HomeMy WebLinkAbout2606 LA GOLONDRINA ST; ; 83-80-153; Permit~9 '1l
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O I hereby affirm that I am Ucensed under
provlaiona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and ellect
L,c No ------Cla'.>\
I hereby a1t1rm that I am exempt from lhe Conirac
tor's License Law tor lhe !ollow1ng reasoo (Sec 7031 5
Business and Professions Code Any c,ty or county wh,c~ re-
Quires a perm,t to construct. alter improve. demolish. or
repair any struclure prior lo its issuance also requ,res !heap-
plicant tor such permit to file a s,Qned statement that he Is
licensed pursuant to the provIsIons ol the Con1racIor's
License Law (Chaoter 9 commencing with Sect,on 7000 ol
o,v,s,on 3 of the Business and Professions Code) or ltlal Is ex-
empt therefrom and the basis for the allegeo exemption Any
voolat,on 01 Section 7031 .5 oy an applicant lor a permit suo-
Iects the applicant to a cIvII penalty ol not more than live hun-
dred dollars {$500)
I~ I. as owner ol the property. or my employees with wages
as their sole compensa11on, will do the work and the slruc-
1ure ,snot intended or offered ror sale (Sec 7044. Business
and Professions Code. The ConIractor's License Law does
not apply to an owner ol property who bu1lds or improves
1hereon and who does such work tl1msel1 or through his own
employees, provided that such improvements are no1 intend-
ed or of!ered for sale. If. however. 1he building or improve-
ment Is sold w11h1n one year ot completion, the owner-builder
will have the burden of proving that he did no1 build or Im-
pr0'1e for 1he purpose oT sale)
LJ I,. as owner of the property, am exclusively contracting
w11h_ licensed contractors 10 construct the proioc1 (Sec 7044,
Business and Professmns Code· The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon_, and who contracts for each projects wI1h a
contraclor(s) license pursuant to 1he Contractor's License ~.,
ll As a homeowner I am improving my home. and the follow
ing cond111ons e~Ist
1 The work is tremg performed prior to sale 2 I have lived m my tlome lor twelve months
prior to completion of ttlis work
I have not claimed this exemption during the
last thr~ years
□ lamexemptunderSec ______ ,81!,P.C
for this reason
□ I hereby alf<rm tha1 I ha-.1e a cert1l,cate ol consent
to self-insure or a cert1l1ca1e ot Workers
Gompensat,on Insurance. or a cert1l1ed copy thereot
(Sec 3800. labor Code)
POLICY NO WCP-6255-061
COMPANY GREAT AMERICAN"
0 Copy ,s l1led w,th the c,ty
0 Cert1f1ed copy Is hereby !um1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section nee<! not be comple1ed ,f the perm,i ,s IOI one hundred dollars ($100\ or less)
D I cert,ty !hat ,n the PE"rformance ot the wort<. tor
which this permit ,s ,ssued. I shall not employ any
person In any manner so as 10 become subIecI to
!he Workers· Compensation Laws o1 Cal1!om1a
NOTICE TO APPLICANT II, alter makirq This Cert,
!,cale ot E•empt,on. you should tiecome subIecI t'l
the Workers· Compensal1on prov,s,ons ot !he Labo<
Code. you mus! forthwrth comply wrth such
provIs,ons or Th1s perm,1 shall be deemed re,oked
0 I hereby alTirm 1ha.t !here ,s a cor1Slruct,o~
Iend,ng agency !or the perlormanre ot the won-. tor
which th,s perm,t ,s ,ssued ISec 3097 c,-,1 Code,
Lender s Name PQNPEBQSA HCJvlES
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 _@19) 438-552~ _ APPLICATION & PERMIT
JOB ADDRESS AV. ST. RO. NEAREST CROSS ST. OA TE OF APPLlCA TION BUSINESS LICENSE# VALUATION PERMIT NUMBER
2606 IA0 ·00UH>RINA· STREET
SUBDIVISION
POODEimA HCMB.S
OWNER·S,MAlL!NG ADORESS
l
QTY.
621 1
PLUMBING PERMIT -ISSUE _s--0 -EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO.'OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM '.I OR MORE
--l---2.50
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (iNSIOEJ
TOTAL PLUMBING 46.50
ELECTRICAL PERMIT -ISSUE -NEW CONST EA AMP'SWl BKR 100 25.00
IPH 3 PH
fXIST BLOG EA AMP/SWT.'BKR
1 PH 3 PH
REMOOEL'ALHR PER CIRCUIT
TEMPPOLE ZOOAMPS
OVER 200 AMPS
TEMP OCCUPANCY {30 QA YS)
TOTAL ELECTRICAL 30.00
l HAVE 0A ' M!NED THC COMf'LET£,D '.'Af'PUCATJON ,A~~
; 0-~'C . -~r · ·, .. ""' \>, •· ~""'" >" ~: · • ·· , ------::;J-< 4 -:;.
-C-EITTR l.JNI)iffl'.'. _l't\v oF-PERJU:RY -THAT Alt 1NfORMAT10N ·=
DEC~aji. T10N$ ~RE-J~ A.MO CORRECT AN.(? t.FUfJTHER<:~lit!FV'. . . . .. ,t;.L qrtv;:-~ AND ${ATe-.l..AWS-(
. tt-OFt=. '"J:. -1 Al.SO A.Gf!IS ,GAi ~ ll. LIAfi!Ui ' · .~co
4!, J. «,. .: -· .,,
.2. ·• $
.PffASE"
CONTRA9TOA
S21MiAS• OWNE~'S PHONE
COPillTfflCTofll•s· "'OtSAE.$S
vO NO
REDEVELOPMENT
AREA
y O N 0 YO NO{
QTY.I MECHANICAL PERMIT -ISSUE
l I tNSTALL FURN. DUCTS iJP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
1 I VENT FAN SINGLE DUCT
MECH EXHAUST HOOOiOUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY. I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOT Al SOLAR
NO
STORIES
2
TYPE
CONST
VN
2.00
9.00
351!7
CONTRACTORS PHONE •
UC$5£NO'.
-34.3456
""~19:NSE#
c=fS:Jgs'
R-3
OCC LOAD
~92,163.60
ZONE 83-80-153
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
1826
Not Valid Unkss M~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220 [ 412,00
SIGN PERMIT 01·00·00·8221
PLAN CHECK 01-00-00-8806 I 2
TOTAL PLUMBING 01·00·00·8222 ----------
ELECTRICAL 01·00·00·8223
MECHANICAL 01·00·00-8224
MOBILEHOME 01·00·00-8225
MOBILEHOME PARK INSP
SOLAR 01·00..:.
STRONG MOTION 80-92-3J.0519 +-.6..-45 ----------··-·-
FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32-00·00·8933
BRtoGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80·92·21·0519
Encinitas 80·92· 22·0519
San Oieguito 80·92·23·0519
San Marcos 80·92·24·0519
LICENSE TAX 01-00--00-8162 1,843.27
COSTA REAL WATER 600
CREDIT DEPOSIT
TOTAL FEES PAYABLE 3,215.02
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION ' /1 I '
REINFORCED STEEL I P'l1All'l r7 '
MASONRY I j
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I /) .
SHEATHING □ ROOF □ SHEAR / /J'7, 'J I, A
FRAME ,. ) n ll I .,, ,
EXTERIOR LATH I '\ I
/I
INSULATION I \ lz/M/ n I,,
INTERIOR LATH & DRYWALL ' \. '?I (/ ,,, /
' I
PLUMBING ' /)
SEWER AND BUCO DIPUCO ' P/11 ·; -I
UNDERGROUND □ WASTE □ WATER .Pin '7",,
TOP OUT □ WASTE D WATER 1//77/Yt 7
TUB AND SHOWER PAN , ·1 ,, ' GAS TEST ' II/hi,, 7
□ WATER HEATER □ SOLAR WATER -,
' ' ELECTRICAL '
D ELECTRIC UNDERGROUND □,UFFER -
ROUGH ELECTRIC ' l1h/fr r I
□ ELECTRIC SERVICE □ TEMPORARY .
□ BONDING □ POOL I
I
' MECHANICAL I -
□ DUCT & PLEM., □REF.PIPING ///17/J-z ·r
HEAT -AIR COND. SYSTEMS I I/ ' -
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA'lE BEEN APPROVED.
FINAL I
PLUMBING ' -I
ELECTRICAL I
-. ' ,,
MECHANICAL l . I //
GAS '\
I \. CA'"I_;,~/, V I
BUILDING I "-·; '
'
SPECIAL CONDITIONS I
I
83-00 ~ ($3 .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE --
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-