HomeMy WebLinkAbout2502 LA GOLONDRINA ST; ; 84-361; Permit., z 0 ;: .. .. :l :.l 0
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0 I hereby atftrm that t am licensed under
provlelona of s;t,apter 9 (commencing with
S.CtlJI 7000) of Division 3 of the Business
and ~ofesalons Code, and my license is in
full force and effect.
L,c ~o _____ Class
I hereby a1firm that I am exempt from the Conlrac-tor s license Law for the following reason (Sec 7031 5
Business and Professions Code Any city or coun1y wh,ch re
quires a perm,1 10 construct. aller. ,mprove, demolish, or
repair any structure, prior to its issuance also requires the ap·
pl,cant for such permit 10 hie a s,~ned statement that he _,s
licensed pursuant to the provIs,ons 01 the Contractor s
License Law (Cllapter 9 commencing with Section 7000 of
01v,smn 3 o1 the Business and Pro!ess,ons Code) or ltiat 1s ex·
empt therefrom and the bas,s !or the allegea exemption Any
v1olat10n of Sechon 7031.5 by an applicant tor a permit sub
1ects the applic;inl 10 a c1v1I penalty of not more than live hun
dred dollars ($500)
r-I. as owner of me properly, or my employees with wages
as their sole compensation, will do the work. and the slruc
ture is no! intended or o1Tered for sale (Sec 7044. Business
and Proless1on, Code The Contractor's License Law does
not apply lo an owner of property who builds or ,mproves
thereon and who does such work himself or lhrough hts own
employees. provided tha! such ,mprovements are not intend-
ed or offered for sale. 11, however, the buold1ng or improve·
ment Is sold wrth1n one year of complet1on, the owner-bu1loer
w,I1 have the burden of proving 1ha1 he did not build or Im·
prove for 1he purpose of sale)
□ I, as owner of !he properly, am exclusively contracting
with license\! contractors to construct the proiect (Sec 7044,
Business and Pro!ess,ons Code· The Contractor's license
Law does no! apply to an owner of proper!~ who builds or im-proves thereon. and who contracts !or each pro1ects w,th a
contractor(s) license pursuant to the Con1rac1or's License
Law)
U As a homeowner I am improving my home. and the !ollow
ing cond11ions exist 1 The work is being performed prior to sale 2 I nave lived m my home lor twelve monlhs
pnor to completion of this work
I have not claimed th,s exemption dunng !he
last three years
□ lamexemptunderSec ______ , B&PC
lor this reason
□ I hereby affirm that I ha,e a cert1!1ca.1eof consent
to sell insure. or a cert,!1cate ot Workers
Compensat,on Insurance. or a certo!1ed copy thereof
ISec 3800. Labor Godel
POLICY NO
COMPANY
0 Copy ,s !oled w,th 1he c,ty
D Cert,l,ed copy Is hereby furnished
CERTIFICATE:. OF EXE:.MPT\ON FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need not be complete<l ,1 the perm,1 ,s tor one hundre<l dollars {$1001 or less)
0 I cert,ty tha1 ,n the performance of the worl< tor
which th,s perm,1 ,s issued. I shall 1"101 employ any
person •l"I any mal"lner so as to become sub1ec1 lo
the Worllers· Compensa11ol"I Laws ol Cal1!orn,a
NOTICE TO APPLICANT If, alter mak,n;J th,s Cert,
f1ca1e of Exempt,on. you should become sub1ect l'J
the Worllers· Gompel"lsa11on prov,s10l"IS o! lr>e L:lbor
Code you mus1 lorth..,11h comply with such
prov,s,ons or th,s perm,! shall t,e dee,.-,ed reso~ed
0 I r,ereby affirm lhal lhere ,s a construct,ur
Iendrng ~ency tor thf' perl<)<mance ot 'he wo,.,,_ to,
wt,,cr, th,s perm,t ,s ,ssued ,Sec )()97 c,,,-CodeI
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 J_619) 438-5525
J08-AOOltESS· ,,:,;;.,u AV, S'!'. RO, NEAREST cttoS8 ST.
CENSUS TRACl GP LAND USE PARKING SPACE
QTY.[ PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER ---
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS l-EACH GAS SYSTEM~ OR MO RE
EACH INSTAI.. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
CONTRACT~ '"°":
CONTRACTO'fl"5'11..00AESS
OESJ.GN:EA --->-,,, __ -,~,--""¥;'"7''"o/'4
'
,i F/P FLA ELEV.
vO NO
AES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
Y □ N 0 vO NO
512 -;...-IIOTYI 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 -HOOO/OUCTS
RELOCATION Of EA FURNACE/HEATER
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
"L.it:
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
-
BUSINESS LtCE'NSE # VALUATION PERMIT NUMBER
CONTflACTORS PHONE # ZONE Bt-¾I
UCENSI! PLAN 1.0. # BLOG USE CODE
LtCE_N!i;E # STANDARD PLAN# BUILDING SQ. FOOTAGE
""•t<i!ll<Bi>L...,...
" ' "' ' "'
ace GP I EDU
ace LOAO I FIRE SPR
vO NO Not Valid Unless Mllchine Cerrrfied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
01-00-00-8220
01-00-00-822
01-00-00-B222
01-oo-oo-a223 I I :;,,u '-' I
01-00·00·8224
01-00-00-8225
EACH ROOF QR.'.\l~I 11w::m~, 01·00-
80-92-33-0519 TOT/'...L MECHANICAL
I I I SOLAR ____ _ .. ~--~, II rnT.:;1 ,.u:T1-1AN1rA1 I STRONG MOTION
·-
TOTAL PLUMBING
QTY.I ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP.'SWT BKR
s-QTY. SOLAR · ISSUE
COLLECTORS
IPH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGF
1 PH 3 PH PUMP
---11 I PLAN CHECK FEE REMODEL 'AL HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY {30 DAYSI
TOTAL ELECTRICAi TOT Al SOLAR
·---
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80·92-21-0519
Encinitas 80-92-22-0519
San Die_g_uito 80-92-23-0519
San Marcos 80·92-24-0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE
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*Alt~11~F011~-l!EMffl'lS -·---·· _, S'Of---(111-·q,,: ~--•-1NHEIGHT" " C
DATE
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TYPE I DATE INSPECTOR
BUILDING ' ' FOUNDATION I
REINFORCED STEEL ' 7,~1.u /:.JJ...,
MASONRY . "' I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I -,~r o.,/'. (' J. -D WATER HEATER D SOLAR W,}.TER v \,,.
I
ELECTRICAL I •
lil1 ELECTRIC UNDERGROUND D 1UFFER V-/7.,,U, , _/ ff Ln-.
ROUGH ELECTRIC I I./
D ELECTRIC SERVICE D TEMPORARY
1!9-BONDING Ila POOL I 7;-.:u,M-/f LL ' --w I
MECHANICAL .
I
D DUCT & PLEM., D REF. PIPlt,IG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS .
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABQVI:. _H_A \.1E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDll(G I / I I
SPECIAL COl'IDITIONS
·"'
.. -
$;-4-3<'.,/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION RED IF INSPECTORS DATE . CHECKED APPROVAL . -·
SOILS COMPl IANCE
PRIOR TO
F-OUNDATION INSP
--~-STRUCTURAL CONCRE'TE
OVER 2000 PSI --PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
..
HIGH STRENGTH
SOL is
SPECIAL MASONRY
PILES CAISSON::'
-~
I • -,I I
' µ.·(' ~,• ·7 . ·-·'
.--.. .
~ . .-
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)
•
PLAN CHECK. NUMBERl!--36/ ADDRESS,<£11-<aL,/~ DATE ¥,/tt
'
PLANNING: i'VPE OF STRUCTURE._./l,{~----1------------ZONE: ,i_
a:: .... a
SCHOOL FEES:
% COVERAGE _____ --+--+-+---
BU I LOI NG HE I GHT __ -t+-+-Jf----..::::-
FENCES/WALLS -----
TWO CAR GARAGE. _________ _
• ENCINITAS --------
SAN MARCOS--,,------,....+--
REQUIRED
FRONT ....... _______ _
SIDE_~.:;,:::;r-;:i,,,,,.=~-
REAR ________ _
-""' COHMENTS: _________________________ _
,,.A ; ~
I
.
~ ~ □ REDEVELOP ~eo t1ENT APPROVAL REQUIRED: I .
UC:,: ...,_ )j
=g 81;! □ LANDSCAPE PLAN COMMENTS: ___________________ _ I
ENVIRONMENTAL REQUIREQ.._: ___ ;;_.;..;..y._e---'-rv_,_f_~--------
ADDITIONAL COMMENTS:...: -----------------------
OK TO ISSUE: ~ DATE: 1 l / drfoK ro FINAL: ___ DATE: ___ _
*****Hii•••••• .. ••••••••••••Hiii•••••*•*•**************************************~
ENGINEERIN~ LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_
P.F.F. ______ PARK IN LIEU _______________ _
R.O.W: IMPROVEMENTS: ______________ _
______________ E.O.U: ___________ _
SEWER:
LATERAL: DRIVEWAY:
a:: .... GRADING PERMIT: :z .... -.... > ! DRAINAGE: .... a:: ()/(_
i=D
EASEMENTS: ADDITIONAL COll'NENTS:
~ .... o ua:: ...,_
!s □ ~ 21;~1« Uc:,: OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED:
PUBLIC MORKS INSPECTOR:
FINAL OK: DATE:
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)