HomeMy WebLinkAbout2507 LA GOLONDRINA ST; ; 84-289; Permitt~~reby affirm that I am l!censed under
~ Section 7000) of Division 3 of the Business ~ and Professions Code, and my license 1s in l provisions ol Chapter 9 (commencing w. ilh
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I hereby af1irm that I am exempt Jrom the contrac
lor's License Law for the following reason !Sec 7031 S
Business and Pro1ess1ons Code Any cily or county which re•
quires a perm,t IO construct, alter ,mp,ove, demo11sh. or reparr any structure, pnor to ,ts issuance also reouires the ap
pl,cant for such permit ta 1rle a sr~ned sIatement that he ,s
licensed pursuant to the provis,ons ot the ~ontractor s
L,cense Law /Chapter 9 commencing with Sect,on 7000 o1 D1vos1on 3 of the Business and Prolessrons Code; or that ,sex
empt therelrom and the bas,s tor the allegea exemphon Any
v1ola1<on ot Section 7031.5 by an applicant lor a permit sub-
Iects the applicant to a cMI penalty o1 not more than 11ve hun-
dred dollars ($500)
J I. as owner of the property. or my employees wrth wages
as their sole compensation. will do the work, and the struc-
ture Is not intended or offered 1or sale (Sec 7044, Business
and Profession5 Code: The Contractor's License Law does
not apply to an owner of property who builds or imprO'les
thereon and who does such work llimsel1 or 1hrough his own
employees. prO'lIde{l !hat such improvements are no1 intend-
ed or offered for sale 11, however, the building or Improve-
men1 is sold within one year of completion, 1he owner-builder
will have the burden of proving that Ile did no! build or im-
prove for the purpose 01 sale)
0 I. as owner of the property. am exclus1Vl!ly con!racting
wi!h licensed contractors to construct the project (Sec 7044,
Business and Professions Code. The Contractor's License
Law does not apply to an owner of property wllo builds or im-proves !hereon. and who contracts for each prOjects with a
contractor(s) license pursuant to the Contractor's License Law)
/J As a homeowner I am improving my home. and the follow ing condrt1ons l!)(ist
1. The work_ Is being per!ormed prior to saje 2 I have lived In my home for twelve months
prior to completlon o1 this work
I have not claimed t/11s exemptmn during 1he
last 1hree years
□ I am exempt unaer Sec ______ , B & P C
1or this reason
JZ1 I herebyafllrm that I ha~ a cert,hcate ot consenl
~II-insure, or a cenr11ca1e olv W,k rs Compensation insurance. or a cen,!,ed copy th eo!
{Sec 3800. l..,iibor CoaeJ
POUCY NO k}C.<:,"Cy3/f
COMPANY {,/Pi (D
_ji!r'coPY IS toled woUl lhe~
0 ee.i,t1ed copy Is hereby lurn,shed
CEATIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed JI the perm,t
,s to, one hundred dollars ($1001 or less)
0 1 cen,ry that ,n the per1ormance ol the work to,
wh,ch this perm,! ,s <SSued. I shall not employ any
person on any manner so as to become subIecT lo
the Workers· Compensation Laws ot Cal,torn,a
NOTICE TO APPLICANT I!. alter mak1n1 this Cert,
locate of E,empt1on you should become subiect \'J
the Workers Compensa1,on prov,s,ons 01 the Labor
Code you must torthw,th comply w•th sucti
provIs<0ns or lh,s perm,! shall be deemed re,oked
0 I hereby affirm triat ttiere Is a consI,u, 110"
Iend,ng agency Tor the per1ormance of the work :er
wh,ch this pe,m,1 ,s ,ssued ,Sec 1097 C1·,iI Cooe,
Lenders Name ___________ _
Lender's Address __________ _
U~t HALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1~00 EJ_m, Carlsbad, Californ1~92006-1969 (619) 436-5525
JOB AOOftJ:SS ' ' ' NEARESTCFIOSS ST.
~· F/P FLA ELEV.
vO NO ---
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
v □ N 0 vO NO
QTY.I PLUMBING PERMIT -ISSUE ~II QTY.I MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU
EACH BUILDING SEWER ,, .. ~ ........... ____ OVER 100,000 BTU
---~ --BOILER1COMPRESSOR UP TO 3 HP EACH WATER HEATER ANU/UR Vt:Nl
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP
EACH GAS SYSTEM 3 0 R MORE METAL FIREPLACE
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HQQQlQUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (11\JSIDEl
TOl~L MEC"i-fANICA[
TOT AL PLUMBING
QTY.I ELECTRICAL PERMIT , ISSUE 5'"-II QTY.I SOLAR -ISSUE
NEW CONST EA AMP'SWT BKR COLLECTORS
I PH J PH STORAGE TANKS
EXIST BLOG EA AMP,1SWT"BKR ROCK STORAGE
1 PH J PH PUMP
REMODEL AL HR PER CIRCUIT ~ I! I PLAN CHECK FEE
TEMP POLE ?00 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
T[lTAL ELECTRICAL s oo
1 HAVE ~~lY:~NEO r;'.;i COMAEfio" ,;-~~~1or,ifiJ~~1f.;ifl~~-~f!REe~-
CERTIP<;~-PBNALT,Y OF ~$R.IURY-,Tf:1A:T ALL IJ:-'F0RMATION"HEAe0N-,~<;Lt:J6il'iG THJ;
O~LARATtONS A,ftE 11:iUt' ANO CORflEOT:Atffl J FURTH'Elit~TIFY AN,O Ail-'lf"A PERMIT IS
:«1SSIJ60: 30""~'t°,wtfti ALl£f-l:Y, ~TY A~ STA~-L~--G@~'J3Ul,LOIN(l CON-
~TRUCT\9114 \Yt,jETH.Eff"'~.f AEfJJ:iEl;lE!N QR,N£t,:. J A~A.G~ TOJ,~A\l'J:1~u;y ANO,,
,IIEEl?~i~~WLll-~~r,AtLLIABILITIE!!,Jl/DG~. oosrs AND
EXPEN!i . ~'11.'2 ... "~t ... ~~A"!SJ'.~11> ""J.,11'JXll,isE~pF, 1'Hle ",OOA,Ji,FTI ~OE~-, , :" y,'";-,h,0 4_0;,r;A i' ' ' ',,,"" , \, 1_' '-'> */'--
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS,
NO
STORIES
TYPE
CONST
.:?-
VALUATION PERMIT NUMBER
ZONE
9t.oo 84-mr
PLAN 1.0. #
STANDARD PLAN#
I DCC GP I EDU
I ~. ~;
ace LOAD FIRE SPA
vO NO I '!fat. Valid Unless Milchine Certified ,,, ..
SUMMARY/ACCOUN'r)1l\;f)lli!,liR ?, , '-,_--..,. IJ'~ ~--:_,,
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
STRONG MOTION -----
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Oieiuito
San Marcos
CREDIT DEPOSIT
01-00-00-8220
01-00-00·8224
01-00-QQ-8225
BCJ:92_·33-02,19 +---,G_L
01-00-00-8227
32-00-00-8933
80-92-21-0519
80-92-22-0519
80-92-23-0519
80-92-24-0519
'05.07
0&:l I· 84
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TYPE I DATE INSPECTOR
BUILDING , ' ~-~
FOUNDATION ' -1__ /) FIELD INSPECTION RECORD
REINFORCED STEEL I " l'"i'm/;,.d IT
MASONRY , , ,
' GUNITE OR GROUT '
.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
SOILS COMPl_tANCE
PRIOR TO
FRAME I FOUNDATION INSP
--
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ' INTERIOR LATH & DRYWALL '
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING . ' ' FIELD WELDING
SEWER AND BUCO DIPUCO I /)
UNDERGROUND D WASTE D WATER 7 h, /,,4 -r
TOP OUT D WASTE D WATER I I
HIGH STRENGTH
BOL fs
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I ~ •A " ~ ('.LL
J< I -I
D WATER HEATER D SOLAR W,\\TER . ., '----
PILES CAISSONt'
-' ..
I
ELECTRICAL I
'j!l ELECTRIC UNDERGROUND □:UFFER r'I ' u. ,!1a r.J+.-
ROUGH ELECTRIC I . . I, I
D ELECTRIC SERVICE D TEMPORARY /I
□ BONDING □ POOL : 7 /·n.: C,.& -f/
I
MECHANICAL I .
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOV~ HAVE BEEN APPROv_ED
FINAL ' .
PLUMBING I
'
ELECTRICAL I
MECHANICAL ' .,("'\ I
·-··-· . .,
GAS ~ .. \~ _, . . ' BUILDING .(A'N.P' lll,/0,WI { :.i -' SPECIAL CONDITIONS \ H
I I
' .