HomeMy WebLinkAbout2616 LA GOLONDRINA ST; ; 83-79-148; Permit., z 0 : ~ " "' C
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 0 I hereby affirm that I am licensee! under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
lie No Class I ;;;;;~;~SL, Lr_. &oL:e>rJ.:h 'tN'A .<;"".,-•~;T,,OA412Z/$3 BUSINESS LICENSE #
3,~
VALUATION
11,,713-e~NUMBEt ~~~~ I hereby affirm that I am exempt 1rom the Contrac·
tor's License Law lor the following reason (Sec. 7031 5
Bus mess and Professions Code: Any city or county which re-Quires a perm,t to construct. alter, improve. demolish, or repair any structure, prior to its issuance also requires the ap-
plicant for such perm,t to f•le a signed statement that he 1s
licensed pursuant to the provisions ot the Contractor's
, ,aanaa , °'"' !~h•p'"" t'I Mmmonr:ng ,.,:,h Cnn.:M 7Mt'I nf
D1v1smn 3 o1 the Business and Professions Code) or tMt Is ex· emot therefrom and the basis !or the alleged exemption. Any
violation of Section 7031 }i by an applicant for a permit sub·
Iects the applicant 10 a civil penalty of no1 more than five hun·
dred dollars ($500)
C: I, as owner of the property, or my employees with wages
as their sole compensation. will do the work, and the struc·
lure is not intended or of1ere;j for sale (Sec. 7044. Business
and Prolessions Code. The Contractor"s license Law does
not apply to an owner ot property who builds or improves
thereon and who does such work himself or through his own employees, provided that such improvements are not intend·
e;j or offered for sale. If. however. !he building or improve-ment Is sold within one year of completion,. the owner·builder
will have the burden of proving tMt he did no1 build or ,m·
prove for the purpose of sale)
:= I, as owner ol the property, am exclusively contracting
with licensed contractors to construct !he project (Sec. 7044,
Business and Professions Code. The Contractor"s License Law does not apply to an owner o! property who builds or im-proves thereon, and who contracts for each proIects with a
contractor(s) license pursuant to the Contractor's License
Law)
C As a homeowner I am improving my home, and the follow-
Ing condItIons exist:
1. The work is being performe;j prior to sale
2 I have lived in my home for twelve months
prior to completion ol this work 3. I have not claimed this exemption during \he
last three years
~r ih~:r~;~~t under Sec ______ , B & P.C ------------
OWNER'S NAME. , '
ODOTYG6_::8 t-/{)(,fS
OWNE A'S PHONE
t:frC1-?.Cf55
OWNER'S MAILING ADDRESS ll s:iQf<orTfO ~a ~~ ro.,st>.set21 ··········~······-, .7~s;.,~ ASSESSOR PARCEL NO.
OtfSCAIPTlON OF WORK
SF'."& wJ_~,,_,,,!~
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~A.fl.tA,6,C..,..... ' . . ' .. ' . . -~.J -"1-~:f.:r:'..J:
CONTRACTOR CONTRACTORS PH6NE 41
ciflJE
CONTRACTOR'S ADDRESS LICENSE NO.
DESIGNER l~~'.~~n "f/>5::ff.
'7HV
t,.ICENSE #
,□ NO /
RES UNITS GRADING f'.ERMIT ISSUED FIRE SPA
ZONE
PLAN 1.0. # BLDG usECooe
STANDARD PLAN# SUILUINU :;u. ,-uv,Aut:. -· ~-·-_, __ -Z-"l-S:-.t:: -·-= ~---,,,,,, ~·
CENSUS TRACT I c, CANO USE I"~#°' L y D N □ YO N~ YO Nh< No/JVd/id Unless lbchine Certified
QTY.I PLUMBING PERMIT. 1ssuE -:7~ lQTY.1 MECHANICAL PERMIT. 1'ssuE I 3 ·--: SUMMARY/ACCOUNl\NUMBER . , -
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU . .,,,,,-BUILDING PERMIT 01·00·00·8220
" EACH BUILDING SEWER ---g .... ~l---+-----OVER 100,000 BTU -'------'--SIGN PERMIT 01·00·00·8221
EACH WATER HEATER AND/OR VENT --L--~"-\!:icl---BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00-00·8222
7 7
/Lb l> • -
EACH GAS SYSTEM 5 0 R .~? .. ~.E ___ . -·-____ __,_ ME_T_AL_FIREPLACE ____ ------1---.....J'.'.... _ _.__ ELECTRICAL _ _<0,,1:c·0,;0·-,0o:0·.".82"2"3--1----~~'__""'.=:.:_
EACH INSTAI.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT -MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HDOOIOUCTS MOBILEHOME 01-00·00-8225,__,C----------l
WATER SQFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
-J,7/T,; □ I hereby ;1l!,rm that I ha-.,e a cert1!,ca1e of consent to self-msure, or ii cer11!,cate ol Workers
Cornpensa!,on Insurance, or a certr!,ed copy thereof 1----
(Sec 38:Xl. Labor Code) ~ _ • , _ /
t' EACH ROO·F· ORAI.N (i~SIOE) ± . . . ] I • SQLAR 01-00·00·8226
_,,.., L.. TOT.t..L MECHANICAL l STRONG MOTION 80-92·33-0519
. ···--TOTALPLU.MBING ,._ -----·~.·LT/✓-----: II . ---FIRE SPRINKLERS 01-00·00·8227 1-7 ~
POUCY NO E :>Cc ------~ ··-;--1 ~/ E/1 ~ ,_,c:>/,:_y,·L
COMeANY fYl ffi_ '• / 1 I/, 9J ''--
D Copy ,s !lied with the c,ty
□ Ce11,hed copy Is hereby fum,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
[Th,s section need not be completed ,f the pe,m,t
,s tor one hundred dollars ($100) or less)
0 I cert,ty that ,n the per1ormance of 1he wor'I< for
whtch this pennIt ,s issued, I shall not employ any
person ,n any manner so as 10 become subIect 10 the Worl<ers Compensation Laws of Cal,tom,a
NOTICE TO APPLICANT 11, after makin;i lh1s Cert,
1,cate of Exemption. you should become subIect t"J
the Worl<ers· Compensation prov,s,ons of tne Labor
Coc!e. you must torthw,th comply with such
prov,s,ons or this permit shall De deemed revoked
D I hereby aft.rm that there ,s a conslrun,on Iend,ng agency Tor the per1ormance of the worl< to,
wh,ch !h•S perrr,t ;,l_ issued (~c .Y.:>9)i G.".•'L Coi;)el
1.0(,'~/ \C;~c('•v,J Ler,der s N;1me· ~d I ,: t ~
Lenders Address __________ _
~ _. PUBLIC FACILITIES FEE 32-00·00·8923 .
QTY. i ELECTRICAL PERMIT. 3 ---QTY. SOLAR· ISSUE BRIDGE FEE
: NEW CONST EA AMP.'SWT-BKR /l}t) -i,)C ---COLLECTORS . SCHOOL FEE -DISTRICT
I 1 PH 3 PH1 STORAGE TANKS Carlsbad 80·92-21-0519 . I------
ROCK STORAGE Encinitas 80·92-22-0519 EXIST BLOG EA AMP/SWT/BKR ----t--
1 PH 3 PH II I PUMP San Oieguito 80-92-23-0519
REMODEL.'ALTER PER CIRCUIT lT 1 ---San Marcos . . 80·92·24-0519 PLAN CHECK ~EE ________ ----+------I<--7&,t"fv--= ----------· ---·----·--+----· . ·--------Ii-----. --
--+--TE'-MP PO LE 200 AMPS
OVER 200 AMPS ,____
1-\ ~-
TEMP OCCUPANCY 130 OAYSJ
TOTAL ELECTRICAL
-+----· --+ --+--
----+---------#-----+.
·----· .~----+--·-
-l -
~ --,___
TOTAL SOLAR
I r~~ be pcsi-r Ct-Utt,'
" I --+-----
-·----+-·-----11 I I "2."2-71, :?o1 TOTAL FEES PAYABLE
*,: .. ~ ~ PEFUl IS flEQUIR£I) fOf1 EXCAVATIONS QV~
5' er DEEP AND 'DtMOl.fTION OR CONSTRUCTIQN Of
STRUCl\.lMS OVEfi 3 STORIES IN HEIGHT
t HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION ANO PERl!irT''. ANO DO HEREBY
CE$TIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DEOLARATIONS-ARi; TRUE AND CORRECT AND I FURTHER CEATtFY A~D AGAEE lF A PERMIT IS
Expiration. Every permit is$\$d by the BuffdinQ"~ un~ tnef)ro'ltSi~S of this
Code shaU expire by Hnlitation and becon'le nUU ai\d '#Okf. ff the bUilding or w'btk
authOfized by such permit is not commenced wi~m 1'30 days from the date of such permit, or if the building or work authOlized hy such permit is suspended or
lSSVED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· L!•~-~~!od!',!at~•~•!t!•~·me!!!_o~•f1e!!!!fJthe~wo!2"'!!!J~!.!:<.,.,,_!!!!!!!!!!!i:!!!l'°'~•!J!~°"l!J_;o~IL1~80!!.,~~---;::-r":'::~~~:""----------;::k'f"_"".' __ ..,
STRUCTION; WHETHER SflECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If. OWNER O CONTRACTOR O APPRO D BY 0
t<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~ / q
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE ' :._.,_/ ~ r\.._ .-..-v"lA.~.. BY PHONE O .,_~ ... .__.._ _ _,.__.. ___ _.__.. __ --!' /, b:z_
GRANTING OF THIS PERMIT. "'1/) 97~LX'g/J'/ ~) ~ 0~
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INSPECTION TYPE DATE INSPECTOR
BUILDING '
FOUNDATION "" ,.
REINFORCED STEEL " $",-/1-"' 1'
MASONRY II
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME " SHEATHING ' L'~✓-1.iJ ll'f'
FRAME '\. L-, ~-,.; l'f
EXTERIOR LATH lNSULATION '\. " II
INTERIOR LATH & DRYWALL '\. 11-J-t. 11'
PLUMBING I
~
SEWER AND BL/CO 17-IJ-1'_! -/'A
PLUMBING UNDERGROUND 1.tr..f-rJ '"' PLUMBING TOP OUT 1, .. .-,_. IA ,.,i:,
TUB AND ~HOWER PAN .
GAS TEST IE,..,.. -""" Ii'
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC . L'., •. -'-, .,
ELECTRIC SERVICE ..
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL -
DUCT & PLEM., REF. PIPING ,. --·-• 11" ,
HEAT -AIR COND. -SOLAR SYSTEMS '
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEElil APPROVED ..
JOB SITE FINAL
PLUMBING ' ELECTRICAL ' y
MECHANICAL '\. J /v I
GAS '\. y(Jill. I ' . C.
BUILDING ' I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS I I REQ IF I INSPECTOR s I I CHECKED APPROVAL INSPECTION DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
Fl.ELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-,, f
'70,
f{3-~(lf<i{
INSPECTOR'S NOTES
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