HomeMy WebLinkAbout2621 LA GOLONDRINA ST; ; 83-80-250; Permit~
O I hereby attlrm that I am licensed under
, \ provisions of Chapter 9 (commencing with l Section 7000) of Division 3 of the Business ~ and Professions Code, and my license is in
~ full force and effect.
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I hereby affirm that I am exempl from the Con1rac lor's license Law tor lhe tallowing reasoo {Sec 7031 5
Busmess and Proless1ons Code Any c,ty or county which re-
quires a perm,t to construct, alter, improve. demolish, or
repair any structure. pr,or to ,ts issuance also requires !heap pl1cant 1or such perm,1 lo file a s1qned statement that he 1s
licensed pursuant lo lhe prov,sIons of lhe contractor s
License Law (Chanler 9 commencing w,th Section 7000 of
Div1s1on 3 of the Business and Professions Code) or that Is ex-
emp1 theretrom and the basis for the alleged exemption Any
violation of Section 7031.5 by an applicant tor a permit sub-
1ects the appl,cant to a c1v1I penalty ot not more than live hun-
dred dollars ($500)
_ I. as owner of the property. or my employees with wages
as their sole compensa110n, will do the work. and the struc-
ture 1s not mlended or oHered for sale (Sec 7044 Bus<ness
and Professions Code· The Contractor's License Law does
not apply to an owner or property who builds or improves
thereon and who does such work h1mSt"lf or through hos own
empl~ees, provide{! that such improvements are not intend-
ed 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 that he d•d not build or im-prove 1or the purpose ot sale)
□ l,_as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (Sec. 7044,
Business and Professions Code. The Contrac!or's License Law does not apply to an owner of properly who bwlds or im-
proves thereon. and who cootracts for each proiects with a
contractor(s) license pursuant to the Contractor's License Law)
□ As a homeowner I am ,mprov,ng my home, and the follow
mg conditions e~is1
1 The work ,s t,e,ng per!ormecl prior to sale
2 I _have l1vffi ,n my home for twelve months prior to compJet1on of this work
I have not claimed this exemption during the
last three years
□ I am exempt under Sec. ______ . B & PC for this reason ____________ _
D I hereby alf1rm thal I ha•eacertl11cate o! consent
to sell insure or a cert,l,ca!e of Workers
Compensat,on Insurance. or a certr!,ed copy thereof
(Sec 3800. Labo, Codel
POUCY NO WCP-6255-061
COMPANY GREAT AMERICAN
□ Copy IS hied w,th the c,ty
□ Cert<l1ed copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
{Th,s sec11on need not be completed ,t the pe,m,t ,s !or one hundred dollars 1$1001 or less!
0 I cert,!y that m the performance of lhe wor\o: lo,
which th+s pefTTl•I ,s ,ssued. I shall not emoloy any
person m any manner so as to become sub1ect lo
the Workers Compensation Laws QI Callfom,a
NOTICE TO APPLICANT If, a!!er makmJ This Cert,
tocate ol E~emptoon. you should become subJect t0
the Wor1<.e1s· Compensat,on provIs1ons ot the Labo<
Code. you must forthv,,th comply w,th such
p1ov,sIons or th,s perm,t Shall be deemed ,e,oked
0 I hereby at!"m Thal there ,s a ~ons1ruct,or
1end,ng agency !Qr lrlf' per1o,mance c,f lhe worl<. lor
wn1ch th,s pe,m,t ,s ,ssued 1Sec 3097 Ci.1I CoOe1
Lenders Name PONDERQSA HCJvlES
Lenders Add•ess __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
VALUATION JOB Aoot:i;e,ss AV-.-sT:Ro. NEAREST CROSS ST. BUSINESS LICENSE#
2621 tilt~. SJ.1:<EE;l" PH1-lSE 5 .:_:.,,.,-;1;, "'3587 $112 489.20
LOT BLOCK ~~N ASSESSOR PARCEL NO. ·•·••·•: ,-,-'"-ZONE 250 · UNI N0:2 215-'562-14
PERMIT NUMBER
83-80-250
~R"SNAME .• V .•• I OWNER"SPHONE :::::IDERJSA, ~,. -619/5-69:-asss CO_NTAACTOR'S A.O~ESS -1 SENQ._0 PLAN 1.0. # BLOG USE CODE
OWNE'A's!MAfllll!IG A.o=p,es:S w
• ,SW .J~-,!,::( ..,,..,.
.:~-
644
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
1 I EACH BUILDING SEWER
1 I EACH WATER HEATER ANO/OR VENT
1 I EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH !NSTAI,. .. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP.'SWT ·BK R 100
I PH J PH
EXIST BLDG EA AMP/SWT:'BKR
1 PH 3 PH
REMOOEL'ALHR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY no DAYS)
s;
RES UNITS
1
. 92121
vO NO
GRADING PERMIT ISSUED REDEVELOPMENT
AREA
YO ~ D v0 N~
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. OUCTS iJP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
2
TYPE
CONST
VN
3-
4.00
STANDARD PLAN# BUILDING SQ. FOOTAGE
2255
R-3 l
OCC LOAD I FIRE SPR
vO NO{ Not Valid Unlers Mllchine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00-8220
SIGN PERMIT 01-00·00-8221
PLAN CHECK 01-00·00-8806
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01·00-00-8223
2 I VENT FAN SINGLE DUCT I 4.001 r11c:vnM1m,ML
MECH EXHAUST HOOO-'OUCTS
Ul:f'IJAlllf'AI 01-00-00·8224
MOBILEHOME 01-00-00-8225
RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
51.5
TOTt.L MECHANICAL
1 1. 0 0 I----"""
_S,OLAR _ ______QJ_Jill_:
<.'TDONG MOTION 80·92·33-0519
FIRE SPRINKLERS 01-00-00·8227
J...KL
~-QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
25.0 COLLECTORS SCHOOL FEE -DISTRICT
STORAGE TANKS Carlsbad 80·92·21-0519
ROCK STORAGE Encinitas 80-92-22-0519
PUMP San Dieguito 80-92-23-0519
PLAN CHECK FEE San Marcos 80-92-24-0519 PAID
CREDIT DEPOSIT
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TYPE I DATE INSPECTOR
BUILDING I ~; ,,<;fD-;;;)ti"'C
FOUNDATION ...._, . /I FIELD INSPECTION RECORD
REINFORCED STEEL I -...,_
I ~/u//11. .,,,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I , .
GUNITE OR GROUT I INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I .A
' SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR ,fnl;!' r:," /I
FRAME I • lht/)'S-7
EXTERIOR LATH -:-.:::.. , I
A
PRIOR TO
F-OUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I \ 2/7/rr 7" -
INTERIOR LATH & DRYWALL I \. 1-/h./ ;,,. .. II
PRESTRESSED
CONCRETE
POST TENSIONED
I ' , CONCRETE
PLUMBING I /) FIELD WELDING
SEWER AND BUCO DIPUCO ;--....._ fi 1 ~r Im
UNDERGROUND D WASTE D INATl=R ~ '7 I. rs-I .,.,
TOP OUT D WASTE D WATER i/;;IY>~ -r
HIGH STRENGTH .
BOL Ts
sr>ECIAL MASONRY
TUB AND SHOWER PAN I -
GAS TEST I //2,/,,_, ,~
' / PILES CAISSONS
D WATER HEATER D SOLAR WATER ,
I
ELECTRICAL I
D ELECTRIC UNDERGROUND OIUFFER -
ROUGH ELECTRIC I /,//1/,r r7""
D ELECTRIC SERVICE D TEMPORARY '
D BONDING D POOL I
' I
MECHANICAL I -'
D DUCT & PLEM., D REF. PIPING •/~,/;,r Ir
HEAT -AIR COND. SYSTEMS I I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC~PN WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING ' I
ELECTRICAL ' I
I /'I
MECHANICAL ,, I y
GAS ~ ,., ys I
BUILDING '"-. '1 ~
I
SPECIAL CONDITIONS I " '