HomeMy WebLinkAbout2508 La Golondrina St; ; 85-414; Permit"' z 0
" .. 0: .. ~ u w C
0:
i[
8
0: "' C ~
5 ..
ir "' z ~
z 0 " .. "' z "' ..
:I
0 u
"' "' "' " 0: 0 ;o
L
C ![
D I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Busmess
and Professions Code, and my license ,s 1n
fut! force and effect
Lie No _____ _ "'a,,
I 1ereby a•t,r-that ;;,n e,empt '·o" tee
tors L cense _aw lor the 'c lm,,ng "eaSJn ,s~r,
Bus,r,ess anc Prole;s,o~s Coce A~1 ury or cc~nt·1 ,.,.,,c," re
qu,·es a ~errn,t to :Jrstrucr. arter rnprO"Je, decnol,sh. or r~;io,r a~,· S'" ,c' Jee e"ror to !s ssua~ce a S'.J ·er.ur'es :he 1.p
~:,oanr for sJc" ;iercr,: :o 'led s:sned cta•e,,,en' tiat 0e 1s ·1censed pJr;uanl to 'he prJ,rs•ons o' rre Lont,:;ctT ;
L1ce0 se Law ,si,~tw 9 comm~nunq ,,,,,:h s~,t·on IIIC1 o'
=,;·,,so~ 3 of The Bus n~ss d,'C 0ro•essrcss Co~e, c trot
empt trwefrr, "C,c."'''' 'O' The a leGeC ~,ecpp· on ·,,oiar,c~ 01 Sec on n1 an dPpl,caor 18·
1ects the aJr. ,cd'! IG a c per all\' c' oot mc·e "ur1
a·ed ao1a.s i$$C,J,
as owner of !he Jr my e~·e1oyees w,rr ,.cges a, their sole comoensat,co co 'he 1,o·k a1c thf s·· JC
Tur~ rs rot ,ntended 0· ;f'e·er. tor sd e :sec 704.1 Bus ness
dflC Proless1on1 :□de The ConTr3ctor's 1,c.e,·se Law jnes
no• apµly 10 1.n owner o• popert1· ·;,ho bu•lds ~·
the·eo1 anlJ who does such ;ior• h,rnsei! or lh·oush Jwn
e,TIJIJyees providec That such ,mprove"lents are not ,n·end
e~ or ottered for sale If, '",Jwe,tr t~e bu.ldrog or mprove-
~e-,1 1s sold w,11,n one ,ear ot complet,on t~f owr1er·bL·1lcer
w !I have the burdec of prov,nq Iha: he Ord no: Duild O' m
prove 1or the purpose ol sa eI •
,. as owne· of The p•aper:y am exclusively ;on!r;ict1n~
with l1ceosed contractors tc conotruc! lhe pr~1ect (Sec ?Qq
Bcs11ess and Pr~fess,ors Code The Co1t~;ic1o··s L1cerse
Law does ncT apply !o an owoer o' Droper·y who ttu1lds or 1m
proves lhe·eon anc wr-o cortracts for eac~ p•o1ec1s w1tn a
contrac:cr,:si l,cense pu·,uant to t~e Contr2.ctor's l 1cense Law)
As a r,011eowner I am 1r-,pro·,1ng my home and the lol,ow
11g c:md1t1ors exist
1 The work ,s t-e1ng pertormed lo sa·e
2 I ha,e 11\'ed 1n my home twe1ve 11c11hs pno, to completion of :his wars
I l1ovc ~ot e<a1med 'h•s exemption durrog 11,~ •asl three years
fort'h~:,~:~~itunoe,Sec ______ B&PC
---------
0 I hereby affirm I hat I ha,e a certif,lle ol lcnsent to se,r insure or a cert,l,c;\e of Workers
Compens.a(,on lnsuram.e or a cen\, ct,py thereof
(Sec J8(X) Labor Code)
POLICY NO
COMPANY
□ Copy ,s tiled With the Ci1y
0 Cen,11ed copy ,s herel)y IU'r,1sh,
CERTIFICA H OF EXE:MPTION
WORKERS COMPENSATION INSl'W,A"Cf
(Th,s section '1eed '10' t>e complelPd ,I t'1e ~e'm,t
,s •or one hundred dollars rS100, or ,ess,
0 I cen,ty tt,a1 ,n the perlorman(e ul t"e ,.ori, +0,
which 1h,s perm,t 1s ,ssued. I sha>I '10t ernplc,v a~, persor ,n <my mann,., so .is to t>ecome suo1e,' 'u
!he Worl<e,s Compe'1sat1or Laws o+ Cal,tr:,rn,a
NOTICE TO APPLICANT 11 atler "'"~'"] rn,s Ce'!
1,cale ot E•empt,on you should t;,,>,_ome sut>1ec1'
the Wo,1,,ers Compens.it,on pro,is,ons ot •he Labor
Code you mus\ lorth..,1Tt1 wnp11 ..,,1~ such
prov1s,ons or th,s perm,t shal' bf' deefY',ed 'f'-'>kP,I
D I hereb; ilfl,rrn th;il t"e'<> s a ·.oris1r0 , • c,~ lend,ng 3\jertCy to, •r,p 1-)Nfor~·dw f' ,,, lhP w0r• ,,,, ..,h,c~ fh,s pe,m,1 ,s ,s~~ed s.,, '1)9.' (,.,,· r,u<lP
L er.aer ~ Ni!me ___________ _
Lender~ illddfW,5 __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~ I . -----
~) 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
·-----,;;;:._T. RC!ari:A BUSONESS c,CENSE # .
ASSE~OR ~AGEL NO. ZONE O' t: ,Ujli
.
PERMIT NUMBER
1-Lt....,j_ ___ L_ ____ __L _ __:...t.=...:1...:'5:__:"'::.c"'.::....':.....:.1=~::....::0=0:___1 0 J 7 7
OWNER'S PHONE l---"--U.J1~,f2r1_!Q~,.,..,II!'ll.::_l.!,~L--"--+~;J~,:;!!!'.'.,;;z_~~+---------+---==-,,_------I
e ~-6ld'F J..J.b/'.r.~'-l.'lL.J.~~,,_.,~'..!...t.x.u~~~~--l~'tl.::z.2:;;;~~ PLAN
1
.0. # BLDG USE CODE 0;.'(biA'•7.;0"lolo11drm~ s/-. STANDARD PLAN tt BUILDING SQ FOOTAGE : I DES~PlN• OF w14 .LLv _ 6 /Z. o,,JjV L>
't...k.S7'7 ·c._
ccNsus rnAc, I ,,, CANO use I eAA"W• SCAU ACS UN '-S I
DESIGNER'S ADDRESS
GRADING PERMIT ISSUED
,o ND
e e F LR ELfV
,c "'::J
I
RElJt:Vf::LOPMENT
ARE A
,□ ,c
1
!
QTY PLUMBING PERMIT· ISSUE ·-J~ :I QTY. MECHANICAL PERMIT· ISSUE
NO
STORIES
TYPE
CONST
~-
DESIGNER'S PHONE
DCC GP EDU
ace LOAD FIRE SPP
YO "<O Nor Valid Unless Machine Certrf1ed
SUMMARY/ACCOUNT NUMBER --EACH FIXTURE: TRAP / j INSTALL FURN DUCTS ;JP TO 100 000 BTU
EACH 8UILlJING SEINER
BUILDING PERMIT 01-00-00-8220 __ /~;-Uu
I EACH WA I ER HEATER ANU OR VENT I ------
I EACHGASSYSTEMITU,10Ull~_rs
I EACH GAS SYSTEM~ OR MORE
.·--+-OVER 100.000 BTU
BOILER,COMPRESSOR UP TO 3 HP
801LER.:CQMPRESSOR 3 15 HP -----+------+ . ------
I EACH INSTA~ ALTE:R, REPAIR ,,,_;A-"fER PIPE. t -------
1 -------------+
'v1ETM. FIREPlAC~ -·-+
1 VENT f-AN SINGLE DUCT ----
EACH VACUUM BREAKER I II MECH EXHAUST HOOU DUCTS
SIGN PERMIT --'--+· PLAN CHECK
01-00-00-8221 ----
01-00-00-8806 ----
TnTAL PLUMBING 01-00-00-8222
ELECTRICAL 01·00-00-8223 -----
MECHANICAL ----->------~----01-00·00-3224
MOBILEHOME 01-00-00·82?5
WATER S01-TNER J' RELOCATION OF EA FURNACE-HEATER
~. -H .1::(Ji [;fl,'.\ 'J 'J~1DF I !' L' -I __ _§_DI
MOBILEHOME PARK INSP
__ j_ _ ___ _ _ __ _l_ __ 11 TOTf..L MECHANICAL STRONG
~.8
MOTION
I IU!Al PtU\Hlii'.L ------r l1
1
FIRESPF
1
-----r-I _ !
1 QTY I SOLAR_ ISSUE \ \ ~ PUBLIC FACILITIES FEE ~DQ:8930
'I -~-=-=t
INr<LERS
PUBLIC FACILITIES FEE
BRIDGE FEE
I I lljfW CONST EA AMP svrn bKR ----~ I, I ,---~-,~-~::r TH --C""-,.-~, I ::Ol_;HIJVL rtt -u1:::i
1 EXIST8LUGE.AAMPSWT8KR ---V
I 1 PH 3 PH _ --
"f
SCHOOL FEE -DISTRICT
II Carlsbad
Enc1mtas
---
80·92-21-0519
___ 80·92-22-0519
80-92-23-0519
-
---
.. __
--
-----+----+--+--__,._,._, •· I """ "'"'"' : REMODEL ALHK PER [IRCU:T ------+ ' ",,,J,V,, rrr \ ) I
·~ San D1egu1)?__ --,---------
~-HMPPOLF lOUA\iPS ---------f-------------n-----+----• --~· ~
I
San Marcos
u
--' 80 -92 -24·0519 ----I
I
I
OVER lUU AMPS _____ -----t-------i"--+------\-\'------------j------,t LICENSE TAX 01-00-00-81_62 __ _
HMP OCCUPANCY 1 30 llAYSI ---~--•-----------+-----MFF 80-92-57-0519 ,1-
1 CREDIT DEPOSIT
TOTAL Ell"CTRll,A'. T[ilf\l SD AR
: l"I ----------------------"------,r~---------.!..----•------:---:,o";;;_-,-_. __ -:.;;;;;;.....;;....;...;;...l,""-'"'"1
I CERTIFY UNDER PENALTY OF PERJURY THAT All !NFOAMATION HEREON INCLUDING THE Code shall expire by !im1tat1on and become null and VOid If the bu1ldmg Of work MOUT RUCTK>N Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit IS not commenced w1lh111 180 days from the dale of suet'! RU<miiliii R ST I s I MT I , permit or 11 the building or work authorlZ.ed by such m1t 1s suspended or 3
.3'
ii: c ~ 0 0.
E ill f-
D
0 (')
C m u
0. 0. ""
~
C
ll.
0 w w
ill w w ""
~ .2
ill r
w w ill u
0 ,t
rn ~ 0
G:
ill u C rn C
u.
s
C
~ (')
0 u ill 0. w
C
ill
1 I HAVE C. AREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT· ANO 00 HEREBY Exp,r.ahon. Everype. ,m. ;.11ssuedbytheBuildmg. Ofhc1al~ndertheprov1s1onsofthis W,lS REOU~'f/10 CAVATK>NS OVEFI
ISSUED. TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at an time after !he work IS commenced tor IOd ol 180 da s '
f STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND ""C:::".':'°':':":'':':,:c"'""-"',""-"':CC======'-"'~"!'iif"~~==~
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND ~LICANrs SIGN-\TUAE;, OWNER CONTRACTOR 10
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY JN CONSEQUENCE OF THE ,JJ J ~ fl
GRANTING OF THIS PERMIT · H ,; ~ BY PHONE •11=1~fir~
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
H.EAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS AEJQVE HAVE BEEN APPROVED.'-----
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CCNDIT!(3NS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION tNSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
REQ IF I INSPECTORS
CHECKED APPROVAL DATE
-.:------.-. -~, -~. ----I
INSPECTOR'S NOTES
'
I
' I l
I
I
?:s--4,y
FIELD WELDING
HIGH_ STRENGTH ---+---··-----j-------f----< 1-----------------~-----------------J
SOL TS l '
SPECIAL MASONRY
PILES CAISSOJ\a~-
I
I--------·-f---------------.LI ----------------1
I
I
I
r
I
I
1
•
PLAN CHECK HUMBER ~S-lj/'f ADDRESS d,5Dg o{ ~DATE ?-'/-JS-
PLANNING: TYPE OF STRUCTURE. __ ~tpa::;Zi,=~::..· -----------. ;t
ZONE: ____ _
SCHOOL FEES: SAN DIEGUITO ENCINITAS
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS
BUILDING HEIGHT FRONT jj:X: FENCES/WALLS SIDE
TWO CAR GARAGE REAR ca:: ......
3 ...... -...... COMMENTS: > I-...... < ... Q
§ D REDEVELOPtlENT A?PROVAL REQUIRED: 6~ D . -----------------...,_ ~s-o 8 l;;t LANDSCAPE PLAN COf.tlENTS: ___________________ _
ENVIllCi':NENTAL REQUIREp.,_: ___________________ _
ADDITIONAL COMMENTS,_: _____________________ _
OK TO ISSUE: ~DATE: f1/~ TO FINAL: ____ DATE: ___ _
ENGINEERING LEGAL DESCRIPTION VERIFIED?. ____ A.P.N. CHECKED?_
P.F.F •. ______ PARK IN LIEU _______________ _
R.O.W: IMPROVEMENTS: ______________ _
_______________ E.D.U: ___________ _
SEWER: _________________________ _
LATERAL: __________ _ DRIVEWAY: _________ _
GRADING PERMIT: ____________________ _ -.... ; i DRAINAGE: _________________________ _
I-...... u ca:: ...,_
EASEMENTS: ___________ ADDITIONAL C01t4ENTS: ______ _ ~-□
8c:i D
~ 5-□. ------·------------------------
8 ~ OK TO ISSUE: __./C_~_...;•=:::;::,:::___ DATE: 7 L(r L° ~
* ENGINEERING INSPECTION REQUIRED: _________ ,--_____ _
PUBLIC ~ORKS INSPECTOR: _________________ _
FINAL OK: _________ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)