HomeMy WebLinkAbout2604 LA GOLONDRINA ST; ; 83-80-154; Permit{ ~ \) / O I hereby affirm that l am licensed under ;) /o 1 ~rovlslons of Chapter 9 (commencing witti
o-[ Section 7000) of Division 3 of the Business ~ and Professions Code, and my license is in
II: full force and effect. ~ L,c ~o ______ Cla11
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I hereby affirm that I am exempt 1rom the Contrac· 1or's License Law tor the following rnaS()(l (Sec 7031 5
Business and Professions Code Any c,ty or county whIcl, re-
quires a permit 10 construct, alter. improve. e1emot1sh. or
repa1r any struclure, prior 10 11s issuance atso reou1res !heap-pl1can11or such permit to 11le a signed statement that he 1s
licensed pursuant \o the prov,s1ons of the comractar s Lrcense Law (Chapter 9 cornmenc,ng w11h Section 7000 o1 o,v,s,on 3 of the Business and Protess1ons CMeJ or that ,s e1·
empt therefrom and the Oasis for 1he alleged exempllon Any
v1olat1on o1 Sectron 7031_.5 by an applicant for a perm,1 sub
1ects the appl1can1 to a c1v1I penalty o! not more than 11ve hun·
dred dollars ($500)
I, as owner of the property, or my employees with wages
as 1heir sole compensation. Will do the work. and the struc-
ture 1s not intended or o1fered 1or sale (Sec 7044, Business
and Profession, Code: The Contractor"s License Law does
not apply to an owner 01 property who builds or ,mproves
thereon and wM does such work h1mS!lll or through his own
employees, provided 1hat such improvements are not 1n1end· ed or of!ered for sale. If. however. the bULI01ng or improve-
ment 1s sold w1th1n one year Of completmn. the owner-builder will have the burden of proving that he did not build or 1m·
prove ror the purpose of sale)
D I. as owner o1 the property, am exclusively contracling
w11h_ ltcenS!ld contractors to construct the project (Sec 7044.
Business and Professions Code· The Contractor"s License
Law does not apply to an owner ot properly who builds or im-
proves tMreon_. and who con1racts !or each pro1ects with a contrac1or(s) l1cenS!l pursuant to the Con1rac1or's license Law)
C As a homeowner I am 1mprov1ng my home. and 1he follow
ing condttions ex1s1
1. The work 1s l)emg per1ormed prior 10 sale 2 I have lived rn my home lor twelve months prior to compJet,on of this work
I have not claimed this exempllon during the las! three years
□ lamexemptunderSec ______ , B&P.C
1or this reason
D I hereby ath,m 1ha1 I ha..e a ce.,,f,ca1e of consent
to selt-,nsure. or a cer111,ca!e ot Workers Compensation Insurance. or a cert1l1ed copy thereof
(Sec 3800. Labor Code)
POUC>NO WCP-6255-061
COMPANY GREAT AMERICAN
D Copy 1s hied w,tti the c,!y
D Cer11l1ed copy ,s hereby furnished
CEATIF1CATE. OF EXEMPTION FROM
WOAl<.ERS' COMPENSATION INSURANCF.
(lh,s sechon need not be comple1ed ,1 the pe,m,1
,s to, one hundred OOllars ($1001 or less!
Q I cen,ty tha1 m the performance 01 the wo,1,. Im
wh,ch this perm,! ,s issued. I shall no1 employ any
person m any manner so as to becomt> sub1ec1 to
1he Workers· Compensai,on Laws ol Calilorn,a
NOTICE TO APPLICANT If al1er ma~,n:;i lh1s Cer11
f1cate ol Exemp1,on you should become sub1ec1 I') the Workers· Compensat,on provisions ot 1he Labar
Code. you must to,ih..,1th comply w'1h such
provisions or 1h,s perm,t shall t>e deemed revoked
0 I hereby af!,rm That ttiere ,s a conslruct,o"
1end1ng agency to, lhe p('rlorrr.ance ot the wor~ 1o,
which lh,s oerm,t ,s ,s~ued ,Sec m1 C,vd Code1
Lenaer s Name PONDEIOSA HCMES
Lenoe, s Add,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOS ADDRESS AV. ST.RO, NEAREsTCAOSSST.
2604 iA ~ srRmr
LOT I &LOCK
1 "4 t..1 .. L
I SU8'0\,VISlON l A5?ESSOR PARCEL NO.
UNIT ID. 2 215-561-2
OWNER"S,-NAME I OWNER'S PHONE
I Ei,19/560-8555
OWNER'SfMAIUNG AOQ~E$S
J:l30o $ii~. ~ • .RD-'Sl:E 100_1_ S.D. 9212L
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!DATE Of Ai"PLICATION BUSlf,fESS LICENSE #
3587
CONTi'lAC'TOA: CONTRACTORS PHONE ft
S!Mli:AS.CNIER • CONTRA.C'fOAj ~tmRESS . UCENSENO.
I. 343456
0'£$19,NEfl., . . ;..~•
Lic,1:NSE-# . r t:4!39S ,;;.,,;:~ '!F$1 ..... 1<11 .... 0NJ; ·.
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STORIES
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REDEVELOPMENT TYPE ace LOAD FIRE SPA
AREA CONST
VALUATION
$100,026.QO
ZONE
PLAN I.O. #
'I STANDARD PLAN#
PERMIT NUMBER
83-80-154
BLDG USE CODE
BUILDING sa. FOOTAGE
1994
,□ ,.lg VN v □ N~ Not Valid Un~s Machine Cerrifled
QTY. PLUMBING PERMIT -ISSUE -J~ QTY. MECHANICAL PERMIT -ISSUE ~--SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP ' 27. 5' 1 INSTALL FURN DUCTS UP TO 100,000 BTU 4.00 BUILDING PERMIT 01·00·00·8220 435.40
1 EACH BUILDING SEWER r;._ ~, OVER 100.000 BTU SIGN PERMIT 01·00·00·8221
1 EACH WATER HEATER AN□,□R VENT ?. '" BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 ?R"'.\ 10
_J_ EACH GAS SYSTEM 1 TO 4 OUT LETS ' +----?. £;() sou J:AlrOMPArc:;<:nA 1.1r, I-IP •LL••·--···· .. Lu-u•• u •u ••• TOTAL PLUMBING 01·_~9·00·8222 46....50
30.00 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223
EACH INSTAl.. ALTER, REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT ?·.00 MECHANICAL 01·00·00·8224 9.00 ·---
EACH VACUUM BREAKER MECH EXHAUST -HOOOiOUCTS MOBILEHOME 01·00·0Q·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP
EACH ROOF DRAIN (INSIDE)
II TOT /..l MECHANICAL
TOTAL PLUMBING 7 4!i. 50
SOL!lB.
9 • OO 1--STRONG MQTIO_N __
FIRE SPRINKLERS
n1-00·0Q-R??F.
_80:92-33-0519 _ --1..iliL.
01 ·00·00·8227
QTY.I ELECTRICAL PERMIT -ISSUE S"'-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·B9J3
BRIDGE FEE
NEW CONST EA AMP.'SWT BKR COLLECTORS -100 25 00 SCHOOL FEE • DISTRICT -.J V'V uu,,uu~ •LL u,u••••u•
1 PH J PH STORAGE TANKS '--1 ~
EXIST BLDG EA AMP1SWT:BKR ROCK STORAGE 11 \<;
1 PH . . 3 PH PUMP \/ . ' REMODEL ALHR PER CIRCUIT PLAN CHECK FEE' -~/· ~
TEMP POLE 200 AMPS ~\\ ~I" v.,
OVER 200 AMPS "I" r \
TEMP OCCUPANCY 130 DAYSI '---,
TOTAL ELE[,IRICAl 30. 0011 I TOT Al SOLAR
1 H~E oA~~Ml}i.~ THE COMPLETED ::Ali'PUCA.1JQtt AN61:lf-~~ri~i~&oh~W~1
,·Qef\Tlf-.¥ !J•ibE.R l _flEt.ilAL.T.Y·\:>F.· _ ·PERJURY -THA:T A.t .. t: INFO .. RJ,,,1ATION HEREON INC~.· .·G '11-r,.i "'QECLA'AA itONS A.RE tA0E:A1itb CORRECT ANQ f FUATHER-OER'.tlffi'~O AGR'EE IF' ff
-~UEU: ! I~Y-t¼-Alt. ClfY,·COUNTt AtiO' ST AT& ~NtNG'
.~TRUCTt()N,W~. ~ $1'<ClflE.9 H. ERBN OR·NO·T, t AL~ Atlf!EE TO SAVE {Nblz=«-
. ~.E~Ef'~~ .~ .. HE~-. ~.. o·AGA. INST'A·l·L··IJA ... 111.LfTIES; JUDGtJe .. NtS; ~,:_Y j:l~11f!!l'~ ~~t 1lA11) 1;m• IJ'J:!'Qfll;i;OU!'tq~
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Carlsbad 80·92·21·0519
Encinitas 80·92·22·0519
San 01eguito 80·92·23·0519
San Marcos 80·92·24·0519 PAID
LICENSE TAX 01-00-00-srn2
ftJFFIT RRJ\T,
2,000.52
/;00 00
CREDIT DEPOSIT
TOTAL FEES PAYABLE l 3,411.52
.. ,~. ..-:cc;.:_,.,.' ·. J ' • > • IS !!E<lj/11'8f..-El!&AVA-0YEA 3~'t';"~°' -
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TYPE I DATE INSPECTOR
BUILDING -I
FOUNDATION : "'-. /I
g3,-1Sl)-J.!:.<.y
FIELD INSPECTION RECORD
REINFORCED STEEL I " MASONRY ' / I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I ,,
SHEATHING □ ROOF □ SHi:AR 1ffl__Ur__ IT.
FRAME I /lt7/r¥ l'f' '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
, ., STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I 7JVJ/J,J 7
INTERIOR LATH & DRYWALL I 7/ll'iL 1-f'
I ' ' I
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING ' I . FIELD WELDING -SEWER AND BUCO □IPUCO I J1/l7 'A
UNDERGROUND □ WASTE D WATER ~/)] I /)
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ VVATER -,._,
• I
SPECIAL MASONRY
TUB AND SHOWER PAN I , .
/I
GAS TEST I ///7//'T IT
□ WATER HEATER □ SOLAR W,i\TER , PILES CAISSONS
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □:UFFER A
ROUGH ELECTRIC I /:/J•/'r -r
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL ' I
I
MECHANICAL I A
□ DUCT & PLEM,, D REF, PIPING /-LC-I'!_ 7
HEAT -AIR COND, SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVJ: HAVE BEEN APPROVED,
FINAL I
PLUMBING s-I
ELECTRICAL "· I
MECHANICAL .. JI t. .
GAS I -~-A 'r{Jl I
BUILDING I "' !I • I ,
SPECIAL CONDITIONS I
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