HomeMy WebLinkAbout2530 LA GOLONDRINA ST; ; 83-80-158; Permit.,, z 0 .:: C er: C _,
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0 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. LJc No _____ Cl•ss _____ _
I hereby aHlrm that I am exempt from the Contrac-tor's License Law for the following rusoo (Sec. 7031 5
Bu_smess and Pfofess,ons COde Aoy city or county which re-qu,res a permit to construct, atter, improve. demolish, or
repair any structure, pnor to its Issuance also requites the ap-plicant tor such permit to Me a sijjned statement that he is
licensed pursuant to the p<OWISICJI\S of the Contractor's ~1:'.: j~ft~;'a't~i~;, =~~t=h~~.:.
empt therefrom and the basts tor the allegod exernp1,on. Any VIOlatoon of Secloon 7031.5 by an applocanl for a pe<mit sub-jects the applicant to a CMl penalty of not more than live hun-
dred dollars ($500).
□ I, as owner of the property. or my tmployee$ with wages as the,r sole compensation, Wlll do the -1<. and the struc-
ture is not intended or ottered for saie (Sec. 7044, Business
and Professions COde: The Contractor's License Law does nof apply lo an owne< of property wtlo bot4ds or ~ thereon and who does such -1< h,mseff or through his own
employees. provuled that such impr....,.nts are oot Intend·
ed or ottered tor sale. ti. however, the building or tmprove-n-ent Is sold within one year of compilloon. the owoer•buildef
will have the burden of prOY1ng that he did nof build or lm-p<ove for the purpose of sale).
□ I, as owner of the property. am exclusively contracting with licensed contractors to construct the prOjecl (Sec. 70«.
Business and Pfofessoons COde: The Contractor's License Law does not apply to an owner 01 property who builds or lm-pr11Yes thereon. and who contracts for each projects wtth a
contractor(s) license pursuant to the Contractor's License Law).
□ As a hon-eowoor I am lmprOYlng my home. and the follow· log condrtoons exlsl· t ~~!, ~~ .:1= r.,"" ~'"months
3. r'~.': :;'P.i=t :i~ :.°'~tion during the last three years.
g /J: :;;:;gt under Sec. ______ , B & P.C.
□ I hereby affirm that I have a cen,ticate of consent
10 sell-insure, or a cen,f,cate ot Workers'
Compensation Insurance. or a cen1t1ed copy thereof
(Sec 3800. Labo< Code)
roucY No -~2i-c-l -13656D_
coMPANY _Mission Insurance
□ Copy 1$ filed Wllh tne city
0 Cen1fled copy 1s hereby tum1shed
CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f !he permit
,s tor one hundred dotlars (SH)0) o, less)
D f certify that 1n the per1ormance of the work for
whlCh lhtS pemut IS ,ssued. I shall not employ any
person 1n any manner so as to beeome sub1ect to
tne Workers· Compensation Laws of Cahforn1a
NOTICE TO APPLICANT If. atter mPin;1 trus Cer11
hcate of Exemption, you shootd t>ecome subtect 1? lhe Workers· Compensation prov1s,ons of the Labor Code. you must forthwith comply with such
prov1s1ons ~ this permit shall be oeemed revokeo
O I hereby attum lhal there 1s a cons1ruction
1en<hng aoency tor the perl01mance of lhe wO<k. 10,
which 1h1s perm11 1$ issued (Sec 3097 C1v1I Code)
Lenoer s Name ~SA, Il)Mg£
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 Elm, Carlsbad, California 92008-1989 (619) 438-5525 -
JOB ADDRESS AV, ST., DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
AO.
2530 La Golondrina Street PHASE 2 11/8/83 3587 $89,150.40 83-80-158
OWNER'S NAME
1619/;;;';;~;NE
CONTRACTOR CONTRACTORS PHONE • ZONE
OONDEIOSl-\ HG1ES PON:>EroSA FD1ES 619/560-8555
OWNER'S MA L,NG ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
11300 Sorrento Valley RD, Suite l00, S,D. 92l21 Same as Owner 343456 83-80
LOT I BLOCK h:::tSION ,j ASSESSOR PARCEL NO DESIGNER LICENSE# STANOARO PLAN# BUILDING SO. FOOTAGE
1 t;R · 11 n Re,+-,+-cc, TJni t-1\Tr"\ _ 2 A.ram Bassenian & Associates C-8395 1808 OESCAIPT•ON OF WORK
Sinale Farnilv·with Garaae PIAN 1808 A j~~~~lfy Pl., Suite .170 OESIGNEA"S PHONE
I 1oe ~~zfi,eo 1-1,. .. . =~.-.h (' Q')t::t:: I 714nt;•-1Qt::A .. .... _ .... __
I --~ --F/P F LR ELEV. NO OCC GP EDU
YO NO ...2L STORIES
1 R-3 1
CENSUS TRACT I GP LANO USE I PAR~•;; SPACE I AE S U~ITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR
AREA CONST
YO ND vO NOO VN vO M] Nor Valid Unlffs M.chine <Arrifil!d
QTY. PLUMBING PERMIT· ISSUE 7 ,5( QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP 25 .0( 1 INSTALL FURN. DUCTS UP TD 100,000 BTU "' ()() BUILDING PERMIT 01 ·00·00-8220 L,,() 1 ()()
1 EACH BUILDING SEWER Fi o:;r OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 -
1 EACH WATER HEATER AND/OR VENT ? o:;r BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 261.95
1 EACH GAS SYSTEM 1 TO 4 OUTLETS ? c;( BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222 I. I. ()()
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 ~() ()()
EACH INSTA~ .. ALTER. REPAIR WATER PIPE ? VENT FAN SINGLE DUCT k ()() MECHANICAL 01 ·00·00-8224 1 1 ()()
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225 --
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF ORAIN (INSIDE) SOLAR 01 ·00-00..R??li -
TOT.t.L MECHANICAL STRONG MOTION 80-92-33-0519 6 ?l,. --I --44.00 11.00 TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 -
5. 0( PUBLIC FACILITIES FEE 32-00-00-6923 -QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR· ISSUE BRIDGE FEE -
NEW CONST EA AMP/SWT /BKR 1nn 2 'l ()( COLLECTORS -SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS /7 '. carlsbad 60-92·21-0519 -
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE / 0 \ Encinitas 60·92-22-0519 -
l PH 3 PH PUMP / ,I San Dieguito 60-92·23·0519 -
REMODEL/ALTER PER CIRCUIT PLAN CHECK rEE / (' 0~ ~'t /. San Marcos 80·92-24-0519 -
TEMP POLE 200 AMPS I V I\ " , -/ m m -. -~-----y . y y YYYIYI,-WYrlaI
OVER 200 AMPS I J ,...-r / f'.()C::'J'A 'RFA. T tJA 'T'R'R li'RR -1nn ()() -
TEMP OCCUPANCY 130 DAYS) I '/ f'.'RFTH'I' mn>n<::T'T' (?77 ()1'
\ /
TOTAL ELECTRICAL -7 '-~ I 779.18 30.0( TOTAL SOLAH -TOTAL FEES PAYABLE ~ .. .
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Ew,y penn,t oaued by Ille Bu~dino ONiClal uncle< Ille prov11,ons of th11 * AN OSHA P£AMfT IS~ FOIi EXCAVATIONS OY£11
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code allall a•po,. by hm,tat,on and become null and vo,d. ti the bu1ld1ng or work 5" O" DEEP ANO OEM0UTION Oft CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorlZed by IUCh permit II not commenud w11h1n 180 days lrom the date of such
) STAUCl\lAES OYEII 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-::':O.:, i~ ':v ':'.:::J;' U.:~O:':!":izad by "j~~ ~';::!.i'~,•~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , 11.. .iA 0 CONTRACTO~ APPROVED BY ~ D~A' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~~ARE ~JWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE •A. BY PHONE 0 I v/J GRANTING OF THIS PERMIT. .../, ...._ _.
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INSPECTION TYPE
BUILDING
FOUNDATION
REI NFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEI LING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH 1N
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILAT ING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS A BOVE HA VE BEEN APPROVED.
JOB SITE FLNAL -
PLUMBING "'-ELECTRICAL "'--
MECHANICAL " fJ
GAS "--. ., 1 .. ,/M I
BUILDING '-'r"(/ ,, I
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED
' c•
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S
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
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INSPECTOR'S NOTES
DATE -
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