HomeMy WebLinkAbout2603 LA GOLONDRINA ST; ; 83-80-241; Permit,f'v/
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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 1s in
lull force and effect
Lie No ______ Ciaos
I hereby affirm that I am exempt from lhe Contrac-
tor's License Law tor the tollow,ng reason [Sec 7031 5 Business and Pro1ess,ons Code Any c,ty or county wh,cr, re-
Quires a perm,t to construct. alter. improve. demol•sh. or
repair any struclure, prior to its issuance also requires !heap-
plicant lor such perrn11 lo hie a s,qned statement thal he 1s
licensed pursuant to the prov1s1ons of lhe c.:on1rac1or s License Law (Chapter 9 commenc,ng wrth Section 7000 ol
D1v1s1on 3 o1 the Business and Pro!ess1ons Code; or tho! •sex
empt therefrom ond the bas,s 1or the allegea exemption Any
v1olat1on 01 Section 7031.5 by an applicant 1or a permit sub
iects the applicant 10a c1v1I penalty o1 no! more than live hun•
dred dollars ($500)
I J I, as owner of lhe property, or my employees with wages
as their sole compensa11on. will do !he work. and the s1ruc-
ture is not intended or offered 1or sale (Sec 7044. Busrness
and Professions Code The Con1ractor's License Law does
no! apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employe€s, provided that such improvements are not intend-
ed or offered for sale If. however. the building or improve-
ment 1s sold within one year of completion. the owner-builder
will have the burden 01 proving that he did not build or im-
prove for the purpose 01 sale)
n I, as owner of lhe property. am exclusively contrachng
with licensed contractors to construct the project (Sec 7044,
Business and Professions Code· The Contraclor's license
Law does no! apply to an owner of property who builds or im-
proves thereon, and who contracts for each pro1ects with a
contrac1or(s) license pursuant to 1he Contractor·s License Law).
□ As a homeowner I am improving my home. and the follow ing conditions exist
1 The work is being perlormed prior to sale
2 I _have lived in my l1_0me for twelve months
prior to complet_1on o1 th_1s work
I have not claimed this exemption during the last three years
□ lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
□ I hereby affirm thal I ha.re a cert,l1cate 01 consent
to sel!-msure. or a ceni!1ca1e ot Workers
Compensation Insurance. or a cert1!1ed copy the1eo1 ,Sec 3800. Labor Code)
POLICY NO
COMPANY
WCP-6255-061
GREAT AMERICAN
0 Copy ,s l+led with the c11y
0 Cert1l1ed copy 1s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f 1ne perm,t
1s trn one hundred OOllars iSlOO) or less)
0 1 cer11!y that 1n 1he perlormance ol the work tor
which !his perm,, ,s issued. I shall no1 employ any
person ,n any manner so as to become sub1ec1 To
the Workers· Compensation Laws of Ca11lorn1a
NOTICE TO APPLICANT If. af!er ma~inJ th,s Cert,
!1cate ot E,empt1on, you should become sub1ect tr,
the Workers Compensation provisions ot the Labor
Code. you must !orth,.,,th comply w1t11 such
p1ov1s,ons or t!11s perm,t Shall be deemed •e,oked
0 I hereby at!1rm 1na1 lherP ,s a cor,s1ruct,or ,end1n,;i a,;iency lor trie pertormancf' vt the work lcr
wri1ch !h•s perm,t ,s ,ssued 1Sec :l097 c,.-,1 Code,
Lender s Name PQNQEBQS8 HCTvJFS
Lende,·s Add•ess __________ _
At't"Ll~AN I IU t-lLL IN INl'"UHMAI IUN WIJ NIN :St1AUt:U AHE.A AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
__g_oo Elm, Carlsbad, California 92008-1989 1_619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST.
2603 tA ~ ~ •. .,.., .. ,, PHASES •.
SUf!OIVISION
OWNER'S NAME
PCH>EOOSA. HCMES.
OWJ\IER'S,MAILING ADDRESS
ASSESSOR PARCEL NO.
00.2 215-562-23
OWNER'S PHONE
619/560-8555
.92121
'
vO NO
REDEVELOPMENT
AREA
APPLICATION & PERMIT
DA~E OF"APPUCATION
2
TYPE
CONST
BUSINESS LICENSE #
3587
CONTRACTORS PHONE #
LICU.SENO.
343456
LICENSE.#
C~8395
EDU
R-3 I 1
ace LOAD I FIRE SPA
VALUAT!ON
$112,489.20
ZONE
PLAN 1.0. #
STANOARD PLAN #
PERMIT NUMBEA
83-80-241
BLDG USE CODE
BUILDING SQ. FOOTAGE
2255
644 1 YO N □ YO NM_ VN vO ~ Not Valid Unkss lhchine Certified
PLUMBING PERMIT· ISSUE !,--0 =--QTY. MECHANICAL PERMIT· ISSUE 3'-SUMMARY/ACCOUNT NUMBER
l EACH F1x1uRE TRAP 1 '1.? __ i::;n 11 1L1~srALL FURN. oucrs uP rn 100,000 01u BUILDING PERMIT 01-00·00·8220
EACH BUILDING SEWER 6 .-so II t OVER 100,000 BTU
EACH WATER HEATER AND,OR VENT ') .c;.n BOILER/COMPRESSOR UP TO 3 HP
SIGN PERMIT 01-00·00·8221
PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM 1 TQ 4 OUTLETS t---2 ·5Q ~ I 8QILER/CQMPR[$$QR J-15 HP I I 1v,r-,L, Lumu11,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE -----
Tr\TAI DI ll~AlllWJ 01·00·00-8222
1:Ll:CTRICAL 01 ·00-00·8223
EACHINSTA~_ALTER,REPAIRWATERPIPE ---+---21 VENT FAN SINGLE DUCT I 9: 11tq , .... ,.,,,,.. ... ,.,,.., ..
EACH VACUUM BREAKER MECH EXHAUST -HOQOIOLJCTS
1Ai:r1.1.-.~11r.&1 01·00-00-8224
MUBILEHOME 01·00·00-8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE!
TOTAL PLUMBING 51.50
TOT.4L MECHANICAL SOLAR 01·00.:.
11.00~ STRONG MOTION 80-92·33·0519
FIRE SPRINKLERS 01·00-00-8227
QTY.
NEW CONST EA AMP:SWT BKR
ELECTRICAL PERMIT · ISSUE ~-QTY. I SOLAR· ISSUE
100 25.00 COLLECTORS
PUBLIC FACILITIES FEE 32-00-00·8933
BRIDGE FEE
SCHOOL FEE • DISTRICT
EXIST BLOG EA AMPISWT,'BKR
lPH J PH STORAGE TANKS
ROCK STORAGE
1 PH 3 PH PUMP
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE
Carlsbad 80·92-21·0519
Encinitas 80-92·22·0519
San Dieguito 80-92· 23·0519
San Marcos 80·92· 24-0519 TEMPPOLE ]OOAMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAY SJ COSTA REAL WATER
CREDIT DEPOSIT
TOT Al ELECTRICAL 30.00
:·,0· ,-•,,,·••r·t··, ;_(,·"'.""'~··· .···-:---· .. -. •··· ··,·.kl· :.,·7 ,:P,.
i..r4\'E qAREFJ.i't{V\~~\IEo·Tfij;'.oo. MPLETEO i•APPt,JGAT.1otlAN8,P£RMrr;· AN.Q !lo Hl.f. fl,Efil'(k..,..,
'4,'CER"FIFY. UNDER-PEN/l!Lfi ~ '.fEftJUWf TI-iA,T Alt lt-WQRMATiON HEREON IN"CLUOlN~ T~.
'DECl.ARATIONs A.RE TJUJE1AIIID 1:0'RRECJ" A~D f FUATHeFC.cERTWv· ANO AGRE"t IF A PEilMIT JS>
fSSUfE>:-': to,CQMPL 'Y YJ~Ql"FY':. -COUtil"FY A;NO·STATB·LA W!vGf,;>YEANfN.Q -81.nt.t»NG CON-&
STRU<:Tll;>N. w,,1;11<~~~,w oa jlll)T. J :...~~ooet.,o SAV.• -WY ... n .
. · -~ .... T Al.L~81Ln'l/!S.'J.~~~0&!'$Jl~d. -Ai;llilsn,•" Clw m -~.,.,..,wan,w .;·.= ., ' ~t··· ""'·&·,"'+) .... : ;.,
.,__ ~'$0)'1$1~~:dftbis· 1tth81n:rtkhng:m-WOl'k
from lhe<fate-•of SUCI) ·-·Jt._4.~'.,Pr
+---1.81
PAID
2,249.78
600.00
3,718.25
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TYPE I DATE INSPECTOR
BUILDING I 8~~~~~1 ..
FOUNDATION ~ 11 FIELD INSPECTION RECORD
REINFORCED STEEL 1--....:::
MASONRY I
GUNITE OR GROUT I
,,,,/,. --I
-,----.
.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ·~·· --
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I /I
SHEATHING □ ROOF □ SHEAR ~ lie./ ;-<1-t"/J
FRAME Xol/1r 1-f"
EXTERIOR LATH ~
-, V ll
SOILS COMPLIANCE
PRIOR TO .
F OUr's!DATIOr-.i INSP
------L ---------------
STRUCTURAL COr-..CRETt
OVE-.R 2000 PSI
INSULATION \ I z/ /$/4ff1 ,v,.,
INTERIOR LATH & DRYWALL \. I zhPhJ"l '..f"
f-~RE'.S Tf-H:'SSEO
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING ,, FIELD WELDING
SEWER AND BUCO □IPL/CO 7?n I.P
UNDERGROUND □ WASTE D WATER / ,:,/;7 17",,
HIGH STRENGTH
BOl Ts
TOP OUT □ WASTE □ WATER 1/;{ff( 17 SPECIAL MASONRY
·-
TUB AND SHOWER PAN /1
GAS TEST 1l,,1h-rl1 Pll.ES CAISSOJ\a~
□ WATER HEATER D SOLAR WATER
,
·-
-~
ELECTRICAL
D ELECTRIC UNDERGROUND □; UFFER A
ROUGH ELECTRIC 1/,Jw,t,P
□ ELECTRIC SERVICE D TEMPORARY ,--.-------,-
--~· '
D BONDING □ POOL ..
MECHANICAL I A --.. -~
□ DUCT & PLEM., □ REF. PIPING /kt/,rr17
HEAT -AIR COND. SYSTEMS ' ---,---,
VENTILATING SYSTEMS
T
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA V.E BEEN APPROVED
FINAL I
PLUMBING ' ,
ELECTRICAL "' I /)
MECHANICAL ' I . .. ~
GAS ~ AIAI ,,
BUILDING I"' '
'I
SPECIAL CONDITIONS I '
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