HomeMy WebLinkAbout2516 LA GOLONDRINA; ; 83-574; Permitfl) z 0 .:: C CIC C .., u ..,
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iV I hereby affirm that I am licensed under
i;rovlslons 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 -:Z, L '1 I (. 1. Clas, -£./..o.
I hereby afhrm that I am exempt lrom lhe Contrac-10<· s LM:ense Law IOf !he fo11owing reason (Sec 7031 5
Business and Profes.SQ'ls Code Any city or coun1y whdl re-quires.-a perm1I to construe!, alter. improve. demohsh. Of
repair any structure. prlOf 10 ds issuance aIso requires !heap-phcan1 tor such perm1t lo hie a signed statement that he IS
licensed .pursuant to lhe PfOVlStOOs ot the Gontractor"s Locense Law (Chapter 9 commercing w,th Sect,on 7000 of
Otv,s,on 3 of lhe Business and Pr0fess1ons Code) or that is ex· empt tllerelrom and lhe basis IQ( lhe afegeo exemphon Any
v!Olahon of Sechon 7031 5 b{an apphC.an1 10.-a perm,1 sub-1ects lhe apphcanl lo a cavil penalty of not mcwe ttta"'! five hun·
dred dollar,; 1$500).
C1 I. as owner of !he P'Ol>Ortv, or my employees w,th wages
as their so!e compensahon, win do lhe work. and lhe strut·
ture ts noIIntendeo Of ottered for sale tSec. 704"1, Business and ProfeSSI005o Code The Contractor·s Ucense Law dotS
not apply to an owner of property_ wl)o builds or 1mpi'oves thereon and who does such WOl'k tumself or through hts own
employees, provided that such Improvamenls are not intend-ed or offered for sale ff, however. the bu1ldmg or I111JJ(ove-ment Is sold wIth1n one year ol compIeIt0n, lhe ownef-bu11def
will have the burden of proving Iha! _he did not build or .,,. prove fa, the purpose of sale) ---
0 I. as owner of the properly, am excluswely contracting W1t'1 l1eensed contract0<s 10 construct ttie prOJecl (Sec 7044.
Business and Profess,ons Code Tne Contractor's License Law does not appty to an owner of property v.ho builds or im-proves thereon. and who contracts for each pr01etts wdh a
~)actor(s) ltcense pursuant to the Contractor"s lteense
D As a homeowner I am Improv,ng my home. and the follow ing condIt100s exist 1 The work is be,ng pertormed JJ'IO! to sale 2 I have lived In my home !Of twelve months
prlO!' to compJetton or this work 3 I have not claimed this e,:empI,on during the
last three years
D I am exempt under Sec ______ , 8 & P.C. for this reason ____________ _
O I he,eby attum that I ha.re a cen1hcate of consenI
to sell insure. or a cert1t,caIe ol Work.ers Compensahon Insurance. or a cen1f1ed copy thereol
(Sec JBOO. Labo< Code)
POLICY NO
YCopy ,s hied With the C•ly r
0 Certified copy ,s hereby turn,
COMPANY *
CERTIFICATl OF EXlMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed 1t lhe perm,, ,s !or one hundred d0lla1s IS HX>) Of less>
0 1 cert1ty tha1 ,n ttie per1o,mance ol the wort( IOf
whIcn this perrm1 Is issued t shall not employ any
pe,son in any manner so as 10 t>ec.ome sub1ec1 to
1ne woni.ers · Compensatt0n Laws ot Cahfom•a
NOTtCE TO APPLICANT ti. after makm';l 1tus Cert•
flcate ot E•empt1on you should become subjecl I? the Wonters· Compensation provIsIons ol the uoo, Code. you must forth>A1th comply with sucn
provisions or this pe,m,t shall be deemed revo,oo
O I hereby allirm lhat there ,s a consuuct•on
ienchng agency tor the pet101mance ol rhe wor'k 10, wh1cti m,s perm,t ,s issued 1Sec 3097 C,vtl Code1
Lenders Name ___________ _
Lenders Address --------~--
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USE BALL POINT PEN ONLY & PRESS HARD l"lrr~IVl"ll•I IV r IL.~11• 11•1 ...,,, ... ,_,,...,,. ••••••••• -••" ___ •u•-••·••-------··--
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
OB AOORF<;S AV ":T RO NEAREST CROSS ST I oA;~;;P;;•o~,
8USIN~E~SE 1t VALUATION PERMIT NUMBER
2.s/~ L/f-4-cLo,'1.l'J)/<L=..h-.
~/ 1 57'/-LOT BLOCK 1 sueo1 v•si •:>N I ASSESSOR <'AR ;f, "10 CONTRACTOR I 7 CONTRACTORS PHONE • ZONE
4>c<)T~LEC7K/C ~38 -f-!-6?
OW .. fR '~Nl>elZC>SA I OWNER'S PHONE
He-Mc~. CON1'RAC · OR'S AOORESS ✓~6' hL, LICENSE NO. PLAN 1.0. # BLOG USE CODE
238 2 G t!r1/?71NO ~ L6]/t53 OWNER'S MA NG AOORESS
DlSIG"'ER / l !CENSE • STAN DARO PLAN It BUILDING SO FOOTAGE
/1.-lrJ
OESCA·PT•ON Of' WORK 6 -:>~1/1c.•e ·
r·
-L£c.7£.-,~,4L.. DESIGNER'S ADDRESS OESIGNE A'S PHONE t;t11gs1~~;,.: ~1-''eL..
~ F1P FLA ELEV. NO OCCGP EDU W~_f!=f'€ ~E~?l,53 30;0
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRA0ING PERMIT ISSUE0 I REDEVELOPMENT TYPE OCC LOAD Ff AE SPA
AREA CONST
YO ND vO NO vO NO Not Valid Un/rss M~chine Certdied
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP
, INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00·8220
EACH BUILDING SEWER OVER lOD,000 BTU SIGN PERMIT 01-00·00·8221
EACH WATER HEATER ANO/DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 _.!t,'"l,._ ,~ ... ---.. -.
EACH INSTA~. ALTEll, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUSl -H0O0/OUCTS MDB!LEHOME 01-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHDME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n,.nn.nn.ooo~
TOT.C.L MECHANICAL STRONG MOTION 80-92-33·0519 -
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
s--SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-8933
QTY. ELECTRICAL PERMIT -ISSUE QTY. BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
/t)tl lPH )( 3.,,.W " ),(; ,Cfl/ STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWTIBKR .,, ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH,.f/~ ' PUMP San Otegutlo 80-92-23-0519
REMODEL ALTER PER CIR/-lA,1 ~,x9'-r-\V\ PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS ti f V ~ \II'~
OVER 200 AMPS I ' LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI '
CREDIT DEPOSIT -
TOTAL ELECTRICAL I 3o, ~ TOlAL SOLAR TOTAL FEES PAYABLE I /1'_7:p /?:9
I HAVl CAREFUL1..Y EXAMINED THE COMP'.ETED APPLCATION AND PERMIT AND DO 1-tEREBY Exp,,ation Ewery perm,t ,ssued by the 8uildtng Qff•c•a• under the Pf0\1Is,ons of this * '-N OSHA PEFW,1:T IS REQUIRED FOR EXCAVATIONS OVER
CERllFY Ll'IDER PENALTY Of PERJURY THAT AL~ 'NFORMATION HEREON ;NCcUDING THf COde shaU ea:p,re by ltmitahon and t>ecome null an<J vo,d If the bu1ld1n9 or work S o·' DEEP '-ND DEMOLITION OR CONSTRUCTION Of at1thonzed by such pennIt is r,ot commenced _.,th,n 180 day$ from the date ot such
DECLARATIONS ARE TRUE AND CORPEC. AND I FUITTHF.R CERTIFY ANO AGREE IF A PERMIT•~ :~~~n°~ 1!1 •=~Y ~~~~•;Pt.tm:0~~,:~:hi~~~~[~f~~ ;'~':!~1~,s~Wcs"a~~ or STRUCTURES OVER J STORIES IN HEIGHT
IC.SUED TO COMPLY WITl-t ALL ('!TY COUNTY ANO STATE LAWS GO'IIERNING BUILDING CON
STRUC TION WHETHER SPECIFIED HE.REN OR NOT , ALSO AGREE TO SAVE INDEMNIFY AND APP~G;;T:;«~/rNER □ CONTRACTl19 ~~PROVE~ f,.
IDA12/1Jh
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL Li~BILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN AN'( WAY >\CCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE BY PHONE n
GRANTING OF TH'S PF!'ll!T
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TYPE : DATE INSPECTOR
BUILDING I ' g; ,57'-f .. -~~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I -
GUNITE OR GROUT I
---
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES '
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -
FLOOR & CEILING SUB FRAME ! I SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR
FRAME ' EXTERIOR LATH I I
PRIOR TO I FOuNOATION INSP ' ---~-,__, _____ -------------STRUCTURAL CONCRE: TE
0\/ER 2000 PSI
INSULATION. l •
INTERIOR LATH. & DRYWALL .I.
! ;. I
PRES TRESSED
CONCRETE
POST TFN81QIIIEO
CONCRETE" -.. ---~ -, , PLUMBING I FIELD Wfl DING
SEWER AND BUCO DIPUCO I
l
UNDERGROUND D WASTE D tJATER -
TOP OUT D WASTE D WATER
---.,_ __ ~ ------HrGH SlRf.NGTtt.
SOL TS
SPfC AL MASONRY I
TUB AND SHOWER PAN .
I
I '
♦
GAS TEST I
I PILES CAISSONS I
D WATER HEATER D SOLAR WATER ' I ' I " ;. -------r-----:-•. -
ELECTRICAL I ., -
D ELECTRIC UNDERGROUND DUFFER --
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPO~ARY I ' J
--
D BONDING D POOL I ---. C < -~ . : ..
,! I -
MECHANICAL I --
0 DUCT & PLEM., D REF. PIPING --
HEAT -AIR COND. SYSTEMS ! I . --:., --· . ' VENTILATING SYSTEMS I --·~ -.., I
I
,. ..,...,_,. ..,,....
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
-
.
-FINAL I
PLUMBING I /J
. 't,
ELECTRICAL : /~h~/;,~ 7
MECHANICAL I
, , , .
'; ' . .,,, . ..,... .. --' GAS I . '
BUILDING I -I
. ----'
SPECIAL CONDITIONS I --
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