HomeMy WebLinkAbout2514 La Golondrina St; ; 83-80-172; Permit.. z 0
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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
Lie No _ c1a,,
I hereby a:1,rm that I am exempt from !M Contrac-
ior ·s L,cense Law tor the follow,~g reason ,Sec 7031 5
Business and P'oless1ons Code Any c,ty or ou~ty which re-
quires a perm,t to construct. alter, 1r1p'ove dernol1sh, or
repair ary st·uc:Jre. p_rIor to_ I1s issuance also requ,res \heap
p,Ica.01 'or such per.~I1 to f,1e a signed stater:\en1 that he !S
licensee oursuant to the provIs1ons of the Cowactor s ucer.se uw : Chapter 9 cornmenc,ng with Section 7000 ol
D1v•s10" 3 :Jf t•,e Bus,ness and Profess,ons CodeI or that Is ex·
erept tnerel·orn and 1ne basis lor tne alleged exemption Any
vI0Ia11or of Sect·on 703'. .5 ~y an aopl1ca"t for a permIr sub-
Iec'.s the applicant to a c1v1I penalty of not more than tive hun·
dreG coila·s 1$500'
I as ewner of the property, or my employees with wages
as their sole compensation, w,II do t',e work. and tne struc-
ture ,s nol intended or offered for sa!e (Sec. 7044. Business
and Professions Code. The Contractor's License Law !loes
not apply to an owner of property who bu1,ds or improves
thereon and who does such wor~ h,rnsel1 or rnrough his own
emoloyees. provided that such improvements are nor intend-ed o, offered for sale If. however. the building or improve-
ment 1s soid w1th1n one year of completion, the ow~er-bu1lder
w,II have the burden Of □roving that he did not build or I'll-
prove tor the purpose of sale)
1-I, as owner of the property. am exclusively contracting
with licensed coPtr~c!ors to construct the project (Sec. 7044,
Bus,ness and Professions Code· The Contractor's License
Law does not aoply lo an owner Of property who builds or im-proves thereon. and who contracts 1or each proiects with a
contractor{s) license pursuant to the Contractor's License
Law\
=1 As a Mmeowner I am ImprovIng my home, and the follow·
Ing condItmns e~•st
1: T11~a~t~1~!r:~g ~~rl~~~ed fi:0\~0e1~!Ie months
prror to completion of this work
I have not claimed this exemption during the last three years
1: 1111;: r:~:~t under Sec _____ _ B & PC
D I hereby affirm that I ha•e acert1!1ca1e of consent
to self-insure. o, a cert1t,cate ot Workers
Compensation Insurance. or a cen,t,ed copy thereof
(Sec 31:0J. Labor Code!
POUCYNO _ 82W'.:-l-13656D
COMPANY Mission Insurance
D Copy LS flied with the c,ty
0 GertIt,ed copy ,s hereby turn1shed
CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed ,f the perm,t
15 for one hundred dollars 1$100) or less)
O I cert.ty ttiat ,n the per1ormance of the work tor
which th,s perm,! Is ,sswed. I shall not employ any
person In any manner so as IO become suoIecI tu
the Workers· Compensat,on Laws of Cal1forn,a
NOTICE TO APPLICANT It alter <nakIn;i 1t11s Cem
f1cate of Exemp1,on you should become subIecI VJ 1he Workers· Compen5a!1on prov,sIons ol lhe Labor
Code you must torthw1H' comply with sue~
provIs,ons or lh1s perm,t sriall De deemed revo~ed
D I hereby affirm thal !here 15 a conslruct,o"
•end,n,;i agency to, \hp per1orman,-e c' th,:, work l()r
wh,ch !h,s perm,t ,s ,ssued 1Sec 3097 C,-,I Code,
Lender 5 Name Pondoroca !'= == x::::.-i.1es
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 {619) 438-5525
JOB ADDRESS
25l4 L?! Golondrina Street PHASE 1
AV. ST.I DATE OF APPLICAT)ON AO. '
4/22/83
OWNER'S NAME
roNDEROSA lD1ES 1619/;~~:;;;;NE
CONTRACTOR
FONDEROSA OCMES
BUSINESS LICENSE #
3587
VALUATION
113,713
CONTRACTORS PHONE #
619/560-8555
ZONE ;:;;;111
f-OWNER"S MAILING ADDRESS CONTRACTOR'S A OD RESS LICENSE NO.
11300 Sorrento Valley Rel., _§ui~ lClO, S.D. 92121 Sane as Owner 343456
LOT I BLOCK I S\JBOIVISION I ASSESSOR PARCEL NO. /J.,..-... /
1172 (',,rri Tl n F'P.ff;,t-P"-flni t-l\h. ? { :;, f 7 3-.....,
OESCR!PTIQN OF WORK
I <::inalP FFm'li·1v T,M+-"h ..... PLAN 2255 D':l"J'.90R~~y Pl., Suite 170 ex I
DESIGNER
Ararn Bassenian & Associates
LICENSE #
C-8395
DESIGNER'S PHONE
Ne rt Beach CA 92660
t---· ----~l ---· ·--~-~-F/P F LR ELEV NO DCC GP 1
c"sus rnAc, . I GS LAND use J SARK;:;SAce RES ~'TS J GRADING f'.ERMIT ISSUED
r □ N 0
YO NO _2.Q__
l REDEVELOPMENT AREA
_ • D 0 [}{
STORIES
2
TYPE
CONST
VN
R-3 1
OCC LOAD FIRE SPA
YON~
PLAN I.D. # BLDG use CODE
83-80
STANDARD ~t11:, 1 a-a '\ll'f!'ING sa '"'Jl"~G.Je ., i..-1'; •. ; 2255 .
Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.501\ QTY\ MECHANICAL PERMIT-ISSUE I 3.00 SUMMARY/ACCOUNT NUMBER
l--'W.-1-'EACH FIXTURE TRAP
1--.-'-l--EA_Cc_H_B Ul LO ING SEWER
---+--'=..:::iui--.lllNSTAll FURN. DUCT.Si.JP TO 100,000 BTU __ .--1----'<.;,-Ul-4 BUILDING~MIT
__ ~-OVER 100,000 BTU SIGN PERMIT
~ 1 ~-=------~OILERiC?~PfiEs~9~~~p ~"ii_~~~-:-----PLAN CHECK ~-· ___ _
01-00-00-8220 _ _46JLO_Q_
01-00-00-8221
-----
01-00-00-8806
·----__ 3M.2Q__ lliEACH WATER HEATER AND:OR VENT _
EACH GAS SYSTEM 1 TO 4 0 UTLETS ----··--------
EACH GAS SYSTEM 5 OR MORE
f-----EACH INSTA~ .. ALTER. REPAIR WATER PIPE '--+---------·--
__ t _ ___ BOILE~~~E.~SOR 3-15 HP____ ~OTAL PLUM Bl~ ~00-00 8222 t------5l.5()__
J __ _ MET~IREPLACE ___ ____ ELECTRICAL _Q1 00 00-8223 _ _}Q...()Q_
___2 VENT FAN SINGLE DUCT ____ --. +---~ MECHANICAL ____ 01-00 00 8224 __ -lJ...00. _
EACH VACUUM BREAKER MECH EXHAUST HOOD-'DUCTS ---------·------
RELOCATION OF EA FURNACE/HEATER -------. ---------+----..._-_-E~~ E ':'_-.5_-0-_F_T NER~ -_
i tAC'1 ROOF DRAIN I1NSl~EI __ _ -+-------¼---TOH-.L MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP --n---------
_SOLAR
STRONG MOTION I .
_ TOTAL PLUMBING~ ~L~ _ ~_51.5(1~ ~-.· I
1
11 .• 00 jj_ilRESPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
01-00-00-8225 ----
+------
01-00-00-8226
--80-92-33-0519~_
--------·
--.2,9_§__
01-00-00-8_227-+-
32~00-00-8923-+
QTY ELECTRICAL_F'ERMIT -ISSUE ~· _ _5. 0011 QTY SOLAR -ISSUE. '~-,-=.
I NEW CONST EA AMP SW1 BKR 100 25. OQJ COLLECTORS
f-------_____ ~H _ __ _ _ t srOR_!'~~ TA~KS _ __ --,--Carlsb~~ 80-9~-3.!..=_0519
/ ~;~s~_G__E_A_AMl',SWT_B_K;PH _ _ :~~: STORAGE I?-# -=====~~==~=======: ::~i~~~a;uito --:~-::-:~~~:::}-
.. _jt~t~~~-!:iit";P1R_c 1
RciJ1T -~----Z£~, ~ -/~::~ -17 _,_ ~:~:snf:POSI~ 809224051~ -~ l~:~:-
1--------\" 1 ~
-,--_TEMP OCCUPANCY 130 DAYSI ~ --_ 1 --l ----_
__ _J ---------{__ ---1 30. 001 \ 001 AL SOLAR TOTAL [LELTRICAL TOTAL FEES PAYABLE I 2,288.31
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT" ANO DO HEREBY E~iyper_mi_t1HuedbytheBuildingOtticiatundertheprovisionsofthis
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code ~hall expire by hm1tation and become null and void II the building or work
DECLAAAT10NS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lf A PERMIT IS aulh~flzed by such p_ermit rs not commence_d within lBOdays from the date of such
* AN OSHA PERMIT IS REQUIRED FOfl EXCAVATIONS OVER
·5' o·· DEEP AND DEMOLITION OR CONSTRUCTION Of
STRUCTI.IRES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-~';;'~n°:cii~t'=e building or work 8l:lthonzed by such permit 1s suspended or
STRUCTIQN. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND '--;~;;:;1'i;:;;:;:';"~:'b~m:•:•~·=•~'--'th:;8'--iw,:7'<'So';mrmaeeoeoo,e.Oofoe<J•'-'!~'C'odS!S.S0L1 >180"'-gd&!!l'JL-:;:;,r~~~~:"::::"'-----------~~~-----~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~~AT RE lf. OWNER□ CONTRACTOR JA ROVED BY ~ 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE )'fll!rt:~6-~~._.L.. '_A <1--'J
GRANTING OF THIS PERMIT. --C --BY PHONE □ di!: • ....~' ◄ I '7 ():,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION "
REINFORCED STEEL '-,,, .,_ 'J .1'3 "f/
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME .
SHEATHING 'q.,<f .,;, ,.~
FRAME •-~ fl--. '',v
EXTERIOR LATH lNSUI: , I I 11
INTERIOR LATH & DRYWALL " ,J_..,,.. 1-r
PLUMBING .
SEWER AND BL/CO /~../~-" .P~
PLUMBING UNDERGROUND .,_':Li .... I ,.,_
PLUMBING TOP OUT o_,,._v. I\V
TUB AND $HOWER PAN .
GAS TEST 'i-ti)../':. If'
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND ~
ROUGH ELECTRIC 9-ttA.l', '-{/
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL .
DUCT & PLEM., REF. PIPING \q ... ---' ,, "J
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING "-..
ELECTRICAL '-II
MECHANICAL "'--~·
GAS ' ,a /I~/•
BUILDING ' I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
.
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
PRESTRESSEO
CONCRETE .
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES-CAISSONS
'
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