HomeMy WebLinkAbout2512 LA GOLONDRINA ST; ; 84-109; Permit., z 0 ~ r,;
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D I hereby affirm that I am 11censed under
pmvlalona of Chapler 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. L,c No _____ _ Clas\
I hereby atf,rm lhat I am exempt from 1he Con11ac-
tor's License Law lor the lollow,ng reason (Sec 7031 5
Business and Professions Code Any city or county wh1cr, re-quires a permit to construct, al!er. improve. demolish. or
repair any structure. p11or to ,ts issuance also requires !heap·
pl1cant tor such perm11 to file a s1qned statement thal he _,s
licensed pursuant lo the provIsIons Of the Contractor s License Law {Chapter 9 commenc,ng wnh Section 7000 ol
01v1s1on 3 o! !he Business and Professions COOe) or that ,sex
empt therefrom am.I rne basis for !he allegea exemption Any
v1olat1on of Section 7031.5 by an applicant 1or a permI1 sub
Iec1s 1he applicant lo a c1v1I penalty o1 not more than !Ive hun-
dred dollars ($500)
17 I. as owner of 1he properly, or my employees with wages
as their sole compensation. will do the work. and the struc·
ture Is not intended or offered 1or sale (Sec 7044, Business
and Proless1ons Code: The Contractor"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 1n1end-
ed or of!ered for sale. If, however, 1he building or improve· ment is sold w1thIn one year 01 complellOn, the owner-builder
will have the burden o1 proving tha1 M did not build or im-
prove \or the purpose of sale)
D I, as owner ot the properly, am exclusively contracting
with licensed contractors to construc11he project (Sec 7044.
Business and Professions Code. The Contractor's License
Law does not apply to an owner oT property who builds or im-
proves thereon, and who contracts for each prO!ects w11h a
contractor(s) license pursuant to the Contractor's License ""' lJ As a homeowner I am Improving my home, and the 1ollow ing cond1\1ons exist· 1. The work_ is being per1ormed prior to sale
2 I have lived In my home lor twelve months prior to completion oT this work
I have not claimed this exemption dunng the last three years
□ I am exempt under Sec ______ . B & P. C
!Of this reason
□ I hereby afllrm that I ha.-e a cert,!1ca1e o! consen1
10 self-,nsure, or a cer-111,cate ol Workers
Compensation Insurance. or a cert1t,ed copy ll'1ereot
(Sec 3800, Labor Code)
POLICY NO
COMPA.NV
O COpy Is loled with tile c,ty
0 Cert,hed copy Is hereby lurn•shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sect,on need not be completed ,t the perm,I
Is !or one hundred 00IIars ISHXll or IessI
0 I certI!y that ,n the performance oT lhe worl< tor
which this peITTl•I ,s ,ssued. I shall no1 employ any
person ,n any manner s.o as to become sub1ect 10
the Worllers· Compensation Laws ol Cal,forri,a
NOTICE TO APPLICANT IT. al!er mak•n~ 1h•s Cer1•
hcate of Exempt,on, you should become sub1ect l'J
the Worl<ers· Compensation pro~,s,oris at the Lat,or
Code. you must torth....-,th comply with such
p,o~,s,ons a, 1h1s pe,mI! snail be deemed revoked
0 I he<eby aftirm that lhere ,5 a corislruct•o..-,
1end1nl) agency lor the pf'rtorma," e o' lhe wor~ 10, wn,ch this perm,t ,s ,5~ued ISec 1091 c,-,, Code,
Lenders Name ___________ _
Lende, s Add,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLl\:ANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
QTY.I
QTY.I
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 _(619) 438-5525
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 0 R MORE
EACH INSTAI.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (lNSIOE)
TOT AL PLUMBING
ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP/SWT BKR
lPH J PH
EXIST BLOG EA AMP1SWT:BKR
1 PH 3 PH
REMOOEL'ALHR PER CIRCUIT
TE MP POLE 200 AMPS
OVER 200 AMPS
fEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL
N~ARESTci\OSSST. l>\~ip'-:a1':', BUSlNESS LICENSE # VALUATION PERMIT NUMBER
j!!--
y
= ~!A~~!gjL.~,
, JV ....
* CONTRACTORS PH9NE • .. 84-\ocr
' coNTRACToR•s.·,-ooflESS t.tCEN~ffo. PLAN LD. # BLDG USE COOE --o---JZeS,.ftf)Q
L1C'E~t·,#' STANDARD PLAN# BUILDING SQ FOOTAGE
J8Z--*
GRADING PERMIT ISSUED
F/P FLR ELEV.
vO NO
REDEVELOPMENT
AREA
TYPE
CONST
·."l'.
*
OCC GP EDU
OCC LOAD I FIRE SPA
YO N □ vO NO YO NO Not Valid Unless lhchine Certified
QTY.I MECHANICAL PERMIT· ISSUE .s-SUMMARY/ACCOUNT NUMBER
INSTALL FURN. DUCTS i.JP TO 100.000 BTU I I BUILDING PERMIT 01-00-00-8220
OVER 100,000 BTU I I SIGN PERMIT
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK IQ_,
01-00-00-8221
BOILER/COMPRESSOR 3-15 HP / I TOTAL PLUMBING 01-00-00-8222
METAL FIREPLACE ELECTRICAL 01-00-00-8223
VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00-00·8225
RELOCATION OF EA FURNACE/HEATER I I MOBILEHOME PARK INSP
TOT.li.l-MECHANICAL
QTY. I SOLAR· ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAi SOLAR
SOLA.B_
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Die-9.uito
San Marcos
TOTAL FEES PAYABLE
01-00-00-8227
32-00-00-8933
80-92-21-0519
80-92-22-0519
80-92· 23·0519
80-92-24·0519
I I
,50
-. ·:~ ::...~.n:~J~QUIREII iq,~Yll~<>'l!'~ s· o• • Al!!!_~ QRCQIISTR\JC-llON OF . sTRIJC1lllfi.,.... 3 s~ ":' • ..,. ·
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~ 3'.15,84
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TYPE I DATE INSPECTOR
~-100, BUILDING -,
I . FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I . -I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .· . MASONRY I REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
.s
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FRAME I FOUNDATION INSP
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION ' PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING ! FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOL.TS
TOP OUT D WASTE D ~ATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSONS
D WATER HEATER D SOLAR WATER
'
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1UFFER ' . ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
'
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
• VENTILATING SYSTEMS -I
I
CALL FOR FINAL INSPECTIO~HE./11 ALL APPROPRIATE .
ITEMS ABOVE HAVE N APPROVED.
FINAL I .
PLUMBING I .:1.t' --·'. -" ~ ' ELECTRICAL I II .l .. t ·-• 1 . --. -.. "'.:;-: .. --~---.. ,
MECHANICAL I I \! , \ -\\' ... ---i._, •,_1 -' -' GAS I 11· IV\""'· '
BUILDING , ' • I I ,
SPECIAL CONDITIONS I Y'
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E1 1.EGEfVED
~ /7) // · ~,. -. A~ HAtl-:\.. 2 i984
TYPE OF STRUCTURE -~~ ~. ~t ---~-
f CARLSBAO
SCHOOL FEES: SAN DIEGUITO_______ ENCINI ~~d)~O Qepartment
PLANNING:
CARLSBAD SAN MARCOS --------------
REQUIRED SETBACKS
BUILDING HEIGHT -----------FENCES/WALLS ------+-++---l----
-----
::::T {}/(_
-TWO CAR GARAGE REAR
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-------------------
;: ~ COMMENTS:
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0~ D ~r~ REOEVELOP~1ENT APPROVAL REQUIRED: ~ / t+ 6 ~ □ ____ ........ _____________ _
u.J -~: □ LANDSCAPE PLAN COMMENTS: Ill p ------------·------------;
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ENVIRONMENTAL REQUIRED_:--~-+~....::.,-----------------
ADDITIONAL COMMENTS: --------------------------,
DATE: ------------.
******************•it*•;,>,********•**********************************************-*··~**
ENGINEERING LEGAL DESCRIPTION VERIFIED? fJ o A. P. N. CHECKED? 0 I
P.F.F. r0[ El PARK IN LIEU _ _._+-----------------
R.O.1~: f;;:...X\St IMPROVEMENTS: -~f.-..'-,> ........... -=--------------~
SEWER: tJ( flt-
LATERAL: NiA: DRIVEWAY: f::..X\~
GRADING PERMIT: ~J:::..,...lL.&.l.--__________________ ____,
.~ ~ DRAINAGE: ....Jf::J1c:::::~X\.::::.i.....i.~L~...!-..... , ----------------------,
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EASEMENTS: ..... o_. ...... •-~-·-------ADDITIONAL COMMENTS:--------:
OK TO ISSUE: _/__,: ,,_.If..__ ______ _
* ENGINEERING INSPECTION REQUIRED: __________________ --1
PUBLIC ~!ORKS INSPECTOR: _____________________ ~
FINAL OK: -----------DATE: ____________ __
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT. DRAINAGE, ETC.) M -::,-1-s-M-