HomeMy WebLinkAbout2507 La Golondrina St; ; 83-80-182; Permit"' z 0 ~ "' .. ... " '" 0
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' , 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 is in
full force and effect.
L1r No Class
I hereby af11rm tnat I am exempt from the Contrac-
tor's License Law for lhe following reason (Sec 7031 5
Business and P:ofess,ons COde /\ny city or cou~!y which re-quires a perm,: tc construct. alter I"'prove, demolish, or
·eoa1r any structure. 8r1or to_ ,ts ,ssuance also requ,-es the ap-
ol,cant 10, such permit lo !·le a s,gneo statement that he Is 1cer.sed pursuant to the prov,s•cns of \he CGntractor's
License Law ,_Chapter 9 commenc,ng with Section 7000 of
"J1v,s101 3 ot 'ne Business a~d Pro'ess1c~s Code) or that Is ex-
ema: :nere''om and the JasIs tor the alleged exem~t·on Any
v,olat on of Se~•,on 703~ S Dy an aopl,ca~t for a eermI! suo-iects t~e app ,cant TO a rn11 penalty of no1 more than t1ve hun·
creC Collars 1$500'•
__= I, as owner of the property. or my employees with wages
as the,r sole compensaI,on. will do the work and t~e struc-
tu·e ,snot intended or offered fo· sale (Sec 7Q44 Business
and Professions 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 Irnprovemen\s are 101 intend-
ed or offered for sale If, however, the building or ,mprove-
men! Is soId w1th1n one year of completion, the owner-bu1'der
will have tne burden of proving !hat he d1C not build or ,m-
prove for the purpose of sale)
l, I, as owner o1 \he property. am exclusively contrac:ing
w,th licensed contr2ctors to construct the proIect (Sec 7044,
Business and Prn1ess1ons Code· The Contrac1or's License
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each projects with a
contractoris) license pursuant to the Contractor's License Law)
[' As a homeowner I am ImprovIng my home, and the follow-
ing cond,1ions exist
1. The work IS being performed prior to sale .
2 I have lived in my home 1or twelve months
prior to complet_iOn ol this work
I nave not claimed this exemption during the
last mree years
L lamexemptunderSec ______ , B& P.C
tor this reason ____________ _
D I hereby attirm that I have a cert1t,cate of consent
to sell-insure. or a cer1,t1ca1e ot Workers
Compensation Insurance. or a cer1,t,ed copy thereof ,s.c 3800. "'""s~-l-13656D
POLICY NO ___ ~-. -·--.-_
coMPANY --~_ssion Insurance
□ Copy IS filed Wtth the Cl!)
0 Cert,hed copy ,s hereby !um,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sect,on need no1 be comple1ed ,f 1he perm,!
,s !or one hundred dollars IS100\ or less)
0 I cef\,ty tha1 ,ri 1he performance of the wor',,, tor
which !his perm,1 ,s ,ssued. I shall not employ anv
person ,n any manner so as 10 become subIecI 10
the Worl<ers· Compensa1,on Laws ot Cal1lorn,a
NOTICE TO APPLICANT If, af!er ma~m;i m,s Cert,
!oca1e of Exemption yo'-' should become subIect !'l
the Worl<ers· Compensation pro.is,ons of the L.,t,o,
Code. you musl 1o'1hw1th comply with such
prov,s,ons or 1h,s perm,t shall be deemed •e•o~ed
O I hereby aff"m that there ,s a construcI,o~
Iend,ng agency to, the per'o,,na.nce o• the wor', 'o,
wh,ch 1h•S pe,rrnt Is ,ssued ISec 3097 Civ,I ewe,
Lenders Name Ponde:rosa ~s
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.j DATE OF APPLICATION
2507 La, Golondi'~ Sqeet 'F'ITT.'n~ .1
OWNER'S NAME
l'QND~ Bl'jES I 619;;;~~;~~E
OWNER'S MAILING ADDRESS
ll300 So:a:ento V(\].ley Ro,, Sm.te ion, S,D, 92121
LOT I BLOCK
1R? I SUBDIVISION
~,.,..,,.il lr-\ .....
l ASSESSOR PARCEL NO.
, -n--{ -1-l\V\. ") C.,:f: 13-7,,-9
RO. 4/22/83
CONTRACTOR
MNDffiOS!\ HO"'lES
CONTRACTOR"S ADDRESS
Sa.rre 1\5: Owner
DESIGNER
I Ji.<J,!:(ER"S ADORE,;:; OESCR•PT<ONOeWORK J.'IJ\N 1641 1 CR ':i':l':IU W:ster.Ly Pl., I Si.l'l')l9 1"-1.y vi.th G~ . "·--····· -• n~
I 1\.am BassenJ.an & A.sooct.i,tes
Suite J.70
,-(ATrAQIE:D) --····-····-····· -'" F LR ELEV NO
STORIES
crnsus TRACT l GP LAND use l eAR~•;; 5eACC
QTY. PLUMBING PERMIT -ISSUE
1-""-+Ec.Ac.cC.cH_cF_c.l Xc.Tc.cUccR.cEc..Tc.cR.cA.cP _______ _
EACH BUllDING SEWER
Res u~,Ts l GRADING J:ERMIT ISSUED
y O N □
YO r-..0 ....9.6......
I
REDEVELOPMENT
AREA
YD N®
J..
TYPE
CONST
VN
[ 7 _5 d!QTY.I MEcHAN1cALPERM1T-1ssuE I 3_00
t . OVER 100,000 BTU .
BUSINESS LICENSE # VALUATION PERMIT NUMBER
358"7
CONTRACTORS PHONE #
619~60~8555
88,095 ,'bD' )i ZONE
LICENSE NO. PLAN 1.0. # BLDG USE CODE
343456 83-80
LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
c-B39s 1641
DESIGNER'Sf>HONE
7.14/752-lRl>d
OCC GP EDU
R~3 1
OCC LOAD FIRE SPA ·ti~~IB:91: 66 "l~,.9}
YO NQ{ Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220 40()....QQ.. SIGN PERMIT 01-00-00-8221
.1
1
EACH WATER HEATER ANO.-'OR VENT
l -~ INSTALL FURN. DUCTS UP TO 100,000 BTU I 4 00 I __ ~ _r_~ BO I LERiCOMPRESSO R UP TO 3 HP -----++--_--_--_--_--_-_-:_ _•-~ .. ~.~ .. -.-.. -.. -.. -------t'LAN t.,;Htt.,;K 01-00·00·8806 2
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEMS OR MORE '---+--------
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER . r--
WA TE R SOFTNER
2 .. ~t BOILER/COMPRESSOR 3 IS HP
__ 1 MFTAI FIRFPl ACE
1
: --+ . -, VENT FAN SINGLE DUCT
MECH EXHAUST HOOO-'OUCTS
TOTAL PLUMBING 01-00-00-8222 .3l)....OO.
ELECTRICAL 01-00-00-8223 30..00. ---
ui::ruA~11rA1 "1-00-00-8224 'LiliL
MOBILEHOME 01-00-00-8225
. 2 00 I "'"""°"'""" 0 I
RHOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP f---·j-EACH ROOF.DRAIN (:~S'DE1
TOTAL PLUMBING
--,---+--------------------+-------lt------------
__ 01-00-00-8226 I t--TOT.G.L MECHANICAL
~ _r:.-~ 9,00! ,~9-.s>o."°,I -~~~------~~----
QTY. ELECTRICAL PERMIT -ISSUE SOLAR -ISSUE ± 5.0011 QTY
NEW CONST EA AMP 'SWT BKR _l_QQ 25, otj~ j COLLECTORS_ -----·
I ------rsTORAGE TANKS
··----+-
lPH 3 PH
EXIST BLOG EA AMP,SWT BKR
IPH 3 PH
------4--]□CK STORAGE
PUrv1P
~ REMOOELALTER PER CIRCUIT I£ -~ . tj_[_ --ECK cEE ; l.t .,. . ------,,-,f rt . _,/ . + -----C,):1:;.J;b~~ -TEMP PO LE 200 AMPS
----
r--OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
-. --+. -
-------.---+----
V
SOLAR
STRONG MOTION 80-92-33-0519 6.16
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIE? FEE 32-00·00-8923 --· ·-1
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80 92 21 0519
Encinitas 80-92-22-0519
San Oiegu1to 80-92-23-0519 -·-··
San Marcos 80-92-24-0519 1,692_.0_Q_
CREDI.'.!' DEPOSIT -~. C276.35.l.l
l
TflTAL ELECTRICAL 30". ooli -·-----t--
TOTAL SOl AR ------+--l I I TOTAL FEES PAYABLE 2,159.81
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATlON AND PERMIT'" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND! FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL C!TY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND
* AN OSHA PEAMfT IS REQUIRED FOR EXCAVATIONS OVER
-5' O" DEEP AND OEMOl.lTION OR CONSTRUCTION Of
STRUCT\.IR£S OVER 3 STORtES IN HEIGHT
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAB!UTIES, JUDGMENTS, COSTS AND ',.
3 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONED ('.)_:
GRANTING OF THIS PERMIT. ::::~::;_;__;_;j ~~~~::'!~=~--.:..::.::::::.::.J ·
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION " "
REINFORCED STEEL "-7.~ll. l,I 1-f
" MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME •
SHEATHING l'l-12·1'1 1'1'A
FRAME . _J /AJl)•i':. '1
EXTERIOR LATH ll'fS'UlATION--......__ JI
INTERIOR LATH & DRYWALL .......... n_,~J"l ,f
PLUMBING -
SEWER AND BL/CO H..JL.1-J u.
PLUMBING UNDERGROUND .,._,,,,.vt ,. ~ .
PLUMBING TOP OUT '"'-"'-ll
TUB AND SHOWER PAN
GAS TEST ,,._,,._,, lrf/
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND " ROUGH ELECTRIC ,,,_,,,_",: -r
" ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL .
DUCT & PLEM., REF. PIPING IA...1J.Ift 'f'
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 ' ' A
ELECTRICAL ' If
MECHANICAL ' ' ,/ .1
GAS "-.~1101 1 •
BUILDING ' 1~, I
SPECIAL CONDITIONS ' CERT OF OCCUPANCY ISSUED
'3:, -'ii O -I °is'd-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FJELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES-CAISSONS
·-·
' w ~;-:t --·
---
• THIS IS TO CERTIFY THAT INStn .~TION !:AS BEEN INSTALLED IN
CONFORMANCE WITH Tilt. CURRENT ENERGY REGULATIONS, CALIFORNIA
. ADl-.INISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/., IN THE
BUILDING LOCATED AT:
-
sirE ADnREss: J!5o1 L q Cr2/4tr/t,~q S'1: La Gsto;
Number Street ity
EXTERIOR WALLS -~! // II Manufacturer _ _.'==',..,,·--'--/?'l__, __ Thickness/Type 11 la R/Value__,/....__/ __
CEILINGS
Batts: Manufacturer cTj/J1 /2 // // Thickness /i} R/Value /9
GENERAL CONTRACTOR : __________ __:LIC .II ______ _
BY ___________ TITLE _____ DATE ______ _
INSlJIJ.TION CONTRACTOR: APOLLO INSlJlATION I.JC.II :!B6015 ---=--'-----
BY UCfud if?p;,_,,,,,/ TITI,tP_:947 DATE Lqh~a 1