HomeMy WebLinkAbout2618 LA GOLONDRINA ST; ; 83-79-147; Permit'l! 0 ~ ..
:5 i.l 0
0: i[
CJ
.. ..
0 ,; ::, I .. z ~
z 2 ~ ~ z .. .. ,.
0 CJ .,
ic .. " ..
i
![
D I hereby affirm that I am licensed 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 hereby affirm that I am exemDI from the Contrac·
lor's license Law for the following reason (Sec. 7031 5 Business and Professions Code. Any city or county which re-
quires a permit lo construct, alter, ,mDrove, demolish, or repair any structure. p_rror to_ its issuance also requires the ap-
ol1cant for such permit to file a signed statement that he Is
licensed pursuant to the provisions of the Contractor's
License Law (Chapt_er 9 commencinQ with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or 1hat Is ex·
empt therefrom and the basis !or the alleged exemption. Any violation of Section 7031.5 by an applicant tor a permit sub-
jects the applicant to a c1vII penalty of not more than five hun-
dred dollars ($500)
L.J I. as owner of the property, or my employees with wages
as their sole compensat,on, will do the work, and the struc·
lure is not intended or offered tor sale (Sec. 7044, Bus1nBss
and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or improves
thereon and who does such work himself or through tiis own
employees, provided that such improvements are not intend-
ed or offered for _sale. If, however, the building or improve·
ment 1s sold w1thm one year of completion, the owner·bu1lder
will have the burden of proving that he did no1 build or im-
prove 1or the purpose of sale)
□ l,_as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (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 contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law).
□ 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
prior to completion of th_1s work
I have not claimed this exemption during the
last three )'flars
□ lamexemptunderSec ______ ,B&P.C. for this reason ____________ _
D I hereby altirm that I ha•ea cert1l,cate o1 consen1 to self-insure, or a cerl1!1ca1e ol Workers·
COmpensat1on Insurance. or a cert,f>ed copy thereof
(Sec 3800. Labor Code) _ _ , ',
eoucrno 1::ZJ,OC.-!-[ ;:(~-'.:l~,
coMPANY .rYll'::f;J(11'< J/~.r-,
D Copy ,s hied with lhe city
D Cert1l1ed copy ,s hereby furn,shed
CERTIFlCATE:. OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(Th,s section need not be completed,! the perm,!
1s for one hundred dollars {$100) or 1ess1
0 I cert,ty that ,n the performance of the worl<: for wh,cn this perm,1 1s ,ssued. I shall not employ any
person .n any manner s.o as to become sub1ect to
!he Workers· Compensation Laws ot Cah!orn1a
NOTICE TO APPLICANT If. alter makIn;i 111,s Cert,
T,cate ol Exemption. you should become sub1ect t0 !he Worl<:ers· Compensa11on provIs<ons of ttle LaDor
Code. you mus1 torthw,th comply wrth such prov,s,ons or nus perm1t shall be deemed revoked
O I hereby a!lirm that lhe,e ,s a construct,o"
lending agency tor !he perlorrnance ot The wol1,. for
wn,cn tn,s permit '.s ,ss!'ed IN~7 ,.~,,~ e·,
Lenaer s Name -::(i) j _,Cf<{ __ '
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
_1~00 Elm,Carl~bad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB' ADDRESS
,~:.:./., <J I _,,,-'. I; A Lr d12L.o..J.blZ! /1.J~
I' ;%"r AV·""'.t~·······-.. ""·. ·.-·, ·.·-. T.·•ON.I ..., . ··.,;;t .~.e!'io <: . :"'Jg;:(.02-
BUSINESS LICENSE # VALUATION
-,;7 ML . 3 4 PER~MBER
A. ~ ... /~1
'h~ /l~
OWN~S\NAM:E'
R?~lrii
•
@ i-0/JES
OWNE"R'S f"tfONE r:::ra;B5Bs .··~·~~tA~TO!t:~-.~. CON~T~·~/t ZONE /
OWl'lER'S MAILING AOOAESS CONTAACTOA·s AD.C>Ress -LICENSE NO. PLAN I.□.# BLDG USE cd'DE
t:2/V\ ~JcJL.rjLJ.f~ RO. s.o. <92121
OTY.
r '
ASSESSOR p.(RCEL NO. LtCENSE # STANDARD PLAN#
tr, · '---'"~~'./ls9JG I • _,
\
I~ ~~
.·.~
~ ,""'lnffi .. ~ c°.( ""I Vi!Z i QIC 321.i
l];_;:t3ce -
PLUMBING PERMIT -ISSUE
. lfl~::... ~;; ::;: . '7"_7:~•:/\•' •;•
RES UNITS GRADING ~EAM!T ISSUED
I YO N □
,□ ND ,.,_,_,\) IIJ "' ~
'D N lit" ' v,,;d Unle,,ih;n, ~,;,;e,1
FJRESPR -,J l
·J_ :t0 -11 OTY. MECHANICAL PERMIT -ISSUE 3 -I SUMMARY/ACCOUNT NUMBER ,,; . ,_
VEACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00·00·8220
EACH BUILDING SEWER______ OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
~~;:,.,:
EACH GAS SYSTEM 1 TO 4 OUTLETS _____ L_ __ J,,,-,.\.(.JIL__ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE ELECTRICAL 01-00---0-0--82_2_3_t-----...---J-----~----------------+---
EACH INSTAI,, .. ALTER, REPAIR WATER P!PE ENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 --
EACH VACUUM BREAKER I II I MECH EXHAUST -HDODIOUCTS MOBILEHOME 01·00·00-8225
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP WATER SOFTNER
I i EACH ROOF DRAIN (INSIDEi
TOTAL PLUMBING
__ _J_ ___ _c_ _ _j(... _ _JL_~=~====-----,--L---'--l-~s"o':'LA"'R':ccc::::=:------~01 00-00-8225
1
I
TOT/\L MECHANICAL STRONG MOTION _f!i·9~:~9 '/, D q
II ..--FIRESPRINKLERS 01-00-00,am I cJ4 / ,
QTY. ELECTRICAL PERMIT -ISSUE ~~-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00.:§_~2}
BRIDGE FEE
NEW CONST EA AMP,'SWT:BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
lPH 3 PH
REMODEL/ALTER PER CIRCUIT
-----
TEMP POL~ 200 AMPS
OVER 200 AMPS <---+------
TEMP OCCUPANCY tJO DA VS) ----i--
1
TOTAL ELECTRICAL
/00 -_ COLLECTORS SCHOOL FEE · DISTRICT __
STORAGE TANKS Carlsbad 80-92-21-0519
ROCK STORAGE · Encinitas 80-92-22-0519 r. PUMP . ~an Oieguit~-80·92-23-0519 :
PLAN CHECK FEE · San Marcos 80-92-24-0519 f f-.Gf-i.-,--
---------
----j------t --~-+-
-T
i 3.-,-
·---+--
----I -e;h~E:1:.,--t:'HJ
----------~----·----
.,
/I, ~
--------+ ·---
TOTAL SOLAR TOTAL FEES PAYABLE I "'2.-2---·2.-',,' l.,,
, ; HAvE·c~REFULL;:e~,NED THE COMPLETED '·APPLICATION ANo"?EruAfT;: ·A~OO tt£Riey ; , ·,~: ~~~~W:'~~.~~theprovisiont1ofu»s * ·,AN OSffA PERMIT· IS REQUIRED F()A EXCAVATIONS 0V£A
CERTtFY UNDf;R PENALTY OF PERJURY THAT ALL INFORMATION HEREON. INCLuotNG THE Code.shllll 'dpire' by lifn.~ti~Jifiin,f1'4c9 ~~HJtQid. It the building Of WQrl( -5' (; DEEP AHO 0810LJ110N OR CONSllWCTIQN: OF
oeeLARATlONS ARE TRUE AND CORRECT ANO f FUflTHER'CERTtFY ANO.AGREE IF A PERMIT IS autti~ o/ .~~it• not ~~~.day$ fr~~ the date of suet, STAUCT\JAtS OYER 3 sTORtES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNlNG BUILDJNG c6N-=dotled'at~ Urn,, ,or ~" ~ize.;)vfutiu(;;h :en:~ !Sot 'rperided or
STRUCTI0N, WHETHER SPECtFtEO HEREIN OR NOT. l ALSO AGREE TO SAVE f.N()EMNIFY ANO &....,,L ~• 1"$ , . · -□ 0 APPRO D BY
KEEP HARMLESS THE CtTY OF CARLSBAD AGAINST ALL UABIL!flES JUDGMENTS COSTS AND ,...,.r t ...... N SIGNATURE , ,: · ot/8ER CONTRACTOR ,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSE0Ue'fi4CE OF THE 1,t':t..-,/Y7'. , ',. BY PHONE □
GRANTING OF THIS PERMIT. ~!i::i:::::::.. _______ J._..SZ~::::'.=~~~~==~==LL_'_.,U.
~ u::
c:-"' 0 a. E ~ f-
l
"C
0 Cl
c "' ~-"' . a. .,:
I
~ C ;;:
0 "' "' ~ "' "' .,:
I
3: 2 ~
,;
"' ~ CJ 0 0:.
"' .;
0
~
~ 0 C "' C u::
,::.
C ~ i!' Cl
0 u ~ a. "' C
~
" ;;:
INSPECTION TYPE DATE INSPECTOR
BUILDING .
FOUNDATION "--.
REINFORCED STEEL ' S:-/~-1':; ,,.
MASONRY I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME .
SHEATHING L---, " 'J
FRAME L .. --IA
,
EXTERIOR LATH lNSULATION "-----
INTERIOR LATH & DRYWALL " .,_,_,,; -f/
PLUMBING ~
SEWER AND BL/CO "2.,'f.J"l 'I'
PLUMBING UNDERGROUND ...--.,~ r,p
PLUMBING TOP OUT ...-.~•J.ol ,
TUB AND $HOWER PAN •
GAS TEST ~-U-Jit -fl
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -
ROUGH ELECTRIC ~-··~! .,
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL -
DUCT & PLEM., REF. PIPING L-.. ~-,.,.. -
HEAT -AIR COND. -SOLAR SYSTEMS _ L
.·
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BfEN" APPROVED. .. ~~
JOB SITE FINAL
PLUMBING '\. -
ELECTRICAL '\. I/
MECHANICAL '\. -I"" -,
GAS " y r;I[" r •
BUILDING " I
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
•
. ,
86~-ILf7
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -.
INSPECTION REQ IF INSPECTOR'S DATE .;,: CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO --.... . FOUNDATION INSP -
STRUCTURAL CONCRETE
OVER 2000 PSI . .
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING'
HIGH STRENGTH
BOLTS --
SPECIAL MASONRY ..
PILES·CAISSONS
I
-. ~ \..
-
'
-~-
' .
; .
. . . ·-·. . -' , .. , ._, ':I;;' '. -.. --"' { •. -.. a -. --
----
' . -·----