HomeMy WebLinkAbout2515 La Golondrina St; ; 83-80-186; 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
lull force and effect.
Lie No _____ Clall
I hereby affirm that I a'll exemp1 lrorn the Contrac-
tor's License Law for the tollow1ng reason (Sec. 7031 5 Business and Pro1ess,ons Coce A.ny c,ty or county wnIch re-
quires a permit ta construct alter ,morove. demolish. or reoa,r any struclu~e. pr,or torts issuance a,so requires the ap
0I,cant tor such perm,! to Irle a s1g1ed statemeni that he Is IIcersed pursuant to the prov,s,ons of the Contractors
:,ce~se Law ,Chapter 9 commencr'g with Sect,on 7D00 of ~,,;s:u, 3 cl :he Business ~nd Pro1e1s,~ns Code', o, t'1di Is ex·
empt thereJ•orr a~d tne bas,s for the alleged exe.,,ptIon Any
v1olat1on ol Sec:1on 7031 5 by a1 apnl1cant for a permit sub-1ects the apoIIca1t to a c1vII penalty of not moce lnan five hun-
dred dollars [$500,
= I, as owner of the property, army employees with wages
as their sole compersatIon. w1li do the work anc t~e struc·
ture Is not intended or oflered for sale (Sec 7044. Business
and Protessions Code· The Contractor's License Law does
~01 apply to an owner of property who builds or ,mpr□ves thereon and who does such work himself or through his own
employees. provided that such improvements are not intend• ed or offered for sale. 11, however the bu1ld1ng or improve-
ment Is sold w1min one year of completion. the owner-builder will have 1he burden of proving that he did not build or ,m-
prove for the purpose of sale)
C l,_as owner of the property. am exclusively contracting with licensed contrc.ctors to construct the pro1ecl (Sec 7044,
Business and Professions Code The Contractor's License
Law does not apply to an owner 01 oroperty who builds or im-
proves thereon_, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's License Law]
□ As a homeowner I am improving my home, and the follow-ing conditions exist
1 The work Is being performed pnor to sale 2. I have livad in my home !or twelve months prior to completion of this work
I have not claimed this exemption during the last three years
:.J I am e~empt under Sec ______ . B & PC
for this reason ____________ _
□ I hereby atl1rm that I ha•e a cert11,ca1e of consent
to sell-msure. or a cer1d1cate of Workers Compensation Insurance. or a cert1f,ed copy !hereof
(Sec 3800 Labor Code)
,OLICY NO 82W:-l -13656D
coMPANv -Mission Insurance
□ Copy IS hied with the City
D Cen1hed copy Is hereby lurn1shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This sectron need no! be completed II The perm,1
Is tor one hundred dollars {$1001 or less)
D I certify that In the performance of the wor1< lor
which 1h,s permit 1s issued. I shall not employ any person ,n any manner so as to become subJect lo
the Wor1<ers Compensation Laws ot Cal,torn,a
NOTICE TO APPLICANT 11. atter makIn;i this Cert,
loc.i!e of Exemp!,on. you should become sub1ect t0
the Wor1<ers · Compensation p,o-,s1ons of the Labor
Code. you must lorthw1th comply with such prov,s1ons or th,s permrt shall Oe deemed •evoked
0 I hereby atfirm t11a1 there ,s a consiruct,or-
Iend1ng agency !or lhe perlormance o1 lhe worl< lor
"'h1ch th<s perm,, ,s ,ssued 15ec 3097 Ci,1I Godel
Lenders Name Ponderosa Harres
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 ~l~. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
25J.5 La. G:>londr:J.n<\ Stxeet 1-'1'\SE J.
AV. ST.
RO.
OWNER'S NAME
DATE OF APPLICATION I
4/22/83
POND~ H.')MES T 6J.9is~~:i;;;·
CONTRACTOR
PONDEmSI\ !01ES
BUSINESS LICENSE # VALUATION PERJ!J NUMBER
3587 lOl, 346 B3~lB0 CONTRACTORS PHONE # ZONE
6J.9/560-8555
OWNER'S MAILING ADDRESS CONTRACT □R·s ADDRESS LICENSE NO. PLAN 1.0. #
11300 Sorrento Valley Fil,, Su.tte J.OO, S,D, 92J.2J. $qrne as Owner 343456 83~80
LOT ! BLOCK
lQt:
· 1 SUBDIVISION r~'t"'l'"i , , ,.... I AssEssoR PARCEL No: ...r _ n . n-> ._ ~... ? /",_1 ~ ,---, DESIGNER
l\1:'am Bassen!an & .A:,aoo;i~tes
LICENSE# STANDARD PLAN# BUILDING sa. FOOTAGE
c-8395 1998 DESCRIPTION OF WORK
C:i"ncrl P F;mii'lv-wit-h r,
~ ~ PT JIN J~98 Jl.XD
I
OJ('ljllNj'R'S AOORES. ·
..l::1-!:!U W:i,terL y l'l, , Suite .170
'--~
DESIGNER'S PHONE ~ ~;..::3~,Ll
----(Arn->.CHEDl -r F/P F LR ELEV
,..,....,.....,,.,.._
NO
STORIES
714
OCC GP EDU
,□ ,□ -23._ 2 R-3 1
crnsus rnAc, I ce CANO use I "";~~ seAce ass ~,Ts l GRADING PERMIT ISSUED
¥0 N 0 l REDEVELOPMENT
AREA
,□ NXJ
TYPE
CONST
VN
ace LOAD FIRE SPA
v0 NJ!'. Not Valid Unless Mllchine Certified
QTY.
..1.2.
1 u
PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO-OR VENT
7. 5(11 QTY.I MECHANICAL PERMIT. ISSUE I 3. 00 SUMMARY/ACCOUNT NUMBER
INSTALL FURN. DUCTS iJP TO 100.000 BTU 4_.QQ BUILDING PERMIT __ 01-00·00-8220 438.00 ---------OVER 100.000 BTU . SIGN PERMIT 01-00-00-8221 j -----'-------------1 l -~'-'-'"'If-BOILER/COMPRESSOR UP TO 3~~----• ~~~N CHECK ----~1-00-00-8_805 284. 70
I l I EACH GAS SYSTEM ! !_O_~~T_L_~TS ----~--80 I LEA /COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 49 ._QQ __
EACH GAS SYSTEM 5 OR MORE
I EACH INST AL., ALTER, REPAIR WATER PIPE
-------
f--EACH VACUUM BREAKER
WATER SOFTNER
t EACH ROOF DRAIN (INSIDE)
----
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT· ISSUE
j . i , METAL FIREPLACE
---!---. 2 VENT F~N ~~-NGLE DUCT
I . 1 MECH EXHAUST_ HOOO,OUCTS
RELOCATION OF EA FURNACE/HEATER --+------11--------l-
TOT.li.l MECHANICAL
4· nn
ELECTRICAL 01-00-00-822"'3'----t-----'"'--J.LU
MECHANICAL 01-00-00-B2s24'..je--------'-'-._,_,"---j
--+---~---lif--~M~OB_I_LE_H_O_M_E 01 ·00·00-8225
MOBILEHOME PARK INSP --
SOLAR _ 01-00-0Q:..8226 I-=~~ONG MOTION 49~1 -I lLOOII _FI_RESPRINKLER_S __ _ ~!Y~ .. -. ·----;----=·~ --PUBLIC FACILITIES FEE
80-92-33-0519 7.09
01-00-00·822~'-+---------<
32-00-00-8923-l-----------j SOLAR· ISSUE
NEW CONST EA AMP.'SWT ·SKA _l~O~O~--_s__._0011 QTYb -----I ± BRIDGE FEE
-~ ~CTORS SCHOOL FEE -DISTRICT
I PH 3 PH
EXIST BLOG EA AMP-'SWT,BKR
I PH 3 PH
REMOOEL:'ALHR ----+----PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS 1----+--
TEMP OCCUPANCY 130 DAYS!
_ _l
TOTAL ELECTRICAL
-----l----_JL
'-
----1---
-----#----------
30.01
STORAGE TANKS
ROCK STORAGE
PUMP
~A~~~CK r'EE
j__
i TOT Al SOI AR
,I.,
j&(; 11-~ \I
fl I· I , ;"'/-;;lr1
T
Carlsbad ----
Encinitas
80-92-21-0519 "-+--
80-92-22-0519
San Oieguito 80-92-23-0519
San Marcos 80-92-24-0519 ---+--
CBEDIT DEPOSIT __ _
l,6J2.0Q_
(276_.35.L
-+-------
-----li-----------,----''---------1
TOTAL FEES PAYABLE 2,235.44
l HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. E~eryper_mi,tis~uedbytheBuildingOffic'iall!ndertheprovi~ionSo(this * AN OSHA PEIWJT IS REQUIRED F()R EXCAVAOONSOVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~halt expire by hm_itat,on and become null and void. It the buildmg or work .5• o•· DEEP AND DEMOUTK>N OR CONSTRUCTION Of authonzed by such permit 1s not commenced w1thm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STAUCnlR£S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· l__,abando!!1!~~ ... ~~•!.'! """L•~·m~•!..!•'™!l!!~•~he!..!W~0,~·~~!¥'2!!m~m?on!<!.£Cod!!!,~•o~,~·~~·~od!l.2o!JJf1!/!.,!!!,1.,._'::::-i..:;~~~~~---"1"'-------------~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND T'S SIGNATURE Jf-OVED BY DATE
KEEP HARMLESS THE CITY Of CAfRSBAO AGAINST All LIABILITIES, JUDGMENTS, COSTS AND a 83
EXPENSES WHlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ·
GRANTING OF THIS PERMIT. ei:::::~1..:...1:t.~ ~~~!;:I '
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l NSPECTION TYPE DATE INSPECTOR
BUILDING ,
FOUNDATION ........... .
REINFORCED STEEL " 1--~•.,1 "f'
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME .
s\:iEATHING 'l-1~1t. 1'..
FRAME -/0••17-JA. '1'
'EXTERIOR LATH lNSULATION '-.... .
INTERIOR LATH & DRYWALL '-..... l./1,,y_, ... ..,J 1'1'
PLUMBING .
SEWER AND BL/CO 1,/.,JL,,/'2 ~
PLUMBING UNDERGROUND 17-/9.r,t .
PLUMBING TOP OUT ./IJ--17• ,,, r;,
TUB AND $HOWER PAN -
GAS TEST L4-.J1-;J 1'
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND .
ROUGH ELECTRIC ,,,_ --;. ,,,, -f/
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL " DUCT & PLEM., REF. PIPING ,. ·-,J1 ,. ,fl
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING ' ELECTRICAL ~ f\
MECHANICAL '-I • I ,f./
GAS ' .• /,,JI,.,
BUILDING '\. 1r/
SPECIAL CONDITIONS ' CERT OF OCCUPANCY ISSUED
'if-?> ·80 -I S1a
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE I CHECKED APPROVAL
SOILS COMPUANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDtNG
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
•I\ :, . ..,•v(i . : '
,: .,
•
THIS IS TO CERTIFY TIIAT INSUJ~TION l:AS BEEN INSTALLED IN
CONFORMANCE WITH Tlu. CURRENT ENERGY REGULATIONS, CALIFORNIA
• ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/., IN TllE
BUILDING LOCATED AT:
SITE ADDRESS: Jv! L q Cllb@1~q s1: ?q G,53
Number Street ity
EXTERIOR WALLS
Manufacturer -;;-://rl
CEILINGS
Batts: Manufacturer cr//J7
// II
Thickness/Type 1f ;a R/Value //
Ii I/_ II Thickness /ix R/Value 19
GENERAL CONTRACTOR: __________ __.:LIC. # _______ _
BY ___________ TITLE _____ .DATE _______ _
lNSlJI.ATJON CONTRACTOR: APOLLO INSULATION LIC.ffo 2B6015 _;__;C---...::_ ___ _ BY_&~ ~;,,,,., TITLFe:P;;« DATE /q/27~~ 1