HomeMy WebLinkAbout2514 La Golondrina St; ; 83-80-RW; Permit~~ i[
., z 0 ~ "' .. ~ 0 .,
0
0
"' .,
0 ~
5 I ., z ~
z 0 a z "' .. "' 0 0
"' "' .,
" "' 0 3
l[
D I hereby affirm that I am licensed under
provisions of Ch,-'1;,ter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and ellect
Lie No ______ Cla,1
I hereby afhrm that I am exemD! from the Contrac
tor's License Law tor the •ollowang ,eason (Sec. 1031 ~
Business and Proless,ons Code Any city or coun1y which re
quires a Derm,t to c□ns1ruct. alter ,rnprove. demolish. or repair any structure. prtor to ,ts issuance also requires !heap-
plicant for such perm,t to file a s,qneO statemen11hat he 1s
licensed pursuant to \he prov,s,ons o1 the Contractor s
License Law (Cha~1er 9 commenc;ng with Section 7000 of
Qw,s,on 3 o11he Business and Profess•ons Code/ or thal ,sex emol lhere1rom and the basis tor the allegeo exemption Any
v,olatmn of Section 7031.5 by an appl1canl for a permit sub·
1erts the applicant to a c1v1I penalty of no1 more than 11ve hun-
dred dollars ($500)
rJ I, as owner ol the property. or my employees with wages
as their sole compensahon, w,11 do \he work. and lhe s1ruc
ture 1s not ,nlended or offered !or sale (Sec 7044, Business
and Professions Crx!e. The Contrac1or's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through t,,s own
employees. prov1de-d that such improvements are not intend-
ed or offered for sale. 11. however, the bu1ld1ng or improve-
ment ,s sold within one year 01 completion. 1he owner-builder
will have the burden ot proving !hat he did not build or im-
prove !or the purpose ot sale)
LJ I, as owner ot the property, am exclusively contracting
with licensed contractors to construct the proiect (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 wM contrac1s 1or each proiects wi1h a
contractor(s) license pursuant to the Contractor's License
Law)
'.l As a homeowner I am 1mprovmg my home. and the follow mg cond1t1ons exist 1 The work ,s being performed prior to sale 2 I have lived ,n my home tor twelve monlhs
prior to compfellOn of this work
I have not claimed this exemp11on during lhe
last three years
0 I am exempt under Sec ______ .BI!. PC
1or this reason ____________ _
□ I hereby atfirm tl'la1 I ha•e a cert,f1cate 01 consent
to sell-insure. or a cert1l1ca1e of Workers
Compe!"lsat1on Insurance. or a cert,l1e<1 copy !hereof
(Sec 3800. Labor Code)
POUC, NO WCP-6255-061
COMPANY Great American
□ Copy ,s tiled With tl'le city
0 Cert11,ed copy 1s hereby 1urn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sec1,on need not be completed ,1 111e perm,,
,s !01 one hundred dollars (S 1001 or less)
0 I cert,ty !hat ,n the performance of the worl< tor
which H11s perm,! 1s issued. I shall riot employ any
persori ,n any manner S-O .3S to become sub1ec1 To
1he Workers· Compensation Laws ot Calllorri,a
NOTICE TO APPLICANT If, a!!er makcn;i H'us Cert,
ticate of E,emp11on, you should become sub1ect 1°,
tl'le Workers· Compensa1ron pro.-1s,ons ol Tl1e Labor
Code. you must tortri,.,11h comply w,!t, sue~
prov,s,ons o, 11'!15 permit sh.311 be deemed revo•e<l
0 I hereby affirm tnal !11ere ,s a. consHuct,on
1end1ng agency to, lhe perlorma.,xe ol the worl< for
wri,ch 1hr5 perrn,t ,s ,ssued ,Sec .l097 c,,,1 Code,
Lenders Name Ponderosa Hanes
Lende, s Add,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989_1619) 438-5525
JOB ADDRESS, AV. ST.Aii NEARESTCllOSSST-
APPLICATION & PERMIT
DATE Of APPLICATION BUSINESS LICENSE # VALUATION .....
J ' [.,>'lf7}
PERMIT NUMBER
~ESSOO p~ W4'.+ , , CONTRACTOR --CONTRACTORS PHONE# ZONE %2_ ~op i,\.i ~:.J.....:~=-=~=::::.::::=--==:.I....!•f«>=•-=-".::.l\l:'N:.::.,---="=-J.5:...-..:,5,:c61'-'=2::-:0=:--i ~ HCMES 560-8555 ...,r r-·
4/?4/84
OWNER"S-NAME , ~NEfl'.S PHONE CO-N"tRACTOR"S:AooRESS LICEN$£NO. PLAN 1.0 . .# BLDG USE CODE
JlM GRAN!' _ 560-8!,.55 · 11300 Sorrento Valley Bd. #100 343456 l)s\~
OWNER'S MAILING AD~ESS LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
Saim-as 1\bcilre: -~ ~~--~--!-&~-l\SSOCIA'l~~~-~'&9~-kc~-~8;39;,s~::;;:-+-----L..:;;;zJCI.L~---, -~ ' -. / ~-,.r;.s~i:;i10, DESJGN£R'.S~tt~NE
CENSUS I HAL 1
~:~ rit "O?"'° _ 714/752 18_64
F ;p FLA ELEV
YO NO
NO
STORIES OCC GP
REDEVELOPMENT ---TYPE
CONST
UCC LOAD
AREA
EOU
FIRE SPA
v □ N o ~o ,._o v □ NO Not V;,Jid Unless ~chine Certified
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP I ~ ] INSTALL FURN. DUCTS UP TO 100,000 BTU I I BUILDING PERMIT
".7~11 QTY.I MECHANICAL PERMIT -ISSUE I 3-I SUMMARY/ACCOUNT NUMBER
.-::::.A"-. ·-01-00·00·8220 ~ ~ I EACH BUILDING SEWER I ~ I OVER 100 000 BTU I I SIGN PERMIT ~
1------EACH WATER HEATER AN □,□R vENT I I BOILER/COMPRESSOR uP TO J HP. PLAN CHECK o;-~~-(
n1-nn-oo-8221
0-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS i BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE i METAL FIREPLACE . ELECTRICAL
01-00-00-8222 -----
01 ·00-00-8223
EACH lNSTAl,.. ALTER. REPAIR WATER PIPE ----+ VENT FAN SINGLE DUCT . MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOOiOUCTS . MOBILEHOME
01·00·00-8224
01-00·00·8225
WATER SOFTNER II I RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP
SOLAR EACH ROOF DRAIN !INSIDE) TOT.l.L MECHANICAL STRONG MOTIO,cN __ _
01-QO-QQ-8226
80-92·33·0519 ~
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
QTY. ELECTRICAL PERMIT -ISSUE 5'--QTY. I SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP.'SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMPiSWT.'BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Die.ll_UIIO 80-92·23-0519
REMOOEL'ALHR PER CIRCUIT PLAN CHE.CK FEE San Marcos 80-92-24·0519
TEMPPOLE 700AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DA YSJ / ' CREDIT DEPOSIT ? <.:Z.-1~-}
TOTAL ELECTRICAL
I
TOTAL SOLAR TOTAL FEES PAYABLE I
.... / -50. \L)
I HAVE CJAREFULLY EXAM1NED f!:tf COM
-CEflllFYt UNDER P€NAL.TY OF PERJU
DEtLARA TIONS A'ftE TRJJt .
AT~~1 (Vi' ;;, ·, "" : permlt-...ii,y'itieauikti!\9~;;~.~epr<>vlslOMofthia ;~e&,_ 1':::::1:,;;,r;; ~ 1)y fi~:abcf bec(;m'e t,qll ,9M vtM: If the'building' Or~ -"T,i):-, , by svc;h-permit-is RQl<;pmmenced_with.-i-480 days. from the date of such
'II' -~ Q1MA PE~_~-REQl,NREOFOR ~YATIONS OVER
5' 0 .. OEEP AHO ~ OR CONSTfflJCTION OF
STIIOC~ OVER 3 STOAIES 1H HEIGHT
.'!'
u._
~ ~
0 o_
E
"' f-
l
TI
0
CJ
C
"' 0
o_ o_ <
I
~ C a:
0 w w "' w w <
I
~ 0
w >-
w w "' " 0 it
"' '" 0
ti:
"' " C "' C u::
~
C "' "' "
0 u "' o_ w
C
.'!
~
tSSUED· ·TO £..qMPLY Vi
STFIU¢l1PI\!. WttEl'.HEfl
KEEP,~
IN--
ltttiff<
STATE
4:Al.;$Q:
,7½ ,Qr jf the tMdkllttg',:0,-wor!I, ~ized by .uc~l'J:'it is -1uspended or .,. .. .,..,,lha.~•~fOr ri()d o118Qdayf." ,~~.,~~ c~TliAc~Jt ::==~=~ ,, APPROVED BY DATE I 3;
14/i1LM ~Pf:.NSe>j
G~»M~! 0'
~r,t;;/ · __ : :· -_ , ;: ---~-_-.. ,---_c: -, _ ,' ""'~--~-□ ~
TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
'
REINFORCED STEEL '
MASONRY I
GUNITE OR GROUT I
' FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
' INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ' I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE DI/YATER
TUB AND SHOWER PAN I
' GAS TEST I
D WATER HEATER D SOLAR W)HER
I
'
ELECTRICAL I
D ELECTRIC UNDERGROUND □;UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL "' I : J
MECHANICAL '\, I • I •
GAS '\,. .L ~1111'
BUILDING I'\,. IV , I
SPECIAL CONOlTIONS I \
I -
'
cg~~~-(Zp u
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL --
SOILS COMPL,ANCE
PRIOR TO I FOUl'.DATION l"JSP
---------------STRUCTURALCONCRET~
OVER 2000 f-'S1
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
---
Hl(~H STRENGTH
BOL rs
SPECIAL MASON>1Y
-
,_ --
PILES CAISSOl\at-
~--~--,---~-----
--~---
----+-----