HomeMy WebLinkAbout2505 LA GOLONDRINA ST; MP; 84-45; Permit"' z 0 : "' .,
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CIC ·A'", I hereby affirm that I am licensed under
0 Y~lslons of Chapter 9 (commencing with t; [ Section 7000) of Division 3 of the Business
c and Professions Code, and my license is in
C full forc9 and 1,ff&Q}. /1 . •, ~ lie No _/{µ_L___/-':,_y Cln L., /l_:__ _
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I hereby affirm tha\ I am exempt from the Contrac·
tor's License Law tor the lollowIng reason (Sec 7031.5
Business and Professions Code My c,ty or county which re-quires a permit to construct. alter. improve. demolish, or
repair any structure. pnor to_ its issuance also reQu1res the ap-
plicant !or such permit to hie a signed statement that he 1s
l1censed pursuant to the prov1s,ons at the Contractor's
License Law !Chapl_er 9 commencing with Section 7000 ol
D1v1s1on 3 ot the Business and Pro1ess1ons Code) or that is ex·
empt therefrom and the basis for the alleged exemption. Any
v1olat,on of Section 7031 .5 by an applicant for a perm,t sub·
Iects the applicant 10 a civil penalty of not more than live hun· d'ed dollars ($500)
,'i I. as owner of the property. or my empioyees with wages
as their sole compensahon. will do the work. and the struc·
ture Is not intended or oftered !or sale (Sec 7044, Business
and Pro!ess1ons Code· The Contractor's License law does
not apply to an owner of properly who builds or improves
thereon and who_ does such work h1msel1 or through his own
employees. provided that such improvements are not In1end·
ed or o1tered for sale. If. however. the building or Irnprove-
ment is sold within one year of completion,. ttle owner·bu1lder will have tile burden oi proving that he did not build or Im·
prove for the purpose of sale)
:7 l,_as owner of the property. am exclusively contrac~ng with licensed contr~ctors to construct the proIect (Sec. 7044,
Business and Professions Code: The Contractor"s license
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts lor each projects with a
comractor(s) license pursuant to the Contractor's License Law)
D As a homeowner I am improving my home, and the follow-ing cond1t1ons exist
1 The work_ is being perlormed prior to sale 2 I have hved in my home tor twelva months prior to completion oi this work
I have not claimed this exemption during the last three years
n larnexemptunderSec ______ ,B&PC.
for this reason
a{ I hereby alf,rm that I ha;,e a cert,f•cate ot consent lit sell-insure, or a cert,!,cate of Worlo.ers ~~,:'::'~'!;;,;; "'.' ""''"'' '°" ,, .. w,
POLICY NO c~y_ s./r:1~~~ ~~ .
COMPANY~~U,--1.i!~ \p.11\bAll';a::;
,.2( Copy IS filed Wl!h the city • ', , J
0 Certified copy ,s hereby turn,s
CERTIFICATE. OF EXEM
WORKERS' COMPENSAT" (Th,s sect,on need not be comp\et
,s !or one hundred dollars 1~1
ROM
RANCE
ii tr,e perm,t
I or less)
O I certity that ,n the pertorm~e of the worl< tor
which !hos perm<! ,s ,ssued, I sh 11 nol employ any
person ,n any manner so as to come sub1ec1 to
the Worl<ers· Compensation Laws ot Ca1'1orn,a
NOTtCE TO APPLICANT If. alter mak1n;;i this Cer1•
t,cate of Exempt<on. you should toecome sub1ec1 t"J
the Worl<ers Compensation prov,s1ons of lhe L.at>or
Code. you must tor1nw,1n comply with such
prov,s,ons or this permit Shall be deemed reyoked
0 I hereby alt,rm 1hal there 1s a conslruct,on
;ending ~ency !or the per1ormance ol trie Nori< tor
which this permit 1s issued 1Sec 3097. C,-11 Code,
Lenders Name ___________ _
Lender S 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
JOB ADDRESS-fY\ t' AV. ST,
RO.-
APPLICATION & PERMIT
DATE OF APPLICA"TlON CENSE # VALUATION PERMIT NUM
d?50S-~ .1..)9 C, 0 LO~Z>R/AJ ,/9 1-19-i'.t/-
OWNER'S NAME M,me; l t/Br~~;e;:';,i9N· CONTRACTOR ./J_,:;,l(,ee £ Lii!'Ct'/f'lt:!-:::t . ./c. ZONE J,
:;>o,t/l>efp~ l'1 :1;,1S~J?""1 I -
O'JN<R'SMA,uNs_,Wll"sJiS , '"'JJ,::U ,e,_, Fl:3()0 S=-<: t:;-.UTO V""-7 /10; STE', /CJO
c;,a,J 7>,t;;c;,,o • (!../'I. ,:;;, ...., .., , 1/W, I BLOCK I S~8DIV~ION j ASSESSOR PARCEL NO.
DESCRIPTION OF WORK ~ -,,FJ
//'Y"J AmP / /'/41. . 1?2676:fh
~T"ACT'l!'5.!/l/!J}'}'
',!!seJ_J)'l>1µa, (!.I/. 9dC.?1>'
OES!GNE.Fl
DESIGNER'S AOOFIE.SS
~.i,,CENSE NO. <.:-Io
JIA/7~
LICENSE#
DESIGNER'S f'HONE
1----------:p~'' 1 J I "' CCR ECEV j j ST~~ES I occ ce j EDU l
vO NO
GP LAND USE / PARKING SPACE REDEVELOPMENT AREA TYPE
CONST
OCC LOAD FIRE SPA
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUILDING SQ. FOOTAGE
..
' •
CENSUS TRAC, I RES UN'TS I GRADING ~ERMIT ISSUED
YO ~ □ ,□ NO v □ NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7,So QTY. MECHANICAL PERMIT· ISSUE 3,00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJPTD 100.000 BTU BUILDING PHfMIT 01-00-00-8220 -------
EACH BUILDING SEWER OVER 100.000 BTU . SIGN PERMIT 01 00 00-8221 -1·---+--· ----··---·-
-----~-u-
----------------------
BOILER/COMPRESSOR UPTO 3 HP • PLAN CHECK 01-00-00-8806 EACH WATER HEATER AND,UR VENT
EACH GAS SYSTEM 1 TD 4 OUTLETS
~~ACH GAS SYSTEM 5 OR MORE
I I EACH INSTA~., ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER t---t---·---
. ·-
-1-
-+--
---
---+--=--v-01LERICOMPRE.SS0R. 3.15 HP -. . TOTALPL~MBING __ ---. 01-00-00-822~--
ME~IREPLAC~--·-. --. ELECTRICA~_ _ _ _ ..Q.1-00·00-8223 .._;:?o :--__
__ ·----II-VENT FAN SINGLE ou~.T__ MECHANICAL ______ 01-00-00-8224 --
M081LEHDME 01-00-00-8225 ·---------_ MEC~~HAUST H0□□.1□UCTS
.;....!ATER SOFTNE_R __ _ RELOCATION OF EA FURNACE/HEATER
------------------'----'--'-MOBILEHOME PARK INSP .-------·--B E~. CH ROOF DRAIJ\l f iNSIDE) ----·--------··---+---Q1-00-00-8226 ----
TOT klMECHANICAL -l --STRONG MOTION 80-92-33-0519
SOLAR
QTY.
Uu.
1 PH
----
REMODEL.'ALTER
.TOTAL PLUMBING ___I~--~~--r-FIRESPRINKLE_Rs = 01-00-00-8227 ==
~ ; .-PUBLIC FACILITIES FEE 32-00-00-8923 ELECTRICAL PERMIT -ISS :::,,(){) QTY. SOLAR· ISSUE -BRIDGE FEE ----. --
-----· ·--·--------,-..--·-f------·-----------------
NEW CONST EA AMP'SWT-BKR COLLECTORS SCHOOL FEE-DISTRICT
~ # ;2£_· ____ JP_H__ ;,,-.C<-----· -2TORA~~-TANKS ____ Carlsbad -= ~ 80-92~21-0519 ·--.------j
EXIST BLDG EA AMP/SWT/BKR _ _ -----ROCK STORAGE Encinitas -----~2-22-0519 -·---
3 PH -I-__ PUMP • San Di_eguito _ 80-92-23-0519 +-----------1
PER CIRCUIT __ ---11---.. PLAN CHECK FEE .-------San Marcos 80-92-24-0519 --·--
, TEMP POLE 200 AMPS f---+------·---4i-----+-~ 13I::-r _-_ -=-=---I ---~~--=-~ □v_~ .2-~~~MPS
! TEMP OCCUPANCY 130 DAYS) ·---t---.. -u--·----. -----+-----
__ _L
TOTAL ELECTRICAL -1 J.l C"C
··-+-
I
-------
TOTAL SOLAR TOTAL FEES PAYABLE --+-·--· 'I I I 3 (}::!-I
! HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION ANO PERMIT'" ANO DO.HEREBY 'Eipiration.E~ryper_mitisBU&dbytheBuildingOfficial~ndeftheprt;iv~onsoflhis * Mt,OSHA PEal,tfT IS REQWAEO FQR EXCAVATIONSOYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cdd1!I ~rulU expN'"e by hm_i~tion and beeome nt!II 8nd void. If the buildmg or work -5' 0~ DEEP '-NO DEMOLITION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PE AMIT IS autti~ized ~ such ~•!11t 11 not commenced withm 180 dav-fro~ the date of such STRUCTURES R 3 STOFHES IN HEIGHT permit. or if the bu1ld1ng or wort. aulhonzad by such permit IS suspended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVEANlNG BUILDING CON-L~•~•~an~do~ned~~at~•~•~•~·me~!•fte!!!!•Jt~ .. !._!!w~on<!!!J~!.f"°'""'2!!!!!2!ence<l!$!~f~0<!._!a~•~iode!!_2afL1ll80!!l..s!l!J<L·,;;:::;1'~:::~~~:"'--;+-------~"f:1'"-,---~ STRUCT!ON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND C , 0 APPROVED BY
KEEP HARMLESS THE CIT,Y OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS ANO APPL! ANTS SIGNATURE Jf-OWNER CONTRACTOR
~~~~~~~~ ~:~CH~$ Mp~~~~/NY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE ~ }J._) ~ BY PHONE 0
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE nR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER 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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING I)
ELECTRICAL 7/ 1/g,I// T
MECHANICAL , , I
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
•
~ ~y,:;
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION AEQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE --POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I PILES CAISSON;·
I
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