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Home My WebLink About2500 LA GOLONDRINA ST; ; CB880831; Permit"' z 0 ;:: .. .. ::5 u "' C " ![ 0 u .. :!: ~ 3 I "' z ~ 0 I hereby affirm that I am licensed under provisions ol Chapter 9 1commenc1ng with Section 7000) of Division J of the Business and Profnalona Code, and my l!cense 1s in lull force and effect 1 hereby atf1rm thal I am exempt 1,om the Conl'ac tor·s License Law lor lhe lollow,ng reason [Sec 7031 $ Busmess and Professions Code Any city or coun1y wh,cr, re Quires a permll to cons1rucl alTer Impro~e dernol,sh or repa,r any s1,ucture pr,or to ,ts ,ssuance also requ11es 'he ao p11can1 10, such oerrn,I to hie a s,qneo statement t~a• ",e ,s licensed pursuant 10 the pro~,s,ons ol the Lortrac10, s License Law !Chapter g commenc,ng w,th Sec.t,on 7000 ot □,v,s,on 3 011 he Business and Protess,ons Co<1e, or t~at ,sex empt therel!om and 1ne bas,s for 1ne allegeo exempt,on Any v101at1on of Section 7031 5 by an applicant ror a per"l1I sub ,ects lhe applicant lo a c,v,1 penalty ol not more tran live hJn d<ed dollars ($5001 1. as owner of the properly or my employees ,.,,tr waqes as the,, sole compensa1wn w,11 do the work ana the st•uc ture ,s not 1n1enaed or oflered tor sale , sec 7044 Business and Protessoons Code The Contractor's l ,cense Law dDes not apply to an owner ot properly who builds or ,mproves thereon and wno does such wor~ n,msell or lhrough h,s own emoloyees. prcv,ded that such ,mor011ements are not ,ntend ed or offered tor sale If. however the bu1ld,ng or improve ment ,s sold w,tn,n one year of complet,on the owner builder w,11 nave the burden 01 p<oving that he did not bu,ld or ,m orove lor \he purpose o• sale) I as owner ot the properly, am exclusively contracting with licensed contractors IO construct the oro1ec1 (Sec 7044 Bus,ness and Professions Code The Contrac1or's License Law dDes no! apoly to an owner of prope,ty who Du1lds or 1m proves thereon and who con1racls lor each oroiec\s w11h a conlractoris) 1,cense pursuan1 10 the Contractors 1,cense Law\ As a l'lomeowner I am ,mprov,ng my home and the tollow •ng cond1hons ex,st 1 The work ,s being p,erlormed pnor lo sale 2 I have lived ,n my home tor twelve months prior lo comple1'on ol th,s wor< l 3 I have not cla,meo lh1s exemp11on during me 1as1 three years I am exempt under Sec ______ B & P C for this reason ____________ _ z 0 ;:: ~ z "' .. " 0 u "' "' "' "' .. 0 3 ![ I hereby att"m that I have a certd,cate of con sen, to self 1Psure or a cert,!icate of Workers Compensation In surance. or a cert1lied copy tnereol ,Sec 3800 Labo• Cede) POLICY NO COMPANY Copy IS ',led with the c,ty Certd1ed copy ,s rereby lurn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Tn1s sect,on need ncl be completed 1f the perm,t rs for one nundrnd dollars ;$1001 or less) _ I certily I hat ,n the pertormance of the work for wh,ch this perm,t ,s ,ssued. I st,all not employ any perso~ ,n any manner sc as to become SubJect to the Workers Com pen sat,on Laws of Cal1fo,n,a NOTICE TO APPLICANT 11 after making !his Cerhf,cate of Exempt,on. you should become sub1ec1 lo the Workers Compensation prov,s,ons of the Labo< Code. you must forthwith comply with such prov,s,ons or th,s perm,t shall be deemed revoked ~ I hereby altirm \hat there ,s a const,uct,on lend,ng agency for the performance ol lhe work forwh,ch !h,s per m1t 1s issued tSec 3097, C,v,I Code) Lender's Name_ Lender s Address USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 jQB ADDRESS AV. ST.RO. THOMAS BROS NO. 0c:r,:ff BUSINESS LICENSE # clw aRMIT NUMBER 2Se>O ?A bq/ CWl:J/1/~ J 'n1 BLOCK llUfl~~~ I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE# ZONE -~8'0~6 OWNE R"S NAME I <fl ;::;SiHiN~ Ou.,µ,. -IJ>.., I~ O'i..,,, . fl.,. /.,a ,.. .... /:'r., Vw .,.A-, Mi CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDi oF?GE OWNEA"S MAILING ADDRESS ~:,oo C.;J Gn/1".u r,,i 1., • A OESIGNE R DESIGNER'S PHONE OESCR!PT'N OF WORK OESIGNEA'S ADDRESS / STATE LICENSE NO ~ .... SM /) --.. . . .. F,P FL~ ✓/ ( NO OCC GP EDU . l.7"1ES vC "□ I CENSUS TRACT I PAPK•NG SPACf: R<:S UNITS I GRADING PERMIT ISSUED REDEVt,:;:;fNT \w ,..-YPE OCC LOAD FIRESPP AREA ,r/ CONST ,o 'D <J' vO "-0 Not Valld Unless Machine Certified 7 50 r ~ot'MIT /ssuE(') ;soo QTY PLUMBING PERMIT. ISSUE QTY. MECHANIC~L SUMMARY/ACCOUNT NUMBER ,, EACH FIXTURE:. TRAP INSTALL FURN OU,.CTS UP-TD 100.000 BTU -c,u1Lul,~:., t·t R/,,11 uu 1 ·d 1 U··~v·UU· 8c .t0 ,~ - EACH BUILDING SEWER { ' OVE Rj00.000 BTU SIGN PERM IT 00 1·810·00 ·00 · 82 2' -EACH WATER HE.ATER ANll OR VENT 801 LE R ·COM\Rf..!; t□R UP F/3 HP PLAN CHECK 001-81 0·00-00-8891 /,_ EACH GAS SYSTEM l TU 4 OUTLETS BOILER-COMPR"'[;:SS\)R 3 lfHP TOTAL PLUMBING oo·, -s I o-oo oo-a222 EACH GAS SYSTtM :I OR MO Rt MET t,1 ~IR PLACE ~ / ELECTRICAL OD 1 ·318 · :JO-00· 8223 EACH INST AL AL l ER, REPAIR WAT ER PIPE. . VENT FAN SINGLE our/T MECHANICAL 001 ·81 0·00 ·00·8224 EACH VACUUM BREAKER ,fJIECH Ex. AUSl Hr/00 DUCTS MOBILEHOME 001 ·81 ~-O:J·00-82 25 WATER SOFTNER rRELOc.{TJON OF Ef/FURNACE HEATER SOLAR 001 ·3 7 G· 00·00· 8226 ~AC!--' RUQf C1P.'.\1t,, 1 ;t,S [1f-. V DR~ VENT I SlRONG MOTION 880·519·92·33 I TOTi'..L ME..,,..,ANICAL FIRE SPR'~;:<LERS 00 •, ·81 O· OO·•J0·82 27 ' TOT Al PlU\Hl1N(. I . PUBL1C FACILITIES FEE 320·810 ·00-00· 37 40 500 BRIDGE FEE 360·810·00·00·8740 QTY. ELECTRICAL PERMIT. ISSUE QTY. MOBILE HOME SETUP PARK·,"HIEU 1AREA NEWCONSTEAAMPSWl HKR CAR PORT Tlf 312·810·00-00-8835 I PH \ PH AWNING . LA COSTA TIF 311·810-00-00-8835 EXISIHLOGE.AAMPSWT HKR GARAGE FMF I PH 1 PH LICENSE TAX 001 ·S' ,J-D'.l·ClC'-8151 RE"-'100EL AUtR PER CIRCUIT Mff 880-519·92·5? H.\-1PPOLE !IJU A MPS ~ nA 7~ -OVER 1UIJ AMPS . TtMP OCCUPANCY 30 DAYSI . CREDIT DEPOSIT • TOI At flfLIRlt:Al I T()T Al TOTAL FEES PAYABLE I (7 ~ I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"" AND DO HEREBY Exp,ration. Eyery permit issued by the 8u1ld1ng Ott1c1al under the provisions ofth1s . . ' 1't AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1tm1tat1on and become null and vo,d II the bu,lding or ""ork 5' O" DEEP ANO DEMOUTK>N OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authonzed by such permit 1s not commenced ""'Ihm 180 days trom the date of such STRUCTURES OVER 3 ST()RtES IN HEIGHT permit. or ,f the build1~or ""ork authonzed by such permit ,s suspended or ISSUED· TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv t,me a the work 1s commenced for a oenod ot 180 davs . I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND OWNER□ CONTRACTOR 0 APPROVED Br; l1 10~'2,1 lfJ KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~NTS SIGNATUfaE .. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~ _.. BY PHONE [] GRANTING OF THIS PER"'.4IT ~ --r J I - w u.. ~ ;;; 0 Q. E w f- l D 0 " C ro 0 o_ Q. <i ~ C a. 0 ' ' w ' ' <i I ~ .2 ,; >- w 0 C ro C u.. C w ~ '-" 0 u w Q. ' C ~ r. s TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING □ SEWER AND BUCO □ PL/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY □ BONDING D POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE _ _ ITEMS ABOVE HAVE BEEN APPROVED. __ FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I ' c,62'1s"'O~ I - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING -f~r ..... r\-;J, .Jt./l.. C4 tic.--'-HIGH STRENGTH f .... o-.r t.. BOLTS SPECIAL MASONRY I [ -n -,--_ -"--.L ~l>--~- ' ' PILES CAISSONS ~-,L•ll"\ ....n ------~ . . -- ---~- -