HomeMy WebLinkAbout2614 LA GOLONDRINA ST; ; 83-80-149; Permit,f'~
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O 1 hereby affirm thal 1 am licensed under
provisions of Chapter 9 (commencing with
S.Cllon 7000) of Division 3 of the Business
and Profeulons Code, and my license Is In
lull force and effect. lie No ______ Class
I hereby affirm that I am exempt from the Contrac-
tof' s License law lor lhe following reason (Sec. 7031.5
Business and Professions Code· Any c,ty or county which re-qu,res a permit 10 construct. alter. improve, demotish, or
repair any structure. prior 10 its issuance also requires the ap-plicant for such perm1I to hie a Stgned statement that he Is
tansed pursuant to the prov1S1ons ol the Contractor's license Law (Chapter 9 commencmg with Section 7000 ot
Dms1on 3 of the BuSiness and Professt0ns CPde) or that 1s ex-empt therefrom and the basis for the allegeo eltemphon Any
Yiolallon of SeclKMl 7031.5 by an applieanl lor a perm,1 sub-1ects the applicanl to a civil penalty of not more than five hun-
dred dollars ($500).
□ I. as owner ol lhe property, or my employees w11h wages as their soie comperisat10n, will do lhe work. and the st rue•
lure Is not intended or otlered for sale (Se<:. 7044, Busmess
and Professions Code: The Conlractor's License Law does not apply to an owner of property who builds or improves
!hereon and who does such work hirnselt or lhrough his own employees, provkled that such improvements are not intend-
ed Of offered for sale. II. however. lhe building or improve-
ment 1s sold within one year ol completion, Ille owner-builder
will have the burden 01 provmg that he did not buUd or im-prove lor lhe purpose ot sale).
□ I, as owner of the property, am exciusivety contracting
with lieensed contractors to construct the protect {Sec. 7044, Business arw:t Professions Code: The Contractor's License Law does not appty to an owner 01 property who builds or im-
proves thereon, and who contracts tor each projects with a contractor(s) license pursuant to the Contractor's ucense Law).
O As a homeowner I am improving my home, and lhe lollov,-lng conditions exist: 1. The work is being performed prior to sale. 2. I have lived m my home lor twefve months
l)(ior to completion of this w0tk. 3. I have n01 claimed this exemption during the last lhree years.
0 lamexemplunderSec. ______ ,B&P.C.
tcw this rea.son
D I hereby afh,m 1h31 I haWt a certificate ot consent
to self-insure. or a cert1t1cate ot Worke,s·
Compensation Insurance. Of a cert1t1ed co0y thereof
CSec 3800. Labo< Cooe)
POLICY NO WCl?-6255-06 1
COMPANY GREAT AMERICAN
□ Copy IS hied with the city
0 Cer11lied cop)' ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Ttt,s section need not be completed 11 lhe permit
1s IOf one hundred dollars IS 1001 o, less)
0 I certify Ihal ,n the pertOf'mance ol the wor11. ror
which 1rus permit 1s issued, I shall no! employ any
person ,n any manner so as to become sut>Iect 10
lhe Wof'kers' Compensat,on Laws ol Ca1ttorn,a
NOTICE TO APPUCANT 11. atter makin1 trus Cert,
hcale ot E.xempt,on. you should t>ecome subIec1 l'J
the WMers · Compensahon prov,s,oos of t be LabOr Code. you must forth"'·1th comply with such
provisions or lh1s perm11 shall be oeemed revoke<J
O I hereby affirm !hat there 1s a cons1ruc11on
1eod11'lc;I agency IOf the performance ol the w~ to, which 1h15 perm,1 ,s ,ssued (Sec 3097 C1v1I COdel
Lenoer s Name PONDEROSA H(l1ES I
Lender's AO<t,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD .. ... APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA 1' •j DECLARATIONS.
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CARLSBAD BUILDING DEPARTMENT .. APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV ST.RO. NEAREST CROSS ST. I DATE OF APPLICATIOHI BUSINESS LICENSE # VALUATION PERMIT NUMBER
2614 LA GOUN)RINA STREE:I' PHASE 5 3587 $92,163.60
LOT BLOCK ·nl suBD1vIs,oN tJNT~ AssEssoR PARCEL No CONTRACTOR CONTRACTORS PHONE • ZONE 83-80-149
1 4 9 II -.u--l 1"J" i·.u• M') 2 ?1 Ci-Ci~?-4 81'.MEASCHER OWNER'S NAME
1619/;;~:;;;H;NE PONDEIDSA HCMES CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE COOE
OWNER'S MAILING ADORESS 343456
11300 SORREN.IO VALLEY RD-STE 100, DESIGNER LICENSE# STANOARO PLAN # BUILDING SO. FOOTAGE S.D. 92121 '.l',1)'.l',M BASSENIAN & ASSXIATm C-8395 DESCRIPTION OF WORK 1 826
SIN;LE FAMILY w.rm ATTACHED 3-cAR r.!ll.DlV!I.' :f§~BN~.IWi 1'1'~-SUITE.170 DESIGNER'S Pl-fOHE
Pt.AN ]J)26'_0{ -,.., 1 -.. r714/75~-1A~A
-----------. ----F/P FLA ELEV. I NO EDU -OCCGP STORIES
vO NO --2 R-3 1
CENSUS TRACT I GP LAND USE I PAR6;i SPACE I RES t i TS I GRAOING PERMIT ISSUEO I REOEVELOPMENT ' TYPE OCC LOAD FIRE SPA
AREA CONST I ::,;.J YO ND v0 N~ VN v□ NQ( Nol Va/;,/ Unkn Machine Curifi«I
QTY. PLUMBING PERMIT -ISSUE '7~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP , ?7 .c;o 1 INSTALL FURN. DUCTS UP TO 100,000 BTU A 00 BUILDING PERMIT 01-00-00-8220 4 1 2 .00
1 EACH BUILDING SEWER 6.-5 0 OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -1 EACH WATER HEATER ANO/OR VENT 2 -SO BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 ?F.7 AO
1 EACH GAS SYSTEM I TO 4 OUTLETS 2 .c;() BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 .1.i:: c;o
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 ~(\ oo
EACH INSTA~ .. ALTER , REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT 2 .00 MECHANICAL 01-00-00·8224 q no
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00-0Q-8225 -
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??~ -
TOTf;L ME CHANICAL STRONG MOTION 80-92-33-0519 6 .45
TOTAL PLUMBING I 46r50 9 .00 FIRE SPRINKLERS 01-00-00-8227 -
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 -s-BRIDGE FEE --
NEW CONST EA AMP/SWT 1BKR 1 0 0 25.00 COLLECTORS ~ I SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS n J Carlsbad 80-92-21-0519
EXISl BLDG EA AMP/SWT/BKR ROCK STORAGE y II (.'", Encinitas 80-92· 22-0519
1 PH 3 PH PUMP i ri/ "'~ ,~-San Dieguilo 80-92· 23·0519
REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE ' If" ,, v--~ h San Marcos 80-92· 24-0519 P~TD ~
TEMP POLE 200 AMPS V r,.J" \Ll ..)'"'
OVE R 200 AMPS . .. \. V\ LICENSE TAX 01-00-00-8162 1.843.27
TEMP OCCUPANCY 130 DAYS) /J1.Pr-COSTA REAL WATF: R 600.00
CREDIT DEPOSIT
TOTAL ELEClRICAL I 30.00 r TOTAL SOLAR I TOTAL FEES PAYABLE 3 ,2 1 5 .02 -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY Expirlllion E-,,_,,,,. -~tllellllildlngOfflciilundeftlleJlflMSl()nsofthrs * AN~ISAEOUIIEDFOREXCAYATIONSOYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall npnw ~ hm-_,d bec:onMI null 8111tWld H Ille bulldmg or worli 5' 0-OEMOUTI0N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS =~~;:=,mil ~ "°'::=.«i wni:' :.~ .. ltle date :=,uch Sr ---r-OY'ER )STORIES IN HEIGHT
1 ISSUED· TO COMPLY WITH ALL CITY. COVNlY AND STATE LAWS GOVERNING BUILDING CON--tdoned M -time~ lllwworll 18 ·,.;.. 8 _,,,., ol~=--• or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ~=•7$. (MNEA□ CONTRACTOR 0 APPROVED[~ 11rrJ91, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WA.Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , · --8YPHONE 0 GRANTING OF THIS PERMIT. , ~ -:....., _. ·--
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I ,..
REINFORCED STEEL I .t/7A/vr, ~ I
MASONRY I I
GUNITE OR GROUT l
FLOOR & CEILING SUB FRAME I
j
SHEATHING □ ROOF □ SHEAR ,.,
FRAME I ///Ylrr ·.,v
EXTERIOR LATH I [
/) ' "" INSULATION I \ p//i7H -/7)
INTERIOR LATH & DRYWALL I \. i/7__'../,pt ·--r
I '
PLUMBING I I}
SEWER AND BUCO DIPUCO ' p/17 7/1 I
UNDERGROUND □ WASTE □ WATER j;,f;;, T/1
TOP OUT □ WASTE D WATER f 119'/rr ~
TUB AND SHOWER PAN ' ( ,
/} I
GAS TEST I 1//r/rr-17
□ WATER HEATER D SOLAR WATER '( , ~
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □,UFFER ,,
ROUGH ELECTRIC ' /hYlrr 17 I
□ ELECTRIC SERVICE □ TEMPORARY II
□ BONDING □ POOL I
I
I
MECHANICAL I /)
□ DUCT & PLEM., D REF. PIPING 1//y/J;r T
HEAT -AIR COND. SYSTEMS I / / I/
' VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECT}ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL I
GAS I
BUILDING I
SPECIAL CONDITIONS I
I
-i~ ... w-'Lf(j -' FIELD INSPECTION RECORD
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO ;
FOUNDATION INSP
. ---'· STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED ,
CONCRETE
POST TENSIONED
CONCRETE ..
FIELD WELDING
··-HIGH STRENGTH
BOLTS
SPECIAL MASONRY
·-
PILE'S CAISSONS
...
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