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2505 La Golondrina St; ; 83-80-181; Permit
., z 0 ~ .. J " .. 0 .. i[ 8 "' .. 0 J 5 ii! .. z ~ z 0 s z .. .. .. 0 " "' "' w "' .. 0 , I t ![ 0 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 in lull force and effect. L,c No Class I hereby afhrm that I am exemDt lrorn the Contrac lor s License Law for the fo'dow,ng reason /Sec 7031 5 Business and Profess,ons Code Any c1:y or county wn1ch re quires a perm,t 10 tons!"uct alter ,~~rove demo11s1'. or repair ,rny structure. prior to ,ts issuance also requires •heap oi,cant lor sucn perm,t lo I1,e a sIgneo statement Ina1 he Is 1censed pursuant to the provIs ons o1 the Contractor's License Law !Chapter 9 comT,enc,ng with Seci,on 7000 of D1v,s1,;n 3 o! 'he B·Js1°ess a0d D,?fess 8ns Cc·de: o· t"i't 15 e• errpt :herelrorn and the basis for 'he alleged exempt,01 Any 1·1olal1on of Sec•,on 7031 5 by a0 app ,cant lo',, oerrnIt sub Iects the applicant \ca cIvII penal:y of rot 11ore thao i,ve ~un- dred do·lars iS500, I. as owne· 01 the propeny. or my e11~loyees w,th wages as their sole conpensatIon will de the work ana tre struc- •.ure ,snot 1ntendeC or offered for sale [Sec 7044. B~s1ness and Professions Code. The Contractor"s License Law does not apply to an owner of property who bu,lds or ,rnproves thereon and who does sucn work h,msel1 or through his own employees, provided that such 1morovements are not In!e~d-ed or offered tor sale 11, however. the bwld1ng or Imorove· 'llent Is sold w1th1n one year of complet,on, the owner-builder will have the burden 01 proving that he did not build or rm prove for 1he purpose ot s.;le) _ I. as owner of the propeny. am exclusively contracting with licensed contr2clors to construct \he proIect (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner ol proper1y who builds or im- proves thereon, and who contracts for each proIec1s with a contractor(s) I;cense pursuant to the Con!ractor s License Law) LJ As a homeowner I am ;mprov,ng my home, and the follow- ing conditions exist 1 The work Is being periormed prior to s.;le 2 I _have lived m my home lor twelve months pnor to completion ol this work I have not claimed this exemption during the last three years L lamexemptunderSec ______ ,B&P.C tor this rnason ____________ _ D I hereby att,rm that I ha•e a cert<t,cate ol consent to self-msure, or a cert,!1cate of Workers Compensation Insurance. or a cenaf,ed copy thereof (Sec 38:Xl. Labor Code) POUC, NO 82W::::-l -13656D coMPANY MisSion Insurance D Copy ,s f,led with the crty D cert,hed copy ,s hereby furn,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sec!,on need not be completed 11 the .ierm,I ,s lor one hundred dollars ($1001 or less) 0 I cen,fy 1ha1 ,n the per1ormance ot the "'orl< for wh,ch this penn,t ,s ,ssued. I shall not employ any person m any manner so os lo become subIect to 1he Worl<ers' Compensat,on Laws o! Cal,1orn,a NOT!CE TO APPLICANT 11, alter mak,n~ th,s Cert, !icate of Exempt,on. you should t,ecome sub1ecI ,,, the Worl<ers· Compensation prov,s,ons o1 tr1e Labo< Code you mus! 1orthw11h comply ..,,,h such pro~,s,ons or lh,s permII shall t>e deemed •e•oked D I he•eby attirm that lhere ,s a conslruct,00 iendmg agency lor the periormarice ol 1he wor1<. 'or which tt1Is perm,! ,s ,ssued ISec )097 C..i' COde1 Lender s Name Ponderosa fbmes Lenders Address __________ _ USE BALL POINT PEN ONLY & l'Kt~~ HAKU CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-55~~ VALUATION PERMIT NUMBER JOB ADDRESS 2505 Loi. GolQnd;r~ Street !'_WISE .1 AV. ST.j DATE OF APPLICATION RO. 4/22/83 OWNER'S NAME PONDEroS!I. FOMES T OWNER'S PHONE 619/560-8555 CONTRACTOR PONDEROS\ IOlES BUSINESS LICENSE # 3587 93.274 ~'?--t(j),. l i 1 CONTRACTORS PHONE # ZONE 619/560-8555 OWNER'S MAILING ADDRESS --CONTRACTOR'S ADQRESS LICENSE NO. PLAN I.D. # BLDG USE CODE Tl300 Sorrento Valley Rd,, Suite .100, s.n. 92121 sarre as Owner 343456 83-79 LOT BLOCK ASSESSOR PARCEL NO DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE J.81 tes Unit No 2 l\ram Bassenian & Associates OESCR1PT!ON OF WORK t">.:•'l'V'1'1o J.'~,"1u ,..rit-h {"'...;:::vr::1n,:::,, R,IJ\N 1826 ,ny • , ~----~}_ __ _ ~gtJ"ti:/rffi~fly Pl. , .... ---~-r')\ F.'P FLA ELEV YC NO GRADING PERMIT ISSUED Suite J.70 --n NO STORIES 2 TYPE CONST C-8395 1826 DESIGNER'S PHONE 71 A ,__ -1 0&:A ace GP EDU '#11!5:,,.; I • ~6 .:!;:!L:-1 R-3 1 OCC LOAD FIRE SPA CENSUS TRACT I GP LANO USE PARK~N;{PACI: AES U;ITS ~□ N 0 TAEDEVELOPMENT AREA •C NO{ VN YON~ Not Valid Unless Mdchine Certified QTY. PLUMBING PERMIT· ISSUE 7. 5dl mY I MECHANICAL PERMIT. 1ssuE 1 3. oo SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 415.0C _6:._S_O _ __ __ _ _ OVER 100.000 BTU '----SIGN PERMIT 01-00-00-8221 __ __ __ 2. 50 __ _BOILE A/COMPRESS□~ _!:'~~3i~---~ j PLAN CHECK 01-00-00-8806 *CH BUILDING SEWER ~ :~: :::ES:;T\AJ~~-:-~JO·~;~ir--- EACH GAS SYSTEM 5 OR MORE 1-----+-- EACH INSTAL,.. ALTER, REPAIR WAHR PIPF EACH VACUUM BREAKER 27. so i-lNS-r_All FURN. □J_J_crs uP rn ,oo.oo~_~ru-I 4. ooj su1L□1NG PERMIT 01-oo-oo-s220 ----1--- ---~-L _2-~0 ir~~(~{ii\Ls:~;;:'~~;TS · _=i _2_-~0_0_.,r~~~~= -+===-_·_ d ~ELOCATION OF EA FURNACE HEA_TE_R TOTAL PLUMBING ELECTRICAL 01·00-00-8222 01-00-00-8223 01·00·00·8224 01-00-00-8225 269. 7~ 46 .5( 30. 0( 9. 0( ·--- WATER SOFTNER 1----'-" ---- MEAC~ROOF □R-~I~ (l~~I_DE_! __ TOTAL PLUMBING t---. TOHiL MECHANICAL --~-------" MOBILEHOME PARK~l~N~S~P __ _ SOLAR _____ 01-00-00-8226+---,_ STRONG MOTION 80·92-330519_.(______(i. 53 xxx:i~ 01-00·00·8227 --t-- QTY. ELECTRICAL PERM;;.:_I~~~[-_ ---1 t----+--N_E_W_C_O_NST_ EA AMP SWT ·BKR --lQO ___ -- 1 PH } PH --46. 5011 _ ~ _ --- 5. 0( 2;;._00! :-~, ,crnRs __ _ STORAGE TANKS --------11------ QTY. SOLAR· ISSUE ·- I 9 .. 00 II FLRESPRINKLERs__ __ _ PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad 32-00-00·8923 ---------- 80-92·21·0519 ----,--- EXISf BLDG EA AMP:SWT:BKR ROCK STORAGE Encinitas 80-92 -22 -0519 --ii------- I PH J PH ' -lf------+o_u_M_P __ _ San D1egu1to ri1't= San Marcos ____ _ ---~80-92-23-0519 80-92-24-0519 1,692.0C -(276. 351) REMOOEL:'ALHR PER CIRCUIT PLAN CHE'CK ~EE 1--1 TEMP ,□-LE -200 AMPS ~ ~-OVER ?OD AMPS TEMP OCCUPANCY 130 DAYS! -------+-----------41- ---ll----+--- _ __,_ j__ TOTAL ELECTRICAL 30.0C I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT IS ------- TOT AL SOI AR --+---l-__:_-1'--CB,l,DJT DEP()SlT --· __ -'--'I 1 2,1~2.43 ~ TOTAL FEES PAYABLE ~f * AN OSHA PERMIT IS REOUIREO FOR EXCAVATIONS OVER -5' O" DEEP ANO DEMOLITK>N OR CONSTRUCTION OF STRUCTUAES OVER 3 STORtES IN HEIGHT Expiration. Every permit l&Sued by the Building Official under the provisions of this Code shall expire by hmitation and become null and void. If the building or work authomed by such permit is not commenced within 180days from the date of such permit or if the building or work auth izad by such permit is suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• L~aban~!!do~ned~~•~1~•~•~•~m~e;a~f1~•~•~th~•~w~o,~k!.!Ji•!/)o~m,m,n~~o~ed~~fo~,J•~~•:!Jodl!!_o2fLJ!1~d!li1<L.-~;ji~~~~~;";';~------------;:;:;7;,r---;-, STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ANT'S SIGNATURE )f,. 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO rl/. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF" THE t? GRANTING OF THIS PERMJT. ~ ~ u:: ~ :, 0 0. E © f- I D 0 "' C: ro -~ 0. 0. « .• r· ~ C 0:: 0 w w © w w <l'. I ~ Q " >- "' w © '-' 0 ii: ro <ii 0 ~ © '-' C ro C u:: C © © '" 0 13 © 0. w C ,'! ~ ~ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED _STEEL ~ASONRY GUNITE OR GROUT _!'LOOR & CEILING SUB FRAME I ,JJ SHEATHING -·- FRAME INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS QERT_ OF OCCUPANCY ISSUED x-3-~-l ~\ -FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - REQ IF INSPECTORS INSPECTION DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INc;P_ STRUCTUR OVER 2000 PRESTRES>'. -CONCRETE THIS IS TO CERTIFY THAT INS!n -\TION I'.AS BEEN INSTALLED. IN POST TEN~ CCNFORMANCE WITH Tlu. CUR.RENT ENERGY REGULATIONS, CALIFORNIA -CONCRETE -FIELD WEL ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNJ/_, IN 'fHE HIGH STAE BUILDING LOCATED AT: -BOLTS (;t?loa;/4.,~(l -SPECIAL ~ SITE ADDRESS: ;)!)tJ~ l_q S'l: Lq G.s:b - NUIDber Street ity - PILES CA!/ -EXTERIOR WALLS -s//11 .¼" ;/ -Manufacturer Thickness/Type J R/Value J - -CEILINGS -cr;/m h ;:-.; II /9 Batts: Manufacturer -Thickness d R/Value GENERAL CONTRACTOR: LIC.# - -BY TITLE DATE INSULATION CONTRACTOR: APOLLO l NSULAT TON L IC. It :.>il60l 5 BY _(7~ iP'-0~~ TI 'IT.~c13 ,.:947 /q~~! -DATE -u - -·---------· ---------------·--r---- - -