HomeMy WebLinkAbout2538 LA GOLONDRINA; MP; 86-695; Permit<II z 0 ;:: C ac C ~ 0 IOI 0
c Vi hereby affirm that I am licensed under o ~i11on1 of Chapter 9 (commencing with
t; [ S.Ctlo. n 7000) of Division 3 of the Business c and Profeaslons Code, and my license Is In
C full force and effect. 7 _ 7 _ (2 / ~ l•c N• ~.5/41) 1•-s ~
ur
ac
IOI a ~ 5 ~ IOI z ~ 0
t hefeby 1thrm lhal exem(lt lram the ConlrJC•
to,'s Locense 1.,., lcf th< ,_,ng r .. son IS.C 7031 5
BoSt.ness aod ProfHStOns Code Arr; Cily or cou-r.ty w~tth re, Q1.ures a perm,1 10 construe! atter. ,mprove. dtffl011Sh, Of repair arr, strutture. poor 10 ,ts rssuarict also reouires !flit ap
~nt 'or sutn l)lfffll to I"' a 519ned stalemel1l ln.11 he rS llcenseo pur~nt to 1ht pr0vts,ons al lhe eonuaaor s
License law iChaptOf 9 COOlfflOI\Clnf,j ~,tn SettJon 7000 ot 01vt110t"t J of lhe Bus,rie,s ano Profess,o"s COde) or !hat ,sex
ernpl thefe!!Offl d!ld the basis kW lbe a:aoea e...empt.'.ln Any
""'"""" ol set:a, 1031 .S by an as>l)tit,lnt tor• pemt sul>-,ec,s tne apptant to a Cf,1J pen,ilty of no\(!'IOfe than ,.,,e htln
dred C!Ollars ($500)
r] I. ,s .,.oe, al lh< torQl)erly 01 my emi,loyees Wllh w•ges
IS their $Ole tamPlnsatJOn .... m do :..tie 'Ir-Wk. and IP'le Struc· lute is no1 tru'1\deel or ottered !or ~ (Sec. 704'. Bu1ir-ess
and Protessr0n, Code Thi Contracloc s license LJ1" does 1101 apply to ,an. CTNnet ol pf!lperty w'>G bUolcls or Im?<°'"'
thereon and whO ooes sutll w '" -~ or tllnlugn Ills .,., ~iees pfo-i,Oed that sucto improvements.,. 0011111..., ed or ott~red for SM 11, however. tne builaing or amprevt
menr 1s so6d w1th1n one year ol cornp.e!ion, !he OWl'lef · bl/tlder w•U have 1tie burden ol l'.)rGVtng !Ital he did nm bultd or itn·
pro-.e for ll>e purpose ol sate)
• I, as ow~r OI the proper1y, am e11cluS1vety conlrathng
with hcens!CI contractors lo construct the pr<Jle(t 1Sec 70U, Business and Prt!ess,0ns COde The Con1ractor's L,cense
Lt"' ooes l'10t ~pry 1o~n O'fir'ler al properly who busldsor Sri·
p~es thereon, and "'"° c.o,wacts toJ uch P'otec!S w:!h a conuacto,(s) Ocense pursuant to lhe Coniractot''s Lteense
UW)
a As. -Nnef I ... ....,..,.,,ng my-·· .no lht loltow
1ng COf'ldile>nS exisl 1. TM' work is betng pertormed pnor 10 saie 2 · I ~ ... , -lived tn my home for twelve months
Pf IOI' 10 ~ of tht$ WOik J I have not claimed lhtS e.•emDtlOl"I Oori~ the
ta.S1 three )el''i
t I am exernl)t under Sec. _____ _ B&PC for Utis reason ____________ _
~ heret,,y 1tt,rm thal I ha"'e a c::er11ftcate of consent I0-
~1~11,ure. or a cert1hc•te ol Workers Compensation 1n.
~ranee. or a cen1hed copy U\efeot (Sec 3800. LabOr Code)
~Ltl":YPliO. QI CO,MPANY ,4~d7>/~7" !c X ,...opy 1s f1Jed ..... Ih the 0ty
~ Cem hed cooy is hereby tum,she<J
"' ... ~ 0 0
<II a: "' "' ac
0 ~
il
CERTIFICATE OF EXEMPTION FRO"
WORKERS"•COMPENSAT10N :,,"',iS\JRANCE
(This sec;tIon oee<J noI be comoIeIed it the perm,t
,is tor One hundreo dollars j$100, or IKS)
... ,1 cen••.-thal in lhe periormance ot the""°'"-for •h1ch lriia permit 11 iuued. I ~II not employ any person in anv
riMner so as 10 become sub1ect lo the Wotkers" Com pen
.ahon Laws ol CaIHorn1a
NOTICE TO APPUCA"4T II. af1ttt m~kirtg th,s Certtficate
of Ellernp11on. you should become sub1ect to the Workers
Compensauon prov1s1ons of lhe Labof Code. you musl
lonttw,th comply --..,th such Pt"OVis,onsor tn1s permit shaIt
be' dee-med rhOAed
I hereby affirm that there •S • construction 1end1no
ag8ficy f(){ the performance ol thework for whicn lh•S pet•
m1t is issued (Sec. 3097. Ci..,;I Code)
Ander s Name ...... _ _
Lender's Address_ _
USE BALL POINT PEN ONLY & PRE~S HARD l-\r-,.-LIVl"\1111 ,v-, ,~._ "• ,,..,, -•••••-••-•• ••••••··· _ ....
2s~R CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & 'PERMIT
JC, 1-'-A "JOR" s• AV ST AO PERMIT NUMBER NEARESTCROSSST IDA1E OFAPPLICATIO,.;-81..:.1NESS LICEN~[" VALUATION
_, LA GCLOl'v'7>/?l/v1,4 m.f · 7-7-8/c /2327 c:::,e::;.~ 8lP-
LOT SUUOIVtS ON ASSFSSOR PARCh NO CONTRACTOR CONTRACTORS PHOllrE • ZONE to 9 5'
~,w,-..e R'!'> .',;AME ~ OWNE: ~·s PHONf "1 l1 ' LICENSE NO PLAN Io.# BUILDING so FOOTAGE /V ,(r • I
r,w-.;ER'1;,•A NC,A"nRf~~ :.-
12~3/~3 ~ .-r /i # ~ //J orsrG"'rn
i,:::::....,c...;~~~_,,.~)}N~~L.,,;:~/>?/VOIU,-.?rL-, C/}£L S' ML> .
&-z.ci~ A 7Ei /00 ,9/,,?,'~ ,,4"7,!::i7~,_.,~ I DfS GNEA s ADDRE<;S
~ 't=OL~ r/?~ .
GRADING PERMIT ISSUED
F p FLA ELEV
•□ ,□
REDEVELOPMENT
AREA
NO STORIES
TYPE
CONST
DfS;GNfR'S PHON(
LICENSE NO
OCC GP EDU
OCC LOAD I FIRE SPP C[NSUS TRACT I GP LAND USE I PARKING SPACE I RES UN TS I
,□ ND ~o -.□ vO '-0 Nor VJl1d Unless M.Jchme Cerrd1ed
QTY
I-
1--
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILOING SEWER ---~-EACH WATER HEATER AND OR VENT
EACH GAS SYSTEM 1 ro 4 OUTLETS
EACH GAS SYSTEM~ OR MORE
,7e
7
1
J
L ---i -.
QTY MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ,
-···· -···-----·--001-810 00·00·8220
001-810·00-00·8221
001-810-00-00·8806
001·810·00-00·8222 -
001-810·00-00·8223
MECHANICAL 001-810·00-00-8224 --
MOBILEH0ME 001-810-00-00-822:
WATER SO F [NE R RELO CATION OF EA FU RN ACE HEATER ---+------.,__M_OB_I_LE_H_O_M_E_P_AR_K_I_N_SP ________ +---t--t-------i
EACH ROOF ,RA,\ ,,c; DE) --------+--------il--_.__-__,,~,...,,..,.-c7.=-=~c="7"'-----,--~~------,i--SOLAR 001-810-00-00·8226
_,_ ---------.--TOTAL MECHANICAL STRO·;iG MOTION . 880-519-92-33 -I ! I~ F'RE SPRINKLERS 001-810-00-00-8227 I I I I L PUBLIC FACIL:TIES FEE_~ 3:32-810:00-QQ:~~30 --1--QTY. ELECTRICAL PERMIT -ISSUE
=
f=-N QTY I SOLAR -ISSUE
NEW CONST EA AMP SW 1 BK R COLLECTOR~ SCHOOL FEE • OISTR ICT
I PH 3 PH STORAGf 1 IINKS Carlsbad
EXIST BLOG EA AMP SWT.BKR
1 PH 3 PH
~'7t'1> REMODEL ALTtR PER flRCUll
TEMPPOIE 700AMPS
I I I ROCK STORAGE
2~-~ ;::'""'"
Enc1no1as ----
San 0Iegu110
--i. 0--San MArcos
LICENSE TAX 001·810·00-00-8162 OVER 700 AMPS MFF
I T£ MP OCCUPANCY 30 OA YSI __ 880-519-92-57
I __ L.-------------,----'------,--r--____ _ -------+----CREDIT DEPOSIT 1
IOTAL EllLTRICAL 2,.. 'OTAL SOLAR TOTAL FEES PAYABLE I .:,...v-
:~-----------.---•_--•.--•_-~-_;.:::.::::_ .. •;-, ... -.Jl._,•,•,•.J.H-.•,•,•,•.1-£;"".,p:r:,a:,-..o-.n~E~=•--y--pe:::,~=,•--•s--•--u=e<1::b-.y:1h:e~8~u--•=ld:1ng=0:::1,-.c-..a:1:u:n:d:~~,:n:e:p:,o:,-.,:,:~::,~ .. •-,~t:n:,,-l--:*:-"~N::-:OS::H~A~:PE::RM::::T~IS::R:E:OU::l:R:E~D~FOR::-:O:::CA::v~A~T~~:~:S~O:v:E:R-,
I ><AVE ( ARCF,JL~I' E~A•J1t,c ·Th.< J\ F .E rtu APPL··· ... '· f-f!-<\I "·• : t CO<le shal' e,p,re by I 'TI1'.ahon a~d become null ao~ ,o,a II t~ burl:' ng er '"'"' ~· O DEEP A~D DEMOLITION OR C()f,STRUCTION OF
'-IP F~ l,NOE'1 Pf:';A Tt OF ,,, R. URY ·HAT Ac •;F( AMAT!'!", H~ H· 'S ":. ,c :NI., ,..c author,zeCI by such perm,, ,s no! ,ornmenced ... m,n 180 Clay• lrom lhAdale-,: St ch STRUCTURES OVf.R J STORIES I!'< HEIGHT I [ !"(.."LARAT ,,-."'JC: A~E "",-lt.,· At-,>(:{ U~E TA,.,) I FvRTHEFl Cr• ~T,. t Ai.. AUF~E ·· .. ~'"' NM T , perm,t or 11 the bu1ld1ng or ,_.,,o,._ av:nor,z&d bY s1.ich ~er"l1f -s s..,spendeC ...r
I 1c;S1..,r:j TO_. cO~PLV l//iTH A'. ,. TY (:C''P.,. v AN;'., .-,TA--.1· LA•:• J r,;--n,fd~.~ .. ::.. E3,L,. \: .. ~,, ": abandoned a! anv 1f1e, rne ,_.. •• •s c·~rrmenc~d fo,.!a..e!e!!."~°"!!l....-Jf_:1~8C!Q..!d1Ja!l'.!S_-\--__,,,_..._..., __ ...,,... ____ ~--------~-------,
I •,TRL r:::i~ \',-'fTHtH ',f'I-,F-,EC HErlUN (,Fi ... ~,T A:_!,;, Au •,,. •r ,AV[ •W~MNl"Y 11-.:-: DATE
I r -, t-<AP
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TYPE I DATE INSPECTOR -~ ~ ......a...-, ------
BUILDING I
I
FOUNDATION ! FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
I REO IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEILING -
SOILS COMPi.lA:--.CE
SHEATHING D ROOF D SH):AR PRIOR TO
FOUNDATION ,NSP FRAME I -· --~--------STRUCTURAL CONCRETE EXTERIOR LATH I OVER 20()0 PSI
INSULATION I PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIE~D WELDING
u PIL/CO --•·--,-----.._ -----~ SEWER AND BUCO HIGH STRENGTH
[ :WATER BOL rs UNDERGROUND D WASTE i
D WASTE D I/YATER < PECIAL MASl.)NRY I TOP OUT ,-.
TUB AND SHOWER PAN I
GAS TEST I PILES CAl',<;Ql'I,<
D WATER HEATER --SOLAR WATER --~--··-· -i--~·--· --
I
I ·-,-----
ELECTRICAL I
D ELECTRIC UNDERGROUND 'UFFER ,_ __ --,-----
ROUGH ELECTRIC I -----
D ELECTRIC SERVICE □ TEMPQRARY ------
D BONDING C POOL I
----!
MECHANICAL ' --_.___ ~ I
D DUCT & PLEM., • : REF. PIPING ---· ,.__
HEAT -AIR COND. SYSTEMS
I (l_. --VENTILATING SYSTEMS I . ·~ I I 4 -'C ,. I
CALL FOR FINAL INSPECTION WHEN AL1~ffl O~TE'{!' ITEMS ABOVE HAVE BEEN APPRO -✓ ,-g ' FINAL ~ .... ~---,,. ~ I -,~ I! PLUMBING ! . -:. ('_ ..,
/4
ELECTRICAL I "a..,._~ -o '
MECHANICAL I -~ '(~ -I
GAS ' C %.~ -' BUILDING ' -,c.v 1
SPECIAL CONDITIONS t ' ~ I
I ~ ~ . -~---, ~ .. -
~ttp of. ~arl~bab
REQUEST FOR INSPECTION RECORD
INSPECTOR _,J?.r----4.1----/l'----7 ______ PERMIT NO.
TIME f/(,p,t. _ ___,t ... -,._q-L---'C.__ ___ DATE: 7-7 -&£.
OWNER __________________________________ _
ADDRESs__,,,.J?,._l,"Q2.JLJ"'-«O'-'-<'.d=u<dSLt.e,:uA......:,::;,).C:O.!.,in'....l,<;6l-/,_c;,.,1».,,.4=...:o!D""-Lc ____________ _
REQUESTED BY ______________ PHONE NO. '/;,
PERSON TAKING REPORT ~
BUILDING
□ FOUNDATION □ FOOTING □ SLAB
r. i REINFORCING STEEL
I I MASONRY
11 GROUT · GUNITE
'.l FLOOR AND CEILING SUB FRAME
11 SHEATHING □ ROOF 17 SHEAR
I I FRAME
I 7 EXTERIOR LATH
I I INSULATION
11 INTERIOR LATH OR DRYWALL
I_] FINAL
PLUMBING
17 UNDERGROUND PLUMBING
[i SEWER AND PL/CO
', J TOP OUT PLUMBING
□ TUB OR SHOWER PAN
ll GAS TEST
ll WATER HEATER
l l SOLAR WATER
□ FINAL
..
ELECTRICAL
l l TEMPORARY SERVICE
I; UFFER GROUND
r1 ELECTRIC UNDERGROUND
r.: ROUGH ELECTRIC
[j POOL BONDING
□ ELECTRIC SERVICE
~FINAL
MISCELLANEOUS
[I CONDITIONED AIR SYSTEMS
n SOLAR HEAT
I l PAT'? \
Cl POOL 11 SPA
[_J SIGN
[] GRADING
D DRIVEWAY 1 •
□ 'FINAL
SPECIAL INSTRUCTIONS ____________________________ _
Ready For Inspection: □ Monday
□ A.M. □ P.M.
~uesday ll Wednesday 11 Thursday D Friday
/Jf}~G.5 ~6ff0 -c:9~0<:J /S -tl0'~
hliis~-_,ep~ (2s66 f)
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------"-" ____ ...;._ _________ _