building Permit
Pl=rn Check
Strong Motion Fee
* BUILDING TOTAL
Construction Type:
Status:
AopliPrl:
Apr/Issue :
Er. tered By:
619-'130-9064
NEW
[SS IF[J
Clo/27/9t>
0b/27t9b
RMA
.00
.OU
1J5.00
Ext fee Data
63.00
41.00
1.00
105 .00
/ -· 'f\LAP 0 ~'C'~AL
INS ~U,fE J~/U
CLEARANCE-
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION PLAN CHECK NO.
City of earl-auildirv Depertant
2075 L .. Pal-Dr., earl-, CA 92009 (619) 438-1161
I. PltitMl'thP£ PA-rl/J
From Lisi I (see back) give code of Penni1-Type: _ft_._-'--'-'TI-"0 _______ _
For Residential Projects Only: From List 2 (see back) give
Code of Strucrure-Type: --~s~.E~D ___________ _
Net Loss/Gain of Dwelling Units
2. PRCllF.C'f INFORMATION FOR OFFICE USE ONLY
Address ~?I& /.A-~ Df2J NA, ~mg or Suite No.
Nearest Cross Street ~
CHECK B£WW IF SO BMI I I ED:
□ 2 Energy Cales □ 2 Strucrural Cales □ 2 soils Report □ I Addressed Envelope
ASSESSOR'S PARCEi EXISTING tJSE PBOPQSEP USE
DESCRIPTION OF~~'lf 'f¥?[l0 :! c,py'{E!1Z-..
SQ. FT. # OF BEDROOMS # OF BATI!ROOMS
ADDRESS 10/l 6. ? r"f'l'NalV "f;;t\;·1,rrr-,-f"!;? f!P,
CllY z.a 14f -6 '3> I
NAME (last name first)
CllY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
5. PitbPf!kIT OWNIM
NAME (last name first) ~ MiCMt;;-P,-L, +, .J--AN~REssfU~IO
STATE CA: ZIP CODE "J;?e,0"! DAY TELEPHONE
~7 I & LA-GO t.,?N Pf'-! NA 45r-r
1?:J!J~ 6. WN
NAME (last name first) ADDRESS
CilY STATE
STATE !JC.#
ZIP CODE DAY TELEPHONE
IJCENSE a.ASS CilY BUSINESS !JC. #
DESIGNER NAME (last name tu-st} LUM
CllY ft~ STATE
workers' compensauon uec1arauon: I hereby affirm that I have a cemhcate of consenc to self-insure issued by ihe Director of lndusmal
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 POIJCY NO. EXPIRATION DATE
Ceruftcate of Exempuon: I cemfy ihac m the perfonnance of the work for which chis penmc 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-B0ttnlm Dfil.ARAJluN
Owner-Builder Declarauon: I hereby afftnn that I am exempt from the Confracfoi's License Uw for the foiiowmg reason: }I(' 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 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 License 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 License Law).
□ I am exempt under Section _______ Business and Professions Code for this reason:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration Conn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subscance Accounc Ace?
□ YES □ NO
Is the applicanc or future building occupant required to obtain a pennit from the air pollution control district or air quality management districc?
□ YES □ NO
Is the facility to be consmicced within 1,000 feet of the outer boundary of a school sice7
□ YES □ NO
IF ANY OF THE ANSWERS ARE YES, AFINALCERTIFICATEOFOCCUPANCY MAYN<71" BE ISSUED AYl1!RJULY 1, 1989 UNUSSTHE APPIJCANT
HAS MET OR IS MEETING THE RF.QUIREMENTS OF THE OFFICI! OF EMERGENCY SERVICES AND THE AIR POLLU11ON OONTIIDL DISTIUCT.
9. WNSIR0CIION LENDING ACF.NCI
I hereby afhnn iliac there is a construcuon lending agency for the perfonnance of the work for which ih11 perrmt II issued (Sec 3097(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
IO. XPPUCAN I CflllOICXIION
I cerufy that I have read the appUcauon and srate ihat the aOOve inionnauon JS correct. I agree to comply with ail Cicy 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 Al50 AGREE m SAVE INDEMNIFY AND KEEP HARMU!SS THE C1Y OF CARISIIAD AGAINST AIJ. IJABILITIES, J\JDGMENTS, CXl!ITS
AND EXPENSF.S Wlllal MAY IN ANY WAY A£DUJI! AGAINST SAID crIY IN OONSEQUENCE OF THE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of scruccures over 3 stories in height.
Expiration. Every pennic issued by the Building Official under the provisions of chis 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 pennit or if the building or work authorized by
such pennit is suspended or abandoned ac any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Cooe).
APPLICANTS SIGNATURE DATE: ___ _
WJ-IlTE: File YELl.OW: Applicant PINK: Finance
C,
' PERMIT# CB961199
DESCRIPTION:0 490
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/26/96
SF PATIO COVER-PER CITY SP
JOB ADDRESS: 2716 LA GOLONDRINA ST
APPLICANT: PUCCIO, JANET PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA DC
PLANCK# CB961199
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-930-9064
REMARKS: MW/JANET/438-9561
SPECIAL INSTRUCT:
INSPECTOR]!,L------------
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
RW950080 ROW
STATUS
ISSUED
ACT COMMENTS CD
11 ST Ftg/Foundation/Piers 7J:f_ +,', ,JA G
------------------
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***** INSPECTION HISTORY*****
DATE
090596
070996
070196
DESCRIPTION
Roof/Reroof
Roof/Reroof
Ftg/Foundation/Piers
ACT INSP
AP DC
AP DC
CA DC
COMMENTS
ON PATIO COVER
5 FOOTINGS PER PLAN
PER CONTRACTOR