HomeMy WebLinkAbout2511 La Golondrina St; ; 83-80-184; Permit., z 0 ;:: : :l <..> .. C
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D J hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Professions Code, and my license is in
full force and effect.
l•c No_ ____ Class
I hereby affirm that I am exempt ''OM the Gontrac·
tor's License Law tor t~e follow•ng reason (Sec. 7031 5 Business and Pm•ess,ons Code A.ny city or coun'.y which re-
quires a permit to construcl alter ,mprove. demolish m
repa,r any struc1u:e prioc lo IIs issuance also requ,,es the ap-
plicant !or s~ch perm,t to file a signed statement :ha! he Is
1-ce~sec pursuant to the provIs•ons of the Contractor's L:cense Law (Chapter 9 cornmenc,ng with Sect~n 7000 ~1
Dl',1s10~ 3 o' :he Bus,ness and Pro'ess1ons Code: or that 1s ex empt therefrom and Hrn basis for the alleged exempt,on Any
v1olat1on o; Sect10~ 7031 5 by an app:1cant for a percn1t sub-
1ects the applicant to a c1v11 penalty 01 not more than five hun-
d0ed dollars (S50Q,
_ I, as owner of the property, or my e!l'p oyees w·t~ wages
as !heir sole compe~sat1on, will do the work, and the struc·
\urs 1s not intended or offered for saie (Sec 7044, Business
and Professions Code: The Contractor's License Law does
not apply 1o an owner of property whO bu'ilds or improves
thereon and wno_ does such work himself or through his own employees. provided that such improvements are not intend-
ed or offered for sale. If. however. the building or improve-
men? is sold w1th1n one year of completion. the ow~er-bu1lder
will have the burden o1 proving tM1 he did not build or im-prove for the purpose of sale)
I I, as owner of the property. am exclusively contrachng
with licensed contr2ctors to construct the proiec\ (Sec 7!!44,
Business and Professions Code: The Contractor s License
Law does not apply to an owner of property who builds or im-proves thereon_, and wtlo contracts for each projects w1lh a contractor{s) license pursuant to the Contractor's License
Law)
□ As a homeowner I am improving my home. and the follow-
ing conditions exist
1 The work 1s being performed prior to sale
2 I have live<! in my Mme for twelve months
prior to completion of this wor~
I have not claimed !his exemption during the last three years
l: lamexemptunderSec ______ ,B&PC
for this reason ____________ _
D I hereby athrm tha1 I ha;e a cert,t1cate of consent
to self-insure. or a cer11t,cate o1 Workers Compensation Insurance. o, a cen,f1ed copy thereof
(Sec 3800, Labor Codel
POLICY NO 82W::-l-l3656D
COMPANY Mission Insurance
0 Copy ,s filed w,th the city
D een,!,ed copy ,s hereby turn1shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no! be compJeted 11 the perm,1
1s for one hundred dollars 1s1001 or less)
D I cen,ty that 1n the performance of 1he work for which th,s perm,t ,s issued. I shall not employ any
person ,n any manner so as 10 t>ecome sub1ec1 to 1he Workers· Compensation Laws of Cal1fom,a
NOTICE TO APPLICANT If. al!er makin] th,s Cert,
!1cate of Exemption. you should become suD1ect t-J
the WoO\ers Compensat,on prov1s1ons of the Labor
Code. you must lonh,•nth compty with such
prov1s,ons or 1h1s perm,t shall be deemed re,oked
D I heret>y a/1,rm tha1 There 1s a construc110,,
lend,ng agency tor the perlormance '-'' the won. 'or
wh,ch !hrs perm,t ,s issued (Sec 3097 C,v,' Code,
Lenders Name Ponderosa Hemes
Lenders Address __________ _
u:,t l!iAll t'UINI t'tN ONLY I PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-19~9 (619) 438-5525
APPLICATION & PERMIT • i.-w
JOB ADDRESS
2511 4\ Golorl<W~ Sti;eet l'HASE l
OWNER'S NAME
FQND~~ 1 6l9/5~~~;;o;,
OWNER'S MAILING ADDRESS
ll300 So:rrento Valley :Rd,, Suite lOO, S,D, 92l2l
I SUBDIVISION I ASSESSOR PARCEL NO C
1 Rd I ,-,,..,.,.;, 1 r, Rd· +-<>" TTnf+-hlr, ? f '13• ),r., LOT BLOCK
AV. ST:-1 DATE Of-APPLICATION RD. 4(22/83
CONTRACTOR
!;QND~SA, l01E',$
CONTRACTOR"$ ADDRESS
Same as 0\-/ney
DESIGNER
. --------. -------~ .. ---.
DESCRIPTION OF WORK l'T '7\T\l isoo ,. 0~ 1 DESIGNER'S ADDRESS I Single Family with Gara9§ '-"'' . 3990 ~sterlr l'~~, Suite .l70
J\raw B:lssenia.n & Nlsxiate.s
e-----~-.
CENSUS TRAC, I LAND USE ['ARK;~;eACE
OTYJ PLUMBING PERMIT· ISSUE
RES "{"s I
YO ND
GRADING J:ERMIT ISSUED
F;P FLREt::EV
YO NO
-, REDEVELOPMENT AREA
,□ ~
7 .5dl oTY MECHANICAL PERMIT· ISSUE
NO
STORIES
1
TYPE
CONST
'JN
3.00
BUSINESS LICENSE #
3587
CONTRACTORS PHONE 11
6l9/560,..S555
LICENSE NO.
343456
LICENSE#
c-8395
DESIGNER'S PHONE
7.l4/752-l864
DCC GP
E-3
ace LOAD
EDU
1
FIRE SPA
YON~
VALUATION
75,984_
ZONE
t:;,:,i"'
PLAN 1.0. it BLDG USE CODE
83-80
STANDARD PLAN# BUILDING 50. FOOTAGE
1500
4/,123/53) 156 ~091,,, _
Not Valid Unless Mdchine Certified
SUMMARY/ACCOUNT NUMBER
.a EACH FIXTURE TRAP --------=wl!.4 _ _,_,_,_•s_T_All FURN Duns uP rn ,00.000 BTU I 4. aal su1to1NG PERMIT
SIGN PERMIT
01-00-00-8220
01-00-00-822!---t---
01·00·00-8806 --!---
361 00
~ I EACH_WA'.ER H-EA!ER A-~~_J)R VE~~ ~~-GAS SYS!EM 1 TO 4 OUTli_TS
EACH BUILDING SEWER
~~CH GAS SYSTEM 5 QR MORE
1---+-E_A_CH_IN_STA~ .. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
--i -
---+-'
OVER 100,000 BTU ·----------t-
801 LE R /COMPRESSOR UPTO 3 HP
-----------._ --I-
-"'11---+B O I l ER /C OM~R ESS_O_R_J_l_5 _ ~~--.
METAL FIREPLACE ~--+r=-? VENT FAN SINGLE DUCT
------------+------~-
'>· nn
MECH EXHAUST -HOOO-'OUCTS
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
234 65
39 00.j 0,-00-00-a,22 I _3Q__.__Qn_
01 .op-oo-8?23 -+---
01-00-00-8224 _9__.__Q_Q_
~ATER SOFTNER
E~-tEACHs"O:ORAIN I NSIDEi
TOTAL PLUMBING
--=--~ I -;]; .__ .
I . ---f-MOBILEH0.0M:--E~_
RELOCA~IO~ __ OF EA FU~NACE1HEATER--l . ~ -MOBILEHOME PARK INSP
TOTAL MECHANICAL
9.00
SO~AR __ _
~_NG M0.!.!2__1-!_
FIRE SPRINKLERS
_ _ 01~00-00-8225 ----L---
-~Q-00-~_
80-92-33-0519
01-00·0Q·8~
---5_.R_
QTY.
~~-~~---5.0(
ELECTRICAL PERMIT· ISSUE
1"" =
QTY.
----+----+---------
SOLAR · ISSUE PUBLIC FACILITIES FEE ------32-00-00-89~_
BRIDGE FEE
NEW CONST EA AMP:SWT :BKR }QQ 25. QQ COLLECTORS SCHOOL FEE -DISTRICT
f---+-1 PH ---3 PH
EXIST BLOG EA AMP/SWT:'BKR
1 PH 3 PH --------_ _j_ -
-----+-~E~OOEL/~L TE R PER CIRCUIT
~---~~-L~_ 200 AMPS --+--\---+-□VER 200 AMPS
TEMP OCCUPANCY 130 DAYSI ------t-·-
TOTAL fLHrRICAL
---II-----
---------♦---
STORAGE TANKS
ROCK STORAGE
PUMP
PLA~ CHECK FEE -------#------1--
--+----
---ll---
--+----
30. 001 TOTAL SOLAR
Carlsbad 80-92-21 ·0519 -
Encinitas B0-92-22-0519
San D~e~uito ___ ___ 8Q-92-23-0~ ___ _
-t--+'4-<tt--;'---!f---Sac Marcos _ _ ___B0_-_92·24·0519 l, 692. 00
--------
____ ---+----_,,_~IT nePO,SIT _ (276.35)
---1---
TOTAL FEES PAYABLE T 2,094.62
t HAVE CAREFULLY EXAMINED THE COMPLETED •"APPLICATION ANO PERMIT"" ANO DO HEREBY * /IN OSHA, l;'ERMFT IS REQUIRED FOR EXCAVAT10NSOVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ·5'0" DEEP A,ND 0£MOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCTURES OVER 3 STOfltES IN HEKiHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· L~!!!],!1l!e~!!.'~~~!!!!!!':..!~!!!!!~!.£'!/!,~!!!ll!!!.J~~~'!!!.2L!.!!!l.!l!,L_C:::.,.,,!!:~~~~~----------~"j'"f'"""-":"'_..,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND APPA~ED BY vi
KEEP HARMLESS THE CffY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENlS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE O ' '/J~
GRANTING OF THIS PERMIT. {'J cJ
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INSPECTION TYPE DATE INSPECTOR
BUILDING
< FOUNDATION -" -
REINFORCED STEEL " 7-1.~.I,] T
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -·
GUNITE OR GROUT SOILS COMPLIANCE
l'LOOR & CEILING SUB FRAME .,,
SHEATHING 11-k"./I ,,.
fRAME ~ ---_,I
u ~,. Ii
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
EXTERIOR LATH li'fSULAl'lON '-. -PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL " -· -:/J r' POST TENSIONED
CONCRETE
PLUMBING
SEWER AND BL/CO 1//-h-•1
,
"
FIELD WELDING
HIGH STRENGTH
PLUMBING UNDERGROUND 1-,_J1.;J ~ BOLTS
PLUMBING TOP OUT JJ-j.11.Jl SPECIAL MASONRY
TUB AND SHOWER PAN A
GAS TEST 111-1~-~ -f PILES·CA!SSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -
ROUGH ELECTRIC ,,. .._,.. -f
ELECTRIC SERVICE
--· BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL A --
DUCT & PLEM., REF. PIPING '"-'-"..l>t 11'
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS -,.. ~,-. -: ~ ... :
' ·-
' JOB SITNINAL -PLUMBING "-n
ELECTRICAL ...... ,.JI -MECHANICAL ....... _ 1., II> I
GAS ' ,,.,~ r I -BUILDING ...... -SPECIAL CONDITIONS > -CERT OF OCCUPANCY ISSUED -
THIS IS TO ~CERTIFY THAT INSUJ .~TION !:AS BEEN INSTALLED IN
COJ-WORMANCE WI TH Tilt. CURRENT ENERGY REGULATIONS, CALIFORNIA
~ ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/_, IN THE
BUll..DJNG LOCATED AT:
sITE ADDREss: ;t I/ L 9 .......... ~ .... IJ ..... /4 ..... (J@-... r ..... i ~=q__,~ .... "&.a+. _..(,_q.___..Co""""'""'s"-'70/__,
Number Street t:ity
EXTERIOR WALLS ,-i--/ // II Manufacturer _ _.'=½.._,,_-/J'.l ___ Thickness/Type 11 @ R/Value__./....._/ __
CEILINGS
Batts: Manufacturer crj/J7 h I/ II Thickness /3 R/Value J9
GEITT:RAL CONTRACTOR : __________ --'LIC. II ______ _
BY ___________ TJTLE _____ DATE ______ _
INSlJI.ATION CONTRACTOR: APOLLO INSULATION I.IC.II '.:'1!6015 -------
BY <?~ if?ev~" TITI.F~C<AX DATE Lq~a ,. u \../ /