HomeMy WebLinkAbout2615 LA GOLONDRINA ST; ; 83-80-247; Permit~~
1~. O I Mreby afflnn that I am licensed under
provisions ol Chapter 9 (commencing with
) [ Section 7000) of Division 3 ol the Business
c and Profeaalons Code, and my license is in
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I hereby alfirm that I am exempt from the Contrac-lor' s License Law ior lhe lollowing reason (Sec 7031.5 Business and Proless10ns Code· Any c,ty or county wtuch re-quires a permit to construct, alter. improve, demolish. °'
repa1r any structure. prior 10 its issuance also reqUtres !heap·
pticant tor such permit to hie a signed statement lhat he is l1tensed pursuant to the pr<Msions of the Con1ractor· s llcense Law ( Chapter 9 convnencing with Section 7000 01 ON1s1on 3 of !he Business and Professions Code) or I hat 1s ex-
:~~i~~~1~,:,d :~1~55~/~n •~;1:9:1:':1:;:t :J'~
1ects the applicant to a ctv1t penalty of not more than tNe hun-
dred dollars ($500)
0 I. as owner of lhe property, or my empkJyees with wages
as their sole compensation. will do the work. and the strut·
ture 1s not intended or ottered tor sate (Sec 7044. Business
and ProtessKlns Code: The Contractor's License Law does not appty lo an owner 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 offered for sale. II. however, the building or improve·
ment is 5md within one year at comptet1on, the owner-builder will have the burden of proving that he did not build or im· prove fo, the purpose Of sale).
□ I, as owner Of lhe property, am exclusively contracilng with lteensed contractors to construct the protect (Sec, 7044,
Business and Professions Code: The Contractor·s license Law does 001 apply to an owner of property who builds or im-
proves thereon. and who contracts tor each prajects with a contractor(s} license pursuant to the Contractor's license Law),
D As a homeowner I am improving my home, and lhe follow·
ing conditions exist: 1. The -k is being performed prior lo sale. 2. I have lived in my home tor twelve months priot to compJeUon of this work. 3. I have not claimed this exemption during the
last three years.
g )J:,:~1 under Sec. ______ , e & P.C. -------------
□ I hereby a1hrm lhal Ina·~ a cen1f1ca1e ot consenl
to self-insure. or a cert,hcate of Workers Compensation Insurance. or a cer1,t1NJ copy thereof
!Sec 3800, Labo< Co<!el
POLICY NO WCP-6255-061
COMPANY GREAT AMERICAN
□ Copy IS hlNJ with lhe Ctly
□ Cer11hed copy ,s hereby lurn1shed
CERTIFIC" Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed 11 the perm11 1s fo, one hundred dollars (S 1001 o, less)
d I certify 1hat ,n the performance ot the won,. tor which 1h1s permit 1s issued. I shall not employ any
person 1n any manner so as 10 beeome subiect 10 the Wo~e,s· Compensa11on Laws of Cahfo,n1a
NOTICE TO APPLICANT If. after makm;J th•S Ceni
t1cate of Exemption, you sOOUld beeome sut>1ec1 ,,,
lhe WOOters· Compensation prov,s,ons ol 1he Labor Code. you mus! IOf1hw1th comply with such
prov,s,ons or 1h1s c,erm11 shall be oeemea ,evokeel
O I hereby athrm !hat there 1s a cons1tuc11on
lend,no aoency tor the performance ol lhe won,. tor which this permit •S ,ssued tSec 3097 C1"11 Code,
Lenee, s Name P{)NDEf:rnA IICf1BS
Lenoe,·s Address _________ _
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. USE BALL POINT PEN ONLY & PRESS HARD ---------.. ---·· -··-· . ··---. -----
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
' 1200 Elm, Carlsbad, California 92008-1989 (619) 438"5525
JOB ADDRESS AV ST.AO. NEAREST CROSS ST. I DATE OF APPLICATION! BUSINESS LICENSE • VALUATION PERMIT NUMBE A
2615 LA GOLCN)RINA STREEI' PHASE 5 3587 $112,489.20 83-80-247 LOT I BLOCt< .r4 SUBOIVISION T'JNTJ ASSESSOR PARCEL NO. CONTRACTOR CONTR ... CTOAS PHONE • ZONE ?/J,711 '.T -;;-;::,..,_;--:;;-_.:;: l\Y) _ ? ?1 C _i::.t:; ?-1 7 SF!MEASCliNER OWNER'S NAME OWNE A'S PHONE
PONDElOSA HCMES 619/560-8555 CONTAACTOA"S AOOAESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
OWNER'S MAILING AOOAESS 343456
11300 SORRENIO VAU.Ei ~STE 100, S.D. 92121 DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WOAt< AIW,1 BASSENIAN & AS&X!IATES C-8395 2255
C::n.Y.!r.1.' 1.'nMTT.V TATr'J1U ~-. -,_,..,._n j§g~~ PLM::E)-SUl'JE 170 DESIGNER'S PHONE
PIAN 2255 CXR ---:;.;_ (" ~--,-714/752-1864 ~11.~1E:i.ti~7o 3718,t
------·--------·-------F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO --2 R-3 1 -
CENSUS TRACT 1 GP LANO USE j"A~~~G SPACE 1 AES U~TS 1 GR ... DING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND v0 N(:5t VN vO ~ Not Valid Un~s Machine Certified·
QTY. PLUMBING PERMIT · ISSUE ?!!!-QTY. MECHANICAL PERMIT -ISSUE 3'-SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP 7 12. c;n 1 INSTALL FURN. DUCTS UP TO 100,000 BTU 4_nn BUILDING PERMIT 01-00-00-8220 4hc;_c;n
1 EACH BUILDING SEWER h· i::.n OVER 100.000 BTU SIGN PERMIT 01-00·00·8221 -
1 EACH WATER HEATER ANO /DR VENT ?.c;n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 302 -60
1 EACH GAS SYSTEM 1 TO 4 OUT LETS 2.50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 c;1 c;n
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00·00·8223 ~n nn
EACH INSTAl .. ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT 4a00 MECHANICAL 01 ·00·00·8224 ,, nn
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00·0Q-8225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.M-nn.oooc
TOTt.L MECHANICAL 11.00 STRONG MOTION 80-92-33·0519 .., 0'7
TOTAL PLUMBING I 51.50 " FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT · ISSUE s---QTY. SOLAR · ISSUE J PUBLIC FACILITIES FEE 32·00·00-8933
J BRIDGE FEE -
NEW CONST EA AMP1SWT BKR 100 25.00 COLLECTORS nr r ~ SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS !H' x--Carlsbad 80·92·21-0519
EXIST &LOG EA AMP/SWT/BKR ROCK STORAGE .Jr ,q Encini1as 80·92·22-0519
1 PH 3 PH PUMP \ t1 · f / \ t San Dieguito 80·92-23-0519
REMODEL.ALTER PER CIRCUIT PLAN CHECK FEE /) Ill' IA San Marcos 80·92· 24-0519 PAID
TEMP P.O LE 200 AMPS I' y
OVER 200 AMPS V LICENSE TAX 01-00-00-8162 2.249.78
TEMP OCCUPANCY 130 OAYS) .A? rr OOSTA REAL WATER 600.00
CREDIT DEPOSIT
TOTAL ELECTRICAL I 30.00 ' TOTAL SOLAR I TOTAL FEES PAYABLE 3,718.25
1 HAVE CAREFULLY EXAMINED THE COMPLETED •APPLICATION AND PERMIT"' AND DO HEREBY Explrallon. E...,., permtt -byllltllluildlngOlflcial unclar the prov,s,ons of 11>11 * AN ~AEOUIAEI) FOR EXCAVATIONS OY£A CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE CoCle 9"all expcre by hmrtalton and ~null Mltwid K Ille butk!mg or wortc !i" o·· DEEP ITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoriZed by such _...~ ,a not eom--0 wiltlln 110clays from the date ol such STRUC 3 STORIES IN HEIGHT permit. Of if the buddl:.'X: -autllOriDcl bV MICtl permit II auspended Of ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON aballdol,eclatanvbffle Ille-".. 8_....,0f!II0 .. -•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~~J;T•S SI~ (2;/ ..J□ CONTRACTOfl i/ APPROVED BY ~ 1ttf~L/-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • BYPHONE 0 GRANTING OF THIS PERMIT, • ~-· ..
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TYPE I DATE INSPECTOR '
BUILDING I Q 2.. ~20 -d4')
FOUNDATION ,; " FIELD INSPECTION RECORD ·.
REINFORCED STEEL I-......... _,..., I
I
MASONRY I / 1
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I A SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR //J~/1-r IT,,
FRAME ' /,,/,,._/ . ~
I I
EXTERIOR LATH ,_ ;, ., /)
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I \. -,////;7 I A
INTERIOR LATH & DRYWALL I \ .., /,,jJ ~ I
PRESTRESSED
CONCRETE
POST TENSIONED
I ' ' CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I ?/n ,.-A
UNDERGROUND D WASTE D WATER ' -r_ /
•..
HIGH STRENGTH
BOL_Ts
TOP OUT D WASTE D WATER ~ J /. ·~ SPECIAL MASONRY
TUB AND SHOWER PAN 7 " ' /1 '
GAS TEST I ,/4~/;,,y 17 PILES CAISSONS
D WATER HEATER D SOLAR WATER --··
' ' ELECTRICAL I
D ELECTRIC UNDERGROUND □,UFFER -
ROUGH ELECTRIC I , .,.,,
I ,, .
D ELECTRIC SERVICE D TEMPORARY '
D BONDING D POOL I
' '
MECHANICAL I A
D DUCT & PLEM., D REF. PIPING , ,
HEAT -AIR COND. SYSTEMS I .
;
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPE~UPN WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING ' I
ELECTRICAL .... I /)
MECHANICAL '\I I,.,. ir/
GAS 1"-A ~I' , I
BUILDING I '\ I .
SPECIAL CONDITIONS I '
I