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2512 La Golondrina St; ; 83-80-173; Permit
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" "' 0 3 ![ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70CX>) of Division 3 of the Business and Professions Code, and my license is in full force and effect Lie No c1~,s I hereby affirm that I am exempt 1rom the Contrac- :c<s License Law lor the lol-owIng re,son ISec. 7031 5 Susmess and Pccfess,ons Code Any c1'.y or county which re- quires a permit to construct alter. ,riprove demolish or ·eoa,r a~y str~cture. pr,or to ts issuance clso requ,res the ao-;il,:ant for such perm,t io t,le a s,gneo statemem that ~e ,s ,censed p,rsuant to !he prov1s,ons 01 the Contractor's L1ce~se Law •Cnapter 9 c:immenc1ng with Sect,on 7000 of D11·1s1on 3 o' ·ie Bus11ess ano P•ofess;ons Code) or :hat Is ex· emot there!,om and the basis for the alleged exemption Any "n:Ior of Section 7J31 5 by an app,1cant 10-a permI1 sub 1ects the apo•Icant :o a c1v1I pe~alty of not c;iore than tive hun- d·ed do'lars i$000', _ I. as owne, of the property, or rny employees wit~ wages as their so'e compensa:,on wrll do the won, and the struc· lure Is not intended or offered •or sale (Sec i044. Business and Professions Code The Contractor's License Law does not apply to an owner or property who builds or improves thereon and who does such work h1msel! or through his own employees, provided that such improvements are not •ntend· oo or offered for sale_ 11. however. the bu1ld1ng or improve- ment Is sold within one year ol completion, the owner•bu1lder will have the burden ol proving that he did not bu1'd or Im- orove tor the purpose of sale) J I, as owner of the property, am exclusively contracting with licensed contrcctars ta co~strucl tne oro1ect (Sec 7044. Business and Professions Code· The Contractor's license Law does not apply to an owner of proJer1y who builds or 1111· oroves thereon anll who contracts 1or each proiects wrth a contractor{s) license pursuant to the Contractor's license Law) ::::: Asa homeowner I am improving my home, and the lollow- ing cond1t1ons exis1 1 The work 1s being performed prior to sate 2 I have lived In my home !or twelve months prior to completron of this work I have not claimed this exemption during the last three years ~ lamexemptunderSec ______ ,B&P.C for this reason □ I hereby atf1rm that I ha~e a cert1t,ca!e of consent to self•rnsure or a cenit,caie ot Workers Compensation Insurance. or a cer11/oed coPy t'1ereo1 (Sec 38:XJ Labor Code) POLICY NO 82W::-l-13656D 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 J08 AD!?RESS 2512 ~ Golondr;i.na Street 1 J. OWNER'S NAME PQNDER.:,SI\ H:JtlES l OWNER'S PHONE 6l9/56(),.8555 OWNEA·s MAILING ADOAESS ll300 Sorrento Valley Rd., Suite 100, S.D, 92121 LOT I BLOCK 173 I SUBDIVISION • ! ASSESSOR f'ARCEL NO c.,-,_A Carrillo Est4ttes unit No,2 ,~~ 1 DESCRIPTION OF WORK c..; ....,,.,. 1 P F;mii· 1,¥ t.r~ +-h ,:>l)\N 1826 B -, ~ J AV. ST~I DATE OF APPLICATION AO. 4/22/83 CONTRACTOR mNI)EfPSA In!ES CONTRACTOR·s ADDRESS Salle as Owner DESIGNER Aram Bassenian & Associates '1'9~a•~iffl:ty Pl. , Suite 170 + ~,-,h_ rn -- BUSINESS LICENSE # VALUATION 3587 90,862 CONTRACTORS PHONE # ZONE 619/560-8555 LICENSE NO. PLAN 1.0. # 343456 83-80 LICENSE # STANDARD PLAN# c-8395 OE.SIGNE A'S PHONE 714/752-1864 i~:;":i1~ BLDG USE CODE BUILDING SQ. FOOTAGE 1826 F/P FLR ELEV NO STORIES 2 ace GP R-3 EDU 1 41,,291~1 JSG e 1n.~1 vO NO CCNSUS TRAC, I ce cAND use l PARKING SPACE: RCS UN;' l GRAOING ~ERMIT ISSUED -r YON □ REDEVELOPMENT AREA TYPE CONST OCC LOAD FIRE SPA 420 OTYI PLUMBING PERMIT -ISSUE 11 I EACH FIXTURE TRAP ] '. EACH BUILDING SEWER I 1 EACH WATER HEATER AND.OR VENT ~-~ACH GAS SYSTEM l TO 4 O~_TLETS EACH GAS SYSTFM 5 OR MO RE 1------------+-EACH INSTA~ .. ALTER, RE_~~!R_ WATER PIPE I EACH VACUUM BREAKER - ~~~TERSOFTNER EACH ROOF ORA',r,.,i I .%IDE:1 •C ~ VN v □ NK) Nor Valid Unless Machine Cerrified I ' I 7 .501 OTY MECHANICAL PERMIT -ISSUE ---+ 27.50 lllNSTALL FURN DUCTS iJP TO 100.000 BTU OVER 100,000 BTU ---+----- J_ . - j j --1~ 1 ' BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP '.v1ETAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST HOQOlOUCTS 3.00 SUMMARY/ACCOUNT NUMBER 4.00 BUILDING PERMIT 01·00-00-8220 SIGN PERMIT 01 ·00-00-8221 --PLAN CHECK ___ 01-00-00-8806 _J ___ ___,__---lc----'T"-0 T_:Ac:L_Pc_L U:_M_:B:_I N_::Gc____ 01-00-00-82 22 ELECTRICAL 01-00-00-8223 MECHANICAL 01·00-00-8224 ---------2·.00 MOBILEHOME 01-00·00·8225 . SOLAR 01-00-00-8226 406.00 I 263,90 46.50 ------- 30.00 -----9.00 t==·.-RELOCAT_l~ OF EA FURNACE,1HEATER _____ MOBILEHOME PARK IN§P -----TQT,C..l MECHANICAL STR□-NG MOTION 80-92-33-0519 6 • 37 ~ r-1 TOTAL PLUMBING ---L 46; 5 9 .. 00 FIRE SPRINKLERS 01-00-00-8227 ----- ------~---- PUBLIC FACILITIES FEE 32·00-00-8923 COMPANY Mission Insurance IOTY. srn AR -ISSUE ELECTRICAL PERMIT -ISSUE L_5.0f TY ---· · BRIDGE FEE 0 Copy Is hied w1!h !'1e city D Gert1f1ed copy 1s hereby lurrns'1ed CERTIFICAU. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This secteon need not be completed ,f t'1e perrr-I1 Is to, one hundred dollars 1s1001 or IessI D I cert1ty tha1 In the performance of the Nor';; to, which !his peITT'11 ,s ,ssued. I shalt not emplov any person m any manner so as 10 become subIect te the Wor';;ers· Cornpensa11on Laws of CaI,torn1a NOTICE TO APPLICANT If, alter rna~rn~ th,s Cert, f,cate o1 Exemption, you should become subiect t0 the Workers· Compensa!1on prov,s,ons of the Labor Code. you rnus1 torthw,th comply w1\h such prov,sIons o, this perm,! shall De deemed revoked D I hereby affirrT thar ttie,e ,~ a coris1ruc1,o~ ,erid,ng ai;iency •o• !he per<o,marice o' tne wor~ •o, wh,ch th•s pe,mIt ,s ,ssued 1Sec )097 (::i,1I Code, Lenders Name Ponderosa IDnes Lenders Address __________ _ 7 NEW CONST EA AMP swr l:lKR 1 PH '-- 3 PH - -----+----- 190 -_ ~ 2s. o ·-coL I ECT□Rs ------=----~_cH□□. ,_ FEE . □1sTRICT STORAGE TANKS ------;------Carlsbad 80-92-21-0519 EXISTBLDGEAAMPSWTBKR 1 _ _J_ __ ·:R□CKSTCJR~--\---------f---------1, Encinitas 80-92-22-0519 JPH r PLJ'V1? ___ ---f-_____ __J_ ·1 SanDieg_uito ~q-~~23-05...!__gJ----_____ _ --+--~~~□-~E-~~T_£_R PER CIRCUIT ______ -~--~-LA.~~~~-~~_riE_j·__J-1'__· ·. /\"'1 ----l-------1, SanMarcos . 80·9~:24-~5'.P _ 1,692.00 TEMP POLE 200 AMPS _ _ \.,_ll/ _} ---__ --_ _ _ t'OVER200AMPS ---------c;_ ~--------+---~ CREDIT DEE'OSIT~----(276.35) I TEMP OCCUPANCY ,:]0 DAYSI _____ _, ----- - IPH ------II------- J TOTAL EU:CIHl[Al 30.0( TOT Al SOLAR -- TOTAL FEES PAYABLE _E_,177.41 lO{URXXX Expiratfoo. Every permit ISSYed by the Building Offk:iat under the prov1s1oos of this Code shaU expire by limitation and become null and void If the building or work authom:ed by such permit 1s not commenced within 180 days from the date of such t HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION AND PERMIT" ANO DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED· TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-pe~mit, :iif the ~ilding or work authorized by such permit 1s suspended or * AN 05HA PERMrT IS REQUtAEO FOR EXCAVATIONS OVER 5' O" DEEP ANO DEM0UTI0N OR CONSTRUCTION Of STRUCTI.IRES OVER 3 STOAtES IN HEIGHT STRucTtoN WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE !NDEMNIFY AND L;'';i::';;f.":;':;:"'1':-:'"~"""m'='"'='•C'11""!!!.~•<j!!j'~o~o~m~m~en,JJ!oed~~•0~•J•!.J?;~•c•odl!!_QO!.f]180!!2.2daWL,c::;;f"~~~~~---------------1-------4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS AND PLI ANTS SIGzAT E .. cz-R □ CONTRACTOR APPROr•v ~ EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE '~,,Jr,)~~(,, ~41-~~~ {~=- GRANTING OF THIS PERMIT. l • ,:, BY PHONE O ~ ,._ .....,.._ -( f ◄ I O_j 7 , ~ LL > rn 0 Q. E © f- I :o2 0 ('.J C rn -~ o_ Q. ~12 ~ C a: 0 00 00 © 00 00 <( I ~ 0 w >- "' 00 © u 0 0:: rn .; D ~ © u C rn C LL s C © ~ ('.J 0 1:3 © Q. 00 C ~ .c s: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION '---. II REINFORCED STEEL "----,-2.-n ~, MASONRY I GUNITE OR GROUT FLOOR & CEILING SUB FRAME II SHEATHING I q _., .2.-11 -- FRAME .. ,, __ _, 1'9-U-r. ,, EXTERIOR LATH INSULATI~N ' " INTERIOR LATH & DRYWALL ' i .. --·-1' PLUMBING • SEWER AND BL/CO •JIJ ',. PLUMBING UNDERGROUND 17-:71.JJ .. - PLUMBING TOP OUT I 0-~b-l'l 1' TUB AND ~HOWER PAN - GAS TEST ,,_ f.~ -If, f ELECTRICAL I TEMPORARY POWER ELECTRIC UNDERGROUND -ROUGH ELECTRIC 7-.!~ ..s, f ELECTRIC SERVICE I BONDING G. F. I. -SMOKE DETECTOR MECHANICAL " DUCT & PLEM., REF. PIPING f-!,t-f! r 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 " n MECHANICAL " . . I GAS ...._ , ... IJAfl" BUILDING " I • SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED " l!DlJ-Q°3 -~ -1,3. 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 PRESTAESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ---- . •.~:~~ -.. . ,__