HomeMy WebLinkAbout2606 LA GOLONDRINA ST; ; 84-44; Permit.. z 0 : :5
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.rx( I hereby affirm that I am licensed under
1Grovlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full lorc¼,n~ !ft~~-// , k, Lie No ., b{,.-Clm Ldt..-__
I hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec 7031 5 Business and Professions Code. Any city or county wh1cll re-
quires a perm,t to construct. alter. improve, dernol,sh, or
repair any structure. prior to its issuance also requires the ap-
plicant for such perm,t lo lIle a s,gned statement !hat he Is
licensed pursuant to the prov1s,ons 01 the Contractor's License Law !Chapter 9 commencing with Section 7000 ot
D1v1s,on 3 ot the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any
vI01atIon of Section 7031.5 by an applicant tor a permit sub·
iects the applicant to a c,vil penalty ol not more than five hun-
dred dollars ($500)
-I, as owner of the property, or my employees w,th wages as their sole compensation, will do the work, and lhe struc·
ture 1s not intended or offered lor sale (Sec 7044, Business
and Professions Code The Contractor's License Law does not apply to an owner o1 property who builds or improves
t!iereon and wM does such work himself or through his own employees. provided that such improvements are not ,ntend·
ed or offered tor sale If. however. the building or improve·
ment 1s sold w1th1n one year of complet1on, the owner·bu,!der will have the burden ol proving that he did not build or ,m.
prove tor the purpose of sale)
lJ I, as owner ol 1he property, am e~clus,vely contracting
with l1rnnsed con1r2ctors to construct the pro1ec! (Sec 7044,
Business and Professions 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 with a
contractor(s) license pursuant to the Contractor's License
Law)
i-: As a homeowner I am improving my home, and the follow-
ing conditions exist
1 The work_ is be_ing performed prior to sale
2 I have lived m my home tor twelve months pnor to completion ol lh_is work
I have not claimed this exemption during the
last thre€ years
□ lamexemptunderSec ______ ,B&P.C
!or !his reason ____________ _
/,\(I hereby at!,rm tha1 I have a cert1f1cate ol consent ~ sel!-msure, or a cer11!1cate o! Workers
Compensation Insurance. or a cert,f1ed copy !hereof
<Sec 381JO~~ode)
POUCYN ·: -l_:5~=1.-,(2~-,):J-----·-t
COMPAN .• I ' Jl:-~..i./ ?J:.,i.i/!,-_¼ ~
~Copy ,shied w,th the city ·
D Gert,fled copy ,s hereby furnished_
CERTIFICATE. OF EXEMPTION
WORKERS' COMPENSATION I. (This sect,on need no! be comple'
,s tor one hundred dolla~ IS1
D I certify that ,n the performat of the wor!< tor wh1ch this perm,t 1s issued. I sh I no1 employ any person 1n any manner so as to ome sub1ec1 to
1he Wor!<ers' Compensatmn Ulws of Cal,torr,1a
NOTICE TO APPLICANT I!. after makIn-;i this Cert,
!,cate of E~empt,on. you should tiecome sub1ect 10 the Wor1<.ers· Compensation prov,s,ons of the Ulbor
COOe, you mus! lor1hw,th comply w11h such
pmv,s1ons or th,s perm,t shall De deemed re,oked
D I hereby affirm 1ha1 !here ,s a :,ons1ruc1I0" Iend1ng agency lor the performance ol lhe wof\o. to,
wh,ch this perm,t ,s ,ssued (Sec ]1)97 Civ.i Code,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INf-UHMAIIUN WI I MIN ::SMAUl:.U At1.C.A ANU Ut:.\,;UU1AI IUN:,
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-rnag (619) 438-5525
JOB ADDRESS ·AV.,S1'. RO.
DATE OF APPLlCATION VALUATION PERMIT NUMBER _,,,
.!) /.J)I,,, M.f L A (Jo lo . .UAf'I /4Jj9 l7£:;,S¢
OWNER'S NAME
"Pc.l.fl'>a? 11:,,(J Homes I '/3i~~;;_s;HONE CONTRACTOR
~~,~ ,,C,:· -
CONTR ZONE f LJ
?'t/.5=-d.AA ,, -I
OW~fR'S MAILING A~g_RES~.,_,,.. _ i J/1 ,CJ,J ~(/, S76f', /00 •s ADORE~
~--~~ ----
LICENSE NO. e /l!J-/C/?'..1'(:.
PLAN 1.0. # BLDG USE COOE
//3/)0 St?~ d/v, 0 unU~ 7
<!LIA J hi we.o (!j;. 9.,2 /;l. I LJ~!' I BLOCK l SUBDIVISION I ASSESSOR PARCEL NO.
~!I~~~,,,~_ /¥~,M"""
OESIGNEA -;,;, LICENSE# STANDARD PLAN# I BUILDING SQ. FOOTAGE
I /.lsE G7'5!7f OE.SIGNER'S ADDRESS OESIGNE R'S-PHONE
Jrr# A .,,_A~.J., ,J F/P FLA ELEV NO OCCGP EDU ~Tl-----~--STORIES
CENSUS TRAC, ID USE I 'ARK'NG S,ACC RES UN,TS I GRADING ~ERMIT ISSUED
y O N 0
vO NO
I
REDEVELOPMENT
AREA
vO NO
TYPE
CONST
OCC LOAD Fl RE SPA
vO NO
'-, • .. :=-:...
Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE ?,So QTY. MECHANICAL PERMIT· ISSUE 300 SUMMARY/ACCOUNT NUMBER
J J EACH FIXTURE TRAP ~ I INSTALL FURN DUCTS UP TD 100.000 BTU
EACH BUILDING SEWER OVER 100,000 BTU -+ --~-----. -----4-----~ER/COMPRESSOR UP TO 3 HP
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK EACHWATER HEATER ANO:'OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
~~ACH GAS SY_STEM 5 OR MORE
t-· --
EACH INSTAl., ALTER. REPAIR WATER PIPE
··--
EACH VACUUM BREAKER
WATER SOFTNER ------
--·-----l-----+' B_DOIILLER/COMPRESSOR 3.15 HP '"'"L' LUO
METAL FIREPLACE --+--
TnTtil DI IIMBING
ELECTRICAL
-----------ll------,.r,..,,.,.,,..., VENT FAN SINGLE DUCT I I 1vi1:vn/-\NIV/-\L
uni:rn i:u□ME +----·---+---_ MECH ExHAUST_ -H~~□l□UCTS __ _,__ i ,,,,.,u,u .. ,,
RELOCATION OF EA FURNACE/HEATER
~-
MDBILEHOME PARK INSP
01-00·00-8220
01-00-00-8221
01-00-00-8806
01-00-00-8222
01-00-00-8223
01-00·00·8""' ,.:.:4
01-00-00·8225
~OLAR ----~□1-Q0-00-8226
-I------
.,fl 5()::--_
MEACH ROOF DRAIN !INSIDE)
~ I
_ _"________j TOHi.L MECHANICAL . _____ so-92-33-o,,, I ____ ---1 STRONG MOTION
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE
--~---I . . I NEW CONST EA AMP/SWT ·BKR
/(Y' I PH , 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
-----·------------
~ REMOOEL.'ALTER PER CIRCUIT
/'
--+-/2,-dcl
-,.
QTY. SOLAR · ISSUE
--+------
COLLECTORS
STORAGE TANKS ' --4---------
ROCK STORAGE
PUMP ----+---PLAN CHECK i=EE -----------------
FIRE SPRINKLERS
PUBLIC FACILITIES FEE ---
BRIDGE FEE
SCHOOL FEE -DISTRICT
r~rlsbad ""
Encinitas
01 ·00·00-8227
32-00-00-8923
80-92-21-0519 ----
80-92-22-0519
San Oieguito -----~'~0-92·23-0519
San Marcos 80·92·24-0519 ----
-----,
f----· TEMPPOLE 200AMPS --t---_ _:_ __ ---41-_ .. --+-.-.Z3I;r-_ --------1
L---L"'-0 ~V ER 2 00 AM PS f--. -----+-------11f--
TEMP OCCUPANCY !30 DAYS) ---+-----------------4------------
TOTAL ELECTRICAL .:,.-'r; t">
------It-----+-.
TOTAl SOLAR ___ · -11 TOTAL FEES PAYABLE I I 3cJ fl I
I HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' .AN0.00 HE8~BY ExP!ration. E~ry permit iuued bythe8uilding01ficiatundefthepr011isi0".lsoftnis * AN~ ~fl.IS REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C6de shall expire by !imit11Uon and b&Come null and void.Uthe building or lill'Ork -5' 0" DEEP~AND DEMOUTK>N OR CONSTRUCTION Of
DECLARATIONS·ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT JS auth~rtzed by such ~m•t is not commen~ withm 180 days f~m ltle date of such STRUCl\.lRES OVER 3 s-IN HEtGHT permit, or 11 the building Of work authorized by auch perm11 11 swspended or ,vn,oc<>
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND ST ATE LAWS GOVERNING BUILDING CON-L!ab""on~doO!!'n~"°!!..'!"L' •~•~•~me~~•·~•~'j12he!..'!w~•~"'~•!!..,c~o~rr,,~m!'°'~nEC6d!!!_to,!!!!.~•.R!!~"2°"!!.20Lf ~1 Wl!i1·'-C=1i""'""'"'"'""'"'"'---+---------~~-~---'I
$TRUCT10N, WHETHER SPECIFIED HEREIN OA NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATUR Jf. 0 APPROVED BY
KEEP HAhMLESS THE CITY OF-CARLSBAD AG_AlNST ALL UABILIT!ES, JUDGMENTS1 COSTS ANO E ~ OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAtD CITY IN CONSEQUENCE OF THE • /Ji J ./J ~ _ _ Y} , , ~ _tf.. BY PHONE 0
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING . ,.,
ELECTRICAL -z.~ 1/r-t 'l
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
2,'f ,44
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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