HomeMy WebLinkAbout2603 LA GOLONDRINA ST; ; CB880352; Permit"' z 0 ;:: .. "' ~ " "' 0
0:
IL
"
"' "' 0 -' 5 ~ "' z ~
• •
z 0 s z .. .. ,.
0 " "' ic "' " "' ~
!j
O I hereby affirm that I am licensed under
provisions of Chapler 9 \commencing with
S.Ctlon 7000) of Division 3 of the Business
and P,,oteaslons Code, and my license Is in
lull force and effect
1 hereby afltrm lhat I am e,empl 'rom the Corlrdc
lor's License Law lor lhe follow·ng reason (Sec 7031 S
Bus,ness and Protess,ons Code Any c11y or couoty wh1(r, re
qu,res a perm,1 to construe! alter ,mprove demol,sh or repa,r any structure. pr,or to ,ts issuance a1so requires !heap
p11canl lor such perm,t to l1le a s,~ned slatemenT That he ,s
1,censed pursuant to 1he prov1s1ons of tne Lon1rac!O' ,
L•cense Law !Chapter 9 commencing w,rh Ser.t,on 7000 ol
o,.,,s,on J ol the Bus,nessand Pro!e,s,ons Code1 or lhJI Is ex
empT lhere1rom and the bas,s 10, the allegea e,empr,on An,
<>olal>on ol Section 7031 5 by an appl,canr lor a oerm,1 ;ub ecrs tM appl,cant to a c,vil penal1yol not 'Tlore thac live hun
dred aollars IS500i
I as owner of the property or my employees w,·n -,ages
as lhe,r sole compensat,on will ao t~e war, and lhe s!'uc
ture ,s nol ,ntenaM o, 01\ered for sale ,sec 70A4. Business
and Profess,ons Code The Contractors License Law does
not apply IO an owner ol property who bu1las or ,mp,oves !hereon and who does such work n,rr,sell or lhrough h•s awn
employees provided tha1 such 1mprovemenls are nal ,n1eM ea or altered lor sale 11 however the bu1ld1ng o, ,mprove
ment ,s sold w1tnIn one year of completron The owner-builder
w,II nave the burden of proving that he did nol llu,ld or '"'
prove for the purpose of sale/
I, as owner of the properly am exclusively contrac11ng
wIlh licensed con1rac1ors to conslrucr lhe pro1ect (Sec 7044
Business and Pro1ess1ons Code The Contraclor s L•cense
Law does nol apply to an owner of property who bu1lds or ,m
proves thereon. and who contrac1s for eac~ proIects w1Th a
conrractor(s) license pursuant ro the Contraclor s I rcense Law)
As a homeowner I am ,mprov,ng my ho-ne and the follow ,ng coMIt,ons exist
1 The work ,s being performeo pr,o, to sale
2 I have lived ,n my home lor twelve months
prior 10 completion of this work
I have nol claimed th,s e,emphon during the last three years
for t'h~: r~~~~r under Sec _____ _ B & PC
I he,eby affirm that I nave a certd,cale of consent to
sell nsure or a cert1•,cate ol Wor~ers Cornpensa11on In
surance or a ce0td1ed coo, Thereof 1Sec 3800 Labor Code)
POLICY ~0
COMPANY
Coe, ,s 'lied v,,,th the city
Cert,hed copy ,s hereby 'Jm1shed
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
1Th1s section need not be completed 11 lhe permit
,s for one hundred dol'ars 1$1001 or lessl
_ I certify that In the performance o1 the work tor v,,h,ch
·h,s perrr>,t ,s ,ssued. I snail not employ any person ,n any
manner so as to llecome sub1ect to the Workers Compen
sat,on Laws ot Cal1lom,a
NOTICE TO APPLICANT If_ afle, making tn,s Cert1f1ca1e
of Exemp11on you should become su1>1ec1 to the Workers
Compensation prov1s,ons of the Labor Code. you must
lorthw,th comply w•1h sucn provIsIons or this permit shall
De deemed revoked
_ I hereby affirm that tnere Is a construcr,on lending
agency for the performance ot tne work for ,ihIch this per
m,t ,s issued 1Sec 3097. C1v11 Code)
Lenders Name
Lenders Address ___ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO. DA.TE OF APPLICATION BU~ J tCENSE # VA.LUATIO_N2" PERMIT NUMBER
,Z' -::iO~K ' 1 su~;:~,~/,f)tr:~;SSOR PARCEL NO CONTRACTOR ~ -"?, .at! ~TRA:·, !:'PHONE• ZON~, 2 cf.>~~
OWNCR'SNAME I . OWNER'S PHONE -Ro/\) I\/ _f"'I 11 LI ,n ., .. LL ~--4-' ,.,
\("'\N'\ ~ l..J n.Tl l ,, 111 \T "-A"'"" 1 14 7..a, _-,, ~/ co:TRACToR'S.A~oRess • 1 ::e ~:s:,:o. euL.1LD1NG;;,__Y'..,GE
OWNS R'S MA>'tNG ADDRESS \ I v,0-, I \I'< Q'T"'1 -I' JV-.' II,...,. I , • <I\ , r_ DESIGNER " DESIGNER'S PHONi:I -~ ~-
DES<;._R IPT!ON OF -.,YORI( lc=~~~~:'t:l•,~-~~c--------------1~==,;,aac;;,.ac..;a,-~ rlhC~ 1 , 1 u -i"\1\-r, ~-rr-..\. 1-c:.o oES!GNER·s ADDREss sTATE ucENsE No. --,-i •--_,... -; , ~.
I I , ·"·--
F P F LR ELEV NO OCC GP EDU
STORIES
ye r,..□
ICENSUSTRACT IPARKIN(JSPACt: RESUNITS I GAAOINGPERMITISSUED IAEOEVELOPMENT TYPE OCCLOAO FIRESPR AREA CONST
y D ND , ~ -...C YO "'O Not Val,d Unler!iMilchine Certrf1ed
QTY. PLUMBING PERMIT-ISSUE (),~ QTY MECHANICAL PERMIT-ISSUE /5',QO SUMMARY/ACCOUNT NUMBER _ •
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU 1,u,,_ulNGPERMI 0D'lITG-00-00-822C T7 I -..
EACH 6UlllJING SEWE.R OVER 100,000 BTU SIGN PERMIT oo· 810-00-00-8221
EACH WATER Ht.ATER ANO OR VEcNT BOILERiCOMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 'l -,---..,
EACH GAS SYSTEM 1 I[] 4 OUT LEIS BOILER.COMPRESSOR 3 1~ HP TOTAL PLUMBl~G oo·,-s•c-OCJ-00-8222
EACH GAS SYSTEM J OR MO Rt METAL ~IRE:PLACt ELECTRICAL 001-810-J0-00·8223
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE □Ur:T Mt:.CHANICAL 001-810-80-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-81D-00-00-822J
WATER SOHNER RELOCATION OF EA FURNACE.HEATER SOLAR 001-810-00-00-8226
~AC,H R()r)F 1RA 1~. 1 ',<; lF, DRYER VENT STRONG MlJTIO\J 880-]19·92-33 \
TOHil MECHANICAL FIRESPRi"J~LERS 001-810-:0-00-8227 1
I U I A! PI lJ Ml-l IN L I PUBLIC FACILITIES FEE 320-810-00-00-87--10
,--Tl 1..-:: :\;l..; ,~ ~ BRIDGE FEE 360-810-00-00-8740 QTY ELECTRICAL PERMIT. ISSUE <.., , CQ QTY MOBILE HOME SETy;;-<!l'JPZ «-v<<t.:,),._ 11--"PA;;;R;;;Kc;IN-·"'Ll;_EU-,-,-RE_A __ _:,c..:...c....:._-"--;__'-t-------~
NEWCONSTEAAMPS!hll:lKR CARPORT f._~ ,"-, -~\ TIF 312-810-00-00-8835
1 PH ; PH AWNING /,;: ,., _ .~\ LA COSTA TIF 3·11-810-00-00-8835
EX1Sr HlOG EA AMP SVVT BKR GARAGE 10 iinn ,-JUU . Ni FMF
1 PH 3 PH q' f--1--,..~:~~ I!: LICENSE TAX ~01-S'D<·CJ-:·,J-3'62
REMODEL ALTtR PER Cl8CUIT ('11 L: 'r:,-.-·:..: '.;p""f~ . ~ MFF 880-519-92-S?
H\1PPOlE !UUA\1P<; \~ :.,r .CfJ)
OVER!UUAMPS '\.~~-//
TtMPOCCUPANCY 130UAYSI "-&fJ!O •• &.c·t,_/.
. CREDIT DEPOSIT
l(JTAL EllLTRILAL l lWAI TOTAL FEES PAYABLE l ~ q -
! HAVE CAREFULL y EXAMINED THE COMPLETED ··APPUCATION AND PERMIT'" AND DO HEREBY Expiration Every per_m,ttssued by the BuildmgOtf1c1aI under1Mprov1s1cmsofth,s * AN OSHA PERMIT tS REOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l!m1taJ1on and become null and void II the bu1td1ng or work 5· O" DEEP AND OEMOl.lTK>N OR CONSTRUCTION OF' authonzed by such permit Is not commenced w1thm 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if the building or work authonzed by such permit ,s suspended or STRUCT\.IAES OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON• t..!•~bon~do~n~od2._!•~to~n!!!._"l~•me~!•~ft•~'Jl~h•~•~o~ck~,~•l'£O~m~m~on!!!£'"'~1~o~,!•J!! M~nQodQ..eo~I ~180!QJdU•~L---.----------------------t~-oll ~~:~c:!~~L~~i~~~Rc~JvEg~~fR~~~!~ A~~r%~~-AIL~LL~~B~l~fi~~-TJ~i~~~~~~~~i~~~ :~g A-~PPllCANT'S SIGNATURE .. . OWNER O CONTRACTOR O APPROVED BY ~ 0•7 A , . I~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE " • t, I I l \ -/! BY PHONE O . 2 -1,,,A' ~ 0
GRANTING OF THIS PERMIT '~UiA.__ J. I\IAA t.~..... V I ,_
~ u:
>-~
0 Q_
E w f--
D
0 CJ
C ro
~
0.
Q_
<{
I
1
C
0::
0 ~
~ w ~ ~
<{
• .2
" >-
w u
C ro
C
LL
C w ~
CJ
0 u w 0. ~ C
w
~ s:
TYPE DATE INSPECTOR W S"fs"O ~5"::L
BUILDING -
FOUNDATION -----// FIELD INSPECTION RECORD
REINFORCED STEEL " 3/J.,-s I vi 17
MASONRY J I
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTOR'S DATE CHECKED APPROVAL --
SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE ' ,
. ~
SHEATHING □ ROOF □ SHEAR PRIOR TO '
f-OUNDATION INSP r
FRAME
EXTERIOR LATH STRUCTURAL CONCRETE ' OVER 2000 PSI ,-::_., .
INSULATION PRESTRESSEO ' ' CONCRETE -'
INTERIOR LATH & DRYWALL --. POST TENSIONED .. ~-, .
CONCRETE :.
PLUMBING FIELD WELDING '·'l •..
.
·-· □ SEWER AND BUCO □ PL/CO HIGH STRENGTH '
BOL Ts UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST • PILES CAISSON~·
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN_AL_L_AF'PROPRIATE . . _ ....... , ......... -..... -......
FINAL
PLUMBING " ELECTRICAL " / 1
MECHANICAL " I J
GAS " . 1V VY r
BUILDING " '1
SPECIAL CONDITIONS " -