HomeMy WebLinkAbout2517 La Golondrina St; ; 83-80-187; Permit"' z 0 ~ "' .. ~
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D I hereby amrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of OlvlsJon 3 of the Business
and Professions Code, and my license is in
full force and effect
lie No C!ass
I hereby alf1rm that I am exempt from the Contrac
tor's License Law for the follow,ng reason (Sec 7031 5
Business and Pro1ess1ons Code Any c,ty or county which re
qwres a perm,t to construct al!er Imorove demolish. or
repa,r any s!ructuce prI0' to its issuance aIso ·ecuires the ap
p,Ica~t 'or such permit to fl'e a s,g~ed stateme1t that he Is
1,ceosec pursuant lo the prov,s,ons of roe Contractor's
L;cense Law !Chapter 9 commenc,~g with Section 7000 of
D1v,s10~ 3 o' l"e Business and Professions Godel or thdl Is ex-
ernp: tnere'rom and the basis tor the alleged exempLon A,1y
vaolato~r of Section 7031.~ by an applicant •or a per11IT suD
Iects the apol1cant lo a civil penalty al not more than t1ve hun-
d•e~ dollars 1,$500!
_ I as owner of the property. or my employees with wages
as the,r sole compersat,on. will do the work, and t~e s:rLC·
ture Is ~ot intended or offered 1or sale (Sec 7044. Business
and Pro'ess1ons Code The Comractor"s License Law does
not apoly to an owner of properly who builds or improves
thereon and who does such work himself or 1hrough his own
employees provided That such improvements are not intend•
ed or oflered for sale If, however, the building or ;mprove-
ment Is solo w1th,n one year of complet1on, the owner-builder
will have the burden o1 proving !hat he did not build or rm• prove for the purpose of saleJ
::::: I, as owner ot the property, am exclusively contracting
with licensed contr2ctors to construct the project (Sec 7044.
Business and Professions COde The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a
conlractor(sl license pursuant to the Contractor's License Law)
'J As a homeowner I am improving my home. and the tallow-
ing coMItIons exist
1 The work Is being performed prior to sale
2 I have lived in my home for twelve months
prior to completion o1 this work
I have not claimed this exemption during the
last three years
L..J I am exemp! under Sec ______ , B & P C
for this reason, ____________ _
□ I hereby afltrm !ha! I ha•e a cert,t,cate of consent
to sel!-rnsure, or a cenif1cate of Workers Compensa11on Insurance. or a cert,!1ed copy thereof
iSec 31:0J. Labor Code!
eoucrno _ 82WC-l-13656D
coMPANY _Mission Insurance
D Copy Is 1,100 w,tti the city
D Cert,t1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed ,t 1he perm,, is tor one hundred dollars ISHJOI or less)
0 I cert,ty that ,n the performance at the worl< tor wh,cti thts perm,, Is ,ssued. I shall not employ any person ,n any manner so as to become suttiect to 1he Worl<e,s Compensatmn Laws of California
NOTICE TO APPLICANT It. at1er makIn;i 111,s Ce<11 l1cate ol Exemp1,on, you should become suDJect t? the Workers· Compensa1,on pro,isIons of the Labor
Code. you must I0'1hw,1h comply with such prov,s,ons or tti,s perm,1 Shall De deemed ,e,o~ed
D I hereby al!,rm Iha! !here Is a cons1ruct·o~
:ending agency !or the performance ol lhe work 'or which this perm,t ,s ,ssued ISec 3097 C1v,: Code1
LeMer s N~me Ponderosa Harres
Len<ler s AdOress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ( 'i!J-'iJ ·-I <;(7) 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
J08 ADDRESS AV. ST.I DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
2517 Le\ GJlondr;l.na, Street RO.
25 ~c ~.1 . 4/22/83 3587 %M8¥C!f88 lll, I
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE 8s-,ff-181 POND~ IO-lES 619/560-8555 l?OND~ H:lMES 6.19/560-8555
OWNER'S MAIL/NG ADDRESS . -·-CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
J.1300 SOrrento Valley Wl, $uite J.OO, S"D" 92l21 ~ a.s Qwner 343456 83-80
LOT BLOCK I SUBDIVISION 1 ASSESSOR PARCEL NO. r_-r· yq DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ_ FOOTAGE
1·1A7 "~-;-, ,~ TTn-1-f-~T.-. ? ""\ "), -Aram Bassenia,1 & Associates c-8395 2255 OESCR!PTION OF WORK I 5;·=1e F=•·1v with Gara= 'PT AN 2255 c B 'I> OESlGNEA'S ADDRESS DESIGNER'S PHONE 3g90 W:sterly ?l, Suite.170 71.4/752-1864 ~l •--
--------------F/P FLA ELl:V NO OCC GP EDU -1.,'fl~-~ I I 66 STORIES .,,9;~
YD ND --2 -3 1
CENSUS TRACT I GP LAND USE I PARKING SPACE RES;NITS I GRADING f".EAMIT ISSUED I REDEVELOPMENT TYPE' OCC LOAO FIRE SPA AREA CONST 420 YON D YD N~ '"' YO NO{ Not Valid Unless lhchine Certified
QTY. PLUMBING PERMIT· ISSUE 7, 5( QTY. MECHANICAL PERMIT· ISSUE 3,00 SUMMARY/ACCOUNT NUMBER
1 , EACH FIXTURE TRAP ~?. c;r 1 INSTALL FURN. DUCTS iJP TO 100.000 BTU 4. 00 BUILDING PERMIT 01-00-00-8220 463.00 ---------
1 EACH BUILDING SEWER _ _ ________ _ _ ____ 6_....5_{ OVER llJ0,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER AND,OR VENT J ? 5( -------~-
1 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ,nn qc;
----------------
7 EACH GAS SYSTEM 1 TO 4 OUTLETS
i 2 5' 80ILER/COMPRFSSOR 3-lS HP TOTAL PLUMBING 01-00-00-8222 c; 1 c;n -------
EACH GAS SYSTEM 5 OR MORE i METAL FIREPLACE ELECTRICAL 01-00-00-8223 3Q._QQ _
-' ------
EACH INSTA~. ALTER. REPAIR WATER PIPE " VENT FAN SINGLE DUCT A· nn MECHANICAL 01-00-00-8224 11 nn -r---·----e ---------------
EACH VACUUM BREAKER MECH EXHAUST HOOO:'OUCTS MOBILEHOME 01-00-00-8225 ----------------------------
: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP --r---t EA~~ ROOF DRAIN_!~~~~ ___ -------------S01Af!_ ______ 01-00-00-8226
TOT.C..L MECHANICAL STRONG MOTION 80-92-33-0519 7 77 ---r----
TOTAL PLUMBING 51.51 11.00 FIRE SPRINKLERS 01-00-00-8227 -~ -------
PUBLIC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT· ISSUE 5.0( QTY. SOLAR· ISSUE -
BRIDGE FEE ----
A. NEW CONST EA AMP'SWT BKR 100 25_.0I COLLECTORS SCHOOL FEE -DISTRICT -----------------
I PH 3 PH STORAGE TANKS ,v.Y /. Carlsbad 80-92-21-0519 ---~ ----------
EXIST BLDG EA AMPiSWT:BKR ROCK STORAGE fJ y ; v. \ Encinitas 80-92-22-0519 --------------------------I 'h. \· 1\( I PH 3 PH PUMP San Die~uito 80-92-23·0519 -----------------------
REMOOE L:AL TE R PER CIRCUIT PLAN CHECK FEE __/ __ ,]:~ \" San Marcos 80-92·24-0519 1,692.00 -------------------------------~--------,------
i TEMP POLE 200 AMPS ____ __ -----------
~ OVER 200 AMPS CREDIT DEPOSIT (276. 35) e ----------------------
TEMP OCCUPANCY i30 DAYSI -----t -----------------r--------------------------
--j ---' ---------------~---------------------
TnTAl £Ll:CTRICAL -T 30.0 TOTAL SOLAR 2(279.87 I I TOTAL FEES PAYABLE ~
I HAVE CAAEFULL Y EXAMINED THE COMPLETED "APPLICATION AND PEAMlT .. AND 00 HEREBY Expiration. Every permit issued by the BuildingOfficiaf undertheprovisionsof'this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTfFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by Jim_itation and become null and vOfd. If the building or work -5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit is not commenced within tBOdays from the date of such / STRUCTURES OVER 3 STORIES IN HEMlHT permit. or If the build1:ff or work authorized by such permit is sus,peo~ or ISSUED: TO COMPLY W1TH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv time er the work i111 commenced for a oeriod of 180 -..;.~.:.:
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND !Z:.Nrs SIGNATURE ~
'/ /°/ER□ CONTRACTOR-lit"' APPROVED BY Jt DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABJLIT!ES, JUDGMENTS, COSTS AND ),
~I, :J.JJJ ~ r-4-,z,q'.93 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE •--~ -A! . /~ BY PHONE 0 GRANTING OF THIS PERMIT. / ~
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION "-/l
REINFORCED STEEL "-I:,.-,_ f.JJ i
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME •
SHEATHING 'l-1S'·H 1 -
FRAME ._,. 1,0...,7.J,l -r
EXTERIOR LATH lNSULATION -....__ ..
INTERIOR LATH & DRYWALL "-1//.Ji~;J .,,,
PLUMBING •
~EWER AND BL/CO I//J~•Jll -j,.
PLUMBING UNDERGROUND ,._/9-~ 11
PLUMBING TOP OUT /A.n.Jt1 1 • TUB AND SHOWER PAN .
GAS TEST l/0-11-J'S 1'
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND ,.
ROUGH ELECTRIC l11·"-IA f'
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL ..
DUCT & PLEM., REF. PIPING --. ..,,
HEAT -AIR COND. -SOLAR SYSTEMS I
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING '>..
ELECTRICAL ..... ,,
MECHANICAL '-.JI
GAS "-I ,JH I
BUILDING '-r;J,!r' I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'i? 3 , 'JO -I <,r,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE i CHECKED APPROVAL
SOILS COMPl_lANCE
PRIOR TO
FOUNDATION INSP
-STRUCTURAL CONCRETE '
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
P!LES CAISSONS
·---
.. ~i ~· -: ... ~ ;I
.
----
-. .
THT,i IS TO CERTIFY THAT INStn ~TION I:AS BEEN INSTALLED IN
, CONFORMANCE WITH THL CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNI/., IN THE
BUILDING LOCATED AT:
sITE ADDREss: «517 Lq C12ktdt,~0 s,; Lq Gs§
Number Street ity
EXTERIOR WALLS
,'""'I I I/ // Manufacturer _ _.'<½_,,,_/ ... ,/11___,.___Thickness/Type t? fa R/Value._/....._) __
CEILINGS
Batts: Manufacturer cr/m h I/_ II Thickness /J R/Value 19
GENERAL CONTRACTOR: __________ __,LIC. Ii ______ _
BY TITLE DATE -------------------------
INSULATION CONTRACTOR: APOLLO INSULATION I.IC.Ii :>B6015 --------
BY&"tvt cf--fV~d Tl'I1,tPJ'27 DATE /e;/4?~_a 1