HomeMy WebLinkAbout2600 LA GOLONDRINA ST; ; 83-80-156; Permit9 )1[
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O I hereby affirm that I am \!censed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and ellect
L,c No ____ _ CLi,s
I hereby atf,rm that I am exempt from the Conlrac-
tor·s License Law for the lollow,ng reason (Sec 7031 Cl
Business and Protess,ons Code Any c,ty or county wh,c~ re•
qu,res a perm,1 to construct, alter ,mprove, demol,sh. or repair any structure. prior to 11s issuance also requires '.heap-
pi,cant for such permit to file a signed statement tha1 he Is
licensed pursuan! to the prov,s,ons of the Contracior's
L,cense Law (Chapter 9 commenc,ng with SeCl>on 7000 ot o,,,is,□n 3 of the Business and Profess1or.s Cm.le) or tha1 Is ex-
empt therefrom and the basis !or the allege<! exemption Any
v1olat,on of Section 7031.5 by an applicant for a perm1I sub-1ecls the applicant to a c1v1I penalty of nol more than Jive hun•
!Ired dollars ($500)
'J I, as owner of the property. or my employees with wages
as their sole compensation. will do the work. and the struc-
ture Is no1 intended or of1ered for sale ISec 7044. Business
and Protess1on, COOe: The Contrac1or's License Law does
not apply to an owner of property who builds 01 improves
thereon and who does such work himself or through h,s own
employees. provided that such improvements are not intend-
ed or offered 1Dr sale If, however, the building or ,mprove-
ment Is sold within one year of completion. the owner-builder
w,I1 have the burden of proving that he did not build or im-
prove for the purpose of sale)
n I, as owner ol the property, am exclus,vely contracting
w1tn licensed con1ractors to construct the proiect (Sec 7044,
Business and Proless1ons COOe: The Contrac1or's License
Law does no! apply to an owner ot property who bu,lds or im-
proves thereon. and who contracts !or each pro1ec1s with a
contractor(s) license pursuant to the Con1rac1or's License Law)
0 As a homeowner I am improving my home, and the follow
ing cond;tioris ex1s1
1 The work 1s being performed prior to sale
2 I have lived in my home !or twelve months
prior to compfe110n ot !his work I have not olaimed this exemphon during the
last 1hree years
□ I am exempt urnler Sec ______ . 8 & P C
for 1his reason
□ I hereby alhrm that I ha.-e a cert,l,ca!e ot consent
to sel1-,nsure, or a cert,t,ca1e of Workers
Compensa11on Insurance. or a cert,1,ed copy thereof
(Sec 3800. Labor Code)
POUCYNO WCP-6255-061
COMPANY GREAT AMERICAN
0 Copy ,shied w,lh the city
0 Cert,t,ed copy ,s hereby fu,rnshed
CERTlflCATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed ,! the perm,1
,s tor one hundred dollars IS11)0) or 1ess1
0 I cert,ty thal ,n !he performance o' ttie work for
wh,ch th,s perm,t Is issued. 1 shall r,ot employ ar,y
person ,n any manner so as to become sut11ect 10
!he Workers· Compensa!,on Laws ol Cal,forn,a
NOTICE TO APPLICANT I! alter ma~,n~ trus Cert,
!,cale of E•empl,on you should become sub1ect I')
ttie Workers· Compensation p,ov,s,or,s of lhe Labor
Code. you must torth,,.·1th comply wnh such
provIs,or,s o, this perm,! shall be deemed re,oSNl
0 I hereby affirm !ha\ there ,s a construcl•on
ler,(l,ng agency to, the performance 01 lhe work to,
wh,ch th,s pe,m,t ,s ,ssued 1Sec 3037 C,v.i Cooe1
Lenae, s Name PQNDE8QSA Ha.1ES
Lerme, s ACld•ess -----~-----
USt tsALL t'UIIII t'tll UIILT & t'Nt~S HAKU Al""l""LIVAl"III I I U rlLL 11"111 1nirvnml\ 11vn ffl I n11'1 .,;iofJl'U.,~U 1"1-n~l"I-1"1-l'IU UL.\olL.1"1-n .... , , ..........
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 _ (619) 438-552~
JOB ADDRESS AV.ST.RO. NEAREsTCROSSST. DATE OF APPLICA'flON BUSINESS LICENSE # VALUATION PERMIT NUMBER
' "'" ' j 1RINA CIIIDI-, M~JI PHA.5E 5
ASSESSOR PARCEL NO. _CONTRA~T~R 00.2 215-561-4 S1IME 1\S O'INER i
l?(W~RN',$
OWNER'S MAILtNG AOOR~SS
644
QTY. PLUMBING PERMIT· ISSUE
13 EACH FIXTURE TRAP
1 EACH BUILDING SEWER
1 EACH WATER HEATER ANO/QR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH !NSTA~ .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN {INSIDE)
TOTAL PLUMBING
QTY.I ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP:'SWT ·BKR 100
1 PH 3 PH
EXIST BLOG EA AMPiSWT:BKR
1 PH 3 PH
REMODEL ·AL HR PER CIRCUIT
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY no DAYS)
TflTAL ELECTRICAL
I
OWNER'S PHONE
619/560-8555 CONTRACTOR'S ADDRESS
S.D. -92121 ·~
~
1 vO ND
F/P FLA ELEV.
vO NO
REDEVELOPMENT
AREA
vO r,,Kj
QTY.I MECHANICAL PERMIT· ISSUE
I I INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
2 I VENT FAN SINGLE DUCT
MECH EXHAUST HOQO/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
3587
CONTRACTORS PHON~ "'
LIC°iNSE' kO.
343456
UCENSE #
t-8395
·Q "fa£51GN_Eff':tP,uwE .
. '7ftl~t864
NO OCC GP EDU
STORIES
2 R-3 1
TYPE OCC LOAD FIRE SPR
CONST
VN vO NIH
$112,489.20
ZONE 83-80-156
PLANI.□.# BLDG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
2255
Not Valid Un~r Machine Certified
3-SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
4.00 MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
cTonw~ unnoN ll.OOJ-""'uo,umu,.,
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San D1egu1to
San Marcos
01·00·00-8220 4-
01·00·00-8221
01·00·00-8806
01·00·00-8222
01·00·00-8223
01·00·00·8224
01·00·00-8225
01·00-
80·92-1?.-nc,1q
01-00·00·8227
_ _]~ =""--t-
32-00-00-8933
80-92-21-0519
80·92·22-0519
80·92· 23-0519
80-92-24-0519 PAID
LICENSE TAX 01-00-00-8i62 2,249.78
600.00 REAL WATER
CREDIT DEPOSIT
3,718.25
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION , 11
REINFORCED STEEL , :-/· .,. 'f'
MASONRY I /
GUNITE OR GROUT 1
FLOOR & CEILING SUB FRAME ;
SHEATHING D ROOF □ SHfAR /1/(./i,,rr-r,.
FRAME 1 //J(11r1
EXTERIOR LATH : 1 • 1 11
INSULATION I z/J"'IIYf I A
INTERIOR LATH & DRYWALL 1 ';j/ /1/f'f 17 ' .
I
PLUMBING I A
SEWER AND BUCO □[PUCO 1 , J,//7 r,",,,
UNDERGROUND □ WASTE □ WATER P/17 /A
TOP OUT □WASTE □WATER 11/1/'i•
TUB AND SHOWER PAN 1 / 1 IJ
GAS TEST : ///✓/rr 7
□ WATER HEATER □ SOLAR WATER '' .
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □1 UFFER ,,
ROUGH ELECTRIC 1 //J✓/i'r l
□ ELECTRIC SERVICE □ TEMPQRARY . '
□ BONDING □ POOL 1
I
MECHANICAL I 11
D DUCT & PLEM., D REF. PIPING ///LIJ,f IT
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABO VE HA I.IE BEEN APPROVED.
FINAL I
PLUMBING ' ,
ELECTRICAL " : _
MECHANICAL ' , , ,:;/
GAS ··. ' ,r/ f;/ f''fJ I
BUILDING 1'•--.._ ·1 1
SPECIAL CONDITIONS ' '
'
.
8'3~ Jf~
FIELD INSPECTION RECORD
--
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
~
SOILS COMPl_:ANCE
PRIOR TO
FOUNDATION INSP
--------I-----------STRUCTURAL CONCRETE
OVER 20U0 F-'SI
~'FH-.STRESSED
CONCRETE
POSI TENSIONED
CONCRETE
FIELD WELDING
---·--i-----HIGH STRE/\JGTH
BOl. is
SPECIAL MASONflY
----.. --·-------·-·
PILES CAISSON~'
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