HomeMy WebLinkAbout2619 LA GOLONDRINA ST; ; 83-80-249; Permit~ I hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
[
Section 7000) of Division 3 of the Business
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~ and Professions Code, and my llcense is In c lull force and effect. !z lie No ______ Clm
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I hereby affirm lhat I am exempt lrom lhe Conlrac·
tor's Lteense Law tor the lollowlng reason (Sec 7031.5
Business and Professions Code· Any c,ty or county which re-quires a permll to construct. alter, improve. demohsh, or repair any structure. pnor to its issuance also requires !heap-
plicant tor such permit to hie a s1Qned statement that he 1s
,~nsed pursuant to the prov1s10ns ol !he Contractor" s license Law (Chapter 9 commencing with Secbon 7000 of
0Ms1on 3 of the Business and ProfesslOns Code) or that ts ex· empt therefrom and the basis for the altegeo exempltOn Any
vlOlat10n of 5ecbon 7031 .5 by an applttanl lor a permit sub-JeClS the applicant to a civil penally ot not more than five hun-
dre<I dollars ($500).
D I. as owner ol the prO!)Orty, or my employees with wages
as their sote compensation, wttl do the work. and the struc·
ture is not intended or oflered for sale (Sec. 7044, Business
and Professions Code. The Contractor's Ucense Law does not apply to an owner or property who builds or improves
thereon and who does such work himself or through his own employees, provided 11\al such improvements are nol intend·
ed or offered for sale. II. however, the building or improve-
ment is sold w1lhin one year oC completioo, the owner·builder will have the burden ol proving that he did not build Of Im-,
prove IOf the purpose ot sale).
□ I, as owner of the praperty, am exclusively contraclmg
with licensed contractors to construct the project (Sec. 704◄. Business and Professions Code: The Contractor's Ucense
Law does nol apply to an owner at property who builds or im· PfOYeS thereon, and who contracts lor each protects with a conHactor{s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and the follow-
ing condilions exist: 1. The work is_ being performed prior to sale. 2. I have live<! in my home tor twelve months
prk>f to completion of this work. 3. I have not claimed this exemption during the last three years.
D lamexemplunderSec. _______ B&P.C.
tor this reason
□ I hereby athrm that I ha•e a cert1hcate of consent
to self-insure. or a cert,t,cate of Workers·
Compensation Insurance, or a cen1fted copy thereof iSec 3800. Lallo< Code)
POLICYNO WCP-6255-061
COMPANY GREAT .AMERICAN
O Copy Is tiled with the city
D Cert1hed copy Is nereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need not be compleled ,t the permit
Is tor one hundred dOllars {S 100) or less)
d I certify that ,n the pertor-mance of Ihe work fOf
wh,ch this permit ,s issued. I shall not employ any
person 1n any manner so a..s to t>ecome subIect lo
the WM ers· Compensation Laws of Cahforn,a
NOTtCE TO APPLICANT If, alter makin~ lh1s Cer11
hcate of b .empt1on. you should beCome subJecl I'>
lhe Wof'kers· CompensaI1on prov,s,ons or !he LabOr Code. you must t0f1hvri,·1th comply with such
prov,s,ons or It11s permit shall be oeemed re11okea
0 t hereby aflum lhal there Is a cor,souctton
Iend109 agency to, the pertormance of lhe wont Im
which th,s permit Is issued !Sec )(Yj7 Civil Code)
Lenoe, s Name PONDEROSA HCMES
Lenc:)er's AOdress __________ _
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
JOB ADDRESS AV ST.RO NEAREST CROSS ST. I DATE OF A .... LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
2619 LA OOUR>RINA STREm' pm..c:F. 5 3587 $89,150.40 83-80-249
LOT l BLOCK -~uB0Iv1s10N rwi,;ssEssoR PARCEL No CONTRACTOR CONTRACTORS PHONE • ZONE
24Q -c.;:_~~ I •.r N= •n• l"t<C-l\Y'I. 2 ?1 c; •. c;e;..')_ 1 c; SH-mAS CliNm OWNER'S NAME
I619/;;~~R~S;;;NE CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE COOE
PONDEiaiA lD1ES 343456 OWNER'S MAILING ADDRESS
DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
11300 SORRENID WJ.;IEi RD-STE 100, S.D. 92121 ARHII ~-·, ~ C-8395 1808
DESCRIPTION OF WORK
C::n.r-1'~ -" ~ ,._.,. ?..t"'n'D .------~--nr -'· OESIGNER"S PHONE ~170
. --r, 1-..:---:'...i ,·:.. 1714/752·-1864
~ -_:E>;IAN 1808 AR ~. ---------------~ F/P FLR ELEV_ NO EDU ~/l 3iL11t.t/:i OCC GP ::i 1~9. STORIES
vO NO 1 R-3 1 --~
--
CENSUS TRACT I GP LAND USE I PAR~;~SPACE I RES ~NITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONST
YO N D vO NIX VN vO NXJ Not Valid Un!,:ss Machine Certified
QTY. PLUMBING PERMIT· ISSUE '1~ QTY. MECHANICAL PERMIT · ISSUE '3 .--SUMMARVACCOUNT NUMBER
10 EACH FIXTURE TRAP I 25.00 1 INSTALL FURN. DUCTS UP TO 100,000 BTU LI.,()(\ BUILDING PERMIT 01 ·00-00-8220 401 ()()
1 EACH BUILDING SEWER 6 -C:n OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 -
1 EACH WATER HEATER AN CJ/OR VENT ?. . ~;() BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 261.95
1 EACH GAS SYSTEM l TO 4 OUTLETS ? . c:n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 Ll.4 -()()
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~". ()()
EACH INSTAl .. ALTER, REPAIR WATER PIPE 2 VENT FAN SINGLE DUCT LI. • nn MECHANICAL 01-00-00·8224 , 1 ()()
EACH VACUUM BREAKER MECH EXHAUST -HOOD/OUCTS MOBILEHOME 01 ·00·0Q·8225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR 01-nn-nn_oooe -
TOTJ;L MECHANICAL STRONG MOTION 80·92·33-0519 e;.. ?A
TOT AL PLUM.BING I 44.00
11.00 FIRE SPRINKLERS 01 ·00·00·8227 -
:s;.. QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 32-00-00·8933
QTY. ELECTRICAL PERMIT · ISSUE /1 BRIDGE FEE
NEW CONST EA AMP/SWT.•BKR 1 ()() ?i:; nn COLLECTORS J V SCHOOL FEE • OISTRICT '
1 PH 3 PH STORAGE TANKS ,If' t (.,,(. Carlsbad 80-92-21-0519 . )/~ .....,'1.; ('). A)' EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH PUMP Ir ,,) \ San Dieguito 80-92-23-0519
REMOOEL:AL TE R PER CIRCUIT PLAN CHECK mW V ~ I \17 San Marcos 80-92·24·0519 p~m
TEMP POLE 200 AMPS I, ~ "'\
OVER 200 AMPS LICENSE TAX 01-00-00-8162 1.783.00
TEMP OCCUPANCY (30 DAYS) /.J? ~DSrA REAL WATER 600.00
CREDIT DEPOSIT
TOTAL ELEl:1RICAL l 30.00 TOTAL SOLAR TOTAL FEES PAYABLE__, I 3,139.19
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMtr" AND DO HEREBY EJtlllnllklll_e..,y..,.. ............ Olflcial-theprOVISlonsoft1111 * A ~fflSIIEOUIREDFOflEXCAVATIONSOVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code tlNIII _...,.Ii,...._.. 8116~ null MCI VOid "tlle bulld1ng or work 5' O" ANO DElrlOUTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autllotind i,,~~tlGI-ICed ..... tlOclayslrom tnedate of suet, ST7•~ OVER J STORIES IN HEIGHT P9ffllll. Of ii .,. · or -" aullOrillad bf .-,ell permit 11 ~ or
ISSUED· TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON· ----·---.. ■---011 ~----STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND --·-·--s~ ---~ ~a CONTRACTO~ APPROVL BY ~~ 111,J,~tt KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS A~~ .. 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 l DATE INSPECTOR I .
BUILDING I .
FOUNDATION "-!. II
REINFORCED STEEL I h'2AII+ IT I
MASONRY I , , ,
I
GUNITE OR GROUT I
...
;-. '\, . t ~ . .
" ' ~3 .. ,o ... ~ ... ' ~ ~-t
'\ . FIELD INSPECTION RECORD .,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -.
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
\'
FLOOR & CEILING SUB FRAME I ,.
SHEATHING D ROOF D SH~AR 11/4111(' rrA
FRAME I i/21/ }') ILf"
EXTERIOR LATH . ;" ,' I ,.
SOILS COMPLIANCE \. '' t,'" "\ .....---. PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION I ~ 7./1/lf' T
INTERIOR LATH & DRYWALL I ' ?'Id/I'S I+-'
I f I ,
I
PRESTRESSED
CONCRETE C
POST TENSIONED
' CONCRETE
PLUMBING I
/\ FIELD WELDING :
SEWER AND BUCO DIPUCO I p,/11/f.t/ 11..
UNDERGROUND D WASTE D ~ATER ?/Ii/~ -f/
TOP OUT D WASTE D WATER 1//J/;-r ·..p
' HIGH STRENGTH ,,
l ( BOLTS -
' ' ,., ' SPECIAL MASONRY .
TUB AND SHOWER PAN , I I
GAS TEST I /J~1/;r' -? I
D WATER HEATER D SOLAR WATER
~ , ,., ~ -.
,f ' PILES CAISSONS . ' ~ -
I I I ' ' ~
ELECTRICAL I
I
D ELECTRIC UNDERGROUND O1UFFER /)
ROUGH ELECTRIC I ~o/h> 7
I -II I
,: .I ,,
D ELECTRIC SERVICE D TEMPQRARY / , . ' D BONDING D POOL I ... ~.~llir:c ... ~ ---~ ,1
~ e J ' <..::.
I
MECHANICAL I /) I
D DUCT & PLEM., D REF. PIPING I/I~/,~ 7
--I ' I
I ' -•• J C --~
HEAT -AIR COND. SYSTEMS i ' VENTILATING SYSTEMS : I.
I :
CALL FOR FINAL INSPECUON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
' -
-
FINAL I
PLUMBING I
ELECTRICAL ' '-I
MECHANICAL "' I /J I
GAS ~I I ./ //
BUILDING "' Al1,//l I
SPECIAL CONDITIONS I "'-
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