HomeMy WebLinkAbout2508 La Golondrina St; ; 85-541; Permit"' z 0 ;: .. "' .. J
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Sr>c:taon , ~) of Division 3 of the Business
and Professions Code, and my license is 1n
full force and effect
No C .i-·,
hereby alfir~ thal am ~•er";J! from •ne Conl·c.c
tor's License Law le,, the tJllow,ng reasor rSec 7-J31:
Rus,ness and Pcofess,ors Code A1)': ty or ~:•un'y wh,cc. •e-~u,res a perm,'. :c c-J~struct. a ·e· 101;,,c·,e derro!·sh Jr ·eoa,· any structure pr or to ,ts osua~r:e as:; ·equires !heap
01,cant 10, sue~ perrrnt to :,re a , c;nec s1a·ement tha' ~e 1s
ke~sec pursuart :c tr,e p:0;1s1o~s o: lhe Gon,racro, ~
L·cense Law :Cha~ter 9 commenc,nq wr'h Sec' on 7C00 '.)i
Dr\' s,o~ 3 of the Bus,ress and P•ofess,ors Cade; or tra• Ise,
emp· t'1erefro-anct t~e bas,s f8r the al eyeo e,em8tIon Ary
·,,c,ation of Sec on 703 I S 0·1 an apa Ic;;nt 'o, a pP.r011 suo-
Iec:s the appIIcart !o a c.vI ~e~alt1· of not "'8re than fiver .J'-
d'ed ~o'lars :550o·,
1 as ow~er ot •he prOJer'y Jr ,ny employees v.,:· wages as '.heir s~•e co-npensa'.ror w;I do The w0rk and the struc-
ru,e ,s not ,ntended or offered for sa·e 1Sec 7044 Bus,r~ss
and P,otess,ons Code The Contractor's license law mes
not apply to an owner of property who tlu ICs or ,nproves
tt'ece0n and who coes such work o,msel' or lhrough ht~ own
e~J'oyees. prc·,ided toat such irr1p'Ovemen1\ are nor ,n:eno-
ed or ottered lor saIe II. howeve· the building o· Improve-
;nen1 Is sold w,m,n one year 01 como,et,on. the owne,-b~, der
wrll have the Curden of proving that he d1a not O~lld ar ,m
prave for :he pu·pose o• sale)
I, as owner of :he p'O;Jerty am exclus,vely c~n•ract,ng
w,10 I,censed contractors IC con,trucl the pro1ect iSec /OH
Bus,ness and Profess,ons Code The Cont·acwr s Lrsence
~aw dOes not a p;i y to an ~wner o1 ~ruperly who builds or ,m
~roves ·1erecn, and who comracls to· eac~ pro,ects with a
ccnt'actor:s) license pursuanr to the Contracro's Lice1se l~w1
A.s a homeowne·, am I01pr,JvIng myhame and the kJlcv;
I"g :ondIt,ons ex,st
1 l~e work ,s beIrg performeo pr,or to sale 2 I have lived In my home for 1we,ve month1
prior to C0"1ple'.,on of :his wor,
I have not claimed lh,s exeff'pt,on ~urIn~ :~e
last 'h•ee yea,s
I am exemp: under Sec _____ _ B&PC for th,s ·eason ____________ _
D I hereby a1f,;m 1hat I have a ~erH,,_ale or ~unsert
10 sell-insure or a cerr,tIcate of Wor~e,s
Compensal•on Insurance o, a cer1,t,...-1 ~o~, tr,p,f'of
1Sec 3aO() Labo, Code1
POLICY NO
COMPANY
0 Copy ,s t.Iect 11,,th 1he c,ty
0 Cenol,ed copy ,s hereby •ur~,shed
CERTIFICAH OF EXt:MPTION FROM
WORKERS COMPENSATION INSU8A'-!CE
(This sect,on .,eed .-,01 be ~omplt>led ,t '"e ~-e,,...
,~ to, one hunCrNI dollars ,$1001 or es~,
0 I cer1,ly 'i°'a1 ,n th<c" per1or-r.an~e or ir,e Nnrl--•:,,
,.h,ch Jh,s perrn,t ,s ,ssued. I shdll nor er1'"I·.'Y an,
pe,son ,n any manner so as 1,, becon,,, sub er• 1
the Workers Com.if'nsat,on L.;11,s r;' CaI,1,.,,,,,,.
NOTICE TO APPLICANT II af!p, makIn,i !'"', (yr1,
r,cal<c" ot E,empt10r you should becorne 5ubIe,:1 ,,,
The Worl<.e,s Compensat,on prov,s,ons ol t~e L;it;,;-y
COOe you mus1 •o,ih.,..,tr, ,ornp<; ..,,,~ su_~
pro,is,ons or T~,s pe,rn,I s~,all bP deemer. "''"''"P(J
0 I he,etJ)' dfl,,.P tndT therP a , c,r•~lru, •,
encr,n1, agency •o, 'hf' pf',-; ,,~an e r,t •he ,.,,,-,.
,.r,,cn lh,s oe,cr,rl ,~ ~;uf'd .,,.. \091 ',odt,
t eno.,, s Name ___________ _
Le~oe, s Aod•es~ __________ _
, 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 w
JOB ADDRESS
::roF /.tt, rb/o)1 J;,~: ;;:S-TCROSS& t/sbdd-;;;;7;;:T,QNI BUSINESS LICENSE 'It /,VJgi
SUBDIVISION ASSES~OR eARCUO. ' CONTRACTOR 7 -, CONTRACTORS PHONE 11
! ''!''
PERMIT NUMBER "-~5--~ ~ s-11/ 0 0. ~BLOCK , .;J, / ":> .!> c,, L .l-<!, c0 u
: OWNER'S PHONE l'z.:;;;i'a~~;:;;:~;t'~~r55 ___________ TT:iciEii:seNC,-----jr--;"':;;-;-;;---;;-------!;:;,;::;,;;:;~-;:;:;;;-;-----j
I "f-3'if-51 ,J LICENSE NO. nAN, o. • SC c -
E
ill f--,~~•·UDE I I I ..J----'~ 'Ti b I OWNER'S MAILING ADDRESS -'\ : 6tl /11 c:.__.. DESIGNER LICENSE:: STANDARD PLAN:: -·· · ~···---tsUILU1Nl:i :;u. FOOTAGE
2..,.s;-"2.____ : oEscs,moNo,jJ;;./;o CovtY ___ /,Ut;t)cL DESIGNER'S ADDRESS DESIGNER'S PHONE :1---7 uz_s----µ;-w-r'-{.sl~4 H ecs,cevl I ST~~ES loccc, I EDU I
I l ,8 -...c --
1 CENSUS TRACT CP LAI\ID USE PARK<NG SPACE GRADING PERMIT ISSUED :!~~VELOPMEl\,T I YPE
CONST
ace LOAD F'I RE SPFI
I , 0 ~ 0 , CJ -... □ y □ NO Nor Valid Unless Machine Cerrif1ed 1f----,------L----------"-----...,.l-------'-,~-.----=--=----'------=-"=-----'----,-..L---,L-----'--=---'-=---.L-----'---'-'---'----=----'---'-----'----'---~-
I QTY PLUMBING PERMIT. ISSUE ,, __ I QTY. MECHANICAL PERMIT-ISSUE SUMMARY/ACCOUNT NUMBER
I _..-'
I EACH fIXTURE TRAP INSTALL FURN DUCTS UP TO 100 ODO BTU ·---1--BUILDING PERMIT 01-00-00-8220
I EACH l:WILlJING SE'NER f-OVER 100,000 BTU --SIGN PERMIT ---01-()(}oO-s221 -
I -wH-',\IA !ER HEATER ANlJ UR vrNT --+----! BOIL-~COMPRESSOR UP TO 3 HP ✓'+-----'---II-PLAN CHECK-----01-_oo-o□-8806 ---/ S♦:::3 0
; EACH-GAssYs1EM11[J_4UulLET ---.-----~.s □1Lrnr:oMPRESS□RJ15HP _______ TOTALPLuMBI\G ----□-1-00-00-8222 --------
1 EACH GAS SYSl!:.M J OR MOR __ t \ffli'.-._ "IR~PLAC'. !:.LECTRICAL _0_1 00_9Q_g23 ____ --j
: EACH INST Al All ER, RE R \";AT ER PIPE _ · VE.NT FAN SINCL E DUCT __ _ MECHANICAL __ 01 00 !JO 8~-------
' i-----+==-'-'==c-;,c. KER MECH EXHAUST MOBILEHOME 01-00-00-8225
I -~-----~~--+--MOB:LEHOME PARK ltJSP 1 .--l-~f•:: --1·,1.1~ ',' '-___ ---------+-----➔ __ _j_ __ -,c,c,.cr.icc===~----~--'-----'----.J/ SOLAR 01-00-0~-~
, STRONG MOTION 80-92-33-0519 --. -----ii
I T[llAl PIU'-'1-ll~l, FIRESPRINKLERS 01-00-00-8?27 ------------"'===-+-------j
---:-s,0-
Pl!_BLIC FACILITIES F~E 12-00-00-?Jl.~ I
1 QTY ELECTRICAL PERMIT. ISSUE SOLAR -ISSUE BRIDGE FEE
------------.J,,L.-----. : ~:: co~s1 EA P.MP SW! SKP.
1
PH _____ -+
11
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1
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_r,,:-;~-T:.-,,-e-s___ SC~ia~~s~:
0
EE -DISTRICT ;_~;_
21
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0519
E _ 1 ~ :~s r ~~K; P~ ---=---.--11 t:·r~~ ----~~::~~✓-~~---=::=::=:1--=~--=~-=--_-_-_'---_---JI _ ::~1~111:-;,-,,-,---:~::~::~:~:;: _ _-__ _
---R_~MOOEL_A~_PrR[,<1_(:Ull -----:,•__i-:_:c,f_F_ _____ . ---sa~~arcos __ --__!l_~224051~9--+--------
,u,,PPOLE /(lOA'.iPs . __:. _ ~1
1 [)1JER !CIIJ A~PS ------. ' ---~-:.~=-----------J------'----jf LICE~~E T~ 00 ~~62 _ ---=---------==1--+-----------
IEr/P UCCUPAN 30 DAYSI MFF 80-92-57-0519 _:.C.:-'--7--------------------tt--l--------------+------fl----------~~-~.------,--+ ✓L------------CREDIT DEPOSIT
-;1J]Al FLl:URIU1! ,~,-,::, S'JLA~ I
I, ii I
---
TOTAL FEES PAYABLE a3o
fHAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' ND DO HEREBY Ei,;piratmn Every permol issued bythe8u!ld1ngOff1ca11 undertheprovis,ons oflhis
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HER INCLUDING THE Code shall e)(p!re by hm_itallon and become null and void !I the buoid,ng or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY A GREE IF A PERMIT IS authorized by such permit +s no! commenced wrtti,n 180 days from the dale of such
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w ' permit. or If the building or work authonzed by such perm,1 1s suspended or
ISSUED: TO COMPLY WITH All CITY COUNTY ANO STATE LAWS GO ERNING BUILDING CON:i;:;•~b;;o~o~do~o'iod~~att•~o~~t,~m~•~•~ft~l•f'1'h;'!.."•Coc,k~"CC~o~m~ms•~"£Ce~d;;lo~,~•;1s•'"'°"~~o~l~1;80;;;'d~•~•;,:;;,[Jf~;;'9i"!f:i~~~ti-"'ifi~f-t1,'t-;;;:;-~----•,•=-j_...-STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APP ICAN . 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO l TS SIGNAT~lf-OWNER 0
~ ,;:
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE &f. p □
GRANTING OF THIS PEl'lMIT '(/__ 1.. , HONE
TYPE I DATE INSPECTOR
BUILDING I
----------... ---
-~s-~.51-+I
I "-
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
GUNITE OR GROUT I
~~=-
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHeAR
FRAME '
I
EXTERIOR LATH I
SOILS cc:nv1r1__;AN,-.r: I
PRIOR TC I
FOLINDATION INSf-' t------>-----~
STRLJCTU9A_ C(1NCPE TE
OVER 20C:C PSI
'
INSULATION I PflESTRESSEC
'1 CONCRETE
INTERIOR LATH & DRYWALL I
'
I
PLUMBING I
SEWER AND BL/CO □!PL/CO I
POST JENSi::JNEC I CONCRETE ----+ -~---~
FIE'_O WELDING ----------------
c•IC>-1 :';l ;.,p,1c:;n-_..
BOLTS
UNDERGROUND D WASTE C WATER ')f-'E'CIAL .'v1AS')r,,,F,Y ~ . -.
TOP OUT D WASTE □ W~TER -----'
TUB AND SHOWER PAN I i
GAS TEST I
□ WATER HEATER D SOLAR WAtER
I
p;, ES CAISSOV t------------~----
------i ----
ELECTRICAL I
-~ -
D ELECTRIC UNDERGROUND □ lJFFER .. .
ROUGH ELECTRIC I -
<
□ ELECTRIC SERVICE D TEMPORARY ~--------
□ BONDING □ POOL I
---~-
I
MECHANICAL I ------------~-
□ DUCT & PLEM., D REF. PIPING
·HEAT -AIR COND. SYSTEMS I
' '
VENTILATING SYSTEMS I --I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA V6 BEEN APPROVED ·. FINAL I . •
PLUMBING I
' ELECTRICAL I .~
r -
' MECHANICAL ~
I -~
GAS I l
,_
BUILDING ' -) .,........_--.. I -
SPEClAL CONDITIONS I ~-~
--'-----------. ----' '-----------------,--------
I ' ' ,)
.. ~ .
, ......
DATE?;:f7#s ;
PLANNING:
ZONE: ____ _
SCHOOL FEES: SAN DIEGUITO ______ _ ENCINITAS ______ _
CARLSBAD. ______ _ SAN MARCOS ______ _
% COVERAGE. __________ _ REQUIRED SETBACKS ____ _
BUILDING HEIGHT _________ _
FENCES/WALLS. ___________ _
TWO CAR GARAGE. _________ _
:::T&f7
REAR ________ _
COMMENTS: ________________________ _
~
0
· □ REDEVELOPMENT A;,PRDVAL REQUIRED: ______________ ..... _
t;~ □, ..,_, =~ c.:o-□ <· 8 ~ LANDSCAPE PLAN COMMENTS: .,., ' --------------------
· ENVIllCr!MENTAL REQUIREp_: ____________________ _
ADDITIONAL COMMENTS,_: _____________________ _
ENGINEEnING 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: ____________________ _ -.., ; ~ DRAINAGE: ________________________ _
l-"-J u c,: ..,_
EASEMENTS: ___________ ADDITIONAL COMMENTS: ~-----~. □ So □
~§□ ~
u a:: OK TO ISSUE: _ __.~l.!:::;~· .::::::::::===-
* ENGINEERING INSPECTiqN REQUIRED: __________ -"------
PUBLIC ~O~KS .INSPECTOR: _________________ _
FINAL OK:_· _ _.;.. _______ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, aUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
•· '(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)