HomeMy WebLinkAbout2500 La Golondrina St; ; 83-80-179; Permit., z 0 ~ a: .. J ~ C
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O rnereby a!Nrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect
lie No Cla1s
I hereny affirm that I am exempt 1rom the Contrac-tors l,cense Law for the :o:1ow1ng reason (Sec 7031.5
Business anct Profess,ons Code. /\ny Cly :ir cou~ty which re-
qu,res a perm•t to construct. altP.r ,mproae demo1,sti. or reoa1r any structure. prior lo 11s issuance a1so reou,res the ap-
ul,can: lor sucn perm,t \o 1de a s,gned statement that he ,s
1,censed pursuant lo the prov1s1ons 01 the Contractor's
c1cen~e Law 1Chapter 9 cornmenc1ng w.th Section 7000 o!
01v1s1on J 01 'ne &,·s11ess and Prcte551ons CoCei or that Is ex emp: t~ere:rom and the bas,s Jor The al:eged exemption Any
,iola\,or of Sect10~ 703'-.$ ~y an a;i~l1ca~t for a perm,t sub• 1ects the appl,sant 10 a c1v1I oenalty of not more :han five h·Jr-
Cred dollars (S50C'
I, as owner ol tre property. or my emplJyees with wages
as the,, sole comoensa\1on, will do the work anc the struc-
ture 1s not ,nte~ded or o11e(ed for sale (Sec 7044, Business
ancl Protess1ons Code: The Contractor's license Law does
not apply to an owner of property who builds or improves
\hereon and wllo doos such work h,msel1 or through his own
employees. prov,ded t~at s~ch 1mprovements are ~ot intend-ed or o!fered for sale II. howeve,. t\1e bu1ld1ng or ,mprove·
ment 1s sold within one year of completion, the owner-builder
will have the burden o! proving that he did nat build or im-
prove for the purpose ot sale;
L l,_as owner ol the properly, am exclusively contracting
with licensed contr~ctors to construct the pro1ect (Sec 7044,
Business and Proless1ons Code. ne Contractor's license
Law does not apply to an owner ot property who builds or im-proves thereon __ and wM contracts for each pro1e_cts w•th a contractor(s) license pursuant to the Contractors License Law)
[J As a homeowner I am 1mprov1ng my Mme, and the follow· mg cond11'ons ex,st
1 TM work ,s being performed prmr to sale 2 I have l1Ved 1n my home for twelve months prior to complet;on of this work
I have not claimed this exemption during tM last three years
0 I am exempt under Sec ______ , B & PC
for this reason
□ I hereby a!lorm that I ha,e a cert,t•cate ol consent
to self.insure or a cer11!,ca!e of Workers
Compensa11on Insurance. or a cert,!1ed copy thereof
(5ec 38Xl. Labor C2'el
POUCYNO 8 W:::-1-13656D
coMPANv -MisSion Insurance
D Copy ,s hied with the city
D Gert,!•ed copy ,s hereby !urn,shed
CERTIFICATl OF EXEMPT!ON FROM WORKERS COMPENSATION INSURANCE
(Th,s sechon need not be completed ,f lhe perm,1
,s tor one hundred dollars 1s1001 or less)
0 I cert,ty that ,n !he pertormance of the work to,
which this perm,1 15 ,ssued. I shall not employ any
person ,n any manner so as to t,ecome sub1ect to
the Workers Compensat,on Laws of Cal1!om1a
NOTICE TO APPLICANT I!_ alter makIn1 \his Cert, 1,ca!e o! Exemp1,on, you should become 5ub1er,I Tri
tne Workers· Compensal,on prov,s,ons of 1he Labar
Code you must for1hw1th comply wIttl such prov,s,ons or th,s perm,1 shall be deemed revoked
0 I nereby aH1rm that there .s a construc•,or
lendm,;i a,;iency lor the performance of •he wor~ for
wh,ch th•s perrp,t ,s ,ssued 1Sec J,097 c,,11 cooe·,
Lenders Name Ponooirose Moires
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMAIIUN w11 n1r.1 .>n"'ui;;;u rm ... ,.,,,,._-----
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619)_43't_5525 _ APPLICATION & PERMIT
JOB ADDRESS
2:iO_Q Li\ <?olondl;:ire.~S~t PRASE _l
AV. ST.IOATE OF APPLICAT>ONI RO.
_ _ _ 4/22f8'.3_ _
OWNER'S NAME
l'OND~SJ\, lO'IES I 6l9f;~~::a;;;E CONTAAeTOA
l'ONDEmM FQ,lEg_
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
ll300 Sorrento V<1lley WI, , ~te J.001 S,D, 92121 Si'1loe as Olllner
LOT
17Q
BLOCK I SUBOI VISION
r~_,;:·, 1 ...... 1:s~~ss~:_:~:c~~:0-'l
DESeR!PTION OF WORK
e-i-,.,.,..,1,,,,, t.''3ttt·i"1v "~ ... '1·+-l=. ?.'-•
t-----·-----J.1\~ l -
CENSUS TRACT Ge :~US~ rARK;;;~ACC
QTY. PLUMBING PERMIT -ISSUE
•
PIAN J,994
RES;N,TS J
7,50
DESIGNER ~-(...7~-A
I J\.1:'<IITl Bassenj.qp & As~;i.<1tes . BX DESIGNER'S ADDRESS
3990 W=sterly Pl,, ..... --__ ,-_
·rpp FLR __ E_L'EV
,-□ ~□ lQ2_
GRADING ~ERMIT ISSUED lREOEVELOPMENT
AREA
YO N 0 '[J J§ -----
QTY. MECHANICAL PERMIT -ISSUE
Suj_te 170
r
NO
ST~RIES
TYPE C(~-l
3,00
BUSINESS LICENSE#
3587
CONTRACTORS PHONE #
PE-WUM8EA VALUATION
101,170 83-;!1-{7<-f ZONE
6l9/560...S555
LICENSE NO. PLAN 1.0. #
343456 83-80
LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
c-8395 1994
DESIGNER'S PHONE
lJ.4/752-J iu;,,_ 4,<_23 S3 i ! i6 .,.,,,.,
ace GP EDU
R-3 1
ace LOAD Fl RE SPR
YO r-.!I Not Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP _________ -+ _ _2__~5.Q_ _l___~~A~ FUR~~~S UP2_0 100,000 BTU 4_ QO ~ILDING~R~IT_ 01·00-00-B220 _ _ _ 4__3.8__. OQ_
~-+--EA_C~B~L~_~E-~_R_ __ _ __ _6_..5 r-___ __ OVE __ R 1~0.0~~ B_T~ _ -1----___ S~N ~R~ ______ ~~00-00-8~1 ______ _
~~WATE£._HEAT~ AND."Q_R ~~~T_ [_ _ _2.:_5Q__ ~O~E~C~_MPRES~! ~ ~~ 3 ~~-__ __ , PLAN CHECK ____ ~1·00-00-8806 __ 28A...1Q_
l EACH GAS SY_STE~ __! ~t\__9_~-T~ETS 1' __ _ ~-50 __ 8~-~~i~~M~ESSO~~H!_ __ TOTAL PLUM~G ____ ~00-00-8222 ____ A6....5.0_
j_EACH _G_AS~Y-~!Et~ __ 5 ~~ MO RE T __ M~!A0IREPLAC~ ___ __ _ _ _ ELECTRlg__AL __Q~_-00-00-8223 ___ _JQ...~ L~ 1NSTA~. ALTER. REP.AIR wA_T···ER P1PE ___ 1 __ -_ ___ ----d.. ~ENT ~-N s-.iN_~LE oUc~-. --~ --'l· rH, _ MECHANICAL __ _ 01-00-00-8224 _ _ _ _g___aa__--j
l~GA~H VACUUM BREAKER r . MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-oo-oo-a225
~=t,~~:J~¥a~~IN~:D~ -_ -~-= =-p-__ ~ELO~:~~~:C::~,~~ACE/HEAHR --~ 1i:::~Kjt.SP_ ---~:::::::::'-__ -;_;=
TOTALPLUMBING L_-____ 4_6_-20 I 9 .• 00 FIRESPRINKLERS _D1-Q1Jc00:8227_ ------
~-1 :~:::::'::i~';:~_;:t : r~,,-.-0() r~ ':::::::',~-,~,---------+---------<:>-_CarEbaQ__ ____ 80-92-21--=-_Q519_
1
________ _
I EXIST~~EA~~~ ~R-----I ----_t ---__ -_-__ -_-_-_-_-_,.,_-_-_-_-_-_-_-:_-_-_-,~rL-Encinitas ------_80·92-22-051~
_pR:;OD_EGALTER-__ PE~c,,c.-
3
u~~---~~~-~ _ ---= 11
PUMP .E_i.~--= ___ .--+------+ _ ~~~:~~~~:~~ :--~~-:~-:::::~:~:~:1 _ b 69I~O __ I TEMP PO LE 200 AMPS
f---,_ov,,,oo AMPS --_ _ __ ~ _ -_--:. -~ _\r-~_ _ =--r --= ~ CRED:IT JJ®srr-=--=-_--=-_-_-_ (27§. 351-=
I TEMP OCCUPANCY i30 DAYS) I
QTY.
f-·
5. 00
--
QTY. SOLAR -ISSUE f--PUBLIC FACll,_ITIE~EE _
BRIDGE FEE
SCHOOL FEE · DISTRICT ------
------+~-----If-
32-00-00-8923 -------t----
--
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___ l_
TnlAL ELECTRICAL
---
30.00 11
------+--~ -------
TOTAL SOLAR TOTAL FEES PAYABLE -~--7 1 I I I 2,230.93
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT'" AND DO HEREBY * AN OSHA PERMIT IS REOUIREO FOR EXCAVAftOHS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ·5' O'" OEEP A.ND OEMOUTK>N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCT\JRE.S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L7.:~~~':-!~~!.!!!!r.J!!!!..!,!!!!..~~!!!!!~~!!.!~<!!!!!2!.1J!i!.!!Jfil~-::;,;,~~~~~"":"'T' _______ ""!:~'."'"-----1 STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE ClT't' OF CARLSBAD AGAINST ALL UAB!l\TIES, JUDGMENTS, COSTS AND DATE
EXPENSES wH,cH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ev ON O 1 a .. 9,.,
GRANTING OF THIS PERMIT. ~~::t;~:;!.,-'~ PH E 'f.,/f _:,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ' •
REINFORCED STEEL
......._ ,:;c..,1-ff ~
'I MASONRY
GUNITE OR G Rn UT
FLOOR & CEILING SUB FRAME -
SHEATHING 0-/J.•"~ '/'.
FRAME . -..I ✓J'!.'2.,-l 7"
EXTERIOR LATH INSULATION "'-._
INTERIOR LATH & DRYWALL " h..J c". l!'f. ,p .
PLUMBING .
SEWER AND BL/CO l/•ll•l>l ~
PLUMBING UNDERGROUND 7.H-J,,1 .,
PLUMBING TOP OUT ""•'7->t JI
TUB AND ~HOWER PAN .
GAS TEST ✓A-7.M ..,,
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -
IJ ROUGH ELECTRIC AJ-.7 , ... .,
I ELECTRIC SERVICE I
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL -
DUCT & PLEM., REF. PIPING ,,,._.,_,..., ,,,
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ·,
ELECTRICAL '--/1
MECHANICAL ...... ' V
GAS ...... • l,4lr.J I
BUILDING ' -~1 I
SPECIAL CONDITIONS ' CERT OF,OCCUPANCY ISSUED ,
83-~ -I 7';
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
S01LS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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THIS IS TO CERTIFY THAT INSUI ~TION I:AS BEEN INSTALLED IN
• .CifNFORMANCE WITH THL CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/_, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: a ,:c0 Lg Co,{,nl,;,~q s; ?q Cose
Number Street ity
EXTERIOR WALLS .-r-/ // II Manufacturer __ \c½.,.·-... /11.--'..___Thickness/Type ,1 a R/Value____,/'-/...__
CEILINGS
Batts: Manufacturer cr;//J7 h I/ II Thickness /il, R/Value 19
GENERAL CONTRACTOR: __________ --'LIC.# ______ _
BY ___________ TITI.E _____ DATE ______ _
INSULATION CONTRACTOR: APOLLO INSUlATION I.IC./~ '.!B6015 -------
BY (7~ ifL--fV~ TITLf~a~ DATE 1qa~a ;> 0 \__,I /