HomeMy WebLinkAbout2526 La Golondrina St; ; 83-80-160; Permit.. z 0 : "' .,
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O I hereby af11rm that I am !lcensed 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 Cla,1
I hereby alf,rm that I am exempt from the Contrac-
tor's License Law tor the 10IIowIng reason (Sec. 7031 5 Busaness and ProfBss1ons Code Any c,ty or county which re-
quires a permit to construct. alter. ,morove. oemol,sh or repa,r any structure, pnor to its Issua~ce also requires the ap-
pl•cant for sucn perm,t to fl!e a s,gneo statement that he ,s
1,censed pursuant to the prov1s•ons of \he Con\ractor s
License Law (Chapter 9 corn<nencmg with Sec1IO~ 7000 of
D1v1s1on 3 ot the Busrness a~d Prcfessrons Code I or that Is ex-
empt theretro"' and tM basis for the alleged exemotIon Any
v1olat1on of Section 7031.5 by an applicant for a permit sub 1ects the applicant to a c1v1I penalty o1 not rrore than five hun-
dred dollars 1S500'
i_ I. as owner of the property. or my employees with wages
as their sole compensation. will do the work and the struc-ture ,snot rntended or altered !or sale {Sec 7044. Business
and Professions CDde The Contractor's License Law does
not apply to an owner of property who builds or improves thereon and who doos such work himself or through his own
employees. provided that such improvements are not intend-ed or oftered !or sale. It, however, the budding or improve-
ment 1s sold within one year 01 completion, the owner-builder will have the burden of proving that he did not build or im-
prove for the purpose of sale)
C l,_as owner of the property, am exclusively contracting
with licensed contr2ctors to construct the pro1ect (Sec 7044. Business and Professions CDde· The Contractor's License Law doos not apply to an owner o1 property who builds or im-
proves thereon, and who contracts for each pro1ects with a contractor(s) license pursuant 1o the Con1ractor's L;cense Law)
□ As a homeowner I am improving my home. and the follow-ing coMi!ions exist
1. The work is being per1ormed prior lo sale
2 I M~e lived in my home tor twelve months prior to completion o1 this worK
3. I have not claimed this exemption during the last three years
□ I am exempt under Sec ______ . B & P.C
for !his reason
0 I hereby alf,rm 1hat I ha•e a cert1f1cate of consent to sel!-1nsure, or a cef11f1ca1e of Workers
Compensation Insurance. or a cer1,f1ed copy thereof
iSec 3800. Labor Code)
POucrno __ 82,-X::_-l-13656D __
coMPANv Mission Insurano=
D Copy ,s hied w,th !he city
D Cert,f1ed copy ,s hereby !um,shed
CERTIFICAH. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This se,::t,on need not be completed ,1 the perm,t ,s !or one hundred dollars 1$1001 or 1ess1
D I certify that ,n !he per1ormance ot troe woO< !or
which this permit Is issued. I shall nol employ any
person m any manner so as to become sub1ec1 to trie WoO<ers· Comper,sat1on Laws ot Cal1forn1a
NOT!CE TO APPLICANT 11_ at1er mak1n~ troIs Cert, f1cate of E~empt1on. you should t>ecome sub1ect 10
the WoO<ers· Compensation p10-,s1ons of the Labor Code. you must forthw1th comply w,th such
prov,s,ons or this perm,t shiill tie deemed re,o~ed
D I hereby allirm !hat there ,s a conslruct,on 1endmg agency for lhe per1ormance 01 the worl< lor
wn,ch th,s permit ,s ,ssued 1S€c ].097 Ci.ii Code',
Lenders Name PONDEROSA l{)IVJRS
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S 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 . -AV, ST IOATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
2526 La. Golooor;i.na Street PH;IISE 2 ao. 11/8/83 3587 $112,489.20 83-80-160
OWNER'S NAME I OWNER'S PHONE CON TR-AC-TOR CONTRACTORS PHONE II ZONE
PONDE!P~ Hl1ES 619/560-8555 roNDE.RQS-'\ InlES 619/560-8555
OWNER'S MAILING.ADDRESS CONTRACTOR'S AODRESS LICENSE NO. PLAN 1.D. tt BLDG USE CODE
11300 Sorrento Valley RA,, Suite 10.0, S,D, 92121 sanYe as CMner 343456 83_80
LOT BLOCK I SUBOIV!SION I ASSESSOR PARCEL NO DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ_ FOOTAGE
,en r,,.,,..,..;·11,..,---n_,._ •-" Aram B.lsserdan & Associates c 8395
DESCRlf'TION OF WORK ':"I 2255
r,,! __ ,,.... =-.!·1,.7. __ ,!.1.,.,-_ DT.D.:l\.1 2255 C: V DESIGNER'SADDRESS DESIGNER'SPHONE
, _ -----------3990 Westerly P~:' ~ui_te 170 -,iA/'7!:'l-lOCA
-F/P FLA ELEV NO OCCGP EDU
STORIES ,□ NO ___2_Q__ 2 R-3 1
AREA CONST I , ,. "' '·1 cENSus TRACT I GP LAND usE IPAAK1NG SPACE RES uNITs I GRADING PERMIT 1ssuEo I REDEVELOPMENT TYPE ace LOAD F1RE SPA _ .,
644 1 y □ N □ y D NO{ VN v□ NX] Not Valid~Un~ Machine Certified • ~
QTY. PLUMBING PERMIT -ISSUE 7. 5( QTY_ MECHANICAL PERMIT -ISSUE 3. 00 SUMMARY/ACCOUNT NUMBER
1 ~ EACH FIXTURE TRAP 32 .• 50 1 INSTALL FURN. OUCTS UP TO 100,000 BTU 4 .00 BUILDING PERMIT __ 01·00·00·8220 465__.___5_Q_
1 EACH BUILDING SEWER ____ _ _ 6-.!.__S_Q 1----+--__ _ -~~ER 100,000 BTU SIGN PERMIT 01·00·00·8221 _ _
1 EACH WATER HEATER AND ,oR_y~N'._ ___ _ _ __ ~ __ ~LE_R_/COMPRESSOR UP TO 3 HP ----CC------'----'1---PLAN CHECK 01·00-00-8806 302. 60
~ EACH GAS SYSTEM 1 TO 4 OUTLETS 'J. r:::.r BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00·8222 c; 1 r::::n
c_ _ _;_::E0A0CH GAS SYSTEM 5 OR MORE _ 1 METAL FIREPLACE ELECTRICAL __ 01-00·00·B223 30 ,Q'1
EACH1NSTA~_AL1iR.REPA1R1A~A-lERP1PE -------· -.; VENTFANSINGLE □u-n __ 4,00 MECHANICAL 01-oo-00-8224 11 {\()
•--+--EA_C_H_VACUUM BREAKER ----------1---~-+-MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·~225 __ -__ _,
WATER SOFTNER __ ----+-----~-__.____ RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INS~-----__
~ ROOF DRAIN (INSIDE) ----Jf----+--~======~----~----1--------+-SOLAR 01·00·00·8226 '---j _ --------'----------TOT.li.L MECHANICAL STRONG MOTION 80·92·33·0519 l-. . ; Oi
e-------• ~T-A·L-P-LuMBING ------· I 51. ·so ll_.oo FIRESPRINKLERS 01·00·00·8227 ~~------------~---b--~~~-" --=-~----------~cede-~~-----➔-~== --------------
QTY. ELECTRICAL PERMIT -ISSUE 5. 0( QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 -----=--
f--+---------________ _,___ --Jf----+------------:::::=c==::---t-----BRIDGE FEE +-----_-__ _,
NEW CONST EA AMP 1SWT BKR 100 _ __lh0Q COLLECTORS _,.,-...._ -....._ SCHOOL FEE· DISTRICT __ _
1 PH 3 PH ------11-----~R-~§~TA_N_KS /' _C,cacc''"sb,_a ... d_ --~"~o~-9_2_-2_1-_0_5~19~1----------
EXIST BLDG EA AMPiSWT:BKR I ROCK STORAGE / '\..'..-Encinitas 80·92·22·0519 -___ __,
1 PH 3 PH PUMP r 1 \..Y San Diegui!O 80·92·23·0519 -
REMOOEL'ALTER PER C1R-CLJIT -----PLAN CHECK ~E_E /0 \,' ;....,~-'\ / San Marcos -8().-92·24·0519 -· _
TEMPPOLE--2□0A~~-------·--· >------. --i,_/ ,,' [ / -
I---+------------I-------·----' j j / _,~-
-4 ov~200 -~~s --------· ------------I -· --/ ,, -·-+---------ll-COSTA REAL-WA~........ ............ ""'"' ""
--, TEMP_D_CC_LJPANCY 130 DAYSI __ _ _ ___ _ __ -~ ___ v\ / ~-EDIT DEPQ~T~ ~p M\
___ l___ TOTAL ELECTRICAL I -------~-
1
\rnTAI SOL~ -/------~ TOTAL FEES PAY I ¥il"lll1WIYY<iei{
! 30_.00 I S~ ABLE 891. 45 .,,.,.,,.,.,.,~~·
I HAVE CARE.FULLY EXAMINED THE COMPLETED "APPUCATION AND PERMIT'" AND DO HEREBY , e'XJ)lration. Everypennif~ed,bytheBu#~ngOtfieial~ndet'lhepr~vi~on9;oftttis '1t AN OSHA.PERMIT ls.REQUIRED FOR EXCAVATIONS OYER
CEAi!FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by limitation and become nf.!II and void. II the building or work 5' O"' DEEP AND oa«ltJTION OR CONSTRUCTION OF authonzed by such permit ,s not commenced within 180 days from lhe dale of such ,
DECLARATIONS ARE TRUE ANO CORRECT ANO t FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authO(ized by such permit is suspended or ,_/ STRUCTUR!S OYER 3 STOFltES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· l~-~~-~~ .. ~-"~·•!!·me~•!!fte~,t~h!!•.!W!!,orl<e_j•Mc·~-m!!!•!!""°"!SJ'i!..!,fo!!_C.!l~---[!J•iodl!!.!ortfl180!!9.!;-:.l!xc:L---::;:jl"~::::O::'::,~~--~:=;---::r----~".'"::~-----1
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT, , ALSO AGREE TO SAVE INDEMNIFY AND; (;'tANT'S SIGNATURE ·~ L~7' o . ~ APPROVED BY 0/. DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND A. 0 R CONTRACTOR-./..
EXPENSES WHICH MAY tN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE oF THE , ,,jj'1 ___ ~I.I , , / av PHONE O I / W t:>?p~
GRANTING OF THIS PERMIT. _//~ • # • /t::::7/dJ ,/ ,
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INSPECTION TYPE DATE INSPECTOR
BUILDING,
FOUNDATION ' A
REINFORCED STEEL ' _,_ ,/....,, t' , . I
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME /'I
SHEATHING .:1. /-, I,,. r.
FRAME -, , _/) IM/.>tt' rt'
EXTERIOR LATH 111raui'.A"Tt0N
. .
•
INTERIOR LATH & DRYWALL I -/ .... / ~ 1-f
PLUMBING , I I .
SEWER AND BL/CO -/ -' -t'
PLUMBING UNDERGROUND
, , ,,
-
PLUMBING TOP OUT Al7/r4 If"
TUB AND SHOWER PAN , . /}
GAS TEST l-u1/y4 '(i
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND ,,
ROUGH ELECTRIC u',/J',t t"
ELECTRIC SERVICE ' ,
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL •
DUCT & PLEM., REF. PIPING ::t./-, I u 17"
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 "\. . II
MECHANICAL "\. • 1. , I 11. -,
GAS "\. l"f f.,1-•/' I
BUILDING "\... ' I'/ .
SPECIAL CONDITIONS '" CERT OF OCCUPANCY ISSUED
~3-80-l<aD
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLiANCE ! PRIOR TO
FOUNDATION INSP
--STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
I
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