HomeMy WebLinkAbout2623 LA GOLONDRINA ST; ; 83-80-251; Permit~ ( 0 1 hereby affirm that I am licensed u.nder
~ Section 7000) of Division 3 of the Business
J [ proYlslons ol Chapter 9 (commencin~ with
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I hereby afl,rm that I am exempt llom the Contr.ic
tors License Law for the following reasoo (Sec 7031 5
Business and Proless1ons Code Any c,ty or county whrcr-, re Quires a permit to construct, alter. rmprove. demoI,sh. or
repa,r any structure. prior to ,ts ossuance also requires '.heap-piIcant lor such perm11 10 hie a s,gneu statement that he Is
licensed pursuant to the provIsIons of lhe Contractors
License Law (Chapter 9 commencing with Section 7000 of
01v,s1on 3 ol 1he Business and Pro!ess,ons Gode) or that Is ex-emp1 therefrom and the basis for lhe alleged exemption Any
violation ol Section 7031 5 by an applicant for a perm,I sub·
Iects the applicant to a c1v1I penalty of nor more than Jive hun-
dred dollars ($5001
J I, as owner ot the property. or my employees with wages
as their sole compensation, will do the work. and the struc-
ture is not intended or offered for sale (Sec 7044. Business
and Profess,ons Code. The Contractor's License Law does
not apply to an owner of property who bwlds or improves
thereon and who does such work h1msell or through h,s own
employees. provided that such improvements are no1 intend-
ed or offered !or sale If. however, the building or improve-
ment Is sold wIthIn one year of completion, ttm owner-builder
w,11 have !he burden of proving that he did not build or Im•
prove lor the purpose of sale)
:J I, as owner of the property, am exclusively contracting
with licensed contractors 10 construct !he proiect (Sec 7044,
Business and Professions Code: The contractor's License Law does not apply to an owner of property who builds or im-
proves !hereon, and who cootracts for each proIects with a
contractor(s) license pursLl.iint to 1he Contractor's License law)
LJ As a homeowner I am improving my home, and the 10l1ow-
Ing condIt,ons exist 1 The work Is being performed prior to sale
2 I have lived m my home lor twelve months prior lo completion of 1h1s work
I have not claimed !hrs exemption during the last three years
□ lamexemptundilrSec _______ e&P.C
tor this reason
0 I hereby affirm tha! 11'1.1~ a cert,t,cate of consent
to sell-,nsure. or a cert1!1ca1e of Workers
Compensation Insurance. or a cert,t,ed copy 1hereo1
(Sec 3800. Labor Code)
POUCY NO WCP-6255-061
COMPANY GREI\.T AMERICZ\N
□ Copy IS 1111!(] with !he c,ty
D Cer1i11ed copy Is hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WOA1<;EAS' COMPENSATION INSURANCE
(Th,s sect,on neea no! be completed,! the permit
,s tor one hundred dollars iSHXJ) or less)
0 1 cert,!y Iha! ,n the pertormance of the work to,
which !h>s pemi,t ,s ,ssued. I shall no! employ any
person m any manner so as 10 become Subiect lo
the Workers· Compensa!+on Laws ot Cal,lorn,a
NOTICE TO APPLICANT II, alter mak,n;J this Cem
!1cate ol E~empt,oh. you should t:,ecome subIecI t'J the Workers· Compensation prov,sIons of the Labor
Code. you must forth..,,th comply wl1h such
prov,s,ons or th,s perm,! Sholl be deemed re,oked
0 I hereby alt,rm that the«'' ,s a con<;lruc.t,on Iendmg agency to, Ihe performance o' l'1e work !,H
wh,ch !hrs pe,m,t ,s ,s;sued ISec 3097 c,,,I Code,
Lenders Name PGNDEBO:SA. Rams
Lende, s Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 E~m. Carlsbad, California 92008-1989 (619) 438-5525 __
J08 AOOFIE.SS AV, ST.RO. NEAREST CROSS ST. DATE OF 8USINESS UCENSE # VALUATION PERMIT NUMBER
2623 IA 001:01DRINA S_
251 !CARRILLO CONTRA,C;TOR -'
OWNER'S-NAME , OWNER'S PHONE
PCWEKlSA HOfEs 619/560-8555
OWNER'S MAlL1NG AOD~E-SS
-,.11300 ~"VA!LEY w-sm 1qo, s.n.
621
QTY.I PLUMBING PERMIT· ISSUE
11 \ EACH FIXTURE TRAP
1 I EACH BUILDING SEWER
1 I EACH WATER HEATER ANO;OR VENT
_9212l
y D N □
vO NO
REDEVELOPMENT
AREA
y D N!}I
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
.3
TYPE
CONST
VN
.1_..00
3587 $100,026.00 83-80-251
ZONE
PLAN I.D. # BLDG use CODE
STANDARD PLAN# BUILDING SQ. FOOT A.GE
1994
R-3 1
OCC LOAD I FIRE SPA
YO N[X Not Valid Un"5s ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILOING PERMIT 01-00-00·8220
SIGN PERMIT 01-00-00-B221
PLAN CHECK 01-00-00-BB06
1 I EACH GAS SYSTEM 1 TO 4 OUTLETS -+-01-00-00-8222 BOILEAiCOMPRESSOR 3-15 HP \ I TOTAL PLUMBING __ _
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE I I ELECTRICAL 01-00-00-8223 ---
EACH INSTAI,.., ALTEH. REPAIR WATER PIPE
EACH VACUUM BREAKER
----+-~~,.___v_EN_T_FAN SINGLE DUCT \ 2 ·co I MECHANICAL 01-00-00·8224
MECH EXHAUST HOQDiQUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF ORAIN (INSIDE I
TOT.l..L MECHANICAL
TOTAL PLUMB!NG
QTY. ELECTRICAL PERMIT· ISSUE 5-QTY. SOLAR· ISSUE
NEW CONST EA AMP:SWT ·BKR 100 25.00 COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT:BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL'ALHR PER CIRCUIT PLAN CHECK FEE
TE-MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY no DAYSI
TOTAl ELECTRICAL 30.00
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, t t-tAv~ QAfftiR;fl.1,t\txA.,NEP THE pofi4PU;:re:o t.~PPU£Al!O~ ~® l>~At,ttT·' ANJ>.W Stf:BEBY
~CERTIFVHJNBER-~ 06< P:ERJUR¥-THM' '♦. LL I.N~QRM_ AT!Ofh_HEREON-INCllJOJtll) .. TI TliE
DEdLARAt1Cms AR£',:, "f.ND c;pRRECl'., AN(> J PUl:l'THERICERTIFY'Al'201AGE:F'A',~ IS
• JS$!Ji0; ~ T-0 ~~Mi -~ o+TY;; £0,t.Nri. Af'(O-Sl-A~-LAws.edYEflNf«G ,BtMt;.~~--STRtJCl"JPNj ~liff' Cl~1,-H'"'-"1N l)lHIQT I Al.1i<l AGR!!~JO :SA\'li , __ A>!D
<t<EEF:~""" ,. ti,jsTALL LIAll!tJTIE'Ji. W-l!KTS, ~/\ND' ~fl!'l:'M.liCITV~-m£,s
* "'"',~ , 1 ' ~, ,~x,' ;<~'4
TOT Al SOLAR
9._00
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR _ -------01-00-00~-
STRONG MOTION B0-92-33-0519 ---------_Lill)
FIRE SPRIN1<LERS 01-00-00·8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80·92·21-0519
Encinitas 80·92-22·0519
San Dieguito 80·92-23-0519
San Marcos 80-92-24·0519 PAIP
2,000.52
COSTA REAL WA: 600.00
CREDIT DEPOSIT
3,411.52
.~ioa EXCAVAno<tS ,_,--
T --~'Olf~TION_.,,;::n-~ • ,TOIIIES m H£IGl<t. -
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION "'-.
REINFORCED STEEL I "-!?/1A.✓ ,. ,
MASONRY ' ,
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I A
SHEATHING □ ROOF □ SH~AR , J , ,,,,
FRAME I "!. ,_ •• ,.,,
EXTERIOR LATH I Jo, /)
INSULATION ' \ . .,/~l,s-i7 /J I
INTERIOR LATH & DRYWALL I \.. ~/ • .IJJ"i, ,
' ' . " I
PLUMBING :
SEWER AND BUCO □\PUCO ...___ /)
UNDERGROUND □ WASTE □WAT~ Yh,,~, /,.
TOP OUT □ WASTE □ WATER ,, J. ·~ 1'
TUB AND SHOWER PAN I .
A
GAS TEST I /'J_//,.1~ 1'1'
□ WATER HEATER □ SOLAR WJI.TER . ,
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □:UFFER II
ROUGH ELECTRIC I M/Jo/H I,
□ ELECTRIC SERVICE □ TEMPORARY "
□ BONDING □ POOL I
I
MECHANICAL I " □ DUCT & PLEM., □ REF. PIPING /'1/;t,/N h"
HEAT -AIR COND. SYSTEMS I '
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL ' ' PLUMBING " I
ELECTRICAL ~-' II
MECHANICAL ,, :
I y
GAS ~ Ill J/1 I
BUILDING
' " • 'l . (
SPECIAL CONDITIONS '
I
'
.,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS