HomeMy WebLinkAbout2502 LA GOLONDRINA ST; ; 84-345; Permit"' z 0 ;:: :
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O l hereby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalons Code, and my license 1s in
full force and effect
Lie No ______ Cl.i1s
I hereby aflirm that I am exemol from the Contrac-
tor's License Law lor the fo11ow,ng reason ISec 703' J
Business and Professoons Cooe Any cITy or counly whIc~ re-
quires a perm,1 lo construct. alter improve. demolish or repair any structure. prior to ,ts issuance also requires !heap-
pl1can1 for such permit lo hie a s,~ned stalement lhat he Is
I,censed pursuant to lhe provIs1ons 01 the comractor s
License Law !Chapter 9 commenc,ng with Section 7000 ol
0MsIon 3 of the Business and Professrons Code) or that Is ex-empt Therefrom and lhe basis for 1he allegeo exempt,on Any
v1olatIon of Section 7031.5 by an applicant for a permit sub-
1ec1s the applicant toa c1v1I penalty ol not more than !1ve hun-
ared dollars 1$500)
J I. as owner of !Ne proJ)frty, or my employees with wages
as their sole compensation, w,I1 do the work. and the struc-
ture 1s nol intended or offered for sale (Sec 7044. Business
and Professions COOe. The Con1ractor's License Law does not apply to an owner o! properly who builds or ,mproves
thereon and who does such work himself or through his own
employees, prov,ded that such improvements are no! 1n1end-ed or olfered for sale If, however. the building or improve-
ment Is sold w1th1n one year o! completion, ttie owner-builder
will have the burden ol proving that he did nol bwld or im-
prove 'or the purpose of sale)
r::: I, as owner 01 the property. am exclusively contract<ng
with licensed con1ractors to construct the proiecl (Sec 7044,
Business ana Professions Code: The Contractor"s license
Law does not apply to an owner ol property who builds or im-proves thereon, and who contracls for each projects with a contractor(s) license pursuant to !he Contractor's L,cense UW)
lJ As a homeowner I am Improv1ng my home, and the follow-
mg condillOns exist
1 The work 1s being performed prior to sale 2 I have lived In my Mme for twelve monThs
prior to completion ol this work
I have not claimed this exemption during the last 1hree years
r::i I am exempt under Sec ______ , B & P C
1or this reason
□ I hereby af!rrm that I ha~e a cert1lrcate of consen1
to self,1nsure or a cet11l,ca!e of Workers
Compensation Insurance. or a certr!1ed copy thereo1
iSec 3800. Labor Code)
POLICY NO
COMPANY
O Copy 1s filed ,,nm me city
0 Cert,!,ed copy ,s hereby furnished
CERTIFICATl OF EXE:MPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no1 be completed ii ttie pe,m,t
,s to, one hundred dollars 1s1001 or 1ess1
D I cer111~ !hat 1n 1he perto,mance of the wori< to,
which !his perrrnl ,s ,ssued I shall no1 employ an, person ,n any manner so as to becom!" sub1ecr to
the Wori<ers Compens.at,on Laws of Ca1ilorn1a
NOTICE TO APPLICANT 11 a!1er ma~1na 1h15 Gen,
f1cate of E,emp11on. you shou•d bf'come sub1ecr h
the Wori<ers' CompenSil!1on prov,s,ons of the L.abor
Code. you must fonh.,.,!h comply w,1h suer
prov1s,ons or !his pe,m11 shall be deemed revo~eo
0 I hereby alt1rm lhal lhere ,s a ~o,,struc•,c,r
1end,ng a11ency !or rne perlormance ,,t m., wor1-•c;r which th,s perm,1 ,s ,~~ued ,S...r lO':ll (.,,,. C::>dP
Lenders Name ___________ _
Lenders Address __________ _
I.
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 @19) 438-5525
APPLICATION & PERMIT
JOB ADDRESS
1.1501.. I At:,,
BUSINESS LICENSE # AV. ST RO 'l( rl:Jf)(Z.lN/r: NEARESTCAOSSST. 1:~:;rlON
VALUATION
I CONTRACTORS PHONE. I ZON~JJ,Z, I B-4--?1S
PERMIT NUM8ER
COT
1eLOCK
OWNER'S NAME
suao,v,s,oN _ I~.54'f-U, I
'~•i28~
CON!RACTOR
~ll~ I __..711 t" .. V~-a,..I
OWNER'S MAILING ADDRESS I·
CONTRACTOR'S ADDRESS
-
DESIGNER ~ ~-····:I !,?l:~£flfP_jtqr,i-oF _WQ_~JC':
I .,,., ---·+~
I 4,.J.~'(
i, 0
-,,1 0ESt~ER:S..AOQ.E\.E~--0
~~-,-··
"_·_ ·, ~ F :p F LR ELEV
'i;~~ ~-:~I.--~:,,~-~-;\;.·,·':. ~·4 ~f~~-l~ _, }w
' crnsus TRAU I GP LAND USE PARK ING SPACE
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO·DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INST Al. ALI E.R. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE!
TOT AL PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP'SWT BKR
I PH 3 PH
RES UWTS 1
7 6--0 .:--
-5=-
YO NO ---
GRAOING PERMIT ISSUED lREOEVELOPMENT
AREA
YO ND ,□ NO
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU ---·
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT ---+-----MECH EXHAUST H00010UCTS
RELOCATION OF EA FURNACE1HEATER
TOT.£..L MECHANICAL
QTY. I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
. -
NO
STORIES
TYPE
CONST
;J-
LICENSE NO. PLAN 1.0. # 8LOG USE CODE
LICENSE# STAN DARO PLAN# BUILDING SQ. FOOTAGE
1Cf'-OEStGNER:s PHON-.E.
ace GP I EDU
OCCLOAD I FIRE SPA
YO NO Not Valid Unless lbchine Certified
SUMMARY/ACCOUNT NUMBER ,-
su,,o,NGPERMIT 01-00-00-,220 r r?.vo
SIGN PERMIT ..£5 01-00-00-8221 I
PLAN CHECKf3 . d?£r10~~
----
TOTAL PLUMBING 01-00-00-8222 -
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00·8224
MOBILEHOME 01-00-00·8225
MOBILEHOME PARK INSP
SOLAR 01-QQ-QQ-8226
STRONG MOTION 80-92-33-0519 t-.~O -FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT --
Carlsbad 80-92-21-0519
EXIST BLOG EA AMPiSWT 'BKR ROCK STORAGE ~"~""•~w ~nr1nib~ 80-92-22-0519
1PH 3PH PUMP
REMODEL ALHR PER CIRCUIT I I! I PLAN CHECK FEE
TEMPPOLf 200AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
li)TAl ElELTRICAL ' '
I
TOTAi SOLAR
San Diegu1to 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162 /o/r-~
CREDIT DEPOSIT
TOTAL FEES PAYABLE j l'7,5.0
* AN OSHA PERMIT ISM<lUJFIEl) FOR t)(CA,VATl()f'f$0YEA
5' 0-DEEP ANO OEMol.lTION OR CONSTRUCllOH Of
STRUCTURES OVEA 3 STOfUES IN HEtGHT
1 HAVE CAREFULLY ExAMINEo THE coMPLETED "APPucAnoN AND' PE8Mlt:: ANo no HEREBY.
CERTfFY UNDER PENALTY OF PERJURY THAT A\..L tNFOAMAJION HEREON INCLUOtNG THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I fURTHER CERTlrV ANO AGftEE: IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY,' COUNl'Y ,AND STATE LAWS GOVERNIN<l BUILOtNG CON-
STRUCTION, WHETHER SPECIFIED HEflEIN OR NOT. J ALSO AGREE TO SAVE INDEMNIFY ANb l-';;:::7,;::;~~~~!!!!~~~e.!!..!'2!!!!!!!!!!!:!S.!2!.~~!!l.!!L!!l!!.J;!l>L.-::-J~~~~~--~r-r---------------!
'KEEP HARMLESS THE'Otl¥ OF, ~Rt:SJlAD AGAIN~-AlL,l\ABILITl~. JVOG~-~~. C()grS ANO DATE &t
EXPENS£S wfkeH ,MAY lN ANY-WAY'~ ;A&AJNsr SAID CITY tN CONs~~pe bff THE J1_J/ q
GRANTINGOf·Tt-«SPE~f. , '""",:·;;,,, ,:· · , BY PHONED 7!:ltl'/V\.tlWlJ/;.~Jl I I'
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re s
TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONFiY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHf.AR
FRAME I
EXTERIOR LATH ---r
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO □IPUCO
UNDERGROUND □ WASTE □ )NATER
TOP OUT □ WASTE □ VfATER
TUB AND SHOWER PAN
GAS TEST T
□ WATER HEATER □ SOLAR WATER
ELECTRICAL _l_
D ELECTRIC UNDERGROUND □'UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL 1
MECHANICAL
I
I
I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS i
VENTILATING SYSTEMS 1
DATE INSPECTOR
CALL FOR FINAL I_NSPECT/O_ N WHEN ALL APPROPRIATE
ITEMS ABOVE HA\lE BEl:N APPROVED.
FINAL
PLUMBING I
ELECTRICAL
MECHANICAL
: IWiP GAS
BUILDING ~
SPECIAL CONDITIONS
,-<E-<+~'blfb
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECllONS INSPECTOR'S NOTES --------
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL ·-·· --
SOILS COMPl_;ANCE
Pf~IOR TO --~--------· ------~--
rouN □ATION INSP
STRUC1 URAL CONCRETE::
OVER 2000 PSI
PRE STRESSED
CONCRETE
POST TENSIONED
CONCRETE '---------~4----
FIELD WELDING
' ---HIGH STRENGTH
BOL Ts
'::,P[CIAL MASONRY
PILES CAISSON'.::
--
'
-.-
'
--
• PIJll~"l CHEC ADDRESS .:.Ja;,i kkf~S~IVED
=-----JJ d""-rl ~ JUL 6 1984
PLANNING: TYPE Of STRUCTURE. _ _,,CU..:.=:::.:ec=g__=-------:::=;;-;-ZONE: ____ _
IX u.l ::z u.l
SCHOOL FEES: SAN DIEGUITO. ______ _
CARLSBAD. ______ _
% COVERAGE ------------
BUILDING HEIGHT ___ --,,,_---,,+.,,,,.z__;:;.:;... __
FENCES/WALLS ___ -'-,_h_'-f-t./-,'-0.,.'-Z-' ..... :=:,---
TWO CAR GARAGE ~ ---=--------
CITY OF CARLSLAU ENcrrlffA~ing Do;xirtin·.,t
SAN MARCOS --------
REQUIRED SETBACKS ------FRONT ________ _
SIDE ----------RE AR. _________ _
-"-' COMMENTS: ___________________________ _ ~~
0~ □ REDEVELOPMENT APPROVAL REQUIRED: E ~ 0 ---------------~---
""' -~s-o 8~ LANDSCAPE PLAN COMMENTS: -------------------,----
ENVIRONMENTAL REQUIRED.:.: ____________________ _
ADDITIONAL COMMENTS.;_: _____________________ _
OK TO ISSUE: 4--.nATE: 7 /4/,,y( OK TO FINAL: ____ DATE: ____ _
************************************-**********************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P.F .F • _______ PARK IN LIEU ________________ _
R.O.l~: IMPROVEMENTS: _______________ _
SEWER: tJzl< ..._,..__ ____ E.D.U: ____________ _
LATERAL:
IX
DRIVEWAY: ___________ _
u.l GRADING PERMIT: ::z
u.l -u.l > I-DRAINAGE: u.l c5 IX
~ □ EASEMENTS:
-o □ I-u.l WIX
u.l -~&□ 0 u.l A-:-::: U IX OK TO ISSUE:
--------'----ADDITIONAL COMMENTS: _______ _
DATE: 7/~/« --r-17 * ENGINEERING INSPECTION REQUIRED:, __________________ _
PUBLIC ~'ORKS INSPECTOR: _____________________ _
FINAL OK: __________ _ DATE: _____________ _
* IF rnrs ITEM rs NOT CHECKED, BUILDING DEPARTMENT wr'LL MAKE AUINSPECTIONS ,_,.
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) f :r-," I
&
... \
--',f--------
.. ---··
• • •
-
~---
:c:i '(':<') ~ r----t----''-'-----1--'l<--r ____ ..,Ll ~=;;~===j
-
:pp~VED
J'.JL 1 9 1984
City ot CARLSBAD
BUILDING DEPT.
1