HomeMy WebLinkAbout2510 LA GOLONDRINA ST; ; 84-181; Permit.. z 0
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hereby affirm that I am licensed under
lslons ot Chapter 9 (commencing with
tlon 7000) ol Division 3 ol the Business
and Professions Code, and my license is in
full torc.u~eft8:fs.A L•c No '°3.~/-Clm L,_=7 ___ _
I hereby afhrm that I am exempt from the Contrac-
tor's L,cense Law lor lhe totlowmg reason !Sec 7031 5
Busmess and Professions Code Any c,ty or county wh•ct. re-
Quires a perm,t to construct. alter. improve, demolish. or repair any structure, pr,or 10 ,1s issuance also reQu,res ?heap-
pl,canl lor such perm,I 10 file a s19ned statement that he Is
licensed pursuant to the provisions ot the Contractor's License Law !Chapter 9 commencmg w,th Section 7000 01
D1v1s1on 3 of !he Business and Pro!ess,ons COde) or that Is ex-
empt therefrom and the bas,s for 1he allegeo exemp1Ion A.ny
v,olat1on of Section 7031.5 by an applicant tor a permit sub-
1ects the applicant to a c1v1I penalty of not more than five hun-
dred dollars ($500)
,J I. as owner of the property, or my employees w11h wages
as their sole compensation, will do the work, and the struc-
ture Is not intended or o!fered for sale (Sec 7044, Business
and Professions Code: The Contrac1or'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 improvements are not intend-ed or ottered 1or sale. If, however, tM building or improve·
ment 1s sold w,thin one year ot completion, the owner·builder
will have the burden of proving that he did not build or im-
prove for the purpose o! sale)
:::J I, as owner of 1he property, am exclusively con1ractIng
with licensed contractors to construct the pro1ec1 {Sec 7044,
Business and Pro!essmns Code The Contractor's License
Law does not apply to an owner of property who bu1lds or im-proves !hereon. and who contracts !or each pro1ects with a contractor(s) license pursuant 10 the Contrac1or's L1cense Law}
[J A.s a hw.eowner I am improving my home. and lhe follow-ing conditions exist
1 The work is be_ing per1ormed prior to sale 2 I have lived in my home !or twelve months
prior to completion o1 this work
I have not claimed this exemp11on during the last three years
~r t'h1~r=t under Sec ______ . B & PC
------------
D I hereby all>rm thal I hMe a cert,t,cate of con~nt
to sell-insure, or a cert1l1ca!e at Workers
Compensatmn Insurance. o, a certo!1ed copy I hereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
0 Copy 15 t,led w1lh !he city
0 Certified copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s sec1,on need not be completed ,1 the perm,1
,s to, one hundred dollars 1s1001 or 1ess1
l!iJil, cert,ty 1hat m the per1ormance o! 1rie worl< 10,
~ch th,s peom11 Is issued. 1 shall not employ any
person m any manner S-O as to become sub1ec1 to
1he Workers· Compensat,on Laws ot Ca1,1orrna
NOTICE TO APPLICANT II, alter makIn;i this Cert,
l1ca1e of Exemption you should become sub1ec1 t'l the Workers· Compensation pro~Is,ons of 1he L...lbo<
Code. you must torth"",tri comply w•H> such
prov,s,ons o, 1h15 permit Shall be deemed re,okeO
0 I hereby affirm 1ria1 there ,s a cor-s1rucr,or-
:en(l1ng agency lor the performance ol The ""0°' Tc,r wh,ch th,s pe,m,1 ,s ,ssued 1S..-( !097 c,"I ewe
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 j_619) 4 APPLICATION & PERMIT
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0;-~''¥fii'~l,Lti'i~::: ;•EST~-~ .;;: .. ;;;;;; .-i~n-111 'i:::.;M~TNUMBEA
LOT e~ocic;; . -;oo· ••--. C~N.!R~~T~R CONTRA~TORSPHONE• ZON /cl' I
oWM<o·u'"m 0W~EA°SPHONE ,.,f'.b<V'...v£,O ~~
. CONTRACT"OJl'S A.0 RESS .. , . . _· ,,l . .. LICENSE NO.. PLAN 1.0. # BLOG USE COOE
QTY.I
QTY.I
PLUMBING PERMIT -ISSUE 7,50 QTY.
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAI.. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
n,,t:;~~-:Zb~ ,~~' ,-3$./13.3
0E$1GNER , , i?-~~:IT~:-
.: ~ ,~ . .,~ ... -~ ~~o,,~~~. , ,, . " ·; • !',,. ~ .
vO ND
F/P
vO NO
REDEVELOPMENT
AREA
vO NO
MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOQQ,□UCTS
RELOCATION OF EA FURNACE/HEATER
TYPE
CONST
3. 00
\.ICENs·e # STANDARD PLAN# BUILDING SQ. FOOTAGE
iii'S!-!1-S ~'
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OCC GP EDU
OCC LOAD I FIRE SPA
vO NO Not Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PER.MIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
01-00-00-8220
01-00-00-8221
01-00-00·8806
01-00-00-8222
01-00-00·8223
01-00-00-8224
01 ·00-0Q-8225
5'z;i
.25. 0.5
EACH ROOF DRAIN (INStnF1 I I SOLAR 01-00-00-8226 I I ••' '"W•--, I II I
TOT>'=.L MECHANICAL I STRONG MOTION 80•92•33•0519 _
TOTAL PLUMBING
ELECTRICAL PERMIT -ISSUE 5. 0 0 II QTY. I SOLAR -ISSUE
NEW CONST EA AMP:SWT BKR COLLECTORS
} PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR RDCK STORAGE
1 PH 3 PH PUMP
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYSJ
TOTAL ELEURl[AL TOTAL SOLAR
FIRE SPRINi<LERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80-92-21·0519
Encinitas 80-92-22·0519
San Oie.9.uilo 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162 rn F
CREDIT DEPOSIT .,..
TOTAL FEES PAYABLE
7 * ... ~ JS ---EX<;iwATIONS OVEII 5•0• iil!it~-~~~TION o,· ..
$~<NEB 3 STQAIES IM HEtGMT,
i-:OPROVED BY OATE
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME 1
SHEATHING D ROOF D SHfAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
'
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D )NATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN 1
GAS TEST 7 I
D WATER HEATER D SOLAR WATER
ELECTRICAL !
I
D ELECTRIC UNDERGROUND O1UFFER
ROUGH ELECTRIC 1
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL . I
MECHANICAL !
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS -;
VENTILATING SYSTEMS
DATE INSPECTOR
121 -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ¼E BEEN APPROVED.
FINAL I
PLUMBING
ELECTRICAL
MECHANICAL
: lw~P GAS
BUILDING ~&,/L, I
SPECIAL CONDITIONS I
• .
~L\i-1'21'1 a ~ ..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
REQ IF INSPECTORS ~ .A?tL-~~q i OE "' -k'.;,b 4/L ,n;, ~/ .JL,u',-,d... INSPECTION CHECKED APPROVAL DATE ......
A--·-~h---{-/JL" -,, --~---~-SOILS COMPLIANCE ~ .
PRIOR TO
• A ,,-0 l!J~Lu5' 4~;,)z., J::jv,,U:-£}_ FOUNDATION INSP ----"r
STRUCTURAL CONCRETE ,.A+/ t:/1 -I OVER 2000 PSI
PRESTRESSED -I CONCRETE
POST TENSIONED
CONCRETE
FIEL.D WELDING
HIGH STRENGTH
sot.Ts
SPECIAL MASONRY
PILES CA!SSONS
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