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Home My WebLink About2500 La Golondrina St; ; 84-525; Permit/4[ 8 ., z 0 : ::l iil 0 a: .. 0 -' 3 ! .. z ~ z 0 ~ z .. .. ,. 0 0 ., "' .. " a: 0 ~ ![ D I henlby affirm that I am licensed under provisions of Chapter 9 (commenclnQ with Section 7000) of Division 3 of the Business and Professions Code, and my license is in '"" fO~,Jl',11 """',-(-:,{<Lli'-1 Lie No ~:..:.__iCC_lJ .L Cla:,s ~ --.: ___ _ I hereby affirm that I am exempt lrom the Contrac-tor"s License Law for the following reason (Sec_ 7031 5 Business and Protess1ons Col1e. Any city or county which re-quires a perrn,t lo construct, alter. improve. demolish or repair any structure, pnor to its issuance also requ,res the ap-0I,cant for such permit to 1,1e a signed statement !hat he Is licensed pursuant to the prov1s,ons of the Contractor's L,cense Law \Chapter 9 commenc,ng w,th Seclion 7000 01 Div1s1on 3 01 the Business and Professions Code) or that is ex-empt the,etrom and the basis tor the alleged exemption. Any v1ola1lon of Sec1,on 7031 5 by an applicant for a perm11 sub- 1ects \he appl,cant to a CIVIi penalty of not more tMn hve hun- dred dollars ($500! ::7 I, as ow net of the property, or my employees with wages as their sole compensation, will do the woik. and the struc- turn 1s not intended or offered for sale (Sec 7044 Business and Proless1ons Code· The Contractor's License Law doos not apply to an owner o1 property who builds or improves 1hereon and who does such work himself or through his own employees provided that such improvements are not intend- ed or _ottered for sale. If, however, the building or improve-ment 1s sold w1th1n one year ol complet,on. the owner-builder will have \he burden ot proving that he did not build or im- prove for the purpose ol sale) ~ I, as owner ot the property, am exclusively contracting with licensed contr2ctors to construct the pr~ect (Sec. 7044, Business and Professions Code: TM Contractor's License Law does not apply to an owner ol property who builds or Im· proves thereon. and wM contracts for each pro1ects with a contractor(s) license pursuan! to the Contractor's License Law) _□ As a homeowner I am improving my home, and the 1ollow- 1ng cond1t1ons exist 1 _ The work IS being performed prior to sale 2. I have lived in my home for twelve months prior to completion of this work I ha~e not claimed this exemption during the last three years. [j I am exempt under Sec ______ , B & P C for this reason ____________ _ □ I hereby att,rm that I haoe a cert,f,cate of consen! to self-insure, or a cer11!,ca1e ot Workers Compensat,on Insurance. or a cer1,!,ed copy thereof (Sec 3800. Labor Code) --< L-. ? eouc,NoCS?; f:::_Cl . .S9....D';~[. It COMPAN' B<lm C..%.\1.o,[, 'I D Copy ,s f,led with the c,ty 0 Cer11!ied copy •s hereby turn,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be completed if 1he permit 1s !or one hundred dollars 1S1001 or 1ess1 0 I cer1,!y tha1 ,n the performance of the wor!< Jo, wh,ch 1h,s perm,t 1s ,ssued. I shall not employ any person m any manner so as !O become sub1ec1 to the Wor!<ers· Compensat•on Laws ot Cal1forn,a NOTICE TO APPLICANT II. a!!er mak,WJ th,s Cert, f1cale of E~emptoon. you should oecome sub1ect t'J the Wor1<ers· Compensation p1ov1s,ons o! tne Labor Code. you must for1hw,th comply w•th such prov1s1ons or 1h,s perm,t shall oe deemed revoked 0 I hereby aff,rm that there ,s a construc1,or~ oendm,;,i agency for tne performance ot \ wof\< tor wh,ch t.h1s permit ,s ,ssued 1Sec1_"ffl7,r;, 1 Code1 Lenders Name , /7(,, LendersA.ddre55 j'\J;::"f/ ffJQC,k f -( [f:j USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS, CARLSBAD BUILDING DEPARTMENT _1200 Elm, Carlsbad, California 92008·1989 J619) 438-5525 APPLICATION & PERMIT .?:lt? JOB ADDRESS {;)..soo l:..0t G-o ~ on cl (I no--14 v .e_ N I j 14 OWNER'SPHONE .GwncL I 3g_o33°! Aii:T)Acf{l11~trON OW?;~~~n CONTRACTOR En-erf11 cJ/}I~- BUSINESS LICENSE # CONTRACTORS t'HC>Nt-" €:q 3 -'6 'l?~ ;;,_ VALUATION PERMIT NUMBER l ----I zo/V (/7--0 I 'if:;-,?.!,- OWNER'S MAlL!NG ADDRESS Lo .).,Snn r'~o~nd r, ()()1. ~ -./ e_ c~~"?"Lf'.'00Confl1er£ql6,~ ~~i4< ----··-··-- PLAN I.Q. # BLDG USE CODE LOT BLOCK SUBDIVISION AS~'\"~:.:: "'56 l -.;L 7 DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ_ FOOTAGE !!! u: <'.' "' 0 C. E ~ >- I " 0 " IOESCRIPTIO~,?x c~nt£s--'.)z[eo~ 7 ~SIGNER·sAOORESS OESIGNEft'S PHONE c "' u NO STORIES EDU l I ~ F/P FLA ELEV. DCC GP YO NO ems us TRACT I o, LANO USE I eARK>NG SPACE RES UNITS I GRADING f'.ERMIT ISSUED v □ ND I REDEVELOPMENT AREA YO NO TYPE CONST ace LOAD FIRE SPR YO NO Nor Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE 7 !E-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP __ l r INSTALL FURN. DUCTS UP TO 100,000 BTU . BUILDINGPERMif_ 01·00-00·B220 ____ _ EACH BUILDING SEWER I OVER 100,000 BTU . SIGN PERMIT 01-00-00·82~ ----~ EACH WATER HEATER A~O,-OR V~~--=-~-r-_ -= -=--____ ~ER/COMPRiSSO~ lJp T-□_?~!1_.---·--. PLAN CHECK __ 0_1-00-00·88~-e=-~-- EACH GAS SYSTEM 1 TO 4 OUTLETS ---+-----~!_LERICOMPRESSOR 3-15 HP . TOTAL PLUMBING EACH GAS SYSTEM~_R MORE __ --~ ____ __ ____ _ M_ETAL Fl~EPLAC~--__ ELECTRICAL _Of_-0~·-0_0-_82E+----------< 01·00·00-B223 EACH INSTA~ .. ALTER. REPAIR WATER PIPE >----+---~ VENT FAN SINGLE DUCT . MECHANICAL 01-00-00-8224 f- EACH VACUUM BREAKER ~CH EXHAUST -HOOOl□UCTS . MOBILEHOME 01·00-00-8225-+------------I WATER soFTNER I RELoCA-TloN OF EA FURNACE/HEATER . MOBILEHOME PARK INSP---- ·---+---__ . ----lf- ------- ~-EACH ROOF DRAIN 1.INSIDE1 _______ SOLAR . . 01·00"00-8226 ., --- l --j • TOT.C.L MECHANICAL I STRONG MOTION B0-92-33-0519 --TOTALPLUMBING =i ___ ---. ~IRESPRINKLERS -==01·00-00-8227 -- ~~f = PUBLIC FACILITIES FEE 32-00-00-8923 ELECTRICAL PERMIT-ISS ..,.-_ QTY. SOLAR -ISSUE --------- __.1 BRIDGE FEE 3• NEW CONST EA AMP:SWT ~-----------=--COLLECTORS . --I--SCHO□-L F~ --=---.Q!§_T_RICT -------.---- 1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLOG EA AMPiSWT:8KP:---=-----+-=-------ROCKSTORAGE . ~c_ini~as --== =--= 80·92-~_2-0519-----•· +-+?MP San Oieguito __ --+---__ -·---i= i.~~~H~~----. .. _San Marcos ______ 80·92_·24·0519---+----_____ __, QTY. 1 PH J PH -+' REMOOEL'ALTER PER CIRCUIT -------------- TEMP PO LE 200 AMPS f--+--·--------~~v~~_oo __ ~~s ____ _ ' TEMP OCCUPANCY no DAYSI -., ------- ,_ - +-------------1(------+---- -----+---+------- l------- ----- B0-92-23-0519 -t--------- ------+--------1 --4--- -·-----------1-------j~------. --------+------- _ _L_ ------- TOTAL ELECTRICAL _J · ___ -41------+---TOTAL SOLAR TOTAL FEES PAYABLE I Ji2, I HAVE: CAf\EfULt'fEXAMINED THE COMPLETED ··APPL1CATION ANO PERMIT" ANO. 00 H€1'E8Y '.Ex'P'r.atton. E~ pel'"_ll'!~iSeued by~,Buj!ding_Official ~-theprovi~ionsol(tus Aff OSHA P£f!MIT ISAEQUIREO FOR-EXCAVATIONS OVER, CERTIFY UNDER PENALTY OF PERJURY THAT ALL JN!=ORMA.TION HEREON INCLUDING THE .code aludl exptre by lim_itetlon and become n~I •nd void.U the buddmg or w<irk -5'0" OE£.-, AND O£MOUTlON OR CONSTRUCTION Of -authortted by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE-AND CORRECT AND I FUATHER CE.ATtfY AND AGREE IF A PERMIT IS pllm'lit. or if the building .or work authorWKS by auctt permit ia s ded Of $~0YER3STORIESlN Hl:.IGHT ISSU~O: TO COMP(. Y WITH ALL CITY, COUNTY AND ST ATE LAWS GOVERNING BUILDING CON• '7:=;":=ned~:'':c' •::n'='liri\e!!l' ':. C!-="ttie:;."-"""orl<c,.,,~,.:come,· o,':" ""'"'-''"°'"'")!;"';0<00,,_.1,_1,.,,.,.,IL,-;:;,f'::-=:::':~~:""-----~=----~:-::------, STAUCT1QN,. WHETHER ,SPE.CIFtED HEREfN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO -L , ~ KE;P HARMLESS THE-crt. YOF CARLSBAD AGAINST ALL Ll,ABIUTIES, .JUQGMENTS, COSTS ANO APPNIC.ANTS SIGNATURE~,. . .o .. TRACTO.R ~ DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE f"'lf'\/"r,i ;t .,_ / BY PHONE 0 GRANTING OF THJS PERMIT. ;_..,. r--__\,_ ·, · , 1.9-r/-Pj ~ C. "' I .,< C a: 0 ,,, ,,, ~ ,,, ,,, "' I 3 g ,; >- ,,; ,,, ~ g a: "' " □ ~ m u C "' C u: C ~ " 0 u m C. ,,, E ~ E ;;: INSPECTION TYPE DATE INSPECTOR m <;,,'::1__:-t,~ BUILDING FIELD INSPECTION RECORD FOUNDATION REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL INSPECTION REQ IF INSPECTORS DATE MASONRY CHECKED APPROVAL GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSr PRESTRESSED EXTERIOR LATH INSULATION CONCRETE --, INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING -• SEWER AND BL/GO HIGH STRENGTH PLUMBING UNDERGROUND SOL TS --- PLUMBING TOP OUT SPECIAL MASONRY TUB AND SHOWER PAN GAS TEST [ PILES CAISSONS ELECTRICAL ' TEMPORARY POWER ! ELECTRIC UNDERGROUND ' I ROUGH ELECTRIC ELECTRIC SERVICE --··· 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 HA VE BEEN APPROVED. ·---· I JOB SITE FINAL ' ------' - PLUMBING V I 1/ ELECTRICAL ' -~ MECHANICAL H" " ---·---- GAS ,, IV\ n I --- BUILDING I I\ ~-q1 I, SPECIAL CONDITIONS \U ' CERT OF OCCUPANCY ISSUED ' i ' J