HomeMy WebLinkAbout2512 LA GOLONDRINA ST; ; 84-139; Permitr.~ ~;[
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D I hereby affirm that I am licensed under
provisions of Chapter 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 ______ [la11
I hereby affirm that I am exempl lrorn the Conlrac tor's License Law 1or IM tollow1ng reason !Sec 7031 ~
Bus,ness and Prolessions Code Any c11y or counly wh1c~ re quires a perrn,t to construct, a1te(. ,mprove, demolish, or
,epa,r any structure. pr,or lo ,1s ,ssuance also reowres !heap-
plicant for such perm11 10 hie a s19ned slatement that he ,s
licensed pursuant to 1he prov,s,ons o1 The conirac1or s
License Law (Chapler g commencmg w,th Section 7000 of
D1v,s1on 3 of the Busmess and Protess,ons Code) or Iha! Is ex-empl therelrom and the bas,s tor the alleged e,empt1on A.ny
v,0Iat1on ot Section 7031 5 by an applicant 1or a pe,m1\ sub-
Iects the applicant lo a c1v1I oenalty ot not more 1han five hun dred dollars ($500)
I. as owner of lhe property. or my employees w,th wages
as \heir sole compensa11on will do the work, and the struc·
ture ,snot intended or of!ered 1or sale (Sec 7044. Business
and Protess1on5 Code The Contrac1or's License law does not apply to an owner o1 property who builds or improves
thereon and wM does such work h1msell or through his own employees. provided 1hat such ,mprovemen!s are not intend·
ed or o1tered 1or sale. If, however. the building or ,mprove-
ment 1s sold w11hIn one year of complehon. the owner·bu1lder
will have the burden of proving that he did no1 build or im-
prove for \he purpose ol sale)
ri I. as owner o1 the property. am exclusively contracting with licensed contractors to construct the pro1ect (Sec 7044.
Business and Professions Code The Contractor's L,cense Law does not apply to an owner ot property who ~•Ids or im-proves thereon_, and who contracts tor each pro1ects with a
contrac!or(s) license pursuant 10 the Con!factor·s license Law)
0 As a homeowner I am ,mprov,ng my home, and the 1ollow ,ng conditions exist
1. The work is t>e1ng performed prior to sale
2 I _have lived m my hOme !or twelve months prior to complet,on 01 !his work
I have not claimed th,s exemption dunng the last three years
~r ih~: r8:a~~t urn:ler Sec _____ _ B&PC
0 I hereby a!!,rm that I ha•e a cert1hcate 01 consen1
10 self-insure or a cer1,t1cate of Workers
Compensa11on lnsu,ance, or a ceri,1,ed copy lhereot
;sec 3800. Lilbor Code)
POLICY NO
COMPANY
□ Copy IS hied w1th the c,ty
0 Ger\1!,ed copy Is hereby !urn,shed
CERTlflCATl OF EXE:MPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no\ be completed It the perrn,t ,s !or one hundred dollars (S1001 or less!
0 I cert,ty thal ,n the pertormance ot lhe wor', tor
which this perm11 ,s issued. I sl"lall no\ employ an;
person ,n ;3.ny manner so as to become SubIect Ill \he Workers Compens.at,on L..lws o1 CaI1forn,a
NOTtCE TO APPLICANT If alter mak,n] this Cert,
lrcale ot Exempt1or,, yoo should become sub1ec1 v,
the Workers Comp,en5,1t1on proy1s,ons oT the Labor
Code, YOU musl !orth...,,1h LOmply with such
prov1sIons or 1h,s perm,t shall be deemed revOMeO
0 I hereby aff"m lhal lllf>re ,s a cor1~1,uctIO~ Ier1dmg 11,Qency for 1ne µer'urmance ol m., wor> tor
which th,s perrn,t ,s ,~~ued ,S,,c \091 C,,, :=:ooe,
Lenders Nam<> ___________ _
Lenders Ad<.lfess __________ _
USE BALL POINT PEN ONLY & PRE~S HARD CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008·1989 (619) 438-5525
JOB ADO.AE_SS , AV. ST. RO. NEAREST CROSS ST. DATE OF APP.LICATIDN BUSlNE:
r.:NSE#
VALUATION PERMIT NUMBER I
-1 < I;, LA..r.::: r,1 I 1'J ~ atf>.. /)tJ1 --·,n '-:3 '.lt,,Z.. DA } ,4.,z.oi) ...
LOT BLOCK I $uso1v1s10~ ASSE~Of~RCs'-~t i'-Ip.;:> CONTRACTOR CONT-CTOASPHONEt ZONE ~-139 . ...
ft 'I I' f!J'&c,/f. UMP 2-9'U ·t../ I f / .. OWNER'S NAME I QWNE R'S PHONE ' ,r,.JOGt...:-/ I
;') t CONTRACTOf/1'$ AQORES$ LICENSE-NO. PLAN I.D. # BLOG USE CODE
OWNER'S MAIL.:\NG A00ff£SS'"w C.LZ-1 Nll.f.t/.~ '-~ 1.10,.J ""-s ,-, A
£A G.~~ _,. •OL ti'JA DESIGNER •i LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE I . -,,S"/.":1 • . •.. . ".· ; ~, .. ..
D£f,CR_1PflONO:~·: .1 ,A . . • , ... ···r& . .
DE$<GN ,·; . •~ •'"' •
. . . DESIGNER'S PHONE
j); .. . v v' •• ,' ,ik :1· ;' •••M ••• . . . . . .. ~·· '" F LR ELEV NO ace GP EDU
I ; STORIES .. . :·•#.; ·, ,• ·v v_ . . . .. . .,..: :; YO NO
CENSUS TRACT I GP LAND USE I PARK ING SPACE RES UNITS ! GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST ' y □ ND YO NO YO NO Nor Vafld Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE -7.~ QTY. MECHANICAL PERMIT· ISSUE ..3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00-00-8220 -,"'". ,'17
EACH BUlllJING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00-00-8221 ..
~ .-~-I ------------·
/ A ,;,2-: • EACH WATER HEATER AND:OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00·8806 ·-
EACH GAS SYSTEM 1 T04 OUTLETS I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00-8222 ·-· +-------· ------------------
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 01-00·00-8223
EACH INST AL. . ALT ER. R EPA IA WAT ER Pt PE I VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224 ;
----------t -------· ---
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RHOCATtON OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDE1 SOLAB._ ________ _J)j-QQ_-QQ:.B226
TOHi.L MECHANICAL STRONG MOTION 80-92-33·0519 ~ I ----___ . __ -------------------
TOT AL PLUMBING I FIRE SPRINKLERS 01·00-00-8227
-<"--PUBLIC FACILITIES FEE 32-00-00-8933 I
OTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE ' BRIDGE FEE
NEW CONST E:A AMP:SWT BKR COLLECTORS SCHOOL FEE -DISTRICl --
lPH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP1SWT·BKR I ROCK STORAGE Encmitas 80-92·22-0519 I
---
I PH J PH PUMP San Oieguito 80-92·23-0519
REMODEL ·AL Tl::R PER CIRCUIT PLAN CHECK FEE San Marcos 80-92·24-0519
TEMP POLE 2GO AMPS -.
OVE.R 200 AMPS LICENSE TAX O1-OO-OO-B162 '
TEMP OCCUPANCY 130 DAYS) A7.?/Y'
CREDIT DEPOSIT <.. .-5 7 ./T.C::: ~
lllTAL ELECTRICAL ' TOTAL SOLAR I ••
I I TOTAL FEES PAYABLE 4-Z ~<-C.
. . . · ExPiraJion:.~'pi,mU_i~~-~,9Hicial undef the proWS1o{lsofthis I * AN 08HA PERMIT ISREQLIIAEOFOR EXCAVATIONS OVER I HAVE CAREFULLY EXMAJNED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HERESY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL 1NFOAMATION HEREON INCLUOtNG TH£ Code..1,lllft.U:pitabJ Ii~ . becomu'wU and VOid If the building Of work s· o~ DEEP ANO OEMOUTtoN OR CONSTRUCftON OF authOfiied by $Uettpenhil~ not comtnetlC9<1 llrith.iJ, 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if • hi~ .Of W\!Jp autbol'.Wld by such 1>4;1rm11 is su$p8f'loed or STRUCTURES OVEA 3 STORIES IN HEKiHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-tl the-"""·· fo, a ...,.no<l of 180 .. ~~ ..
STAUCTION. WHEfHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP1.1CA.hrs SfiGltAr ' . OWNE•□ CONT!V,GT~_ APPROVED BY DATE KEEP HARMLESS THE CiTY OF CARLSBAD AGAINST ALL UAB1UTIES, JUDGMENTS, COSTS ANO /7· :: -EXPENSES W°HICH MA'( tN"ANY WAY.ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE BVPHONE 0 ;---I ?:.l?a' r.Jf GRANTING Of''THIS PE~MIT. • . . " ' -.,1 ,
-'· TYPE , DATE INSPECTOR
BUILDING J . tr<..f'-16 '1
FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL ,
MASONRY '
GUNITE OR GROUT '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME 1 SOILS COMPLIANCE
SHEATHING □ ROOF □ SH~R
FRAME 1
PRIOR TO
FOUNOA TION INSP
EXTERIOR LATH ; STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION :
INTERIOR LATH & DRYWALL 1
PRESTRESSED
CONCRETE
POST TENSIONED
' I CONCRETE
PLUMBING 1 FIELD WELDING
SEWER AND BUCO □IPUCO 1
UNeEflGROUNO □ WASTE □ IJVATER
TOP OUT □ WASTE □ WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN 1 _
GAS TEST ; 41 ~/~ i PILES CAISSONS
□ WATER HEATER □ SOLAR WA'fER • •
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER A
I
I
ROUGH ELECTRIC , 4/~/p4 -f I □ ELECTRIC SERVICE □ TEMPOf1lARY ' ' 1
'
□ BONDING □ POOL ' I
I I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ,
.VENTILATING SYSTEMS :
I
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I_TEM$ AB_OVE HAVt!i BE_Ef,/ APf'R_OYE_D. . .
FINAL • . . . ' PLUMBING
ELECTRICAL
-·-.
MECHANICAL
GAS
BUILDING ,,
SPECIAL CONDITIONS
•
'
PLANNING:
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SCHOOL FEES: SAN DI EGUITO
CARLSBAD
% COVERAGE
BUILDING HEIGHT
FENCES/WALLS
TWO CAR GARAGE
COMMENTS:
[122 1934
ENCINITAS 61:0' 0 --o o nt ·P n • vn,, ~oAD
SAN MARCOS ,., tllding Departmer t-
REDEVELOP~1ENT APPROVAL REQUIRED:
LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIREP~: ____________________ _
ADDITIONAL COMMENTS: ------------------------
OK TO ISSUE:f:,,~ DATE;>/z.)/l'f OK TO FINAL: ___ DATE: ____ _
*****************************************************************************2~
ENGINEERING LEGAL DESCRIPTION VERIFIED? Of<. A.P .N. CHECKED?~
P. F. F ·--1-.....:-----PARK IN LIEU __ !!--1--½..:..j>r-___________ _
7
-------------E.D.U: ---=J/~IA-:.....__ _______ _
SEWER: .JX>Al1T MOCJK.. dP ~ .PA-TD S'e-,J t:::: ?t [)y S. 7t n-1
LATERAL: ;J/J.,-i uJ GRADING P-ER_M_I.,..~-1.: _4 __ 1/;_j:k--_____ _
~ ~ DRAINAGE: .t---7_..q ,.K,,6 8UJ1.-E SPA xurlo--rF PR..A/J.s ·~~ Pit~
DRIVEWAY : P ,L..J!_A--_______ _
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0:::::::l □ a:: O' Ou.J UC::
EASEMENTS: _(3_1<_;__,;,_ ____ -'---__ ADDITIONAL COMMENTS:~ S~-r
DATE:_3--+-/~~7_...lfl ........ ~ ____ _ ,
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC ~!ORKS INSPECTOR: _____________________ _
FINAL OK: -----------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)