HomeMy WebLinkAbout2610 LA GOLONDRINA ST; ; 83-80-151; Permitf1/ ~/I[
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O I hereby affirm that I am licensed under
pro,,lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license is In
full force and effect.
lie No ______ Class
I hereby affirm that I m, exempt lrom the Contrac· 1or·s License Law lor the following reason (Sec. 703L5
Business and Professions Code Any city or county which re· quires a permit to construct. alter. improve. demolish, or
repair any structure, prior to Ifs issuance also requ1Jes !heap-pltcant for such perm11 to tile a signed statement that he 1s
l.censed pursuant to the provisions of the Contractor's License Law {Chapler 9 commencing w1lh Section 7000 ol OiVtst0n 3 ot the Business and ProlesstOns COde) Of that 1s ex·
empl lherefrom and lhe b.lsis tor the allegeo exemphon Any violalior, ol Sechon 7031.5 by an apphcanl for , perm,, sub·
jects the apphcant to a tN·d penalty of no1 more than hve hun· dreo dOllars ($500).
O I. as owner of the p,operty, or my emp{oyees with wages
as their sole compensation. wm do lhe work. and the s1ruc-ture is not intended or oflered for sale {Sec. 7044, Business
and Professions Code: The Contractor's license law does
not apply to an owner of property who bullds or 1mprCNes
thereon and who does such work h1msett or through his own
employtts, provtded that such improvements are nol intend-ed or offered fOf sale. If. however, the building or improve-
ment is sold within one year of completion, lhe owner-builder will have lhe burden ol provmg thal he did nOl build or im·
prove 10< lhe purpose ol sale).
D I, as owner of the property. am exclusively conlracting
with Kcensed contractors lo construct the p,o,ect (Sec 70.C4. Business and ProtessK>ns Code: The contractor's lttense Law does not apply to an owner of property who builds Of im-
proves thereon, and who contracts tor each projects with a contractor(s} license pursuanl to the COniractof's license Law).
D As a homeowner I am Improving my home. and the follow-ing condrtions exist:
1. The work is being pertormed pnor to sale.
2. I have lived in my home tor twelve months
p(tor 10 compJett00 ot this work.
3. I have not claimed this exemption during the last three years.
□ lam exemptunderSec. ______ ,B&P.C. for this reason ____________ _
D I heteby affirm that I h.a:.,,e a cen,ticate ot consent to self.insure, o, a cer11t1cate of Workers·
Compensation Insurance. o, a cen,fled copy thereof
(Sec 3800. Labo< Code>
POLICY NO WCP-6255-0 61
COMPANY GREAT AMERICAN
0 Copy 15 hied with the city
O Cer11hed CO()y 1$ hereby furn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE {This section need not be completed ,f the perm,1
1s lor one hundred oona,s (S 100) Of 1ess)
d t cen,ty that ,n the performance of 1he work to,
which th,s permit 1s ,ssve-d. I shall no1 empl0y ain)'
person m any manner so as to become sub1ec1 10
the Wonr.e,s· CompensatH)n Laws ot Ca11torn1a
NOTICE TO APPLICANT If. after maktn1 Hus Cen1
f1cate ol Exemp1ton. you shOuld become sub1ec1 I')
the Wol"kers' Compensation pr~1s1ons ol the Labor
COde. you must for1hw1th compty wrlh such
prov,s,ons or th,s permit shall be deemed revokeo
0 1 hereb)' allum 1na1 !here ,s a conslruct,on
tend•no agency tor !he performance ol the work to,
which 1h15 permll i$ ISSUe<l tSec 3097 C•~
Lenoe, s Name PONDEROSA H
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 ADORESS AV ST.RD NEAREST CROSS ST. I DATE. OF ...... LICATIONI BUSINESS LICENSE It VALUATION PERMIT NUMBER
2610 IA GOUH)RINA STREm' PHASE 5 3587 Sl00 .026.00 83-80-151
LOT l~OCK ,I SUBDIVISION :r:ci ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE
151 • ·.uww-.Tr. E.STATF,S UNI 00.2 215-562-2 -
OWNER'S NAME I 619/~w6~·;;~o;E
SAME AS 01NER
CONTRACToR·s ADDRESS -. . -UCENSENO. PLAN 1.0. # BLDG USE COOE J?CN)EKSA HCMES 343456 . ' -~ OWNER 'S MAILIN G ADDRESS
11300 SORRENIOVAU.Ei RD-STE 100, S.D. 92121 DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WO RK AIW-1.MSSmIAN'&~ C-8395 1 994
SIOOLE FM{ILY WI'lll ATrACliED 3-cAR GArulGE ~~g8E~ .· ,.· ••. ~ DIESIGNEA'S PHONE ~lJ.3lE
7U,/75 l-1864 .. -.. I I
PIAN 19.9~ BX ~----~---·--·-, ___ -F/P FLR ELEV. NO OCC GP EDU
STORIES
vO NO --2 R -3 1
CENSUS TRACT I GP LAND USE I PAR6 121 SPACE I RES t i TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
A RE A CONST
YO N D v0 N~ VN vO MJ Not Valid Un~s M.chine urtified
QTY. PLUMBING PERMIT -ISSUE '1~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP '2 7 .50 1 INSTALL FURN. DUCTS UP TD 100.000 BTU 4 .• (\(\ BUILDING PERMlT 01-00-00-8220 4 1 5_40
1 EACH BUILDING SEWER 6 .-5 0 OVER 100,000 BTU SIGN PERMIT 01-00-00·8221 -
1 EACH WATER HEATER AND/OR VENT 2 .-50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 283.10
1 EA CH GAS SYSTEM l TD 4 OUTLETS ? .c:;() BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ,1,:; c:;o
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 in nn
EACH INSTAl .. ALTER. REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT ?. (\(\ MECHANICAL 01-00-00·8224 Q ()(\
EACH VACUUM BREAKER MECH EXHAUST -HODD/DUCTS MOBILEHOME 01-00-00-8225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN !INSIDE) SOLAR n,.nn.nn.0000
TOTJ;L MECHANICAL STRONG MOTION 80-92-33-0519 7 (\()
TOTAL PLUMBING I 46.50
9 .00
FIRE SPRINKLERS 01-00-00-8227 -
' PUBLIC FACILITIES FEE 32-00-00-8933
QTY. ELECTRICAL PERMIT -ISSUE S'-QTY. SOLAR -ISSUE -
BRIDGE FEE -
NEW CONST EA AMP/SWT •BKR 1 00 2 5.00 COLLECTORS C\ l SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS f1 J Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE ti' ~ \~ Encinitas 80-92-22-05 t 9
I PH 3 PH PUMP ,,,r l ,\J I JV_ San Oieguito 80-92-23-0519
REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE ~~~"-" /'\:J San Marcos 80-92-24-0519 PAID
TEMP PO LE 200 AMPS (\ V \.., ,. I a
OVER 200 AMPS "'<....) \ v , LICENSE TAX 01-00-00-8162 2 .000.52
TEMP OCCUPANCY DO DAYS) ~ r r COSTA REAL WATE ~ 600.00
I. CREDIT DEPOSIT
TOTAL ELECTRICAL I 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 3,411.52
Explndlon ev.y .,.._ ...... -:,. ...... I ..:c:::: * AN .. ~-IS IIEQUIIIED FOR EXCAVATIONS OVER I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code •llall expire.,, ........ 5' 0-DEM0UTION OR CONSTIU:Tl0N ~
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized 11J auc:11 permit la 1181 ....... ofa,ct, OVER 3 STORIES IN HEIGHT permil, Of if ... ::z.or wall . .....-~-:-...!'!'01 ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· allelldDliecUl -lillle .. · ·" · '/ .
sTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNtFY ~Hr s SIONA~ V .. , . -APPROVED LP~ 1t:f ~ KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ , : . -. ..
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • , · , ....,, ... f~; .-PHONE 0 GRANTING OF THIS PERMIT ~ _l~,L ( Y i .
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TYPE j DATE INSPECTOR , ' -'
BUILDING I .R~--&o-1~1 '
FOUNDATION I J /) FIELD INSPECTION RECORD
REINFORCED STEEL I f'l?AI~ 1-r
MASONRY I I I
GUNITE OR GROUT j
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME j
/'J I .
SHEATHING □ ROOF □ SHEAR ///Mr:I •7A
FRAME ' 7//'ln I 7
EXTERIOR LA TH I ~ ~ ~ /)
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ..
STRUCTURAL CONCRETE .
OVER 2000 PSI
INSULATION I ' ti/57,r -/ A \
INTERIOR LATH & DRYWALL I \. ~Ii.HI 'JV
PRESTRESSED
CONCRETE
POST TENSIONED
I r f CONCRETE
PLUMBING I I /} FIELD WELDING
SEWER AND BUCO □IPUCO I Pll7M 7/1 I
UNDERGROUND □ WASTE D WATER W/1. 7/J
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER .J~u;/,s r SPECIAL MASONRY
TUB AND SHOWER PAN ~ I I} I
GAS TEST I 11/Jr/l'r 1-/' PILES CAISSONS
□ WATER HEATER □ SOLAR WATER { I ---
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND D1UFFER I}
ROUGH ELECTRIC I //Jtlrr 7 I
□ ELECTRIC SERVICE □ TEMPQRARY -✓ , ,
□ BONDING □ POOL I
I
I
MECHANICAL ! /J
□ DUCT & PLEM., D REF. PIPING 1.hy/yJ I
HEAT -AIR COND. SYSTEMS I ., t I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECu1ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL I
GAS I
BUILDING I
I
SPECIAL CONDITIONS I
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