HomeMy WebLinkAbout2613 LA GOLONDRINA ST; ; 83-80-246; Permit5 r f O I hereby affirm that I am licensed under 1/ ~[ r provlelone of Chapter 9 (commencing with t; S.Ctlon 7000) of Division 3 of the Business c and Profeeelone Code, and my license Is In
~ full force and effect. z lie No ______ Cl•ss
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I he<eby alf11m that I om exempt trom the Contrac-
t0<'s ucense law tor the laliow1ng reason (Sec 7031 5 Bus,nns and ProtesSl0fls COde Any City 0< county t,hoth re-quires a permit to construct, atter. improve, demolish, or repak any structure, poor to 11s issuance also requires !heap-
plicant tor such permit to 1,~ a ~Qned statement that he is ltcensed pursuant to the P,OVlSJOOs of lhe Conttactor s locense I.aw (Chapter 9 canrnencmg wI1h Sect,on 7000 ol
Omsion 3 ot the Business and Prolessoons Code)°' that Is ex emp1 theretrom and 1he baslS tor 1he allegetl exempt,on Any
v,olat,on ol Secuon 7031.5 by an apphcan1 tor a permI1 sub jec1S the applocant 10 a CMI penally ot not more than live hun•
dred dollars ($5001
0 I, as OWftef ol lhe property. Of my employees will! wages
as lhe1r sole compensahon, will do the work. and the struc-
ture IS 001 intended 0< ottered lo, sale (Sec 7044. BuS&ness and Protess,ons COde. The Contrac1or·s Locense Law ooes
no1 apply 10 an owner of pr-,Y wllo builds or improves
thereon and who does such worlr hlmseH or thlough his own employees, provider! that such improvements are no1 mlend·
ed or ollered lor sale II, however, the bu1khng 0t wnprove-ment ts sold w1th1n one year ot completion, the owner-builder w,n have the burden of prOVJng that he did nol build or Im-prove 10< the purpose ot sale)
O I. as owner ot the property, am exclus,ve+y contracting with licensed contractors to C011strucl the pro,ect (Sec 7044. t ~:= :i .~-:::~ ot :r~::'t1f.i~~':. I proves thereon. and who contracts lo< each projects w~h • contractor(s) hcense pursuant to the Con1rac101·s LtCense uw).
D As a"""-""' I am ,mprOYlng my home, and the follow-ing condil,ons oxlSI
I. Tllo -k " being performed pr,or to sale. 2. I have lived in my home tor twelve months
3. r~ ::1~::.io11~h/: -=~pf,on during lhe last thrN years.
D I am exempt under Sec. ______ • B & P.C. for this reason ____________ _
□ I hereby affirm tt1a1 I nave a cert1hcate ol consenl
to self-insure. or a cen,t1ca1e ol Workers Compensat10n Insurance.Ota cert,11~ cooy thereol tsec 3800. u,!lc)r Cooe)
POLICY NO 'WCP-6255-061
COMPANY GREAT Ar-'.ERICAN
0 Copy ,s hied with the city
0 Cen,hed C<>PY 1s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This secuon neeo nol be completed 11 the pe,rm11
tS tor one hundr~ dollars fS 100) or Jessi
O I cen,ty thal in the performance ot lhe wont lo,
whtel'I this permit 1s issued I sl'\all not employ an-,
pe,son m any manner so as 10 beeome sub1ec1 to
the WMers· Compensahon Uws of Catilorma
NOTtCE TO APPLtCANT It, after maktn~ lh1s Cert,
he.ate ot E-emption. you .should beeome subfecl I?
the WMe<s' Compens.ahon p(oYIStonS Ol lhe ubOf
Code, you must IOr1t1•1th comply ¥111ttl sucl'I
prov1s,ons o, this permit shall be deemed revoked
IC 1end1no ~ency f0t lhe pertOfmance ot the wOf'k to, ~ wh1cn lhts pe,m11 1s ,ssved lSec 3097 CMI COQet
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O I nereby attirm that there ,s a construct,on
ffi Lenders Name PQNQE~ H04ES
...J lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD -------• -••• • -•• -n-• -• _. ___ ••••••-----------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
• CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 I
JOB ADDRESS AV ST.RO NEAREST CROSS ST I DATE OF Al'l'l.lCATI~~ ■USINESS LICENSE # VALUATION PERMIT NUMBER
2613 LA Clli.H>RINA Sl'REEI' PHASE 5 3587 $89.150.40 83-80-246
LOT BLOCK I SuB0Iv1s10N ,I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
246 .T J'\ ;;;-_..., -,... -:;;-_.:; TJNIT M"'I_ 2 ?1 i;_c;,:;?-1 A SAME AS~ OW,..ER"S NAME
1619/;~:;~;;NE CONTRACTOR'S ADDRESS LIC£NIIENO. PLAN I.D. 41 BLOG USE COOE PCH)ER:'.EA HCMES
OWNER'S MAILING AOORESS 343456
11300 &lRRENro VAU.Ei RlrSl'E 100, DESIGNER LICENSE• STANDARD PLAN # BUILDING SO. FOOTAGE s.o. 92121 ARJ\MBASSP.NIAN&~---C-8395 DESCRIPTION OF WORK . --1808 ' -~1~.li' ~.v tJTTT1U J11·rN1rR1o1, ... ..,;;;.-::; , ~~~ ~soui"'i'lCr . DESIGNER'S l'HONE
.. __PLAN1808!:R NEHP0Rr ~. rll, .., ,: '71 A l?r::.••-1 Ot:A
----~·-F/P F LR ELEV. NO OCCGP EDU
STORIES
vO NO --1 R -1 1 -
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES u;ITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST 4W YO ND vO ~ VN v0 NKJ Not V,1/id Unkn Milchin~ C~rtdied
QTY. PLUMBING PERMIT -ISSUE vJ-!!--QTY. M ECHANICAL PERMIT -ISSUE :5-SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP I ?t;. nn 1 INSTALL FURN. DUCTS iJP TO 100.000 BTU 4.00 BUILDING PERMIT 01-00-00-8220 4n~_nn
1 EACH BUI LO ING SEWER 6-.50 OVER 100,000 STU SIGN PERMIT 01-00-00-B221 -1 EACH WATER HEATER ANO/OR VENT 2~50 BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01-00-00-B806 ?i:;1 QC.
1 EACH GAS SYSTEM l TO 4 OUTLETS 2 .. 50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-B222 ,1 11 nn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~(\ (\(\
EACH INSTAl . ALTER. REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT Ll.. ()(\ MECHANICAL 01-00-00-8224 11 nn
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00·00·B225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-•??~ -
TOT.C.L MECHANICAL STRONG MOTION 80-92-33-0519 ,:; ?.1
TOT AL Pl LIMBING I 44.00 11.00 FIRE SPRINKLERS 01-00-00-8227 -~--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-B933 -QTY. ELECTRICAL PERMIT -ISSUE
II BRIDGE FEE -
NEW CONST EA AMP'SWT BK R 100 25.00 COLLECTORS JJ /. SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS ,JI e; I r,c.... carlsbad B0-92-21-0519
EXIST BLDG EA AMP/SWT 'BKR ROCK STORAGE .. J/'1.,YV /1 Al" Encinilas 80-92-22-0519
1 PH 3 PH PUMP 1.1r ~ -\ V/ San Oieguilo 80-92-23-0519
REMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE A 'JI ,
I ✓ l San Marcos 80-92-24-0519 PAID
TEMP POLE 200 AMPS A , v\
OVER 200 AMPS J LICENSE TAX 01-00-00-8162 1.783.00
TEMP OCCUPANCY (30 DAYSI ~ Pr ~n QF.n.T ,:;nn nn
CREDIT DEPOSIT
TOTAL ELECTRICAL ! 30.00 TOTAL SOLAR TOTAL FEES PAYABLE I 3,139.19
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO 00 HEREBY Expin,tion E-V-""1 -11,llleBuildlngOIIICill....,.,.-=of-* ~ IS flEQUIMD FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda illall expere by lnllllation -beconie .....,...,,_., W111e Of -I'll s· 0-ANO DEM0UTION 011 CONSTAUCTION OF autho,IZtld l>y IUCII permit• not---. ..,..,_... olauctl s OYER :S STORES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,1. Of ,, the bullda:.1..°' -autllorlNII ti, ..........• ..........., or
ISSUED· TO COMPLY WITH ALL CITY COLINlY ANO STATE LAWS GOVERNING BUILDING CON· aben-11 anvbme Ille-•li(iialialta, .,.....,. ,F ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND~~r·s SIG~ 0 CONTAACT011J0 APPROVE( BY\ 1E6hlf 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 , -----GRANTING OF THIS PERMIT. 'A,1~ . -IIYl'HCINE 0 /0 .
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION '...j . ./)
REINFORCED STEEL :" J'hA/ff rt'"
MASONRY l '
GUNITE OR GROUT ' FLOOR & CEILING SUB FRAME j ,.., I
SHEATHING □ ROOF □ SHEAR //Hlrr l'A
FRAME I j/J4/pr T
EXTERIOR LATH I "'\ ,
I /J
INSULATION I \ w,/n-"t'A
INTERIOR LATH & DRYWALL I \. ~/hbr .'?"'
I ,
PLUMBING j A
SEWER AND BUCO DIPUCO I Pl/1 't'_ I
UNDERGROUND D WASTE D WATER ,, 117 I~
TOP OUT D WASTE □ WATER //. ',If/)') 1T
TUB AND SHOWER PAN ,
I A
GAS TEST I 1//.f/Jr r7
□ WATER HEATER □ SOLAR WATER
I
I
ELECTRICAL .1
□ ELECTRIC UNDERGROUND D1UFFER A
ROUGH ELECTRIC I 1/t.#rr !7 I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
I
MECHANICAL I /)
D DUCT & PLEM., □ REF. PIPING //;,f/K IT
HEAT -AIR COND. SYSTEMS I
I
VENT! LA Tl NG SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV.E BEEN APPROVED.
FINAL !
PLUMBING I
I
ELECTRICAL " I /} I
MECHANICAL "' I , -~✓ 11'
GAS }... ,4/}/1"
BUILDING I " • I
I
SPECIAL CONDITIONS I "-
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g. ~--80-~'-f J.o
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ··,
INSPECTION REQ !F INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMP~ IANCE
PRIOR TO
fOUNOA TION INSP
·--STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH S1RENGTH
80L.TS
SPECIAL MASONRY
-
PILES CAISSONS
-