HomeMy WebLinkAbout2609 LA GOLONDRINA ST; ; 83-80-244; Permitt~ s/1[
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing wllh
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is in
lull force and effect.
Lie No ______ Class
I hereby alflrm lhat I am exempt from the Contrac-
tor's Ucense Law tor the following reason (Sec 7031.5
Business and Professt0ns Code: Any ~,ty or county which re· quires a permit to construct, alter. improve. demolish. or
repau any structure. pnor to 11s tSsuance also requires !heap· pltcant foe such permit to file a s,gned statement thar he ts l.censed pursuant to lhe pr<Ms1ons of the Contractor's
License Law (Chapter 9 commencing with Section 7000 ot OiviSion 3 ot the Business and Professions COde) OJ that 1s ex•
empt therefrom and the basis '°' the alleged exemption Any violation ot Sect,on 7031.5 by an apphcant l0< a permit sul>
jects the applicahl to a civil penalty of not more than five hun·
dred dollars ($500).
D I. as owner of the property, or my employees with wages
as !heir sole compensation, will do the work. and !he struc-I
~'::J ~:~::~d~: o~~edc!:tr~\~~jc~~~-L~~1~! I
not apply lo an owner of property who builds 0< ,mproves I ~t;:~:;e:~ p~:::~~c~~~;;~~~!h:~~t~~t= I
ed or offered for sale. II. how,ever. lhe bulldmg or 1mpr01S· I :th~~ SO:~ w~~hr:e~l::~f~~Jt~-~~ °"'~1~bii~ I
prove 10< lhe purpose ot sale). [
D I. as owner ol the property. am exclus,vetv contracting with fk:ensed contractors to construct the proteci (Sec. 7044, Business and Protessklns Code: The Contractor's license
Law does not apply to an owner of property who builds Of kn-
proves thereon, and who c_ontracts for each projects wittl a contracto,(s) license pursuant to the Contractor's license Law).
□ As a homeowner I am improving my home. and the lollow·
ing conditions exist:
1. The wor~ is being perl0<1Md pnor to sale.
2. I have lr'led 1n my home for twelve months prior to completion oC thrS work.
3. I have not claimed this exemption durtng the
last three years.
D I am exempt under Sec. ______ . B & P.C.
tor this reason
□ I her~y affirm ll"tat I ha11e a cend,cate of consent
to sell-insure. or a cen1t,cate of Workers
Compensa11on Insurance. or a cen1he<1 COPY there<>t
(Sec 3800, Labo< Code)
POLICY NO v-K:J?-6255-061
COMPANY GREAT AMERICAN
□ Copy 1s hied with the c,ly
0 Cert,tted copy 1$ hereby furnished
CEATtFICATl OF EXEMPTION FROM
WORKERS· COMPENS .. TION INSURANCE
(This section need not be completed 11 the perm11
,s !or one hundred dollars (S 1()0) or less)
d I c-en,ty lhat 1n the performance of the wonl. lor
which this permit 1s issued. I shall not employ any
person m any manner so as to become sub1ec1 to
ll"te W~ers· Compensation Laws of Calltornia
NOTICE TO APPLICANT 11. after makinJ tl"t1s Cen,
hcate ol Exemphon, you sttould become sub1ec1 f')
ll"te Wo111..ers· Compensation prov,s,ons of the Labor Code. you must tont\w1lh comply w,!h such
provisions or 1tt1s perm11 shall be deemed revoked
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0 1 ttereby alhrm that there 1s a cons1tuct1on t
lending agency tor me perlormance of 1ne wortt tor which l h1s permit •s issued lSec )097 C1v1I CodeJ
Lenoe, s Name PONDER.GSA .Ha1ES
Lender·s 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 AOOAESS AV.ST.AO. NEAREST CROSS ST. IDATE OF Al'PLICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
2609 LA GCLCtIDRINA S'l1REEl1 PHASE 5 3587 $81,734.40
LOT BLOCK ·_hSUBOIViSION UN:Jh.ASSESSOR PARCEL NO CONTRACTOR -CONTA .. CTORS PHONE • ZONE 83-80-244
244 ~il==•TT ESTATES 00.2 215-562-20 SAME AS OiNER OWNER'S NAME I 619;;;~=~~;;E PCNDEKSAHCMEE CONTRACTOR'S ADORES$ LICENSE NO. PLAN 1.0. # BLOG USE CODE
OWNER'S MAILING ADDRESS 343456
11300 SORRENro VAU.Ei RlrSTE 100, 92121
DESIGNER LICENSE # STANDARD PLAN II BUILDING SO. FOOTAGE S.D. ARi'.ivi ~ & ~ C-8395 DESCRIPTION OF WORK 1641
(::~.Ii' FAMTT~ TAlT'l'R -;,,.~--"' '7,..., DESIGNER'SAOOAESS nr:i.....;;.-~-DESIGNER'S PHONE
3990 WESl'ERL~ _ _ _ ~• . 170 1714-75.'1-lAf:.4 6/J~IE:..,.,u,u ~91t1..) __ PIAN 1641 ~ ______ --r: ,-
----F/P FLA ELEV. NO OCCGP EDU STORIES . vO NO 1 R-3 1 ---
CENSUS TRACT I GP LAND USE I PAR~;;SPACE I RE~ UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRESPR
AREA CONST
YO ND vO NIX VN vO rKJ Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE 11/ QTY. MECHANICAL PERMIT -ISSUE '3 _... SUMMARY/ACCOUNT NUMBER
8 EACH FIXTURE TRAP . 20.00 1 INSTALL FURN. DUCTS iJP TD 100,000 BTU 4.00 BUILDING PERMIT 01-00·00·8220 379.00
1 EACH BUILDING SEWER h,SO OVER 100.000 BTU SIGN PERMIT 01·00·00-8221 -
1 EACH WATER HEATER AND/OR VENT ?. . c;n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ?.1h 1S
1 EACH GAS SYSTEM 1 TD 4 OUTLETS ?. . t;() BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 39.00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 30.00
EACH INSTAl .. ALTER. REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT 2.00 MECHANICAL 01·00·00·8224 9.00
EACH VACUUM BREAKER MECH EXHAUST -HOODIOUCTS MOBILEHOME 01 ·00·00·8225 -
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR OHl0-00-A"~ -
TDT.I.L MECHANICAL STRONG MOTION 80·92·33-0519 c; 7?
TOTAL PLUMBING I ':lQ.()() 9.00 FIRE SPRINKLERS 01-00·00·8227 -5 _,;' QTY. SOLAR· ISSUE ~I .. ,~-
PUBLIC FACILITIES FEE 32·00·00·8933 -QTY. ELECTRICAL PERMIT · ISSUE J BRIDGE FEE
NEW CONST EA AMP/SWT ·BKR 100 25 .00 COLLECTORS n P"' / SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS ✓ y,) Carlsbad 80·92·21·0519.
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE n AJ/ (A /U Encinitas 80·92· 22·0519
1 PH 3 PH PUMP cf fl/' I • \ I San Dieguito 80·92·23-0519
REMODEL 'AL HR PEA CI RCUIT PLAN CHECK FEE IJ /j,' .
San Marcos 80-92·24·0519 PAID
TEMP POLE 200 AMPS l
OVER 200 AMPS LICENSE TAX 01-00-00-8162 1.634.68
TEMP OC CUPANCY 130 DAYS) M ~ ~a:JSTA RFAL WA.TE R 600.00
CREDlt DEPOSIT
TOTAL ELECTRICAL
I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 2,943~75
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY Expiration E~pe,mtt-bj,t11118uildlngotficill..,der111ei::;at0n1ofll'IIS * AN ~22 flE0UIAED F0A EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire by fimitation and ~ naR il!lillf wltld If the · ing or work 5· O" DEE MOUTION OR COftSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS autl'lonzed by aucl'I ,,...m.t ie nol commenced .... l•claya from 11'18 clate of sucl'I s, _ -•EA 3 STORIES 1H HEIGHT ,,...m,t. or 1I the buildt::11.,°' work aull'IOnlad liy, -,ell penn.t ii or ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned al am, bme Ille -" '1llr a........, ftf 11111! ,._ ' / . .
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND:;, ~ANT'S SIG~ a1 D CONTRACTORXI APPROVED(
li\fl f ~J~~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE v~: _ .. BYPHONE 0 GRANTING OF THIS PERMIT ~ 1 • .---, -~
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TYPE I DATE INSPECTOR
BUILDING I ...._
FOUNDATION ""-..... I /}
REINFORCED STEEL :',. .P/2.4/ J,S" r
MASONRY I f I/
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I /)
SHEATHING □ ROOF □ SHEAR 1///s1'J,r r.
FRAME I /hi-lH It
EXTERIOR LATH '.A -/
/J
INSULATION 1\ w,/,r-VA
INTERIOR LATH & DRYWALL I l.. :2/±7/,, T
I ,
PLUMBING I ~
SEWER AND BUCO □IPUCO I P'l/1 y_ r
UNDERGROUND □ WASTE D WATER t//7 17"'/)
TOP OUT □ WASTE □ WATER ;½..,/~,,... ~ I -~
TUB AND SHOWER PAN ;
I ....
GAS TEST l / //i1'll-r .,v
□ WATER HEATER □ SOLAR WATER
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ELECTRICAL I
□ ELECTRIC UNDERGROUND D1UFFER A
ROUGH ELECTRIC ! /hr/;r T I
□ ELECTRIC SERVICE □ TEMPQRARY
D BONDING D POOL I
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MECHANICAL I /)
□ DUCT & PLEM., □ REF. PIPING ///y/;,r 17'""
HEAT -AIR COND. SYSTEMS I .
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL "'-I fl
MECHANICAL " I I J / -r
GAS " Al1/1" I
BUILDING l' -r / I
SPECIAL CONDITIONS I '
I
8!S -&a -d).i.t c...f,
I FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATICJN INSP
·--------~ ----------~---------~ STRUCTURAL CONCRETE::
OVER :?000 PSI
f-'RESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
...
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
~-
PILES CAISSON'.::