HomeMy WebLinkAbout2512 LA GOLONDRINA ST; ; CB891138; Permit"' z 0 ;::
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, USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
l"l,J""J""LIV ... 1'11 ,.._,I,._._""""'-•••••~••..,•••••••••••_,,.._
APPLICATION & PERMIT
~ hereby altlrm that I am licensed under
provisions of Chaptar 9 (commencing with
S.Ctlon 7000) ol Division 3 of the Business
and Professions Code, and my license is m
lull force and effect
,~;o;;/~oNDh/4/;vsTRo. THOMAS BROS NO. DATE OF APPLICATION VALUATION PERMIT NUMBEF'I
!'A&e ;u; 6-3 7-.;2.8-8'l
I hereby alfirm that I am exempl from the Co-,t-ac
tors License Law tor the tollowIng reason (Sec 7031 'J
Business and P•oless,ons Code Any city or counly wh,U; re
ou,res a perm,1 to cons1ruc1 a1ie-,mprove def'1ol,sn G'
,epa,r any structure. p,,or to ,ts issuance also requires The ap
ol,cant tor such perm,1 lo file a s,qned slatemenl Thal ie ,s
I,censed pursuant to lhe prov,s,ons of t~e Ccwacw -,
License Law 1Chao1er g commenc,ng with Se:.M~ 70CO ot
O>\'lSWn 3 of the Business and Protess,ons CO\le, or that 15 e•
empl therefrom and !he bas,s for the aIIegeo exempl,on Any
violahon ot Seclion 7031 5 by an app1Ican1 for a perm,1 ,,~
iects 1ne appi,cant 10 a c,vII penally ol nol mare lhar l,·,e hu"
Gred dollars 1$5001
COT BLO~
OWNER·S NAME
SUBDIVISION W CONTRACTOR I
1 •ss3s,o.~r~~o JS~ ,';L( -Oo MTH tJ..v"'Tv ~lZJhl A1~
I OWNER'S PHONE -·-
CONTRACTORS PHONE, ZONE /I/ti 111 i
7.i/l-3111D () / _
'wEIJ../IJE.I< /Ill A-R Ku S j43g'-t.,l.,,'M k;.2o/ ~. c;;/9No AvE
STATE LICENSE NO. BUILDING SO FOOTAGE
OWNER'S MAILING ADDRESS _
J5/d-0-6Lo/Jb~iN4 DESIGNER
DESCRIPTION OF WORK
DESIGNER·s ADORE.SS
I as owner ot the DrODerty or my emDIOyee> w:Tt' waqe,
as 1neir sole comoensatIon w,1I do the 1<ork and roe ,true
ture ,s nol ,ntended or oflered to, saie ,sec 7044 Bus,ness
and Professions Code The Conrraclor s License Law :toes not aoDly to an owner of property who builds or improves
!hereon and wno does such work h1rnselt ar Th<ough n,~ own
emoloyees. prov,dea thar such I'l1provements o,e Mt ,ntend
ed or oflered 'or sale If, nowever lhe buIldIng or ,mprovc-'l'leot ,s sold w,rh,n one year of complellon the owne,-b,,1,de1
w,II nave the burden ol proving that he did nol build 0' ,rr
p•ove lo< tre purpose of saleI
A DD /Ale,-4,/.<. C::N/Ji 7i 'oN'/,l,J & C e FLR ELEV
72; £X/ 57)' N.6-$LI~ 1£/V .~ ,c
I as owner of the prope'IY am e~clusIveIy contract,nq w,tn licensed coNractors to co%trucl lne pro,ect :sec 7044
Business ,md Protess1ons CMe The Coe.tractors L,cense
Law do-es not apply to an owner of property who builds or ,m
proves !hereon and who contracls lor each pro1ects with a
con1ractorls\ I,cense pursuant to the Co-st,aclor's License Law)
As a homeowner I am Improvmg my home and the lo·low
,ng cond,t,ons exist
1 The work 15 being perlo,med pnor to SJle 2 I have lived ,n my home lor twelve months
pr.or lo complehon 01 this work
I have not cla,med th,s exempr,on durong lhe
last three years
!or 11h~: r~~~';!t under Sec _____ _ B & PC
QTY
I CENSUS TRACT PAF'I( IN(, SPAC~
PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUI LUING SEWER
EACH WATER HEATER ANO OR VE:Nl
EACH GAS SYSTEM 1 T04UUTLETS
EACH GAS SYSTEM~ OR MOHE
EACHINSTAL AUER R(PAIRL/.'ATERPIPE
EACH VACUUM BREAKER
WATER SOFTNER
FACH ROCF r:Ri\lfj 1'fJSInt,
'}(; 1 ~ereby a!tirm that I have a ceml,cate of consent to I I
selt ,nsure or a cert,f,cate of Wo,kers Compensation In
'"""" cc a w,,,,e, '°'"""'"Sec seoo caoo, Coce, ' I I U I A [ p [ lJ MR IN L i
RES UI\.ITS GRADING PERMIT ISSUED I REOEVELOPME"-T
AREA
• O ND ,C -...□
~so II QTY.I MECHANICAL PERMIT. 1ssuE
-
11 1 INSTALL FURN DUCTS i.JP TO 100 000 BTU
OVER 100.000 BTU
_c__JI / I 'OILER CUMPHESSDR UP TO J HP
SOILER:COMPRESSOR 3 15 HP
ME.!AL flREPLACl:.
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD·□UCTS
RELOCATION OF EA ~URNACE·HEATER
DRYER VENT
I If TOT,LME CHAN I CAL
NO
STORIES
TYPE
CONST
,,.:;oe
~
/7• ......
~"i'/-~9 3 I
DESIGNER'S PHONE
S'rATE LICENSE NO.
S,:~:J:~-OS/i:·2, -~9 ·:.:.v~·~
ace GP EDU r,,·, .-< .,, " '. ~ ,_-. '
DCC LOAD FIRE SPF>
vO "-D Nor Valid Unlt'fs Machine Certtl,ed
SUMMARY/ACCOUNT NUMBER
tJ u I ,_ D TfiJGl"ER l'/1
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
SOLAR
STRONG MUTION
U'J 1-810-00-00-822~
001-810·00-00-8(? I
001-81 0-00-00-8891
oo; -o '. 0-00-00-82 22
001 -810-00-00-8223
001-81 O · 00-00-8224
001-810 -00-00-8225
001-810-00-00-8226
880-519-92-33
001-810-00-0:)-8227
320-810-00-00-8740
360-810-00-00-87 40
-, -,
POLICY NO p<.!.'tCi~ 2.~~ I I
COM"" Oll'ufl.uc_ T.uh,_,,,,,, lnTv l c, crrn,rA> oc□,m -,~~"" ~Iv,' I · -I I eAKKINHU l""'"
'$,. Cert,hed copy ,s he,eby lurn1shed I I I NEW CONST EA AMP SWT HKR I I I CAR LA COSTA TIF
312-810-00-00-8835
_,,-.:,-...11,.,Tv I MOBILE HOME SETUP ,::J --II -I PORT
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s sec1,on need not be completed ,t 1he perm,t
,s tor one hundred dollars ($1001 or less\
~ I certify that ,n the performance ot the worl< for wh,ch
th,s permit Is issued. I shall not employ any person ,n any
manner so as 1o become sub1ect to Ille Workers Com pen
sat,on Laws or Cal,lorn,a
NOTICE TO APPLICANT It, alter mak,ng this Cerutocate
of E•empt,on. you should become sub1ec1 to the Workers
Compensation provIsoons of \he Labor Code you must
lorthw,th comply with such prov,s,ons or th•s perm,1 shall
be deemed revoked
I PH I PH
EXIST BLOG EA AMP·SWT BKR
1 PH :l PH
REMOOEl Al TtR PER CIRCUIT
HMPPOlf !OOAMPS
OVER !lJ[J AMPS
run OCCUPANCY :Jo DAYS)
TOTAL [lfLTRl(.A!
~I I
I
AWNING 311-810·00-00-8835 ---GARAGE FMF
LICENSE TAX oo, . s 1 o-c,c-::io-s 15~
MFF 880-519-92-57
CREDIT DEPOSIT
i0T A·, TOTAL FEES PAYABL1/"7\ ~~
__ I hereby afhrm that 1here ,s a constn,c1,on Iend1ng 1
agency for the performance of the work !or wh,ch this per
m,t ,s ,ssued (Sec 3097. C,v,I Code!
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATJON AND PERMIT'" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CEAT!FY AND AGREE IF A PERMIT IS
fSSUEO· TO COMPLY \NITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP-HARMLESS THE CHY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!O CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration. Every permit issued bythe8uilqtng_O~afun4'1:Jh"pro1115;1w:,s ofOus Code shall e~p1re by 11m1tat1on and become null and 1101d ll the building or -..ork
authomed by such permit 1s not commenced within 180days from thedateol such
permit, or 11 the building or work aulhotizad by such per,,111 is suspended or
abandoned_ at •!IY ~m~~fter the work is tdmmenced lo, a ~r•Qd of 180 di
* AN~ll IS REQUIRED FOR t)(CAV. AllONS O'tER 5' O" AHO DEMOl.lTION OR CONSTRUCTION OF
ST .._ OVER 3 STORIES IN HEIGHT 1 /
Lenders Address
Lenders Name APPLICANT'S SIGNATURE • OWNER□ CONTRAcToA·D'f
---y},t,z'e,J.._~ /1,A -.. BY PHONE 0
APPROV~ 101F/_~
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TYPE ' DATE INSPECTOR
BUILDING ' C,6_%"°1 l \ '3. 'is'
FOUNDATION ' . FIELD INSPECTION RECORD
REINFORCED STEEL '
MASONRY '
GUNITE OR GROUT '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
' SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME ' '
FOUNDATION INSP
EXTERIOR LATH ' STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION '
INTERIOR LATH & DRYWALL ' '
PRESTRESSED
CONCRETE
POST TENSIONED
' CONCRETE
PLUMBING ' FIELD WELDING
' HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE D WAtER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' PILES CAISSONS
□ WATER HEATER D SOLAR WAT~R
'
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ Ulj'FER
ROUGH ELECTRIC ' '
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL ' '
MECHANICAL '
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I -·
'
CALL FOR FINAL INSPECTION WHEN AL_LAPPROPRIATE
,,_,.,, .... ,......, ......... ,,,. ....... ---·· , ... ··-·--·
FINAL '
PLUMBING ' I
ELECTRICAL '
MECHANICAL ' .
GAS ' ' BUILDING ' "
SPECIAL CONDITIONS ' I
'