HomeMy WebLinkAbout2534 LA GOLONDRINA; ; 83-589; PermitIll z 0 ~ ac j
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Vi hereby affirm that I am licensed under ~ ~•l~lona of Chapter 9 (commencing with
"" [ Section 7000) of Division 3 of the Business ~ and Professions Code, and my license Is In
ac full force and effect. /? /.O ~ L,c No 2';:s;'.JL"< Clm L-
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I hereby afhrm that I am exempt lrom, th< Contrac-
locs License law 10< the lottow,ll!I reason I Sec: 703 f 5 Business and Proless1ons Code Any city Of county whlCh re· quires a penTHl to construct, ane.r, lfflt)fove demo(1sh, or
repalf any structure. poor to 11s :ssuance atso reqLiires the ap• phcant fOf such peunit to hlf! a signed s1atei-nen1 that he 1s
licensed pursuant to !he prov,soos ol trie Contrac1of"s L.cense Law (Chapter 9 commencing <wt1h Section 7000 of
Divis.on 3 of lhe 8u&1oess and Prot8SSIGlls CodeJ or IN! t5 e.c• empt therefrom and the baSIS tOt" the anegeo exempt.Jon Any VtOlahon ot Sectton 7031.5 by an applttant for a perm•! sub
1ec1s lhe ~p,icant to a c1v1I penal:y of not more than l,ve bun· dred dollars (S!iOO).· , -0
,..... I as owner ol the property. rx my employees w1lh wages as 1he,r sole compensat.K>n. w,1 do lht work. and lhe s11\JC·
ture is not ,ntended or offered tor sale (Sec. 7CM4. Bosiness and Profess,onfi Code The Contractor's license Law does :r:f~0
:~ °:oei'S:~w0::1~.::, :i~~~~~:=~
employees, provided that such improvements are not 1n1end·
ed Of Oflered for sale II, however the bu11ding or improve-
ment ts SOid wilhm one year of com~el.lOn .. the owner·budder will have the burden ol proving that he did not txuld or 1m• prove for the purpose of sate)
□ I, as owner of the property arn exctus,vety confrachng wilh liCensed conlractors to construct lhe proteet (Sec. 704◄.
Business and PtolessiOns Cooe The Conlractor's Ucense
Law does not appty 10 an owner ot property who builds or im-proves thereon. and who contracts Jew each prQf8CtS with a conlractOf(S) hcense pursuant lo !he Contrac!Of's Lteense Law)
□ As a homeowne, I am ,mprov,ng my home, and the lollow·
mg conditions exist: ' 1. The work Is being pertormed pr,or to sate
2. I have lived in my home IGr twelve monlhs prtor lo completion of lh,s work.
3. I have not claimed this exemption Ounng I.he Last three yurs
□ I am exempt under Sec ______ , B & P.C for lhis reason ____________ _
~,et>y affirm that I haoie a cert11tca1e ol consent ~ 1
~=II insure, o, a certit1ca1e ol Workers
CompensattOn Insurance. or a cert,hed copy thereof
(Sec 3800. Lat>or Code)
POLICY NO
COMPANY Cb.,,.,,.,:L {)N/();J ~ IS hied with the City
□ Cer11hed CoPY IS hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This secuon need not be completed 1I the permit
,s tor one hundred dOllars (S 1(X)) or less}
D I certify tha·1 m lhe pertormance of the w~ tor
'llrh1ch this perrrut ,s issued I shall not emptoy any
pe,son 1n ~Y mannef so as to t>eeome sub1ec1 10
lhe Wort,cers Compensation Laws ol Cahlorn,a
NOTICE TO A.PPUCANT If afler makinJ this C~n•
llcate ot Exemption. you should beeome subject t'J
the Won<ers Compensation prov1sK>ns of the latx>t"
Code you must 10f1hl411h comply w1lh suctt
p1ovIs1ons or lh•s permit shall be deemed revo~e<i
i[ D l hereby affirm thal there 1s a conslruclton
1encJmo aoency to, !he penormance ot !he won. lo,
wtoch lh•S perm11 IS ISSue<J 1Sec .)()97 C1v1I Code,
lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD At't"Lll,Art I IV r1LL lrt ,r.rvnm"' 11v1• ff( I"'" ..>nHUE:.U "'"I:."' "'nu U'--'-"~"" I 1un~.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989_1619) 438-5525
JOB ADDRESS
2s-34_
BUSINESS LICENSE a PERMIT NUMBER
~~ ..-
VALUATION L~ r:;oL <5/J ~ ;:;~; NEAREsTcRosssT loi;fa;/;;JoNI
'""'"'""" I I -~·-·"~-·· I I 1 1 suao v 5 ON I ASSFssr·,, PARCEL NO ~y ·A ;/,'5-4{£ 5 I I /
~.,,.-,,..-CLGC IC/ "j-.), • . BLOG USECO0E I OWNER'S Pt10NE JL-<.., LICENSE NO. PLAN 1.0. # vW"ER'S NA ' '6 5 I ::;?.,;p,E:£0 s A Ji;, ME s ,.,,,,.,,, V, l>A /li.E 26 ~.L:.. SUNOARO '"" • "'"'""""' ,oo,-o,
LOT BLOCl( 7 ~I ----4-l-zoNE-~I J% q
IJWNEA'SMA Nr,AOORESS 0ESlG"'ER t34.e'L.'5"11/'f!)
OESCR•Pl ON OF WORK / he:; ,,,q £~c7~c L. 0Es1GNEA's AooREss OESlGNE R'S PHONE
~ Sel!VIC€ Fo~ Lv/t"'f"i:?"/i.. f'~c.-SS-1--------...-------+-------F P FLRELEV .. -NU I DCC GP I EDU
VI<(; £c:l>U~t"-'<=z sr/J-r10,-...1
CENSUS TRACT I GP LANO USE PARKING SPACE RES UNITS
QTY.I PLUMBING PERMIT -ISSUE 7$,
GRAOING PERMIT ISSUED
YO N 0
vO NO
I REDEVELOPMENT AREA
vO NO
QTY.I MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP I 7 I I INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT I I I BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MO RE i I I METAL FIREPLACE
STORIES
TVPE
CONST
3--
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IOCCLOA0 I FIAESPR I vO NO
f;l·J21fi~1'e It
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Not Valid Unkn Machine Certified
30 • ...,
10
SUMMARVACCOUNTNUMBER
BUILDING PERMIT 01 -00-00-8220
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00-00-8222 -
ELECTRICAL 01-00-00-8223 '?O ~
EACH INSTAl . ALTER, REPAIR WATER PIPE I I I VENT FAN SINGLE DUCT I I mcv,onmvnc
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS
UCl'U/t~lll'AI 01-00-00-8224
M0BILEH0ME 01-00-00-8225
WATER SOFTNEA I I I RELOCATION OF EA FURNACE /HEATER
EACH ROOF DRAIN (INSIDE)
TOTJ;L MECHANI CAL
TOT AL PLUMBING l
QTY. I ELECTRICAL PERMIT -ISSUE 6----QTY. I SOLAR -ISSUE
NEW CONST EA AMP SWT BK R COLLECTORS
l/.n/)I 1 PH ),{ 3 PH '2. ~..-:--STORAGE TANKS
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELE l:lRICAL l $0__,,., TOTAL SOLAR
~,
M0BILEH0M E PARK INSP
SOLAR DJ -00-00-~??~
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00·8227
PUBLIC FACILITIES FEE 32-00-00·8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San Oleguito 80-92-23-0519
San Marcos 80-92-24-0519 I I
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE I ~ -* AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER s· O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STAUCTUAf;S OVER 3 STORIES IN HEIGHT
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I HAVF CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY
CEAT!FY UNDER PENA, TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARArlQr;s ARE TRUE .A.N'.l CORRECT ANO I FURTHEB CERTIFY ANO AGREE IF A PERMIT ,s
ISSUED TO COMPLY WITH ALL CHY COUNTY AND STATE LAWS GOVERNING BUILDING CON ST RUCTION WHETHER SPECIFIE"0 HERE IN OR NOT I .ALSO AGREE TO S.AVE INDEMNIFY ANO '-;;-;;;;;-:;:7.'7:'.::--';~:':°':'=':::'-f::"-'"-:;.::..:;:...:::<=:::::====.!!..i;~====!ll--\:::::'71~~~~~--------------~----....
i<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND -· -""~~1~-ni· EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF fHtS PERMIT , / :)
~
TYPE ' DATE INSPECTOR I
BUILDING I
I '
FOUNDATION I
REINFORCED STEEL l I
MASONRY I i
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I I
SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH I
INSULATION , I
I
INTERIOR LATH & DRYWALL I ,
' ' a I ., V
~ ' PLUMBING I I ,
SEWER AND BUCO □:Puce I '1
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE. □WATER
TUB ·AND SHOWER PAN I '
GAS TEST ' I
□ WATER HEATER □ SOLAR W~TER _ ,,
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ,)JFFER-
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
I .
,' MECHANICAL I
I
□ DUCT & PLEM., □ REF. PIPl~G
HEAT -AIR COND. SYSTEMS I ,
VENTILATING SYSTEMS I ' I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
PLUMBING J , /J
ELECTRICAL . ~/;,VIS I_ ,,
MECHANICAL I . , ,
GAS ~-I --
BUILDING I .
SPECIAL CONDITIONS :
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
REO IF INSPECTORS ' .. INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE ; PRJOR TO ,
FOUNDATION INSP '
STRUCTURAL CONC.RETE.
OVER 2000 PS;
PRESfRESSED
· CONCRETE I
POST TENSIONED
CONCRETE
FIELD WELDING
·--HIGH STRENGJH ' ' . BOLTS ._
-
SPECl,:\L MASONRY I
,_
I
PILES CAISSONS · . ..
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