HomeMy WebLinkAbout2506 LA GOLONDRINA ST; ; 84-456; Permit~~ hereby alt!rm tha.t I am llce.nsed under
visions of Chapter 9 (commencing with
~ tlon 7000) of Division 3 of the Business r . ~ and Professions Code, an. d my license 1s ,n
full force and effect
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I hereby afJ,rm 1na1 I am exempt tr~r,i t~e CJntroc
tor's L,cense Law for the todow,rq ceason !Sec 7031 :
Business and Professions Code Any" c,ty o· countv wi,cc, re
quires a permd to ccnsr·uct alte, ,rn~•Jve de<nol,sh ~,
repair any slruclu·e prior :o ,rs issuance also ·eqc,res !heap
01,can1 for such perm,: to file a s,qned sta•e'llenr thaT ~e 1s
,,censed pursuan! to the provis,ons or The cowacror s
License Law fCha~ter 9 commenc,ng w,th Sect,on 7000 o•
D,v,s,on 3 of the Business and Prote,s,ons Code, or that s e, emp: t~erefcom and !he bas,s tor 1r,e allegec e,empt,on Ary
v,olat,on ol Section 7031 5 by ;rn app ,canl for a perm•r oub-
1ecls !he applicant lo a c1vd penally 01 not m~re than f,ve hun
dred dollars (S500)
as owner of !he oroperty, O' my employees wil~ wages
as their sole compensal,on w1'I do the woe. and the stru:
ture ,s nor intended or olfered lor sale 1sec 7044 Bus,~ess
and Profess,ons Code The Contractor's License Law does nol apply lo an owner o1 property wM builds or ,mpro•,es
thereon and who does sue~ work himself or through his own employees, provided !hal such Improvemenls are ,101 ,nle~d-
ed or o11ered tor sale II, nowever, lhe building or improve-ment Is sold w11n,n one year of complet,on the owner-bu,lder
will have the burden ot proving lhal he did no1 build or ,m
p'Ove for the purpose of sale)
I, as owner of the pro;ierty, am exclusively contracting with licensed contractors !c construct the wo1ect /Sec 7044
Business and p,ofess1ons Code The Contractor's ucense
Law does not apply to an owner of property who builds or Im proves thereon. and who conrracrs for each pro.,ecls w,1h a
conlractor(sl license pursuanl to lhe Contractor's License Law)
As a homeowner I am ,mprov,ng f'ly home anc the 'allow
,ng cond1t1ons exist 1 The work Is being performed pr,or 10 sale
2 ' have l,ved ,n my home lor lwel,e "10nlh1 wIor 10 completion of 1h11 work
I have not cla1f'led th,s exemp1,on dur,n~ l~e last three years
I am exempt under Sec _____ _ B & PC lor lh,s reason ____________ _
D I hereby affirm thal I ha,e a cen1!1C.ate of ~on sen• to self ,nsu,e or a cen,t,cale of Worker~
Compensa11on Insurance or a -er11!1f"(j copy 'hf'reof 1Sec 3800 Lat>o, Cooe,
POLICY NO
COMPANY
□ Copy ,shied With The ~,ly
0 Cert,!1ed copy ,s hereby !urn1shed
CERTIFICAH OF EXl::MPTION FROM
WORKERS COMPENSATION INSURA,-.CE (Th,s sect,on need not be compl'-'IPC ,, ,,.,,. ;,err,-,,r
,~ for one hundred dollars ,s100, er ,e~~
D I ceno!y Tl"1a1 ,n me pertormance of :he NC,i,-'or ,.,r,,ch this permit ,s ,ssued I shall not e~;:,Iu, ary
person ,n any manner so as tc t,ecome Sub•e, 1 t tl"1e Wori.ers Com;:,e,-.&;ilron La"'s o• C,c11,l,:;rn1,c1
NOTICE TO APPLICANT H, a11er ma~In:i :r,,~ Ceni
ltcate ol ExemploOn you should t:,ecome ~ub1e,-: v,
the Wori.e,s Compensat,on pro.is•ons of lhe Labor Code. yOc, mus! torth .. rth comply w,th 5uch
p,o~,s,ons o, 11,,s pe,m,1 shal' be dee,..,ed ,.,,,:,,,.d
O I he,eby affirm thal !here ,~ a cv,srru, t .-;r
Iend1ng aQency •or lhe pe<tu,r1,anc_e c,1 'he "'O"' ,,,, "'"'c" th,5 perm,1 ,s ~sued ,Se, VAi r:;,,,, C,:,op,
le,.,oe, s Na,,-,e. ___________ _
Lenders Address __________ _
"" ••u ,u1•1 "" UNLI & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008·1989 (619) 438-5525 APPLICATION & PERMIT
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: 1:g0'd; I-A <aOLoW.DR~RD 5 x"••rcROSSST l?-t:c ... p CATION ~US,NESSUCENSE• _ PERM•TN~MBER.
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1
CONTRACTORS PHONE. ZONE er+-~ 0
0AIIIIE/t /11. S, U/lt.L-
I SUBDIVISION -... --.... "--•'
ASSESSOR PARCEL NO. 2., -5' s-c.., '--:l.'-i 00 :IMN;;~N\:~ ~ WU1 ~2iJG1°NE CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
i 6wNER·s MAILING ADDRESS • ----·~~ ACD
I --a tr ,..,_ DESIGNER LICENSE# STANDARD PLAN" BUILDING SQ. FOOTAGE
: DESCRIPTION°' WORK OwNEIC.. /}/. s. w,'11 7 ZB ~
I DESIGNER'S AODRESS DESIGNER'S PHONE I
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NO
STORIES
DCC GP EDU
I CENSUS TRACl GP LANO USE PARKING SPACE GRADING PERMIT ISSUED REDEVELOP'v1ENT TYPE. DCC LOAD FIRE SPP
I ARE.A CONST
I ¥ □ ~ D y '.J -.□ YO NO
I
Not Valtd Unless Machine Certified
1 QTY. PLUMBING PERMIT. SUE QTY. MEG -ISSUE _ SUMMARY/ACCOUNT NUMBER
'f---+:-,A-cCH--::F-,IX-,T:-U-R:-E:-::T-::Rc-A-::P------',----+---'-""""""''--lr----tc:c=ccc-:c=::",====:-:-==c:::;-;:---t--_,__,_ __ -t_,,,,u,,IL0D"IN"'G'P"'E"'RM""IT------;;-01'-;;;00'-;;;00'·~B1"2"'D'--~;,-:i:-r:::_",,---,
-------
' EACH BUILDING SEWER . j_ SIGN PERMIT 01-00-00-8221 : ~WAT~R HEATER AN □ OR y~1-~----~ _ ---!B01UR.cuMPRESs□R UP To ------PLANCHr_c~t,£;,,a5~ ---------
-EACHGA~.svs~~:_ourLETS _ + -~~~ILE_~_:_c~~~~~"-9~]_-1_~ .. -~P__ ----TOTA~L.UMBI~ 1-00·0·D.-8222
I f----+--EA_~~ GAS ~YSTEM SUR -",HJ~_ ..----. -----l \1~ '-:~-L-~PL~~ _ _ _ _ ----ELECTRICAL --· _0_1-90_•0_0-82~ -------,
I EACH INST~~. ~rn. REPAIR 1','ATER PIPE ___ • _: _ _ _ VEN2._f-!-_N SING_LE ~~CT_ _ __ __ MECHANICAL _ 01-00·00-8224-+----------,
I EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS M0BILEH0ME 01-00·00-8225
-----+-WAT~_FT~ER _______ RELOCATION OF EA FURNACE·HEATER M0BILEH0ME PARK lr\SF -+-
1 ~t.:::r f-1>'./F ,-:pA;r, , \? r:,r, +------+--~-~==-..====-----~-~-------; SOLAR
: _L_ ---------==--=-----= ~ TOTM MECHANICAL ·srnoNG MOTION
1 T01Ai PlU'v1fil~(. ii ___ _ ___ FIRESPRINi<LERS
01-00·00·_8226 _
80-92-33·0519
01-00·00-82t7
---~,?0~
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1 QTY
---
ELECTRICAL PERMIT· ISSUE s:_-
NEW CONST EA AMP SW\lJKR 1
~TY , 7,o SOLAR· ISSUE
L~CT,'."1RS
PUBLIC FACILITIES FIT_
BRIDGE FEE
SCHOOL FEE· DISTRICT
32-00-00-893:J_
1 PH '\.·;PH T :I ST,J'1AG~ Tl\'.i<S ~ Carlsbad _ _ _ ~ 9~ 0~ ----------j
1 EXIST8tnGEAAMPSV,;T8K~ I [ RC,CKS 1CJR,'.,SE Enc1n1_tas. ____ 80·9222051~c --··
1 PH 3 PH~-1 ti Pl!'M' SarD1egu1to 80 92 23 051~
: --~~~0~~--~~~~-~RCU_ll_ ~ ____ 1 __ P~~CI-ECK~ ____ --·--.-___
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'-. ----------------1 --~ -LICENSETAX_()1_·00-D0-81_62 I 'I I TEf'viP OCCUPANCY,][) DAYSI ,·-,~ ---------
-
MFF 80-92-57-0519 ---·--
CREDIT DEPOSIT -·---·--
11
' ! TOlAl SC} A,R I II -TOTAL FEES PAYABLE , OrJ
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PEAM1r AND DO HEREBY Expiralion. Every per_mil issued bylhe8u1ld1ng Ofhcial under !tie prov,s,ons of this I
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l!m1tat1on and become null and void, 11 the bu1ldmg or work 1lr AN OSHA PERMIT IS REQUIRED F0A EXCAVATIONS OVER
5' 0" DEEP AND DEMOLITION OR CONSTRUCTION Of
STRuCTUAES OVER 3 STORIES IN HEJGHT l DECLARATIONS ARE TRUE AND CORRECT AND/ FURTHER CERTIFY AND AGREE tF A PERMIT IS aufhonzed by such permit 1s not commenced w1thm 180 days from the date of such
ISSUED: TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON perm~ or ii the bu1ldin?t or work auth0n2ed by such permit tS suspended or
1 STRUCTION. WHETHER SPECIFIED Hf:REIN OA NOT l ALSO AGREE TO SAVE INDEMNIFY AND ~•~"';;;:"7,;c"""""::'::'c'c"::C1'cmc•c•,,,,••c•clsheeawooe'skc"c-''0em""'me•c"sce•de..!loe,C•'.\~"S°"!'-'ocl.!1280S.Sd••"''---::,+~~..-----------------------~
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE If. OWNER~ CONTRACTOR O A~P VED BY DA TE 84-
EXPENSES wH,cH MAY 1N ANY wAv ACCRUE AGAINST sA,o cnY IN coNsEauENCE oF THE a l,L
GRANTING OF THIS PERMIT BY PHONE O I l ' T1 I
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TYPE I DATE INSPECTOR
BUILDING I
----------------3'-1-~~ ---.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF D SHEAR
FRAME '
EXTERIOR LATH I
'
c~~ -
'::i0 1LS CUMP'_;AN;__·E_
PRIOR TO j
FO,Jr-..OAT,ON lr-.SF ---+ --------------------
STRUCT,JRAL C'C1NCRETE
OVER 20()() F'S1 I -~
INSULATION I
INTERIOR LATH & DRYWALL ' '
PRES TRESSE:J
: CONC::ii::TE
POST TEN:=:.10NE:.r) l
' PLUMBING I
'
SEWER AND BL/CO □IPL/CO I
CONCRETE ~-1 --
FIEL_(J I/\IEL~1N3
----+----------f•l(_;H ST>,Er-..JGT-'
UNDERGROUND □ WASTE □ \/(/ATER BO, TS
TOP OUT □ WASTE □ WATER :-if-"EC1AL rv,ASONqy -
··--·-1-. ---
TUB AND SHOWER PAN ' I
I
' ' C-----· GAS TEST I f-'IL.ES CA ssor,,,:·
□ WATER HEATER □ SOLAR WAtER '---· -------· . ----+--------·~
I ·-~---
ELECTRICAL ' ' I
□ ELECTRIC UNDERGROUND □ l!JFFER --+----.,
ROUGH ELECTRIC I . ----r-
□ ELECTRIC SERVICE □ TEMPORARY -·----------I -----------------
□ BONDING □ POOL I ------~-----
I
MECHANICAL I
____ , -----l-.....--------I-•-------------
' □ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABIJVE HAVE< BEEN AP_pROVED
FINAL I
PLUMBING ' -
ELECTRICAL ' ' I '
MECHANICAL I
GAS ' .,_,.,
'
'
BUILDING I 1--, Jis°'
SPECIAL CONDITIONS ' ' '
,
I _________ L --·---------. --------
etitp of eti.rlsbab .
REQUEST FOR INSPECTION RECORD BUILDING DEPARTMENT
7
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fA~f_#-, _ STATUS fE fo f:., T TIME -ii~s :::~" ?'!ff~ "'""'"" C "'" J$Jy
ADDRESS ~" ~< ,._.,.
REQUESTED BY ____________ PHONE NO. __________ _
PERSON TAKING REPORT_~, .. FL---~
BUILDING I L------------------____ ____J L ELECTRICAL J
No work for six months. Permit expired _______ , -~~~~--
date i niti a 1
Work continues slowly
date initial
Work not started, permit expired ________ , _______ _
date initial
The inspector will return the permit to the Permit Clerk who will
either replace the permit in the file as active or send the owner/
contractor written notice that the permit has expired.
#~--Oec,~ c,,-,)e}10 -tJD t'")pec-ho-,-,vv.i-oz_ ov ro-Jr,:,6~ -=-..=--::-~ ...__, -,;, ,-
Ready For Inspection: r-1, Monday
n A.M. 11 P.M.
1 ' Tuesday r, Wednesday f _1 Thursday r I Friday
\
PLAN CHECK NUMBER tf"lf-tf 5bADDRESS .;2. 5 0 C:, 4-~ DATE __ ',.
PLANNING: TYPE OF STRUCTURE._--'(l,eqL~==---------ZONE: ____ _
J
SCHOOL FEES: SAN DIEGUITO. __ ...,.,... ___ _
CARLSBAD. __ -+-+---
% COVERAGE ____ +-'r----++----
BUILDING HEIGHT'--~4-~:::::=:::::::,..._
FENCES/WALLS ____ ....,._,__ ....... ___ _
TWO CAR GARAGE. _________ _
ENcBeceived
SAN MAR~p a 1Q84
REQUIRED SETBAl''l-1-----
F""~lj-Y C SBAD
SIDE--11-t-+-1~-=----
REAR._""'=-'.;.....J'-------
; ~ COMMENTS: _________________________ _
cit c3
□ REDEVELOPPIENT APPROVAL REQUIRED: N Pr, Q __ ..._ ___________ __._ __ _
·~□ ,_
~ :::, .t:.<::r □ l\f\. 8 ~ LANDSCAPE PLAN Cort1ENTS: , ___ N ___ __,t)....._ _____________ _
ENVIROl'f,!ENTAL REQUIRED.:.: ___ __.¢r"'+-...;'---------------
-----·------------------------
ADDITION11L COMMENTS: '------------------------
OK TO ISSUE: ~ DATE: ql~{a:Y OK TO FINAL: ___ DATE: ____ _
**********************************************************************************
ENGINEERIN~. a-l'3-').-&f LEGAL DESCRIPTION VERIFIED?_
0
y;""cEs-_.,.___ A.P.N. CHE~KED?~
P.F.F. 4k
R.O.W: en/~
SEWER: & 1~
PARK IN LIEU --'-/i;-r,0_Ar-'--------------
IMPROVEMENTS: -------------,-----
LATERAL: €X( ,;.:,-DRIVEWAY: G/(.<irf
GRADING PERMIT: -"-1;t.~C;:;...::;_ __________________ _
DRAINAGE:
EASEMENTS : /Jet N r: ff I"' ~,-,hr.,
* ENGINEERING INSPECT 0
ADDITIONAL COMMENTS: ______ _
DATE: __ -.:.;.~....,;.f--------
/!J
PUBLIC ~!O,RKS INSPECTOR: ______ ..../----------------
FINAL OK: ---·-------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARll'!ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)