HomeMy WebLinkAbout2608 LA GOLONDRINA ST; ; 83-80-152; PermitQ 31 0 c.,
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No ______ Class
I hereby alfirm that I am exempt lrom the Contrac-
tor's License Law for the toftowmg reason (Sec. 7031 5 Business and Pro1essions COde· Any city Of county which re-quires a perm11 to consuuct. alter, improve, demohsh, or repair any structure, prior to ,ts issuance also requires the ap-
P1Icant for such permit to hie a signed statement lhat he 1s licensed pursuanl to the provisions of the COntractOf·s
License Law (Chapter 9 commencing wllh Section 7000 of
Dov1soon 3 01 the Business and Prolessoons Code) or that Is ex· empt lhere1rom and the basis tor the allegeo ex.emption Any
vK>lal,on of Section 7031.5 by an appbcant IOf a perm11 sub-jects the applicant to a c1v1I penalty ot not mo,e than fo;e hun-
dred dollars ($500).
0 I, as owner of the property, or my empk)yees w,tn wages
as their sole compensation. wi1I do lhe work. and the struc-
ture is not intended or ottered for sale (Sec. 7044, Business
and Pro1ess10ns Coc:le: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon and who does such work h1mseu or through his own
employees, provkied that such improvements are nol inlend-ed or ollered for sale. If. however, the building or improve-ment is sold within one year of comptet1on, the owner-builder
will have the burden 01 proving that he did no1 build or im•
prove for the purpose of sale).
D I, as owner 01 the property. am exclusively contracting with lteensed contractors to construct the profett (Sec. 7044, Business and ProfessK>ns Code: The ContractOf's License Law does not apply to an owner of property who boikls or im-proves thereon. and who contracts 1or each projects with a
conlractOf(S) license pursuant to the Contractor's L.ctnse Law).
D As a homeowner f am improving rT"f home, and the follow· ing conditions exist: 1. The work is being performed prior to sale. 2. I have lived in my home tor twelve months
prior to compleHon 01 this work.
3, I have not claimed this e.xemption during the last three years.
D I am exempt under Sec. ______ . B & P.C.
for this reason -------------
D I hereby aflirm that I n.a .. e a certificate of consent
to self·msure. or a cert1t1cate ol Workers·
Compensahon Insurance. or a cert1t,ed copy lhereol
(Sec 3800. Labo< Godel
POLICY NO
COMPANY
WCP-6255-061
GREAT .AMERICAN
□ Copy IS hied with the city
O Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed ,, lhe permit
1s tor one hundred dollars (S 100) or less)
d I cen1ty that 1n the per1ormance ot the wo"' tor
which this permit 1s issued, I shall not employ any
person ,n any manner so as to become sub1ect to
rhe W~e,s· Compensatton L1ws ot Cahforma
NOTICE TO APPLICANT If. after makmJ lh1s Cer11
hcate ot Exemphon you should beeome sub1ec1 I'> the WOfkers · Compensait100 prov1s,ons ol uie uoo,
Code, you mus-I lorthw,th comply w,lh such
prov1s,ons or th,s permu shall be oeemed ,e..,oked
O I hereby affirm trial !here ,s a construct1on
1end,no agency 'or lhe perlormance ol lhe wor11 for
which tt'us perm11 ,s issued tSec J097 C1v1t Code!
Lenders Name ~. H:04ES
LenOer's Aooress __________ _
1 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, Califo rnia 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RD. NEAREST CROSS ST. I-DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
2608 LA G<LCM)RINA STREEI' PHASE 5 3587 $110,070.00 83-80-152 LOT I BLOC!( .rJ SUBDIVISION :~ ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 152 1~~~~-j ESTATES UNI N0.2 215-562-1 SN-!EAS OiNER OWNE R·S NAME I 619;;;~:~;;;E PONDEOCGA HCMES CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
343456 OWNEFl'S MAILING ADDRESS
DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE 11300 SORRENIO VALLEY RD-STE 100, S.D. 92121
DESCRIPTION OF WORK ARAM BASSEJm\N & ASSOCIATES C-8395 2255
C::::'Tl'\'r.l".F. FnMTT.V TJTl')"ll:.J ;;:. ,., ~-;;'i"" ?-r,:no A j§'1~N~ PIACE-&Jl'l!E .170 DESIGNER'S PHONE
PIAN 2255 C ..,,. ..... r Q?,;,:;:1 714/752-1864 . ----~---~-·--~ -----·-----·---F/P F LR EL EV. NO OCC GP EDU STORIES 6/J3/64t.ib/.., vO NO --2 R-3 1 .. ,' .. : 36fl.t
CENSUS TRACT I GP LAND USE I PAR~;~SPACE I RES ~NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST
YO ND vQ N(X VN vO ~ Nor Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT · ISSUE rJ~ QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARTIACCOUNTNUMBER
11 EACH FIXTURE TRAP '32.50 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4.00 BUILDING PERMIT 01 ·00·00·8220 460.50
1 EACH BUILDING SEWER 6,c;n OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 -
1 EACH WATER HEATER ANO/OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 :;,qq 1c;
1 EACH GAS SYSTEM I TO 4 OUTLETS 2.50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 c;1 _c;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 1n nn
EACH INSTA~. ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE OUCT 4.00 MECHANICAL 01·00·00·8224 11.00
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN I INSIDE) SOLAR 01 .fJ0.00-R??~ -TOT.i.l MECHANICAL STRONG MOTION 80·92·33·0519 7.7n 11.00 TOTAL PLUMBING I 51.50 FIRE SPRINKLERS 01 ·00·00·8227 -
s--PUBLIC FACILITIES FEE 32·00·00·8933 -QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR· ISSUE
" BRIDGE FEE -· -
NEW CONST EA AMPISWT•BKR 100 25.00 COLLECTORS ~ J SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS JJ (l If ~ Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ~ -v I JV. Encinitas 80-92·22·0519
I PH 3 PH PUMP " 11'1' ' ~ -J San Dieguito 80·92·23-0519 -REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE f'\ ~\I' '16 ' 10 San Marcos 80·92·24·0519 PAID
T EMP POLE 200 AMPS YI -w' ' OVER 200 AMPS -\ LICENSE TAX 01-00-00-8162 2,201.40
TEMP OCCUPANCY !30 DAYSI fl-? ;r::.rmP-'T'"A. RF."A.T w:nr l.'O 60o.nn
CREDIT DEPOSIT
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE .. .· 3,661.45
f HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT" AND DO HEREBY Ellpflfllorl. 1:--, pe,11111 ......,..,lllelluildint0fflciel under lheprov1S1onsof lhta * AN IS AEQUIIIIED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cod9 lllall UplN by ..._ _ bacome null and ¥old If the butldtng or work 5'0" DEEP DEM0UTlON OR CONSTRUCTION OF aulllOt'lad by such permil ie not c.imencecJ-1.,ctay, from Iha date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS perfflil. Of if Ille 11u:::2.,or worti author-by IUCh permit ,s ~ded or S · ·-: · ~ r OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON· ..,..••-llffle .._....,,. to,a-ot1 -•.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO .-·-••-•s SA~$ 0 CONTRACTOR!) APPROVED BY~ ,o/'~lt¥-KEEP HARMLESS THE CtTV OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS~ ~ .__I' 0WNEJt
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ;L• BYPHONE 0 GRANTING OF THIS PERMIT · _ ~ ..,,le-~
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TYPE I DATE INSPECTOR I
BUILDING I ~!>-ao-,s-~ ·•-I
FOUNDATION I , I /) FIELD INSPECTION RECORD
REINFORCED STEEL I HJ,.4/k/1 1-;-
I
I
,
MASONRY
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
;')
SHEATHING □ ROOF □ SHEAR ///7/}'( -~
FRAME I l//'l7. h -
EXTERIOR LA TH I I " "' ,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I \ 2/J4':)1 /)
INTERIOR LATH & DRYWALL \.. ~///Jj ,.,..
I
PRES TRESSED
CONCRETE
POST TENSIONED
I I CONCRETE
PLUMBING I /) FIELD WELDING
SEWER AND BUCO DIPUCO ' r/17 1"7'"_/') I
UNDERGROUND D WASTE □ WATER ~~7 -. ,.
TOP OUT D WASTE D WATER ;//'!/,-,-~
HIGH STRENGTH
BOl.TS •
SPECIAL MASONRY
TUB AND SHOWER PAN ' I' /J I
GAS TEST l //n/J-r ~ PILES CAISSONS
□ WATER HEATER □ SOLAR WATER / -
!
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND D!UFFER /J
ROUGH ELECTRIC 1 1/nlrr -I' I
□ ELECTRIC SERVICE □ TEMPQRARY I
□ BONDING □ POOL ! ·-
!
I
MECHANICAL I /J
□ DUCT & PLEM., D REF. PIPING /.,1"7/YT-7
HEAT -AIR COND. SYSTEMS I ·/ ·1
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPE~~ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING ~ I
ELECTRICAL " 1 !) J
MECHANICAL "'I, ' I / ..-r
GAS '1' 11/17.,!16 ;
BUILDING I '\. 1(" : I
SPECIAL CONDITIONS I '-
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