HomeMy WebLinkAbout2510 La Golondrina St; ; 83-80-174; Permit.. z 0 ~ "' .. ... :rl C
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencin\l with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lir No C'ass
I hereby a!f1rm that , am exempt lrom the Cont-ac-
tor's L,cense Law for the follow,na reason {Sec 7031 5
Business and Professions Code A1/ c,ty or c8unt)' which re-
qLl1res a permit to construct alte,_ 1rnarove demolish, or reoa,r any structure prior to_ 1!s issuance a1so requires the ap-
ol1cant for such permit to file a s,g~ed statement ttia' tie ,s
licensed pursuant to the prov1s1ons of the Contractor s
L,cense Law !Chapter 9 cornmencrng with Sect,on 7000 of
D1v-s10~ 3 o' ·~e Business and Proleso1or-s Coce1 or that Is ex-
emot tiere,·om and the basis for the alleged exempt,on A~y
v,olat1on of Se[t1on 7031 5 oy an appl1cac: for a permit rnb-
1ects the applicant JO a ClVII pe~alti of not more than five hun-
d·ec dollars ($500',
:-I, as owner of the property, or my employees wit~ wages
as the,r sole compensa1ion will do the work and the struc-ture 1s not intended or oifered !or sale (Sec 7044. B~siness
and Professions Code: The Contractor's License Law does
not apply to an owner of p<Oper:y who builds or improves thereon and who does such work !l1msel1 or through his own
employees. provided !hat such improvements are not intend-ed or offereo for sale If, however, the building or 1rnorove·
ment Is sold w1th1n one year of completion, the owner-builder
w11I have the burden of proving that he did not build or im-
prove for the purpose of saleJ
-:: I, as owner o1 the property, am exclusively contracting
with licensed contr2ctors to construct the pro1ecl (Sec. 704~, Business and Professions Code· The Contractor·s License
Law does not apply to an owner of property who builds or im· proves thereon, and who contrac1s 1or each pro1ects with a
contractor(s) l1C1Jnse pursuant to the Contractors License ~.,
7 As a homeowner I am Improv,ng my home and the follow-mg cond,tions ex,st
1. The work 1s being performed prior to sale
2 I have lived In my home for twelve months
prior 10 completion of this work
I have not claimed this exemption during the last three years
:J I am exempt under Sec ______ , B & P C
for this reason
O I hereby affirm that I ha•e a cer11t,cate of consent
to self-rnsure or a cer11!1cate ol Workers Compensation Insurance. or a cer1r!1ed copy thereof
{Sec 3800. Labor Code)
POLICY NO 82W::-l-13656D
coMPANY Mission Insurance
0 Copy IS filed w,th the c1Ty
O Cert,l1ed copy ,s hereby !urn,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sect1or1 need not be completed d the perm,1
1s tor one hundred dollars 1s1001 or 1essI
O I cer11fy tha1 In 1he per1ormance of lhe wor11 to, which th,s perm,t ,s issued. I shall not employ an;
person "' any manner so as lo become subIecl 10
the Won<ers· Gompens.at,on Laws ot CaI,iorn1a
NOTICE TO APPLICANT I!, after maktn] th,s Cert,
f,cale of E,empt,on, you should become subjeC! :0 the Workers· Compensation pro.isIons of lhe i..abor
Code you musl fOr1hw1!h comply w,th such prov,s1ons or 1h1s perm,t shal, be deemed re,o~ed
0 I hereby att,rm 111a1 !here 15 a cons1ruc!I()n
le"d1r1g a,;ie"CY for tllf' per10,mar1ce ol !Ile wwr1< lor
which lh•S perm,1 'POn~er~~~,,H~s
Ler1der s NaMe ___________ _
Lender's 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
2SJ.0 La. ~ond:r:i.W St:l;"eet J>l:12'\SE l
AV. ST. I DATE OF APPLICATION RO. 4/22/83
BUSINESS LICENSE #
3587
OWNER•s NAME
!'l'.:,NDEro.$11. ans I OWNER•S PHONE
619j,56Q.,..8555
CONTRACTOR
l;"QNI)Em$1\. un;s
CONTRACTORS PHONE #
619/560,..;a555
VALUATION SER &MBER"
101,346 i~17f ZONE
OWNER'S MAILING ADDRESS CONTAACTOA"S ADDRESS LICEN'SE NO. PLAN 1.0. # BLOG USE CODE
11300 Sorrento Valley Rd., Suite J.00, S,D, 92121 ~ as Qwner 343456 83-80 SFD
DESIGNER LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE LOT BLOCK suarnv,s,oN .Aram BasseniM & A,s:,octa_tes C-8395
. . DESIGNER'S PHONE oescR,eT,oN o, woR< DMIY;,ee:;; AsQ□Rre""y Pl Suite 170 '#,l!,/i= 1186
• , _j:;t::tU. we lt:e '.L' . • t · 714 4 .
} NO (}\~ __ -~--------------F/P FLA ELEV ST0
2
IES
1998
;;;·;s~Ll..1
v D ' □ ___9_J____ R-3 1
crnsus TRACT I GS LAND use I SAR~,;; SSACC RCS u~,Ts I GRADING ~ERMIT ISSUED
YO ND I
REDEVELOPMENT AREA
YO NHi
TYPE
CONST VN
ace LOAD FIRE SPA
vO Nil} Not Valid Unless M.chine Certified
QTY. PLUMBING PERMIT -ISSUE
~ EACH FIXTURE TRAP
EACH BUILDING SEWER
.J.
1
EACH WATER HEATER AND·DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
I--EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF ORAIN l;~SIOE1 ·--
I
~ TOTAL PLUMBING
QTY. ELECTRICAL PERMIT -ISSUE
------
NEW CONST EA AMP'SWT BKR 100 c-.
I PH 3 PH
"I Iv11:.vnMl'II\JML ri::.n1v111 • 10.:>uc I 3 /)/) I SUMMARY/ACCOUNT NUMBER 1 L~v, u _ 30.,.00 1 INSTALL FURN. DUCTS UP TO 100,000 BTU 4 ._00 BUILDING PERMIT
QTV MECHANICAL PERMIT -ISSUE
6.,50 --------6-VER 100.000 BTU . SIGN PERMIT 01 ·00·00·8221
---------------_ _;_ _____ -2~·.50_,l_ __ ~ER/COMPRESSOR UPTO 3 HP , PLAN CHECK -· ----,
2~-50 801LER/COMPRESSORJ-15HP . TOTALPLUMBING ------
01-00-00-8220 I 438.~0
Ul·UU-U0-8806 284 • 70
Ul·00·00·B222 49. 00
METAL FIREPLACE ELECTRICAL
------
-----II---~ VENT FAN-SINGLE DUCT 4.-00 MECHANICAL -----+----------01-00-00-8223 +-----30. 00
01-00-00-8224 11. 00
n1-00·00·8225 i--··
--t-------,t--
49.00
-~--
5,00 QTY.
MECH EXHAUST -HOO□ ·oucrs --1~---"M"'O'°Bl~LE~H~O~MCCE _____ ~c, -----
~-L□~A_T_1_0N -~~--EA_~u RNA~ ~}'HE_A_TEJ__ --+------11---"-~0_BIL~Q_M_E _PAR,K~ ~'•ccS~P ----
SOLAR
STRONG MOTION TOT.4L MECHANICAL
01·00-00-8226
-80-92-33-0519 7-: 09-
11._00
SOLAR -ISSUE
FIRE SPRINKLERS
PUBLIC FACILITIE? FEE
BRIDGE FEE
01-00-00-8227
32-00-00-8923 +----------1
25. OQJ_ 1 c□LLECTO "-"'RS:_' --------;---, SCHOOL FEE -DISTRICT
STORAGE TANKS
-----
1 EXIST B_ LOG EA AMP 1SWT BKR -+--------------------+----
1 11PH JPH
1 j~ Caclsbad ·-~ Encinitas r bo_cK srnR~~~----fj--,i~---r+--l---_-_--1 -sacO,eguito
PUMP . I/~~~-~ --
80-92-21-0519
80·92·22-0519
REMOOEL-'ALTER PER CIRCUIT
_j!EMP POLE 200 AMPS
--+ OVER 200 AMPS
r-TEMP □c-ClJPANcY 130 □AYs1
--+ -~-~1 ILAN_cHE~K~cv~ _r+-----. -1 J= =~ DEroSIT--I (276.35
80-92-23·0519
80-92-24-0519
-----
1,69_2_.00
------u-----
j ----~·-----' TOTAL ELECTRICAl 30.00 TOl Al SOLAR-------+------'-
TOTAL FEES PAYABLE 2,235.44
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Ellpiration. Eyery per_mi_t issued by the Building Official undertheprovisionsofthis
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmitation and become null and void. ff the building or work
DECLARATIONS ARE TRUE AND CORRECT AND! FURTHER CERTIFY AND AGREE IF A PERMIT !S aulh~rized by such ~rmit is not commenced within 180days from the date of such
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
·5' O" DEEP AND DEMOUTION OR CONSTRUCTION Of
STAUCTUAtS OYER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· p:.m~ °.:drf Iha b~ddmH or work aultiorized by such permit 1s suspended or
STRUCT!ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '--;':;;;;;"';;;;";;;~';:1 :'"c::71'cm:•c•=toc'>1::he!..!w~o~,)'-!!"!j;'~~m~on;\i!d!!_!IO~'c'~~no2d'LlO~ljl~80!LJJd~•l<L·--:::-:J~~~~~~~---,-----------------l
KEEP HARMLESS THE CITY OF CARLSBAD AGA1NSTALL LIABILITIES, JUDGMENTS, COSTS ANO ~PP , T'S SIGNATURE • NERD CONTRACTOR A1RrED BY :r DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .Al ;_. / _} } 4 -, (I U7
GRANTINGOFTHISPERMIT. ',;t,,t.--. ,,>,i!~~~~,~ BY PHONE □ / ~ 'I I • l,,.., 'UJ
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ' II
REINFORCED STEEL " ,_.,_,,J IT
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME -
SHEATHING ..... ...,, -
FRAME ,._ .• ·-IJ f --1..:. ,,
-~~
EXTERIOR LATH lNSCILAflON , A
INTERIOR LATH & DRYWALL ' ///-IJo/:. 7
PLUMBING 11 -
SEWER AND BL/CO //--/~-"'-':.
PLUMBING UNDERGROUND 7-"' ~~ l•W -
PLUMBING TOP OUT q_u.n w
TUB AND !;HOWER PAN
GAS TEST q.1,...11 11'
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -ROUGH ELECTRIC 9.u.,s IT
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL -
DUCT & PLEM., REF. PIPING f-111-rl T
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING " ELECTRICAL " II
MECHANICAL " JI
GAS '-'~ BUILDING "" ,r~• •t
SPECIAL CONDITIONS .
CERT OF OCCUPANCY ISSUED
g~ -r<o-11y
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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
~'J:: , .. -• :; -~. ! ':" 'I
' .
. ----
-
THIS IS TO CERTIFY THAT INSUJ '\TION l'.AS BEEN INSTALLED IN
CQNFO'Pl-fANCE WITH TH.i:. CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/., IN 'fllE
BUILDING LOCATED AT:
SITE ADDRESS: J.51° Lq Ct>/4trl,,~q S''); !,,q {q,53
Number Street ity
EXTERIOR WALLS
! // II
Manufacturer_ ... ~-.;-..:./1'l......,...__Thickneaa/Type &f la R/Value._/....._f __
CEILINGS
Batts: Manufacturer cr//J? h I/ II Thickness /ix R/Value /9
GENERAL CONTRACTOR: _____________ LIC. # _______ _
BY ___________ TITLE _____ DATE _______ _
INSln..ATION CONTRACTOR: APOLLO INSUI.ATION LIC./f '.'H6015 --'----'-----
BY &~ if?g~< TI'n,t_P~ DATE /q~/48 1
=......:======;;;.c....='···