HomeMy WebLinkAbout2607 LA GOLONDRINA ST; ; 83-80-243; Permit)~[
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D I hereby affirm that I am licensed under
provl1lon1 of Chapter 9 {commencing with
Section 7000) or Division 3 of the Business
and Professions Code, and my license is in
full force and effect. Lie No ______ Class
I hereby •Hum lhal I am exempt lrom Ille Contrac-to<'s Lall$0 Law tor the toltow,ng reason (Sec 7031 S
Business and Pro1essoons COde Any city or county which re• qmres a permit to construct. aller. improve, demohsh, or
repair any structure, puor to Its 1ss~nce also requires !heap-
phcanl IOI' such permtl to tile a s19ned statemenl that he 1s
hcensed pursuant to the PfO'ASOIS 01 the contractor" s License Law (Chapter 9 commencng with Sectoon 7000 o1
0Ms1on 3 ol the Business and Professions COde) or that ,sex·
empt therefrom and the basis tor the •ltegeG exemption Any Violation ol SecllOn 7031.S by an apphcanl tor a perm,1 suD-
iects the aPl)licanl 10 a CNd penally ol not mo<e than t,ve hun-dred dollars ($500)
□ I. as owner 01 lhe propef1y. or my employees with wages as their sole compensation. w,11 do the work. and the struc-
ture ,s not mlended or offered few sale (Sec 7044, Business
and Prolessoos Code The Contracl0<'s L1ter1se Law does :,=rn~0 .:~o :en:1 s:t~1::n :1~~:o~~f:=~ empk>yees, provtded that such imprOY91llents are not intend-ed or ottesed tor sale. 11. however. the bwldmg or unprove, ment IS $Oki within one year of comptetJOn, the OWnef·budder
will have the burden ol p,oving Iha! he did not buoid or im-
p,ove lor lhe purpose ot sale).
D 1. as owner ol Ille p,operty, am excluSlvely contrachng with licensed conlracto,s to construct the p,OfeCI (Sec 7044.
IIUS1ness and ProlesSIOOs Code· The Contracto<'s L1ter1se Law does nol apply to an owner of property who builds or mt·
proves !hereon, and who contracts tor each PfClletls with a con1rac10<(s) license pursuant to the Contractor's License Law).
D As• homeowner I am improving my home. and the lollow ing conc:hhons exist 1. The work Is being pertormed prior to sate. 2. I have !wed 1n my home tor twelve months p,,or 10 completion ol tills WOfl<
3 I have not -t111s eumptm during the last three years.
D lam exemptundefSec. ______ ,B&P.C.
tor lhis ruson -------------
D I her(K)y affirm that I ha.-e a cen1tic.te or conse1i1
to self-insure, or a cen1t1cale ol Workers
Compensatton lnsuranc•e. o, a cert1hed copy 1hereot
(Sec 3800. Lal>Of Codet
POUCYNO WCP-6255-061
COMPANY GREAT AMERICAN
D Copy Is hied with the cI1y
0 Cen,hed CO()y ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORK.ERS" COMPENSATION INSURANCE (This sectaon need not be completed 11 1ne pe,mIt
,s to, one hundred doll¥s (S 100) o, tess1
D I cen1fy that ,n the perto,mance or the wOf'k to,
w~uch lh1s perm,t 1s issued. I shall not employ any
person In any manner so a..s 10 t>ecome suoIect 10
the Wooers· Compensation Uws of C-a1tfom1a
NOTICE TO APPUCANT If. at1et makin, trus Cen1
tic.ate ot E..xempt1on, you should beCome subIect I? Ille W(M1(ers· Comoensa1,on prov,s,ons ot lhe Lal:>01
Code you musl tonh,.,tt, comply w1lh such
p,o"•s•ons or 1n,s ~rm,1 Sllall be deemed ,evokeo
0 I hereby affirm that tflere ,s a construchon 1end1no agency 10, !he c,erto,mance ol the work IOf
wI•uch ltus perm,1 ,s 1ssueo (Sec m1 C1 ... ,I.cooe1
Lenoer s Name PCWEm HCJ4ES
Lenders Address __________ _
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
JOB ADDRESS AV ST. RO NEAREST CROSS ST. IDA~~ -~~T•ON1 BUSINESS LICENSE • VALUATION PERMIT NUMBER
2607 LA GCLCN>RINA S'l'.t<t;t."11 ~5 3587 $100.026.00 83-80-243
LOT BLOCK ,I SUBD•VISION rlNT'rl ASSESSOR PARCEL NO CONTRACTOR . CONTRACTORS PHONE• ZONE 243 1-'L>.WH '_rt) ESTA'l'E.5 N:).2 21 -51.?-2} . --SAME~<Xa OWNER'S NAME OWNER'S PHONE
CONTRACTOR'S ADDRESS --. ---UCENSENO. PLAN I.0. # BLOG USE CO0E
.t" '71. ~ ~19 /r::.,;.n_or::.r::.r:. 343456 OWNER'S MAILING ADDRESS -. ,---------
11300 SORRENIO VAUm RD-STE 100, S.D. 92121 DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
OESCRIPTION OF WORK
......... u BASSENrAN -g· ·• C-8395 1994 . .
~Tl'Jr.71.' F11MILV WI'T'H .KJ:ll-!L .nrJ J ":l.J"':aD ft
:?!~BNtiVl\W,! ~~,,,.170 -.DESIGttER'S PHONE
----_________ .PLAN..199.4 BXlL _ 714 /75 ?-1 R'-.4 ----·---F/P F LR ELEV. NO OCC GP EDU 6/_T ~/t#14t.7~ 34 I I.~ STORIES
vO NO --2 R-3 1
CENSUS TRACT I GP LANO USE I PAR;;; SPACE I RES UtTS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOA0 FIRE SPR
AREA CONST
YO N 0 vO NRJ UN vO N~ Not Valid Unlffs M.chine Certifi«J
QTY. PLUMBING PERMIT -ISSUE ~~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP . 27 ~50 1 INSTALL FURN. DUCTS UP TD 100.000 BTU ,:1. ()() BUILDING PERMIT 01 ·00-00-8220 ,11c; ,:1()
1 EACH BUILDING SEWER 6.-50 OVER 100.000 BTU SIGN PERMIT 01·00-00-8221 -
1 EACH WATER HEATER AND/OR VENT ? .c;o BOILER/COMPRESSOR UP TO J HP PLAN CHECK 01 ·00·00-8806 ?R1 10
1 EACH GAS SYSTEM I TO 4 OUTLETS ? .c;n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222 Mi. SO
EACH GAS SYSTEM 5 OR MORE MET Al FIREPLACE ELECTRICAL 01-00·00-8223 1(). 00
EACH INSTAl . ALTER, REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT 2·. 00 MECHANICAL 01·00·00·8224 g. 00
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M081LEH0ME 01·00·00·8225 -
WA TEA S0FTNER RELOCATION OF EA FUR NACE/HEATER M0BILEH0ME PARK INSP -
EACH ROOF DRAIN (INSIOE) SOLAR 01-()().QQ.A??l: -TOT!.l ME CHANICAL 9.00 STRONG MOTION 80·92·33-0519 7 00
TOTAL PLUMBING I 46 • .SO FIRE SPRINKLERS 01 ·00·00·8227 -
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 -QTY. ELECTRICAL PERMIT -ISSUE f-I\ BRIDGE FEE -
NEW CONST EA AMP/SWT BKR 100 25.00 COLLECTORS I/ SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS D carlsbad 80-92-21·0519
EXIST BLOG EA AMPISWT /BKR ROCK STORAGE Jj/ I/ --/ Encinilas 80·92·22·0519
I PH 3 PH PUMP f\ I ,/J/ _.., J V) San Oiegu ,to 80-92-23-0519
REM00EL 'ALTER PER CIRCUIT PLAN CHECK FEE fV J.,V lA<f I a -' J San Marcos 80-92-24-0519 n11,m
TEMP POLE 200 AMPS V u ( #
OVER 200 AMPS I i-f LICENSE TAX 01-00-00-8162 2.oon i:;?
TEMP OCCUPANCY 130 DAYS) /11 pp-mC:TA RF.AT. ;-,;;~ ~ hnn. oo
CREDIT DEPOSIT
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE l 3,411.52
I HAVE CAREFULl Y EXAMINEIYTHE CO~PLETED "APPLICATION AND PERMIT" AND DO HEREBY &pintllall.e.,...... ..., ... -.• ~. ---~olltlia * AN~= IS AECIIMEO FOIi EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ......... _, ....... ... '"": .. -s· er DEE OblOUTlON OR CONSTRUCT10N OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS IUtlloriad 11r--.;:::•-._.. .,,_ s OYER 3 STORES IN HEIGHT .,.,...;t.o,11.. ,,,-.. ..... • 0( ISSUED-TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• .. Idol .... . .... .....-.lliaf'lall ....... / • STRUCTION. WHETHER SPECIF)ED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ·-------rs .,~ w,~~ < --~~ APPROVErBY
4
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I ta/ t'}j~</-K.EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND • ~ .-,j ">iii • .,.. . . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH£ IWPttONE □ GRANTING OF THIS PERMIT, '.4-~.· . ~.-i:.-T _;r J . . ~ .
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TYPE I DATE INSPECTOR
BUILDING l
FOUNDATION ,: -A
~ ~ftA.~~ J, REIN FORCED STEEL I . . " MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I .It
SHEATHING D ROOF D SHEAR /u,/;r ..;,'/}
' ",/4 1. L, FRAME i/ ,.,r,r, I/
EXTERIOR LA TH 1, / ✓
A
INSULATION I \ "7/2,/;r //}
INTERIOR LATH & DRYWALL I \, ih.."-r/t1 '1' ' I
PLUMBING I -SEWER AND BUCO DIPUCO I f;) '/"1 .,v_
UNDERGROUND D WASTE D WATER » 17 l?'A
TOP OUT D WASTE D WATER J/J,-/n ·r
TUB AND SHOWER PAN I ,J ,
/]
GAS TEST I ///r/vr r
□ WATER HEATER □ SOLAR W,1\TER
,
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □:UFFER A
ROUGH ELECTRIC I //;r"'/l'r 1T I
D ELECTRIC SERVICE □ TEMPORARY
, .
□ BONDING D POOL '· I
I
MECHANICAL I A
D DUCT & PLEM., □ REF. PIPl~G ///drt Ir
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS \
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL I
PLUMBING I ... I
ELECTRICAL "' I /)
MECHANICAL ' I ,.✓ ' GAS ~ Al'!;! r • I
BUILDING 1'·, --J{ l
'-
~PECIAL CONDITIONS I ' I
'
9g,,. go · :v-1 s
FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTORS 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