HomeMy WebLinkAbout2513 La Golondrina St; ; 83-80-185; Permit"' z 0 ~ a: "' ~ i.l 0
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D I hereby affirm that I am licensed under
provisions of Chapter g (cOmmencing with
S.Ctlon 7000) of Division 3 ol ttie Business
and Professions Code, and my license is 1n
full force and effect
Lie No _ cr~ss
I hereby afi,rrn that I am exempt fr0"l '.he Cc~!'as-
tor's License Law for the following reason !Sec 7031 5
Business and Profess,ons Code Any ciy or co~nty wr,,ch re-qu1'es a permit :o construe! alter, ,~prove, demol,sh. or reoa1r any svucl,re. pnor to_ ts •ssuance also reQu,res the ap-ol,cant 'or such perm,: to file a s,gned statement that he _,s
1,censea pu'suant lo the prov1s10ns ol the Contracto, s
L1ce1se ~aw (Chapter 9 commencing with SecIion 7000 01
D1v1s1on 3 ot :ne Bus11ess and Professions Code; O" tnat Is ex-
emp'. the'etro'll and the basis 1or the alleged exe11pt1on Any
-,o,at,o~ of Sec,,on 7~31 ~ 8Y an applicant W a perm,t sub-
1ects the applicant :o a c,v,I pe~alty of not more than '1ve hun· dred dollars (SS00',
__ I, as owner o1 the property, or my employees with wages
as !heir sole compensa11on. wrll do tre work and 1he struc-
ture ,s no'. intended or offered for sale !Sec ?044 Business
and Professions Code The Contractor's License Law does r,ot apply to an owner of property who builds or improves
thereon aM who does such work himself or through his own
employees provided ttiat suc!l improvements are not ,ntend· ed or olfered for sale. IL however, the building or Irnorove-
ment Is sold within one year o! completion, the ow~er-ou,lder
will have the burden of proving that he did not build or I11-
prove for the purpose o! sale/
C I. as owner of the property, am exclusively contracting with licensed contr2ctors to construct the proIec1 (Sec. 7044
Business and Professions Code. The Contractor's license
Law does not apply to an owner of property who builds or 1m•
proves thereon. and who contracts !or each proiects with a contractor(s) license pursuant to the Contractors License U;wl
:::J As a homeowner I am improving my home, and the lollow· mg conditions exist
1 The work is being performed prior to sale 2 I have lived in my home for twelve rnonlhs
prior to completion of this work
I have not claimed this exemption during the last three years
:::J lamexemptunderSec _______ B&P.C
for this reason
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O I hereby a!l,rm that I ha,e a cert,t,cate of consent ', to self.msure. or a cert1!,ca!e of Workers
COmpensat,on Insurance or a cen,!,ed copy thereof J (Sec 3800 Labor Code)
POLIO NO 82W::-l --13656D
coMPANY Mission Insuranc
0 COpy Is filed with the city
D Certified copy ,s hereby furn,shed
CERTIFICATE_ OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (Thos sechon nee(] not be completed d the perm,t
,s for one hundred dollars 1s1001 or Iess1
O I cert,ty that on the performance of the work lor
which 1t11s perm,t ,s rssued. I shall not employ any
person "' any manr.er so as to t>ecome sub1ec1 to the Worl<ers COmpensat,on Laws o1 Californra
NOTICE TO APPLICANT 11, a!1er makm;i th,s Cert,
ficate of Exemption you snould t.,ecome sub1ect !'J !he Wor!oers COmpensat•on prov,s,ons of The Labor
Code. you must lorthw1th comply w,m such
prov,s,ons or this perm,1 Shall be deemed reso~ed
0 I hereby al'"m 1r,a1 1r,e,e ,s a construct,or
Iend,ng ager>cy to, me performance o' lhe worl< for which th,s pe,m,T ,s ,ssued 1Sec 3097 Ci-r Code1
Lenoe, s Name ronaerosa Harres
Lenders Address __________ _
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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
';~;;: G;)londriP!l. Street ,..WwE-1 A",;JT DATE OF APPLICATION BUSIN;:a;CENSE • 9~:;;ION ~MIT;<·'"
ow,. EA·s NAM. E I owNER'S f>HoNE . CONTRACTOR CONTRACTORS PHONE• ZONE ,i''2... \)-\
PONDE!PS!\ IDMES 6-19/560-8555 PONDEROSA lOIES 6-19/560-8555 ~ J ✓
OWNER"S MAILING ADDRESS CONTAACTOR·s ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE
11300 Sorrento Valley :Rd., Suite 100, S,D, 92l2l Sa,re M Owner 343456 83-80
,0 ,
1
8LOCK I SUBDIVISION I ASSESSOR PARCEL NO. c· ,.;,,-'"., DESIGNER LICENSE# STANDARD PLAN# BUILDING so. FOOTAGE
'QC: ,.-;,,~ -TTni+-,,.,_ ? ,, 73••y>1 A:ram Bassem.an & Associates C-8395 -1808
DESCRIPTION OF WORK / .
Sincrle Familv with Gara<7e "'1".AN l808 .. "". ~igaE~sffl'ry.Pl,, Suite __170 DESIGNER'SeHONE
• · -,-,~ TI4f7"2-l864 -ill2lllilS 1186 ~ 111ie~
--------------~----·----------F/P FLRELEV. NO OCCGP EDU
STORIES ,□ ,o ---9.9_ l R-3 _l
. AREA CONST CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD F!RE SPA
4 2 0 _l y O N O , D "'XI VN v D N {i Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7, 51 QTY. MECHANICAL PERMIT -ISSUE 3. 00 SUMMARY/ACCOUNT NUMBER
lQ EACH FIXTURE TRAP --~---+--25~ 0,( l INSTALL FURN. DUCTS iJP TO 100,000 BTU 4_ QQ BUILDl~G PERMIT 01-00~00-822? ___ 4llfi_.J)Q_
l EACH BUILDING SEWER____ --6:Sl I--f----. ~~ER 100,000 ~T~----Sl~N PERMIT --□~00-00-8221 1-. -----·-· ---
. _ l I EACH WATER H __ ~ATER~E,□R v~NT --=.__-1_ __ --=.__ -_2~51 ~ ~01L~R_1c □MPRES~□R uP TD 3_ HP ___ -r---PLAN CH~ ___ 01-oo-oo-sso6_,__~ ,,,,., an
_l_ -~~-~H GAS SY_~i~ _2___!_P 4 O~Tl~i__ 1 _ __2_.,._5( 1-----__ ,__B~ILE~E~SOR 3-1_5 HP TOTAL PLUMB~ 01-00-00-8222 ____ -----44--..--00-
-~ACH G~i~STE~5 OR MORE __ + __ __ _ META~-F~~EPLACE ___ _ ____ ---+---~--,-ELECTRICAL ____ 01-00-00-8223 ____ ___30,.QQ_
EACH INSTAI. .. ALTER, REPAIR WATER PIPE I 2 VENT FAN SINGLE DUCT 4· nn MECHANICAL ____ 01-00-00-8224 11 nn
f----t,-E_A_C_H VACUUM BREAKER ..____ MECH EXHAUST~-HOO □,·□uCTS ------+--. _ _ MOBILEHOM_E_____ 01-00-00-8225 1------__ ~
I WATER SOFTNER-------------~----· ~ ,-REL□-CATION OF EA FURNACE/HEATER ---+---~------:-MOBILEHOME PARK INSP
I EACH ROOF DRAIN {INS1□El-------------------~ ---·~---□1-00-00-8226-1-------~ -
1----+-=-~~----------------1----~~ TOU.L MECHANICAL ____§IRQNG MOTION -a0-92~13-o~ii:=I--------=--~~
TOTAL PLUMBING I 44.00 ll .. 00 FIRESPRINKLERS 01·00·00-8227 --t--7'-------~~-~ ----ch.~~~~ --~=---=-~ f==--·= ~--·~--------~--,-------11 --------· ------
PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE 5, 01 QTY. SOLAR -ISSUE ·-------------· ~
BRIDGE FEE __ _
NEW CONST EA AMP~-lBKR-100-----f---25. 001.--COLLECTORS -------SCHOOL-FEE-DISTRICT-------I-----------------+-------+---~-------------,-----.----,,--------. ----~. -----
1
-1 PH 3 PH STORAGE TANKS _____ J...., Carlsbad 80-92-21-0519
~)l~"i~li,:;;,','.~; . ·.-~i ~---=--l:'.:'.-:-:-G-:,-__ E_-_-__ -.. ------~-~l '7;~,;;; -=~=,, ~~~ ';::: :
TEMP OCCUPANCY ilO DAYSI ·· 1 =~-------------1 ---f-------------------• r------. --------
TOTAL ELECTRICAi
1 30·.·oo ------~OTAL so,;;-----r----TOTAL FEES PAYABLE I 2,-176.85
1 HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREBY EKpiration. E~ry per_mi_t i~ued bytheBuildlngOfficiaJ undertheprovisioosofthis 1t AN OSHA PERMJT IS REQUIRED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON tNCLUDlNG THE Code shall e,cpire by hm_1tahon and become null and void II the budding or work .5• 0" DEEP ANO DEMOl.rrK>N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed ~y such permit 19 not commence.d wilnm 180 days from th8 dale of such / STIIUCTURES OVEA 3 STORtES 1ft HEIGHT . permit, or 1f the bt..uld1ng or work authonzed by such permit 1s suspended or _/
ISSUED. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L~•~-~""~-~·~·~·:!"'~•m!!•~ .. ~-~'.!!'""~•!!O!"''!..!!"..!C'!JO"'f!!!!m~""""~•,!!to~,.i•~ -~,riodQ<l_o1etJ1!1il.""J!•m•-,,;.~~=~;;:-::-:----------:7,;::;----~ STAUCTION, WHETHER SPECIFIED HERElN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO __ : '.-I .A.PPR VED BY
KEEP HARMLESS THE CJTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPL'w:RE ~ ~-0-ER.D CONTRACTO~ ! J½,, /2
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE ' J/J' L~~ ~/ □ • . . ' I A~ GRANTING OF THIS PERMIT. , .LL. BY PHONE .x ~ ..., ___ .,..,_...... .,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNOATIO"-'N'------------"'
, REINFORCED STEEL ,,
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lfiiSUL'
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION I."'IHEN ALL APPROPRIATE
ITEMS ABOVE HAVE1 BEEN APPROVED.
JOB SITE FINAL '
PLUMBING ' I
ELECTRICAL " I •
MECHANICAL ' ' JI
GAS ,, -/111/IJ I
BUILDING . , '"7 • I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'
<,,, ~ -80 ;.. ( '¥'~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -
-I SOILS COMPLIANCE 1 PRIOR TO
FOUNDATION INSP
-STRUCTURAL CONCRETE.
OVER 2000 PSI -PRESTRESSED
CONCRETE -
POST TENSIONED
-CONCRETE
-FIELD WELDING
-HIGH STRENGTH
BOLTS -SPECIAL MASONRY
-
-
PILES CAISSONS -
-
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THlS IS TO CERTIFY THAT INSUJ .~TION EAS BEEN INSTALLED IN
CONFORMANCE WITH THI.: CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIL, IN THE
BUILDING LOCATED AT:
sITE ADDRESS: a 5/3 L q C12lb@,~q s1 Lq G,-;79
Number Street ity
EXTERIOR WALLS ~! // ll Manufacturer_..,<....J"""-7,,_..:../?'l___, __ Thickness/Type \f la R/Value //
CEILINGS
Batts: Manufacturer cr;//J7 h I/_ II Thickness /d, R/Value 19
GENERAL CONTRACTOR: __________ __.:LIC .# _______ _
BY ___________ TITLE _____ DATE _______ _
INSlJI.ATION CONTRACTOR: APOLLO INSUI.ATION LIC.# 286015 ---=--'-"------
BY~~ ~~; TITLFcl37'27 DATE /'5/4?~/48 1