HomeMy WebLinkAbout2503 La Golondrina St; ; 83-80-180; Permit., z 0 ;:: :
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0 I hereby af11rm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No ____ C'as,
I hereby alf1rm tnal I am exempt lrom tr.e Contrac-
tor's License Law for the fol,ow1ng reason (Sec 7031 5
Business and Professions Coce Any :,1J' ar count\' wh,ch re qu,res a perm,t to cons!ruct alter. Im8rove. demolish, or
repair any structuce. pr.or to_ its issuance also reqo,·es me ap
p ,cant to· such permit to file a s,gned statement that he 1s
11-:e~seo p~rsuant to the provisions of the Goniractor's
L cense Law rChaoter 9 cornmenc,na w,t~, Sect,01 7000 of
O•v1s1on 3 Jf t~e B•Js1ness and Professions Code., or that sex·
e,npt the·efrom and the basis 'or the alleged exem~:-on Any v1olat,o~ ~1 Section 7031 5 ~y an a~pl1cac.1 for a permit s•Jb
Iects the appl,cant lo a cIvI, pe1alt1· ot 101 more t~.an five her
dred do'lars ISC00I
I. as owner of the property. or my employees w·t~ wages
as tre,r sole compensat,on will do the work. and tie struc-
ture Is not ,ntenrjed or offereo !or sale [Sec 7044. Business
and Professions Code. The Contractor's L,cense Law does not apply to an owner of proper!)' w~o builds or improves
!hereon and who doos such work himselt or through his own employees, provided that such improvements are no\ ,nte~d-
ed or olfered for sale If, however, the OuIldIng or improve-
ment Is sold w1th1n one year of comple11on, the owner-builder
w,II have the burden of proving that he did not build or ,,-:,.
prove for the purpose of sale)
_J I, as owner ol the property. am e~clusively contracting
wi1h licensed contr2ctors to construct the proIect (Sec 7044. Business and Profess10ns Code The Contractor's License
Law does not apply to an owner 01 property who builds or im-
proves thereon. and who contracts for each proIects with a contrac\or(s) license pursuant to the Contractor's License ~w)
'..J As a homeowner I am ImwovIng my home, and the 1ollow-
mg cond1t1ons exist 1 The work Is being periormed prior to sale
2 I have lived In my home for twelve months prror to completion of this work
I have not i;la1med this exemption dunng the last three years
for /n~~ r~~;~it under Sec _____ _ B & PC
0 I hereby affirm that I ha•e a certil1cate ol consent to self-,nsure, or a cer11t,ca1e of Wor~ers
Compensation Insurance, or a cen,t,ed copy thereof
(Sec 3800. labor Code)
POUCY NO __ 82W:-l-13656D
COMPANY Mission Insurance
□ Copy IS !lied with the city
D Gert,t1ed copy 1s hereby turn,shed
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need r'tOl oe completed d the perm,1
,s for one hundred dollars 1$100) or less)
0 I cen,ty tha1 ,n 1he performance ol the worl< tor
which this perm,t 1s issued. I shall no1 employ any
person ,n any manner so as to become sub1ec1 to \he Wor\\ers· Compens.i11on Laws of Cali!orn,a
NOTICE TO APPLICANT II. aner rnak,n', th,s Cert,
ficate al Exempt,on you should become sub1ec1 tri tne Worilers· Compensa11on pro.is1ons ot ttie Labor
Code, you mus1 !orthw,th comply w,tn sucti
pro~1s1ons or this pe,m,t shall be deemed revo~ed
D I he<eby aH,rrr1 1hat !here ,s a conslruct1on 1endrng agency tor the peliormance of lhe wor1< tor
which 1t1,s perm,! ,s issued 1Sec )()97 C,v,, Code,
Lender s Name Ponderosa Horres
Lenders Address __________ _
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 (619) 438-5525 APPLICATION & PERMIT
J08 ADDRESS AV. ST.
RO. BUSINESS LICENSE # VALUATION PEVUM8ER
2503 W. Galondriru:t Stl;'eet j.>R!'\SE 1
OWNER'S NAME I OWNER'S PHONE CONTRACTOR
DATE OF APPLICATION!
4/??/r>'>. 3587 ll3,713 B3-~-18C CONTRACTORS PHONE It ZONE
Gl!'l/560-8555 PONDEROSA. H;t<1ES 6l9/560,-8555 PONDER)SI\. H'.)MES
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. P'LAN 1.0. >t BLDG USE CODE
ll300 Sorrento Valley '.Rd,, pl.Ute .100, S,D, 92121 same as Owner 343456 83-80 L:,1F,n
COT I BLOCK
, r>n
1 SU801 VIS!ON
i'11n -
l ASSESSOR PARCEL NO
-~--Unit J'h_? c.,_-,-. 7 s-.. c, DESIGNER LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK
C.;',.,.,.,...,,.. 'D-.:'•1•• a•-~J-'t:;.
--;;, ?TAN 2255 ax
!ATmCBEDL----------------
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1\,ram Bassen;ian & Associates
DESIGNER'S ADDRESS 3990 Westerly.Pl,,
"•L FIP-F LR e{ev.
y □ "' □ ------9.Q_
pl.Ute l70 --NO
STORIES
2
TYPE
CONST
C-8395 2255
DESIGNER'S PHONE
7.14/752-1864
OCC GP EDU
R-3 1 4,1.29.1;;a1 o.:: .;.~:.::!!,.!
ace LOAD FIRE SPR crnsus TRAn I" use I eAR•;;;eAce l ""{"TS I GRADING ~ERMIT ISSUED
YO N □ TREDEVELOPMENT AREA
,□ ~ vn YON~ Not Valid Unless Machine Certified
QTY.
-1.1
_l
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
7. 501 QTY. MECHANICAL PERMIT· ISSUE
"'"l'>. r:.r -1i_I~STALL FU~N_:~_CT~ -~p 19_ 100 o_oo BTU
,_ --l----OVER 100,000 BTU
3_00
11 nn
SUMMARY/ACCOUNT NUMBER
01-00-00-8220
01-00-00-8221
_ _46.8_. QC w EACH WA TERHEAT_ER A_ND ,o R VENT -
EACH GAS SYSTEM 1 TO 4 OUTLETS
-1---6~ 5( _ 2_5( I-I BOILERiCOMPRESS0~~-~--3 HP
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK 01-00-00-8806 304. 20
2.504-----I BOILERi'COM~R_ESSOR 3-15 HP TOTAL PLUMBING 01•00-oo-a222 ____ 5LS.c --,. ---------
EACH GAS SYSTEM 5 OR MORE "----+--, EACH INSTAI,.. ALTER. REPAIR WATER PIPE --------
EACH VACUUM BREAKER >---+--------------
C--WATER SOFTNER
------------
I METAL FIREPLACE ELECTRICAL
? 1 vENT FAN siNGLE o~~r --1 ~ ----+----rr M~H __ E~~-~~S_T ~ H_~_9pl□LJCT~S-----+--t----
4.00 MECHANICAL
RELOCATION OF EA FURNACE.1HEATER ------------------+-----
MOBILEHOME
--,I-MOBILEHOME PARK ~N?P
' SOLAR t_J EACH ROOF DRAIN !INSIDE) . I TOTf..l MECHANICAL ··----~!_~NG MOTION
TDTALPLUMB1Nc __ -~~l. _ --c 51-.50 ~~~~~-11_.oo FIRESPRINKLERs
i=± PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISS 5.01 QTY. SOLAR -ISSUE _ _J____ BRIDGE FEE
1 1 PH
>----+--N_E_W_C_D~T EA AMP.'SWl BK R lQ ___ ~ .. QQ COLLECTORS SCHOOL FEE· DISTRICT
I,., II Carlsbad ~
01-00-00-8223 -+---
01-00·00-8224
01-00-00-8225
01-00-00-8226
80-92-33-0519
01-00-00-8227 --+---
32-00-00·8923
80·92-21-0519 JPH ___ j --~~RAGETANKS
EXIST BLDG EA AMP.1SWT:8KR
1 PH 3 PH
REMOOEL:ALTER PER CIRCUIT
TEMPPOLE 200AMPS
1 OVER 200 AMPS
1--ITEMP occlJPANCY-1i1 □A YSI
------4--ROCK STORAGE
PUMP
PLAN CHECK FEE . --tr-
t---
~~ '"""' -·""'"" ~ ' i ---San D1egu1to -_ 8o-~-23-=-.Q_519
, ) , _ _ San Marcos _ _ __ 80·92-24-0519
p' CREDITDEPOSIT = =-----------t-----+-
---,-------------11---f---
-------
TOTAL ELECTRICAL 30.00
l--l
TOT AL SOLAR
---+---
TOTAL FEES PAYABLE I
-3fi.0C
11 nr
-
--
_7.96
1,692.00
-
<276 .35.I
2,288.31
I HAVE CAREFUll Y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE tF A PERMIT IS
* AN OSHA PERMIT IS AEOUfAEO FOR EXCAVATK>NS OYER
5' O" DEEP AND DEMOUTK>N OR CONSTRUCTION OF
STRUCT\JR£S OYER J STORtES IN HEtGHT
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• l~~~~~!!!lr,!!J~!!!!Ll~~~~'¥'f-!!!!!~~!2;:~~,o!.e!.1!!/..!ll!X!~-;;~"::~~~:-:::-----------~~-----~ STRUCT10N. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND APPROVED BY
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABILIT!ES, JUDGMENTS, COSTS AND CONTRACTOR 1kt Ji-DATE I
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY p O A /i ,t( "J (}. 8•"7
GRANTINGOFTHISPERMIT. HONE '\l.,UJJ. 1---r• L,,\. '._-:)
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INSPECTION TYPE DATE INSPECTOR
BUILDING '-
FOUNDATION " "
REINFORCED STEEL "-<1-/-1'1. 1'1'
MASONRY f
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME •
SHEATHING 9-J~T;. "
FRAME ,_J JP-'7-~J .,,
. -
EXTERIOR LATH lF!SULATfON '-.... .
INTERIOR LATH & DRYWALL ~ .1/.J<":.i'l -I
PLUMBING -
SEWER AND BL/CO 1./,/-,/~ .. }'j l,Y -
PLUMBING UNDERGROUND l~/-/'S r,.
PLUMBING TOP OUT I/A-1-rl 'f'
TUB AND ~HOWER PAN " GAS TEST /(1-1-/'J 11'
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -
ROUGH ELECTRIC m-1-rJ l'f'
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL -
DUCT & PLEM., REF. PIPING ,,,._7._n .,.
HEAT -AIR COND. -SOLAR SYSTEMS I
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL " n
MECHANICAL "-J ~ ,,
GAS "-... ]1,I I• I
BUILDING " ,., •
SPECIAL CONDITIONS -
CERT OF OCCUPANCY ISSUED
&3-8'0-,~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR "'!'0
~C,ul'/['ll":IQN INSP
-
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>--
P,
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SITE ADDRESS: d { o3 L q b1Jh@1 ~q s7t: ?q G ,s:e
Number Street ity
EXTERIOR WALLS
/, ½ // Manufacturer Y/11. Thickness/Type ,? R/Value // J
CEILINGS
Batts: Manufacturer cr//17 Thicknessh /;;
11
R/Value / 9
GENERAL CONTRACTOR : ___________ --'LIC. IF _______ _
BY ___________ TITLE _____ DATE ______ _
INSULATION CONTRACTOR: APOLLO INSULATION LIC.# !B60l 5 _c..:.c.:c..:...:._:__ __ _
BY-&&ad ~~< TITI.f(-~ DATE /q/4?qa 1
f . I I I ri-----·-------~------~--~
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