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2502 La Golondrina St; ; 83-80-178; Permit
., z 0 " .. "' .. ... u .. 0 .. i[ 0 u "' .. 0 ... 5 ~ .. z ~ 0 z 0 ~ z .. .. ,. 0 u ., ic .. >< "' 0 ~ ![ D I hereby affirm that I am licensed under provls!ons of Chapter 9 (commencing with Section 7000) of D!..-lslon 3 of the Business and Professions Code, and my license is in full force and effect. L,c No Class I hereby alf1rm tnat I am exempt from the Contrac· tor's License Law ·or lhe follow1~g reason 1sec 7031 5 gus,ness and Proless,ons Coae· Any c,ty 0r caunty which re- quires a perm,t t~ construct. alte· 1"lorove. demol1sti. Jr rep21r any structu·e e·1or to its 1ssuarce a1so 'eau,res !~e ap- plicant fo• such permit to file a s1gneo statement tiat he 1s '1CBrsed pursuant to the prov1s·ons of tne Contractors ucerse 1aw IChap\er g commenc,ng w1'h Section 7000 of J1v•snn 3 of the 8us,ness and PrJfess1ons Code., o:·hat ,sex-em~: t~er~frJm ard the bas·s IDr :he alleged exemp11C-~ Any ·1·olat18n of Sect,on 7031 5 t-y an cpol1cant for a per~,,: su~- ·ects t~e appl1can: to a c1v11 oe1alty o' rot 11ore !nan '•ve hun· drec dol a·s ,:S50:,, _ I as owner of '.ne property. or -ny errpi8yees with wages as the,r sole compensation, will do the wo·k and t1e struc- ture 1s c.ot intended or of1ern'1 fo, sale (Sec 7044 Business and Proiessions Code: The Contractor's L1ce~se Law does not apply to an owner ol property who ~u1lds or improves \hereon and who does such work h1msel1 or through his own emoloyees. provided :hat such 1morovemenls are not 1nte1d• ed or otfered 1or sale If. however, the buil!l1ng or 1rr>prove- ment 1s sold w,tt,,n one year of completion._ the owner-bu,ICer will have the burden of prov,ng !hat he drd not build or 1m prove for the ourpose of sale\ = I, as owner of 1he property, am exclusively contracting with licensed contr2ctors to construct the pro1ect (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner ol property who builds or ,m-proves thereon. and who contracts tor each pro1ects with a contractor(s) license pursuant to the Contractor's L,cense Law) ,:, As a homeowner I am 1mprov1ng my home. and the lollow 1ng cond1t1ons ex1s1 1 The work 1s be_1n9 periormed prior to sale 2 I have l,ved 1n my home tor twelve mon!hs prior to completion of this work I have not cla1me!l this exemption during the last three years ~ lamexemptunderSec _______ B&P.C for this reason 0 I hereby alflrm 1hat I ha•ea cer11hcate of consent to selt-msure. or a cert,f,ca!e of Workers Compensation Insurance. or a cert1hed copy thereof (Sec 3800. Labor Code) eoucrno ~ZW:::-l-13656D coMPANY Mission Insurance □ Copy IS toled \'I/Ith the c11y D Certified copy 1s hereby fum,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be completed ,1 me perm,1 ,s tor one hundred dollars (S,00) or less! 0 I cert,!y 1hat ,n the performance of the ... 00< tor ..,h1ch this permit ,s ,,:,sued. I shall not employ an, pe,son "' any manner so as to become sub1ec1 io the Worker,:, Compen5.at,o" Laws of Cal,!om,a NOTICE TO APPLICANT I!, alter makmJ th,s Cert, l1ca1e ot Exemp1,on. you should become sub1ect v, the Wor!\ers· Compensation prov1s1ons ol !he Labor Code. you must !0'1hw1!h r.omply w1!h such prov,s,ons o, this perm,t shall be deemed •evo~ed 0 I hereby al',rm that there ,s a ~onsiruci,on :ending agency ta, lhE" perlorfTlance o' 'he ..,00< for wh,ch lh•~ perm,t ,s ,ssued 1Sec 3097 C,vi Code; Lef"lder s Name Ponde:i;:osa_ I--Ioi:nec- Lenae, s Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO f-lLL IN INt-UliMAI IUN WI I Ml"1 ~nAuc.u Anc1-1 '"''"u uc'-'1..""n"'11v,,.~._ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525 JOB ADDRESS 2502 La, Golondxtna, Street )>H,ApE l AV.ST.I DATE OF APP. LICATION RO. 4/22L_83 OWNER'S NAME fONDE!PM ajws I OWNE R·s PHONE 6l9/560s-.S555 CONTRACTOR )"QND~SA 101ES OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ll300 Sorrento Valley Ro.., Suite l00, S,D, 92l2l &;uoe a,s Owner DESIGNER ll~~==~~!±liJJ&...E§!J:~a..Jirn;t...N::l....2._J;:l72.~l..j.A:ram Basseni.an & Associ~tes J-!:'.::':'..'::a!:'=~=:'c.l'.-.!!::""-===------"""""-==--=-----4 'J'<j~,~~fy Pl., Suite J.70 . ('-- ~1 .. ---·-----·· ,. ' F LR ELEV YO '-0 ems us rnAu I ce CANO us, [ '";;~G s>ACc RES~,TS I GRADING PERMIT ISSUED YON □ I REDEVELOPMENT AREA , □ r--.'!ll QTY. PLUMBING PERMIT· ISSUE 7, 5rl QTY. MECHANICAL PERMIT· ISSUE l? 1 .1 EA~_H_8_u_,_L_□_,_N_u_:citwt H w l EACH GAS SYSTEM 1 TO 4 OUTLETS ------·--. EACH FIXTURE TRAP -------. ---1.. 30_.__tl INSTALL FURN DUCTS UP TO 100 .. 000 BTU ••• ~ ~r,.,r n OVER 100 000 BTU t_=--~:; _ -B()_j_LERIC0MPRESSQR UP TO 3 H~ ______ _ _ __2__.__5 _ BOILER/COMPRESSOR 3_1_5_H_P __ _ EACH WATER HEATER AND:OR VENT NO STORIES __2_ TYPE CONST ""' 3 • .Q.O 4.00 -BUSINESS LICENSE# VALUATION PEAJN MBEA 3587 98, 946 · · CONTRACTORS PHONE. ZONE B 3--J 7 B 6l9/560-8555 LICENSE NO. 343456 PLAN 1.D . .It 83-80 ·~,u?o' LICENSE# ST ANDA R&l-l''LS-.N #Jl!T ·1 !Ji1LDING so. FO(')T,A@I~ C ~I C-.8395 1998 DESIGNER'S PHONE 7l4/752-l864 ace GP EDU R-3 l OCC LOAD Fl RE SPR YO NN_ Nor Valid Unless Machine Cerrified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01 ·00·00·8220 30. OOlOOQOOJX_ SIGN PERMIT 01-00·00-8221 ,_ -t----1 PLAN CHECK 01-00·00_·8_8_06__, __ TOTAL PLUMBING 01-00-00-8222 _,_ __ _ EACH GAS SYSTEM 5 OR MORE !----l---I i EACH !N_STAL., ALTER, R_EPAIR WATER PIPE _j__ METAL FIREPLACE ~ 21 VENT FAN_~INGLE DUCT ELECTRICAL 01-00-00-8223 --+----,,-.-n-n i,. __ M_E-CHANICAL 01-00-00-82-24--i~-- 279.50_ 49...illl. 3(1.110 _ 11.00 EACH VACUUM BREAKER --+---·----. ~ --~~~-~-R SOFTNER ' EACH ROOF DRAIN i'!l!SIDE! T- TOTAL PLUMBING b QTY.[ ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP'SWT BKR 1 1 PH >---!----3 PH EXIST BLDG EA AMP·SWT:BKR ·--- ---+-lOO -----+ ·-+--MECH EXHAUST HOQ □:□uCTS -----+-----_JI_ MOBILEHOME 01-00-00-8225-+--- RELOCATION OF EA FURNACE,iHEATER ~ MOBILEHOME PARK INSP SOL.AR TOT,4.L MECHANICAL STRONG MOTION 49.a ---~--~ I ll.OO[],s.PRINKLERS. --~·--! PUBLIC FACILITIES FEE 5. ill QTY. SOLAR · ISSUE 25: ogj__ 1cOI.LECTORs ___ _ -----,v / BRIDGE FEE SCHOOL FEE· DISTRICT Carlsbad Encinitas - 01-00-00-8226 ----80·92--33·□519 6 .93--lx2lbc 01-00·00·8~"-'-+- 32-00-00·=89=23'--+- 80-92·2_~~- 80-92-22-0519 -- ·--- - L-1 PH J PH REMODEL.AL HR PER CIRCUIT srnRAl3ETANKS --"¥-q I 1- 1-ROCK STORAGE L ' I PUMP f------~-~----pl_A~ c~-~~~ rE ~--·-11- ~an Diegu(to ___ . San Marcos 80.92.2,.o51.9-+--i, 692. O_Q---j 80·92-24-0519 _j ~ + TEMP POLE 200 AMPS . -+-~iT..J2El'OSlT _ __j ~ OVER 200 AMPS ---+----{276.3R__, TEMP OCCUPANCY !30 DAYSI . ---< ___ ,.,[_ ------- TOTAL ELECTRl(Al 30. oc ---· -.~/ .'---__ ...----•r6f'AL SOLAR TOTAL FEES PAYABLE 2r222.oa ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION ANO PERMIT" AND 00 HEREBY * AN OSHA PERMIT IS REQUIRED FOft EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE -5"0"' DEEP ANO OEMOUTK>N OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCTURE.$ OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L-'!:='7.'.'::1c'~'..!!!!!!.!!!!!!.!!!!.:!!!c!!J!.j~~!?E!!!,~~~5!2.2!.!!!l!C!!!<L.,--=d,~~~~~--------------------l STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABlUTIES, JUDGMENTS, COSTS AND DATE EXPENSES WHfCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _A..,-"} Q ._ (:._.~ GAANTlNGOFTHlSPERMIT. ,---\ (_:. L (J__,,1 © u:: > ;;; 0 0. E © f- I D ~.~ c j "' u 0. . 0.. <( I 1 ~ C a: 0 "' "' © "' "' <( I 3 2 " >- ,; "' © u e 0.. "' ai 0 ~ © u C "' C u:: -I C © !" (!) 0 u © 0. "' .s I 2 :ic s: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION ' " REINFORCED STEEL "-Lt-H '1' MASONRY I GUNITE OR GROUT FLOOR & CEILING SUB FRAME • SHEATHING fl-t$"· t'S ,. . FRAME -_A , ~-~-.Y.t I• " EXTERIOR LATH INSULATION ' - INTERIOR LATH & DRYWALL ' //Jr-JJ 17"" PLUMBING SEWER AND BL/CO IWt./'J 17' • PLUMBING UNDERGROUND 7-V-f'l r• PLUMBING TOP OUT /O<-Yl ,,, I TUB AND ~HOWER PAN • GAS TEST /tl•f"-rl -f ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND - ROUGH ELECTRIC /A-<'-Pt -// ELECTRIC SERVICE I BONDING G. F. I. -SMOKE DETECTOR MECHANICAL II DUCT & PLEM., REF. PIPING ,.,....-.J'! 1" HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITs; FINAL PLUMBING " ELECTRICAL " /J MECHANICAL "-' "T GAS "-/JAJI• I BUILDING " I "1 I SPECIAL CONDITIONS '\. CERT OF OCCUPANCY ISSUED !f '3 -80 -) 7 8' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS ~====~IN;,;S::;P,,,:E:;;C:;,T;,;O;;,R~·s;;N~O~Ta;Ea;S====--=============-, REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS --------+---+-----l----l --.: :2 ,,; .., -----, ~ ~j