HomeMy WebLinkAbout2602 LA GOLONDRINA ST; ; 83-80-155; Permit(. ~~ O I hereby affirm that I am llcens&d under J O prcwlalona of Chapter 9 (commencing with
,-. [ S.Cllon 7000) of OMslon 3 of the Business ~ and Professions Code, and my license is In
CIC full f0<ce and effect. ~ Loe No ______ Class
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I hereby alltrm lhal I am exempl lrom lhe Contrac-tor·• License Law tor the tallowing reason (Sec. 7031.5
Business and Prolessioos Code· Any c,ty or county which re-quires a permit 10 construct, alter. improve, demolish, or
repair any structure, prior to 11s issuance also requires !heap· plicanl tor such permit to file a signed statement thal he 1s
lteensed pursuant to lhe provisions of the Contra<:tor·s
L!Cense law (Chapter 9 commencing wilh Sect10n 7000 ol Orvisoon 3 ol the Business and Prolessions COde) or that is ex-
empt lherelrom and the basis lor Ille alleged exempl10n. Any vootat,on ol Sectton 7031,5 by an applicant tor a permit sub·
iects the apphcant to a civil penahy al not more than hve hun·
dred dollars ($5001.
D I, as owner Ol lhe property. or my employees with wages
as their sole compensa110n, will do the work, and the strut· lure is not intended Of offered for sate (Sec, 7044, Busmess
and Professions Code: The Conlraclor's license Law does :;r:gr1~0 :~ :e":'s~~r=~lr:~f ~J~:O~~~r;::~
employees. provided that such improvements are not intend--ed Of ottered !Of sale. If, however, the building or improve·
ment ,s sold within one year of completion, the owner-builder will have the burden ot proving that he did not build or im·
prove tor the purpQSe of sale).
D I, as owner Of the property, am exclusively contracling
with Hcensed contractors 10 construct the project {Sec. 7044, Business and ProlesstOns Code: The ContractOf's license
Law does not apply to an owner ol property who builds or Im· proves thereon, and who contracts tor each projects with a contractor(s) license pursuant to the Contractor·s license Law).
D As a homeowner I am improving my home, and the lollow· ing condiltons exist:
1. The work ,s bemg pertormed prior to sale. 2. I have lived m my home tor twelve months prior to completK>l1 of this work.
3. I have not claimed this exemption during lhe last three years.
g ih~:r::t under Sec. ______ . B & P.C. -------------
D I tieteby atttrm that I na.-e a cer'11hca1e of consent
to self.insure. or a cert1t1cate ot Workers·
Compens.a.11on Insurance. Of a certified copy thereof
I~ 3800. Labo< Codel
POLICY NO WCP-6255-061
COMPANY GREAT AMERICAN
□ Copy IS Med w1lh the Ctly
O Cen1fted copy 15 hereby tum1stie<J
CERTIFICATl OF EXEMPTION FROM WORI\ERS· COMPENSATION INSURANCE
(This section need nol be complete<' ,t !he perm11 •s IOJ one hundfed dollars 1s 11)0) Of less)
0 I cer11fy 1hal in the performance ot tile w ()(k tor
which lh1s pemi11 1s ,ssued. 1 shall not employ any
person m any manner so as to become sut>Ject lo the Workers· Compensatt0n U ws of Cahtorn1a
NOTICE TO APPLICANT If. after matun1 this Cen1 hcate of E•emphon. you should become sub1ec1 I?
the W()ft(ers· Compensation prov1s,ons of the YbOf
Code, you must torthw,tti compl)' with such
provisions Of this permit shall be deemed revoked
0 I hereb'r affirm thal !here 1s a con51ruc11on
lending ~ency for the pertormance ot !he wot1t for
which lh1s permit 1s issued CSec J097 C1..,,1 COdel
Lenoe, s Name PONDEROSA HC1'1ES
Lenoer s 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 A00"ESS AV. ST.RO. NEAREST CROSS ST. I DATE OF ...... LICATIONI BUSINESS LICENSE It VALUATION PERMIT NUMBER
2602 IA OOUN>RINA STRmI' PID\SE 5 3587 $89 ,150.40 83-80-155
LOT ~lOCK ,I SUBOI VISION UNI~ ASSESSOR PARCEL NO CONTRACTOR -CONTRACTORS PHONE • ZONE 155 ,RRTT.Tfl ".:;:.,.,..~.".::: 1'l') 2 21c_i;i:;1-l SAME AS 01NER OWNER'S NAME OWNER'S PHONE
CONTRACTOR'S AOORESS LICENSE NO. PLAN I.D. # BLOG USE COOE
PCH>ER:SA HCM&S 619/560-8555 343456 OWNER'S MAILING AOORESS
11300 SORRENro VALLEY RD-STE 100, S.D. 92121 DESIGNER LICENSE r, STANOARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK .ARPMB.Z\$ENIAN &~-C-8395 1808
Sna.E FNfiLY WI'm MTAaIED 2-cAR GMAGE oe99NER'S ADDRESS. -·· -. , . '----·-DESIGNER'S PHONE -
PLAN 1808 B
3 0 ~ ~~-1:ffs 170 714n52-1864
--~-. ----------· -------~ -----~I P F LR ELEV. NO OCCGP EDU fl/'f j/tl44ib7G 3,39, STORIES
vO NO --1 R-3 1
CENSUS TRACT I GP LANO USE I PA~;;G SPACE I RES {NITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONST
y D ND v0 N~ VN vO 15d] Not Valid Unlffs Machine ~rtili«J
QTY. PLUMBING PERMIT -ISSU E r;~ QTY. MECHANICAL PERMIT -ISSUE 3--SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TR AP ' 25_ nr 1 INSTALL FURN. DUCTS iJP TO 100.000 BTU 4 .. 00 BUILDING PERMIT 01-00-00-8220 403 .00
1 EACH B\JILOING SEWER 6.5( OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -
1 EACH WATER HEATER ANO /OR VENT 2.5( BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 261.95
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2. c;r BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 L1L1. nn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~n. nn
EACH INSTAl .. ALTER . REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT ,1. (l(l MECHANICAL 01-00-00-8224 11 .nn
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-0Q-8225 -
WA TEA SOFTNER RELO CATION OF EA FURNACE/HEATER M081LEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-QQ-A??f: -TOT/.L MECHANICAL 11.00 STRONG MOTION 80-92-33-0519 ,:. 'JA
TOTAL PLUMBING I 44.0( FIRE SPRINKLERS 01-00-00-8227 -
~ QTY. SOLAR -ISSUE ) PUBLIC FACILITIES FEE 32-00-00-8933 -QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE -
NEW CONST EA AMP/SWT BKR 100 25.0( COLLECTORS '-r (.~ SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS }) 'I\, ~· Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ... r -~-Encinitas 80-92-22-0519
1 PH 3 PH PUMP (',. rJ ~ f"'\r-'. San Dieguito 80-92-23-0519
REMODEL'ALTE R PER CIRCUIT PLAN CHECK FEE -~V )(I "r . San Marcos 80-92-24-0519 DZ'.Tn
TEMP PO LE 200 AMPS ~ I \ V
OVER 200 AMPS V LIC~NSE TAX 01-00-00-8162 1 ,783.()()
TEMP OCCUPANCY 130 DAYS) /rl y ?CC'SrA REAL WATER 600.00
CREDIT DEPOSIT
TOTAL ELECTRICAL
I 30 .00 TOTAL SOLAR TOTAL FEES PAYABL E I 3,139.19
I HAVE CAREFULLY EkAMINED THE COMPLETED "'APPUCA TION ANO PERMIT" ANO DO HEREBV Expiration E.-y_.lNued~ "9o.a.tlllltllrtlleprOVISIOflsof--* AN,_...,,_. IS IIEQUIIIEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTV OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -expire by timitelion niill'Jiiihiolcl 1f Ille building o, -~ ::::::,,•_-:.-DEll0UT10N OR CONSTRUCT10N Of authOrized by such permit• not_lOlid ... 110a,.trom rtie dateof SUCII DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit. Cl< 11 Ille buildi:&.,°' _. eulllorizted .. well pennil • ~ o, ~--✓ OVER lSTOIWS IN HEIGHT I:SSUEO TO COMPLY WITH ALL ClTV. COUNlY AND STATE LAWS GOVERNING BUILDING CON· lbandDMcl at atNllffle ... _... . ■--o1 ,1111--. .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO -·-·•-·s SIGNA~ ~ ._..,.Q CONTAAcit>A 12l-APPROwa-,~711/sf KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO 1 l,, . . . .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH~ rd_• ~ . · · -· ~'T. BYPHONE 0 GRANTING OF THIS PERMIT. _ '.A --~-' • -. ·;: _
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION ~ I}
REINFORCED STEEL I " JIZA-/J'1 [
' . MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I -SHEATHING □ ROOF D SH~AR 1/J1lf> ;,;;
FRAME I 1//11/f? I/
EXTERIOR LA TH
,
I ~ I)
INSULATION I \ z/14/;,r 17.11 I
INTERIOR LATH & DRYWALL I \. -r./J1/}"Y r ' . I
PLUMBING I
I A
SEWER AND BUCO DIPUCO I ;ra -/;/}
UNDERGROUND □ WASTE D WATER J1J7 1,-,;
TOP OUT D WASTE D 1/yATER ///7/ff__ :r
TUB AND SHOWER PAN I / "I _/)
GAS TEST I 1117/fr 11
□ WATER HEATER D SOLAR W ~ TER / '
I
ELECTRICAL I
D ELECTRIC UNDERGROUND q 1 UFFER /)
ROUGH ELECTRIC I 1117/Yf' T
D ELECTRIC SERVICE D TEMPORARY -( .,, ~
D BONDING D POOL I
I
MECHANICAL I A
□ DUCT & PLEM., □ REF. PIPlt'-,JG ~./, _, . ...,. ''//fr• rt"
HEAT-AIR COND. SYSTEMS , F I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
I
PLUMBING '---.._ I
ELECTRICAL ·,, I /7
MECHANICAL I ..j/ .. ,,. I
GAS .l'\_ ,l,:LV\ I
BUILDING I '\. L/ , J
SPECIAL CONDITIONS \.
I
I
'
~"!,.-,~ _, S'S-::.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL --
SOILS COMP'.IANCE
PRIOR TO
FOUNDATION 1~'4SP
"-•~-----~-
STRUCTURAL CONCRETE:
OVER '.'000 f0S I
PRESTr,ESSED
CONCRETE
POST TENSIONED
CONCRETE -~
FIELD WELDING
~ r--·~----,--HIGH STRENGTH
BOLTS --
SPECIAL MASONRY
,__
PILES CAISSON'~
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