HomeMy WebLinkAbout2611 LA GOLONDRINA ST; ; 83-80-245; Permits1,
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O I hereby affirm that t 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
lull force and effect.
l,c No ------Class
I hereby allirm that I am exempt lrom the Contrac•
tol's License Law for the following reason (Sec. 7031 .5 Business and Professions Code Any c,ry or county which re-quires a permit to construct. aller, improve, den:M)hsh, or repair any struclure, pnor to 11s issuance also requires !heap-,
r~~~orp~~~~a~t~t 11~/1~:V~~~~~ ~:a•,~~~~~:~~!!!
License Law (Chapter 9 ccmmencmg with Section 7000 ol
Oiv1s1on 3 of the Business and Protesst0ns Code) or that 1s ex· empt therefrom and the basts fo, the aHegeo exemphon Any
VIOiation ol Section 7031.5 by an apphcant for a permit sub· 1ec1s the applicant to a crv,1 penalty o1 not fflOfe than five hun-
dred dollars ($500).
O t. as owner ol the property, 0< my employees with wages
as their so!e compensation. will do the wOl'k, and !he struc·
lure Is not intended or offered 1or sale (Sec. 7044, Business and Professions COde· The Contractor's Lttense Law does
not apply to an owne, of property who builds or improves
thereon and whD does such WOfk h1msetf or through n,s own employees, provided thal such improvements ate not inlend-
ed or ottered tor sale. II. however, the building or improve-ment is ~d wilhin one year of completion, the owner-builder
will have 1ne burden 01 proving !hat he did not build or Im· prove 1or lhe purpose o1 sale).
D I. as owner of the property. am exclusively contracltng
with hcensed contractors to construct lhe project (Sec. 704-4,
Business and Pro1essions Code: The ContractOJ'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
contractOf(s) ltcense pursuanl to the Contractor's License Law).
0 As a homeowner I am improving my hOme. and the follow·
ing condihons exist: 1. The work is being performed prior to sate. 2. I have hved 1n my home for twelve months
3. r~: ::p~=::: ::: :r~ption during the
last three years.
□ I am exempt unaer Sec. ______ • 8 &P.C.
for this reason -------------
0 I hereby affirm lhat I haW: a certificate of coosen1
to self-insure. or a cert,t,ca.te of Workers·
Compensation Insurance. or a cer11t1ed copy thereof
(Sec 3800. Labor Codel
POLICY 1\10 WCP-6255-061
COMPANY GREAT AMERICAN
O Copy 1s hied with the city
□ Cer11hed Cot>)' IS hereby lum1shed
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATiON INSURAI\IC(
(This section need not be completed 11 the permit ,s lor one hundred dollars ($100) or less)
0 I certify thal in the performance ol lhe wo,1{ tor
which 1h1s p,errml ,s issued. I shall nol employ any
person in ¥iy manner so as 10 become sub1ec1 10
the W()f1(ers· Compensation Laws of Cahlornia
NOTICE TO APPLICANT If. after maktnJ lh1s Cer11
hcate ol Exempllon, you should become sub1ec1 t') lhe WMers· CompenS,illhon p,ov1s1ons ol the Labor
C<xJe. you musl tonh-.·,th comply with such
prov1s1ons or lh1s permit shall be deemed revoked
0 I hereby affirm InaI there •s a construction
1eno1ng aoency to, me per1ormance ol me woOt !or wh1Ch th,s perm11 ,s issued (Sec 3097 C,v,1 Cooe1
Lenoer s Name PONDEROSA HCMFS
l enders AOOress __________ _
U)t DALL l'UIII I l'tll Ullll 6 l'llt)) n1111u
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008·1989 (619) 438•5525
JOB AOOAESS AV.ST.AO. NEAREST CROSS ST. l DATE ~F Al'PLICATIONl BUSINESS LICEI\ISE II VALUATION PERM IT I\IUMBER
2611 IA Ga:..CN)RINA STRml' PlmsES 3587 $112,489.20
LOT I BLOCK I SUBDIVISION ~ ASSESSOR PARCEL NO.
245 CARRILLO ESTATES UNI ID.2 215-562-19
OWNER'S NAME
POIDEIOSA H01ES T 619;;;~:~;~;E
OWNEA0S MAILING ADDRESS
CONTRACTOR
51\ME~<HmR
CONTRACTORS PHONE • ZONE 83-80-245
CONTRACTOR'S ADDRESS -. UCENSENO.
343456
PLAN 1.0. # BLOG USE CODE
111300 SORREN.10 VAU.Ei RD-STE 100, S.D. 92121 DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
OESCRIPTtOI\I OF WORK
tTll.~ .1.' 1.'nMTT .V 1'.JT'1'1U '.a'T' ':l-1"'2!.0 r..-----
PIAN.2255 BXlL
CEI\ISUS TRACT GP LANO USE PARKING SPACE RES UNITS
644 1
AR1\M BASSEmAN & ~ I C-8395
~§g~E~'X ~"170 I DESIGNER"SPHOI\IE
r"U ~. ~ : . 1714/752-1864
F/P F LA ELEV.
vO NO
NO
STORIES
?
OCC GP EDU
R-3 l
GRADING PERMIT ISSUED I REDEVELOPMENT AREA
TYPE
CONST
OCC LOAD FIRE SPA
YO ND v0 N ~ VN vO OCJ
2255
6/ I J/01.t 7
Not Valid Unkss MJchine Cutifil!d
QTY.I PLUMBING PERMIT · ISSUE 7-s.:!-II QTY.I MECHANICAL PERMIT. ISSUE s-SUMMARY/ACCOUNT NUMBER
131 EACH FIXTURE TRAP 32,SoTl I INSTALL FURN. DUCTS UP TO 100,000 BTU 4.nn BUILDING PERMIT 01·00·00·8220 _4f;r:;. i;n
11 EACH BUILDING SEWER 6.-50 I I OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
11 EACH WATER HEATER ANO /OR VENT 2. 50 I I 80ILER/COMPRESSOR UP TO 3 HP PlAN CHECK 01·00·00·8806 ':ln? h()
11 EACH GAS SYSTEM I TO 4 OUTLETS 2.5n I I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 i:;1 . i;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 ~n. nn
EACH INSTAl . ALTER. REPAIR WATER PIPE ? I VENT FAN SINGLE DUCT ,i ()() MECHANICAL 01·00·00·8224 11. ()()
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 (INSIDE) SOLAR !ll ·Q!l·OQ·8226
•
1
TOTt.L MECHANICAL STRONG MOTION 80·92·33-0519 __ _ _ _ _ ISU·n·:i:i-u:,rn I 7. 87 I
TOTAL PLUMBING 5L50 FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE s--QTY. SOLAR · ISSUE
I\
PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
NEW CONST EA AMP/SWT18KR 100 25.00 COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE -~ n SCHOOL FEE • DISTRICT
Carlsbad 80·92·21-0519
Encinitas 80·92·22·0519
I PH 3 PH PUMP r.. fj"JJ' -;· v -rJ.LU San Diegui1o 80·92·23-0519
REMOOEL'AL H R PER CIRCUIT PLA~HECK ~Ef}f-b'~ _n San Marcos 80·92· 24·0519 PAID
TEMPPOLE 200AMPS ,\J
OVER 200 AMPS V\ LICENSE TAX 01-00-00-8162 2,249.78
TEMP OCCUPANCY (30 DAYSI /'J~ ~TA RF.~T • -h()(). ()()
CREDIT DEPOSIT
TOT AL ELEURICAL f 30.00 TOTAL SOLAR TOTAL FEES PAYABLE r 3,718.25
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY 111illllllild *
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON·
'""°''°'· """"" ""c""" """' "''"' '"'° '""' '° ''"' '"'""~ "" o 0 I
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 8Y PHONE Q 7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND /'2 ~½
GRANTING OF THIS PERMIT. -'111111:l~;...::::;;'-.,Llrl I
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION ' I
I -REINFORCED STEEL :"-.. -L,. I ,_
_.,-'L..._1-·1 T
MASONRY / I I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I -SHEATHING D ROOF D SHEAR vL,,r/~r 1r:
FRAME I ;/4f-/x-t,P'
EXTERIOR LA TH I I
A
INSULATION I 1w,~ [;,VA
INTERIOR LATH & DRYWALL J 1-.r /_;-,/H rT ' ~ -,
I
PLUMBING ' -
SEWER AND BUCO □IPL/CO I P//7 17'"'....,
UNDERGROUND D WASTE □ WATER i;/n r_
TOP OUT D WASTE □ WATER j ~'--' /#T?YT r/
TUB AND SHOWER PAN I
A
GAS TEST I './-01?'.n--r'
□ WATER HEATER □ SOLARW~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □;UFFER -ROUGH ELECTRIC I ,,os-/J.r Ir'
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING D POOL ' I
I
MECHANICAL J A
D DUCT & PLEM., D REF. PIPl~G IA1/rus-V
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS I
' l
CALL FOR FINAL INSPECTJON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
PLUMBING ' I
I ,.,
ELECTRICAL ~ I /)
MECHANICAL ~ ./ ,r
GAS :" Af(/Y7 I
BUILDING I '\. 'ff '/
SPECIAL CONDITIONS ...
I
I
-· ~ ·-
2~-io .. ;;_~~
FIELD INSPECTION RECORD
'· REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
-•••-•T•
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS