HomeMy WebLinkAbout2504 LA GOLONDRINA ST; ; 84-209; Permitt;.
a: D I hereby affirm 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 1s m
~ ull force and effect. z L,c No ______ Cla11
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I hereby affirm that I am exempt trom the Contrac-
tor's License Law lor lhe loll01'11ng reason {Sec 7031 5
Business and Professions Code Any c,ty or county wh,,h re-
quires a perm,t lo construct, alter, improve. demolish, or
repair any structure, pr,or to ,ts issuance also reQu1res !heap-
plicant for such permit to file a s1qned statement lhal he Is
licensed pursuant lo the orovIs,ons ol the Contracrnr's
L,cense Law (Chap1er 9 commencing with Ser11on 7000 o1
Dov1s1on J ol the Business and Protess1ons Code) or 1hal Is ex·
emp1 theretrom and the basis 1or lhe alleged exemption Any v1olat,on of Section 7031 .5 by an applicant lor a permI1 sub·
1ects the applicant to a c1v1I penally o1 not more than live hun·
dred dollars (S500)
rl I, as owner of the properly. or my employees with wages as their sole compensat1on, will do 1he work and the struc·
ture Is not intended or offered for sale (Sec 7044. Business
and Protess1ons Code: The Contractor's License Law does
not apply to an owner of property who builds or improves
thereon and who_ does such work himself or through his own
employees, provided that such improvements are no1 intend· ed or ottered for sale. If, however, the building or improve·
ment 1s sold w1th1n one year o1 completion, the owneHiu1lder
will have the burden o1 proving that he did n01 build or 1m·
prove tor the purpose of sale)
LJ I. as owner of the property, am exclusively contracting
with licensed contractors to construct the pro1ecl (Sec 7044.
Business and Professions Code. The Contractor's License
Law does not apply to an owner 01 property who builds or Im· proves thereon_. and who contracts !or each pro1ects with a contractor(s) license pursuant to 1he Contractor"s License Law)
0 As a homeowner I am Improvmg my home, and the follow
ing condIt1ons eic1st 1 The work 1s being pertormed prior to sale
2 I have l1~ed in my home for twelve months
pnor to complet_1on of this work
I have not claimed this exemption during tM last three years
0 lame:xernptunderSec ______ ,B&P.C
for this reason
□ I hereby att,rm !hat I ha~e a cer1i1,ca1e of consent
to self-insure or a cert1!,cate of Workers
Compensahon Insurance. or a cer11!1ed copy thereof
(Sec J800. Labor Codel
POLICY NO
COMPANY
fcopy IS filed w11h lhe city
□ Cert1heo copy 1s hereby tum,shf!O
CERT!FICATl OF EXE:MPTION FROM
WOAl(ERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,t
1s for one hundred dollars ISHJO) or less)
D I certify that rn !he performance ol the work tor
wh,ch this permit Is issued. I shall no1 employ any
person 1n aoy manner o;o as to become sub1ec1 To
1he wonr.e,s· Gompensat1on Laws ol Califom,a
NOTICE TO APPLICANT !f alter makIn;r th,s Cem
t1cate o! Exemption. you should become sub1ect ,,,
1he Worllers· Gompensat1on p1ovIs1ons o! the Labo<
Code. you must !orth.,..1lh comply w,th such
p,ov1s,ons or this perm,t shall be deemed rf>,Qked
0 I hereby aft.rm 1hal !here ,s a con5lruLTIv~
lending agency for The perio,rnan,e c,t me wor. for which th,s permn ,s ,~5ued 1Sec YYJI c,,,1 Code:
Lenders Name ___________ _
Lenders Address __________ _
u~c D"LL r v,n, r Ln unL, a , nL.~,1 nnnu
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
AV.ST.RO. NEARESTCROSSST.
1$--.\t>f?.l,~~
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RES UNITS GRADING PERMIT ISSUED
CONTRACTOR
F/P FLA ELEV.
vO NO
REDEVELOPMENT
AREA
APPLICATION & PERMIT
TYPE
CONST
OCC GP EDU
OCC LOAD I FIRE SPA
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PLAN I.D. #
STANDARD PLAN#
PERMIT NUMBER
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BUILDING SQ. FOOTAGE
'78oL
¥0 N 0 vO NO vO NO Not Valid Unless Machine Certtfied
QTY.I PLUMBING PERMIT -ISSUE cj"Zl -QTY.I MECHANICAL PERMIT-ISSUE -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILUING SEWER OVER 100.000 BTU SIGN PERMIT
EACH WATER HEATER ANO,'QR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK, -
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM :J OR MORE
+--·--· Ufl..4-------I BOILER/COMPRESSOR 3-15 HP l I ·----~, ~-,,,~ ...
METAL FIREPLACE -· ----·-·
TnH,1 Pt I IMP.IN', 01-00-00-8222 -·-----
tlt[.;l Hl[.;AL 01-00-00·8223
EACH INSTA~ ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
. A I VENT FAN SINGLE DUCT ,.,~_,.,.,.,_.,~ ------r---4 •,:; MECH EXHAUST HOOQ/QUCTS uh-••-••----
, .. n::r1--1ANlf'6.I 01-00-00·8224
MUt,ILtHUMt 01-00-00-8225
WATER SOFTNER RELOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOL.AR __ 01.:._0...P.:.
TOH-.L MECHANICAL STRQ!'JG MOTIQ_!J 80-92-33-0519
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY.I ELECTRICAL PERMIT -ISSUE .::;-=-QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST BLDG EA AMP/SWTiBKR ROCK STORAGE Enc1mtas 80-92· 22-0519
1 PH 3 PH PUMP San Oieguito 80-92· 23-0519
REMODEL ALHR PER CIRCUIT -PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVE.R 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY !30 DAYS)
TOTAL ELECTRICAL 5 00 11 TOT Al SOLAR
'"isP"'· ,,.a'¼" ·$·• -~·_,, .. ·.• ··, ·:' .·-··--,~;; _,. 1 +s.,,,·:·:7-:0,,,,/·:;•
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~lSSl:lEG, ... TG,,CQM9LY~ ALL crt¥, GOUNt.it ANO-STAT1:. \AWS'Gt>\fEANING. ,BUf!.-Cl,Q!IQ_ ~' • .._ '...,.•:,_or
ST~.uonpw,,WH£THER'. ~. g:,_ ."~.b .. -.. '". OR. !~ALSO. AGA•EE' TO SAYE..~t)~ ... • ,\NI> .. ·-. -.·~ .•. ·-•ft -lil'-lj/jlV!ILIS-_ _ _ '"lAR\~ l ALHIABJ4TIEll,~UOGM!(NT<I, cq_S:l/i-""" ",'-l, s-";"'1;\Jl!E_
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CREDIT DEPOSIT
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TYPE I I DATE I INSPECTOR
BUILDING
FOUNDATION t, l#Hlt REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SH~AR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO □IPUCO -UNDERGROUND □ WASTE □ WATER l~/uh"
TOP_OU_T □ WASTE D VfATER I '
TUB AND SHOWER PAN I I I ,,,
GAS TEST 1 -A, ,. I
□ WATER HEATER □ SOLAR Wk.TEA , f
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
REO IF I INSPECTORS CHECKED APPROVAL DATE
STRUCTURAL CONCRETE --____,
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING ·---+-----j
HIGH S1 RENGTH
BOL Ts
SPECIAL MA,~_i?NRY
PILES CAISSOr,,,'.::·
------=-,,-,--,,--------t----,f-----,f-----~ >----------+------+------+--,-
ELECTRICAL 1
D ELECTRIC UNDERGROUND DIUFFER ,,
ROUGH ELECTRIC 1 I ,-/4,/1'411'
□ ELECTRIC SERVICE □ TEMPdRARY , ,
II □ BONDING □ POOL ) s-/.2.df'-111' I
MECHANICAL ~
□ DUCT & PLEM,, □ REF. PIPl~G
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED.
FINAL 1
PLUMBING I
ELECTRICAL
MECHANICAL
GAS
BUILDING I
SPECIAL CONDITIONS _J
!
~
V I I I I
<i< lf-XJC,
INSPECTOR'S NOTES
~ ,.,. ,--. ":',..., __
' . "
'
PLAN CHECK -NUMBER rt./--;2 Dtf ADDRESS ,;l 5o 'f ~ ~ DATE. ____ _
PLANNING: TYPE OF STRUCTURE 1~ o-,J ~
SCHOOL FEES: SAN DIEGUITO ______ _ ENCINITAS ___ ...,_._.__....,-__
CARLSBAD ______ _ SAN MARCOS ______ _
% COVERAGE ___________ _ REQUIRED ~f~$Ad(s C' . ii'-·-.:· ·' '
BUILDING HEIGHT _________ _ FRONT ---------
FENCES/WALLS ___ ~--------SIDE _________ _
TWO CAR GARAGE. _____ .p;;;..~-J-1---REAR. __ -,,;z.~.---,~-r---
REDEVELOPMENT APPROVAL REQ ED: _____________________ _
LANDSCAPE PLAN COMMENTS: ___________________ _
ENVIROrf.lENTAL REQUIRED~: ___________________ _
ADDITIONAL COMMENTS,_: _____________________ _
OK TO ISSUE: A,.;; DATE: ¢-0k°f OK TO FINAL: ____ DATE: ____ _
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?, __
P.F .F •. _______ PARK IN LIEU ________________ _
R.0.1~: IMPROVEMENTS:----------------~
~
E.D.U: ------------~
SEWER: ___________________________ f'
-....,
LATERAL: DRIVEWAY:-----------~
GRADING PERMIT:
I ~ ~ DRAINAGE: ----------------------------(_ □ EASEMENTS: ___________ ADDITIONAL COMMENTS:
fJ ~.A ~-;-;~I, §~□ '47' '? ~.= ~-~::, D g~ OK TO ISSUE: @IJJ:,A DATE:____;J/=-,L...Z.J...1~/....l<.tf--l-t/"---__ _ > I * ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC HORKS INSPECTOR: _____________________ _
FINAL OK: __________ _ DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR'!T1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
1200 ELM AVENUE
CARL~BAD, CALIFORNIA 92008
Qtitp of etarl.sbab
TELEPHOl-:E:
(714)729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL 11297. I understand
t~at neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement·
fossil-fueled heater will be issued until this certification is
e_xecuted.
For the swimming pool located at.,,..:..._,,.c-.,+---,..--,....--~---~----..,,.--(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a~ cover.
2. ON-OFF switch on. o~tside of heater.to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to ·allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal effi.ciency.
S. Time clocks installed to allow pump operation during off-;ieak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print owners Name:
owners Signature:
Print Contractors Name: ------------------------
--,./~~~;:,.L---'---"--..!::!D a~t e ..:......j: ~t Contractors Signature:
Address: