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2612 LA GOLONDRINA ST; ; 83-80-150; Permit
~ ( I hereby affirm that ! am !lcensecl under J ovlslon1 of Chapter 9 (commenctng with tlon 70(N)J of Division 3 of the Business ~ [ and Professions Co.de, and my license is in ,,, z 0 ~ .. :l ~ a: full force and effect ~ Lie No ______ Clas\ 8 .. .. 0 -' 5 ii! .. z ~ z 0 ;::: : z .. .. ,. 0 0 .. .. .. "' .. 0 ;J ![ I hereby af11rm 1ha1 I am exempt !rom 1he Conrrac- lor's License Law for the following reason (Sec 7031 5 Business and Professions Code Any c,ty or rnunty wh,c~ re- qu,res a perm,1 to construct, alter. ,mprove demol,sh. or repair any structure, pr,or to ,ts issuance also requires the ap pl,cant Jor such perrnI1 to hie a s,~neO statement that he Is 1,censed pursuant to the prov1s100s of the Contractors License Law (Chapter 9 commencing wI111 Section 7000 of Q,vis,on J of !he Business and Professions Code) or that ,sex empt theretrom and the basis for the allegeo exempt,on Any v1olatoon of Section 7031.5 by an applicant for a perm,I sub Iecls the applicant to a c1v1I penalty ol no1 more than five hun dred dollars ($5001 r-, I, as owner ol the property, or my employees with wages as their sole compensation. will do the work, and the struc lure Is not intended or otlered 1or sale (Sec 7044. Business and Pro1ess1on~ Code The Contractor·s License Law does not apply to an ov;ner of property who builds or improves thereon and who does such work h1msel1 or through his own employees. provided that such improvements are not intend- ed or o!lered !or sale 11, however. the building or improve-ment is sold wIth1n one year of complelion. the owner-builder will have the burden of proving that he did not build or ,m-prove for the purpose of sale) O I, as owner of 1he property, am exclusively contracting with licensed contractors lo construct the proiect (Sec 7044 Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or im- proves thereon. and who con1racts for each proIects w11h a con!ractor(s) license pursuant lo the Contractor's License Law) lJ As a homeowner I am ImprovIng my home, and the follow Ing conditions exist 1. The work Is being performed prior to sale 2 I have lived In my home for twelve months pnor to completion ol this work 3. I have not claimed this exemption during !he las! thret, years D I am exempt under Sec ______ , B & P.C for this reason ____________ _ □ I he1et>y af!,rm that I ha,!(' a cert1!,ca1e ot consent to self•msure or a cerf1l1cate o! Workers Compensation Insurance. o, a cert1l1ed copy thereof !Sec 3800. Labo! Code) "°ucrno WCP-6255-061 COMPANY GREAT AMERICAN □ Copy IS t,led Wllh the city 0 Cert,fled copy ,s hereby turn1shed CEATIFICAH Of EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed ,! ll"le perm11 rs !or one hundred dollars iS100) or iess) D I cen,ry !ha! ,n !he performance ol Ttle wor1<. lo, which lh•s perm,t ,s issued. I shall not employ any pe1son m any ma.nne, so as to become subIect lo the Wor1<.ers· Compensation Laws of Cali!orma NOTICE TO APPLICANT I! a!le, mak1n1111,s Cert, !,cate or E~emptoon you should become subIect 10 the Worl<ers· Compensat,on prov,s,ons ol !he Labor Code you must lorth,,.,th comply w,111 such prov,s,ons or th,s perm,1 Shall be deemed revoked 0 I hereby att,rm 111a1 there ,s a <:O"slruct•o~ Iend,ng .Jgency for the per!orrnance ol tl"le work fcJr w11,c11111,s pe,m,t ,s ,s~ued 1Sec 3097 c,,,i Coae, Lende• s NamPONQEBQSA HO'YlES Lende• s Aod,ess __________ _ USE BALL POINT PEN ONLY & PRESS HARO 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. RO, NEAREST CROSS ST. OATE OF APf"tlCATION BUSINESS LICENSE# VALUATION PERMIT NUMBER . . . I 2612 LA GCUNllUNA S'il<IZ'I' . -PmlQ.: 5 -3587 5112-489.20 LOT BLOCI( I S~OIVISION TD.lTJ :~E~;OR PA~<:~ NO. CQ.NTf\~CTQR ' -CONTRACTORS pt!ONE # ZONE 83-80-150 150" -., Sl!MEAB.~. OWNER'S-NAME OWNE A'S P,HONE . . . CONTA#IICTOA'S Ao6RESS ' POmEroSA 619/560-8555 LICENSE NO. PLAN 1.0. # BLOG USE CODE OWNER"S MAIL1NG ADDRESS ---. ; . """:: -. 343456 t:~~t•• /-__ , IID-STE_loo. s.o, 92121 · _ · · . oes19NEA • " , t , UCENSE # STANDARD PLAN# BUILDING sa. FOOTAGE L, .• . . ,,, . ' . < .. ·. • • 0-83~5 ·'~~;&~.: 2255 ~~;'~ 6 ~ 06~•--~Y. i11 .,oe~~~·s ettO'if~. s; •• .. • • •• 4 ;~•• ....... ,,.'•-... ~~ .. •-~;>Y"'',: .. ,,--:-1, •. • .. . "'-•:t,, 1f 1 .... _ ' +' • · ... '7i4 • ..... •··. · . .: •. I • _ M_i>M' ;, "'"" c-j\X:· • c. •. • -· · ... , V' '#¾:. ~,.;":,:< ::;4;s • .. ·~/4 ;+;,,.,• ;tf }"•" \:,:~~~+::,• :\c •· 0 F/P FLA ELEV NO OCC GP EDU t . * . : .. .t STORIES ' •• '• "-.'.'.\.¾ ·<·-,\_.$'·~·,;;•2.+·:.~~;:;;;:,.:.·.:: . . ., "'.':, + > . YO NO 2 R 3 1 . -- CENSUS TRACl GP LAND USE PARKING SPACE RES ;NITS l GRADING PERMIT ISSUED l REDEVELOPMEr,,,,T TYPE ace LOAD FIRE SPA AREA CONST 644 y □ ND YO ND:'[ VN ,□ ,<] Not Valid Unless Machine Certified QTY. PLUMBING PERMIT -ISSUE _, [;;_ QTY. MECHANICAL PERMIT -ISSUE .3-SUMMARY/ACCOUNT NUMBER 13 EACH FIXTURE TRAP 7 .,., -1 INSTALL FURN. DUCTS UP TO 100,000 BTU 4 .. 00 BUILDING PERMIT 01-00-00-8220 465 5n 1 EACH BUILDING SEWER 6.5, OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 -1 EACH WATER HEATER ANO/OR VENT ') C BOILER/COMPRESSOR UP TO 3 HP - PLAN CHECK 01-00-00-8806 ~n~ -n 1 EACH GAS SYSTEM 1 TO 4 OUTLETS ') -BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -· -- EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ---- EACH INSTA~ .. ALTER. REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT & nr MECHANICAL 01-00-00-8224 i 1 nn ·----- EACH VACUUM BREAKER MECH EXHAUST H □oo.1oucTs MOBILEHOME 01-00-00·8225 - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -EACH ROOF ORAIN !INSIDE) SOLAR 01-QQ·QQ~n""" TOHi.L MECHANICAL STRONG MOTION 80·92-33-0519 "7 n~ I 51.5( 11.00 . ---~ TOT AL PLUMBING FIRE SPRINKLERS 01-00-00·8227 - PUBLIC FACILITIES FEE 32-00-00·B933 -QTY. ELECTRICAL PERMIT -ISSUE j-:... QTY. SOLAR -ISSUE • BRIDGE FEE - NEW CONST EA AMP'SWT BKR 100 25.00 COLLECTORS I SCHOOL FEE • DISTRICT I PH J PH STORAGE TANKS 'J' n \\½ Carlsbad 80-92-21·0519 EXIST BLOG EA AMP/SWT-'BKR ROCK STORAGE ill \..t , 10 Encinitas 80·92-22-0519 I PH J PH PUMP -.. , .., _7\ San Oieguito 80-92-23 0519 REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE _,, J" ~ .1 San Marcos 80·92-24-0519 PAID TEMP POLE ZOO AMPS \ 'I' \::I " , OVER ZOO AMPS '-' " LICENSE TAX 01-00-00-8162 2 249.78 TEMP OCCUPANCY (30 OA YSI fl4 ,,:.;-,.-zy.,c,TA REAL WA""' 600.00 C~EDIT DEPOSIT TOTAL ELECTRICAL 1 30.00 TOT Al SOLAR i TOTAL FEES PAYABLE 3,718.25 t HA-VE CAA\avt.tt,EXWNEo TttE'coMPLETEo "APPUCAtfOM ~ ·P£Ru1f .. ,uID:00 ~EBY r 1 ·.. . ,·&.,f~-~~efffc1a1 ~Mrthe gC'?V'Si~Cif.t'fus . . ;,_t0"£'?!P~~_,;,r"";,. 'CERTIFY·UNOBr,Pet4AL1Y Of: PEA.JURY THAT All fNFOR,MAflQf(l"IEREON IN~LU~.NG THE ~:;~p.!,,u~:r · itn~,:n~1rii:,u:::~~~ DECLARJ flONS AAE TIRi~ AND CORRECT A.ND I FURTHER CEf\TIRfANO AGREE: tF· A PERMIT IS· Pl"' ' or lf 1he ~~jw 'WOik'' ~ by~h ~t is -~~r S GVER3 STORtES tN HEIGHT. ,, f"1TSSUEO'. JO·~P!,.Y WfTH.Alt etTY;~'fY AND-'STATE>tAWS60VEANING BUtt.£¥NG OON--· ,a('-~·11me 'tfflf~ ,. tofJO ~--iod of ~ ' .. ~ ,... . . . . .. . ........ STRUCTIOf<, WHETME!I -IFIE~ !WllilM-OR NOT. I ALS0jlGRE00 SAVE INl>t;MN1FY ANO , . $1<;i<AT~ V .),'£.,/: -OMll!R□ . . ,@' APPROVED~ J---/113/rtl ~ ~: ¼tfi'1!>f' -A0¼6,GAltqSt: ~t. t1~~ JLJ~~. ~T~ A.111D0 • ,\~, .: • ,. • ;, COklRAGfOR t"~•tsw""" .· ¥-iwAiif: · ,-t-CWNST:ruticiti_1NC0NS~e,,, 0r\HI" '• r ~~-_,i'i ~-, 11,,...a,.e'.d , A:N~i)~~~1;, '<:':~/tr~,'4"~"'.', _, f'. , •. • '. :. .., i , A ,· ., ·",· . . . . -. ID LL >, ~ 0 0. E ID f- .Q 0 CJ C "' ~ 0. 0. <( I ~ C ii 0 © © ID © © <( I ~ .Q ID >- '" © ID " 0 ,t "' <ii 0 ~ ID " C "' C ii: ,:_ C ID ID i3 0 0 ID 0. © C ~ .c s: TYPE DATE INSPECTOR BUILDING FOUNDATION / I A REINFORCED STEEL I MASONRY r/Pf/~t'f 7 GUNITE OR GROUT FLOOR & CEILING SUB FRAME /} SHEATHING □ ROOF □ SHEAR //1/Y/trtt- FRAME 'Lli lln II EXTERIOR LATH /} INSULATION INTERIOR LATH & DRYWALL :~ #5Z1Z" , I PLUMBING I SEWER AND BUCO □IPUCO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN R/17 1-?i EZ2-/1 ~I J#ff'" /) GAS TEST 1//Yfffll □ WATER HEATER □ SOLAR WATER ,-, ' ELECTRICAL □ ELECTRIC UNDERGROUND □,UFFER I I /1 ROUGH ELECTRIC --;---l,1J1/17ri □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL 1 I I MECHANICAL 1 D DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS ~ VENTILATING SYSTEMS I I ,, , I) I /2'.r/r_.tl7'' II I ,, CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA './E BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL I MECHANICAL I GAS I BUILDING I SPECIAL CONDITIONS - e,.,, ., ll',..-, -I :,,,.'71 FIELD INSPECTION RECORD - REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL - SOILS COMP! iA.\JCE --PRIOR TO FOUl\iDATION INS>-' ' -------------- STRtJCTlJnAL C:CJNCRE TE OVER 2000 PSI PRESH'IESSED CONCRETE POST HNSIOr-.JEO CONCRETE ----~ FIELD WELDING ----HIGrl STREN5 Tl-< BOl_Ts SPECIAl MASONFW -i --- f-'ILES CAISSON-'.:' ----· -------- - -