HomeMy WebLinkAbout2623 LA GOLONDRINA ST; ; 86-1049; Permit"' z 0 ;:
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D I hereby affirm that \ am licensed under
proYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and effect.
I hereby af11rm inat I am exemp! from lhe Contrac
lor's License Law tor the lo'low1ng reason (Sec 7031 s
Bus,ness and Proless,ons Code Any c,ly or coun'y wh,cr 'e
;i•Jrres a perm,I to cons1,ucl. a'ter. r"1prove de"lol1sh 8r
repa,r any struct~re prior to ts issuance a1so ·equire~ •~e ap pl,cant lor such perm,t lo •,.ea s,9ned statement t~a' rp ,s
1,censed pursuanl to the provrs•ons o• the Cor.1·ac10, ,
",ce1se Law -:Cnaole' 9 commenc,ng wrth Se::,o", ?OC:J -;i
~1·,,s,on J of me Bus,ness and Proless,ons Code, or r~at ,s e,-
f'17P! l~eref,om and t~e basis lor the a legea e,ernpt,or, Arv
·,10·1tion at Sect,or 7·JJ1 5 by an appl,cant 'or a perm,1 sub
erts :ne aopl1ca~t :o a c1v1' penally or ~ot mn~e tr.an 1,·,e h,,s
dred 'loliars 1$5001
I, as owner of the prceer:y or ,y employees w,·~ ... cges
as tne,r sole compensation. w111 do the wor. arj :he s1ru: :;n '!: not ,niendea or otfereo for sale ,sec 104'< B•,s,ness
ond Professions Code The Con1rac10r s L cense '· aw does
not apply to an owner ot property who bu•,lds or ,mproves
:nereon and who OOes such work h1mselt or through n•s own
employees. provided tr.a1 >•JCh ,mpravements are not ,nTend-
ed or offered for saie 11. nowever :he bu1ld1ng or ,,,,prove-
ment rs sold w1th1n one year ol completion. \he owner-bu11Cer
w,11 have the burden of proving thal he did no! build or ,m-
prove lor 1he ouroose ot sale1
I, as owner ol 1he property, am exclus,ve11 contract,ng
w,t~ licensed contractors re construct the pro1ect ! Sec 70A4
Business and Pro1ess,ons Cooe The Con1ractor·s L1ce%e Law does not apply 10 an owrer of property who ou,lds or ,m-
proves !hereon, and who contracts for each pco1ects w,th a
contractor(s) license Pursuant to the Contrac:or's License Law)
7 As a homeowner I am ,mprov,ng my home, and the !oLlow
mg cond1hons e~1s1 1 The work ,s be•ng oer1ormed pr,or to sale
2 I have 1,ved 1n mi home !or twelve montrs
prior to CO'llplet1on 01 this worK
I have not claimed lh,s exemp1,on durLng lhe
last three years
for i'n~~r;;~~rt under Sec _____ _ B&PC
~ I Mreby aftirm that I hase a cert,frcate of consen1 to
self insure. or a cert,t,cate of Workers Compensation In-
surance. or a certrl,ed copy thereof ,Sec 3800. Labor Code)
POLICY NO
COMPANY
Copy ,s hied w•th the C1ly
Cert1f1ed copy ·,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed ,f the perm,t
,s for one hundred dolla,s 1$100) or less) = I certify that ,n the performance of the work for wh,ch
this permit ,s ,ssued. I shall not employ any person ,n any
manner so as to become sub1ect 1o the Workers Campen
sa11on Laws of Cal1fom1a
NOTICE TO APPLICANT· If. after making \hrs Cerlif,cate
of E,empt,on. you stlould become SubJeCt to the Workers
Compensation provisions Of the Labor Code. you must
forthw,th comply w1\h such prov,s1ons or this perm,t shall L be aeemed revoked
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hereby aff,·r>c tha! :.~ere rs a coss•ru~t, '" •er,C•1G
-~escy tcrthe pe·'o,r~7~2 of t~e ,,o,~ •~-""' "'Cs ~er
--n,t ,s 1%ued ,Sec .'097 C· ,, co:,Q
c_.,,·'1e s Name
:...enders Address
USE BALL POINT PEN ONLY & PAE~S HARD CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859 t APPLICATION & PEB"1,T.
JOB ADDRESS AV.ST.RO. NEARESTCROSSST. f{C::751--\ DATE OF APPLICATION BUSINESS LICENSE# VALUATION
.;). & .;;i.. 3 LA hOr..D>J,(JILJN;t C'A-tL-1-.SM-O. C:A-?, ..... ~
LOT BLOCK 1 SUBDIVISION T ASSESSOR PARCEL NO , CONTRACTOR
OWNER'S NAME. C,,/..e./}A-J / ;--
l\-U.l.h~, CA-t' Y1F, OWS~l;G A:DRO~ ~~
DESCRIPTION OF WORK
I OWNER'S PHONE SL-~ x -v·y-·.,.. CONTRACToR·s ADDRESS
~u J: Y' !
Of.StGNER
~ .... ~ -I OES,GNER'S AOORCSS
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IC> -3_-t_t,
NO
STORIES
CONTRACTORS PHONE# ZONE
ST ATE LICENSE NO
DESIGNER'S PHONE
ST ATE LICENSE NO.
DCC GP EDU
PERMIT NUMBER
o/;VJ;~11
BUILDING SO FOOTAGE
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0 C'.J l TA"'"~A\ ses ~.,7 GRADING PERMIT ISSUED
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REOEVELOP"-'IENT
AREA
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TY PE
CONST
DCC LOAD FIRESPR
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tilili3 litii. i.liiti3iiiciiiI5C
Not Valid Unless Milchine Certified 31i-fii_
OTY. PLUMBING PERMIT· ISSUE 7 Sq! " ;:: QTY MECHANICAL PERMIT -'SSUE 1 .3/ SUMMARY/ACCOUNT NUMBER
-~a -I 1
1
EACH ftXTURE TRAP I + 11NSTALL FURN uucis,JPTO 1or1';1J~...:;:;~--BUILDING PERM!"' -~·8~-oo~s2~
EACH BUILDING SEWER --t---_J_ --n_vER 1~0.000BTU. ----SIGNPERM1T O'.l.1-8~0-00.-0□-820 --C--
~A.CH W_A~ H~'.E~~Ml~R Vi_~_T __
EACH GAS SYSTEM l lU•1 UUTlETS
' 1 801L[R l OMPRESSOR UP TO 3 HP , PLAN CHECK 001-810·00-00-88~ ~-----JI -'"ROI LER COMPRESSOR 3 15 HP ------;--TOTAlPLUils1NG --co1:s10-=oo-00-8222 -
'---EA~GAS~YS~E_M:rORM~Rt _____ -~-__ _ __ Ji,.~ c.~~_R{P__:__AL~ -_---j.__ ---·--_ ~LECTR1cAL -----001-s1_9_:_oo-0~223 __ t _lliCH_~ST~~ A~t_f{.KE.PAIRWATERPIPE t -__ ', -+VENTFANSINGlEDUCT _______ _r,_ECHANIC~ ___ 001_8100000822~ 7
EACH VACUUM BREAKER ' t MECH EXHAUST HOOD lJUClS 1 MOBILE.HOME ___ 001 810 00 00 822~---4-----~
j--,-".ATER.S_OFT!IJER -----. -----+ II RELOC~?NOF -~URNAC~E~R--+ SOLAR 001-810-00·00-82~,
FAC'i ~:,,(], :'·Ri'.i'rs , :•.;c. l'.~, ______ -------t :,• DRYER VENT __ STRO~_G MOTION 880-519_::92·33 __ 1
I,' TOT!'.i,LMECHANICAL ! FIRESPRINi<.LERS 007-810-00-00-8227 i
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--rU!AlPLuMHIN(... -·--, -.,.--~I. . I ::
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L;: ;:~ILITIES F_EE____320-a10-oo-o.o.3740E
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IQ ELECTRICAL PER~l~I-SSUE ~---t=~~r---~OBILE HOME SETUP i~K~I_E~RE~ _) _ _ __ _ ______ _
NEW CONST !:.A AMP SI/';! HKR -'-------~-~AR PORT _____ ' TIF _____ _Jl_Q1-_~9·00-00-?8_35_ --·-
··--~::~IHLO[;EAAMPSWTflK.:PH ___ , ____ =t--1::R:~: ··--··-----·--=-----=---~~{_N-SE_T-~X _ ---□O_l-B:~~~:~:\r:~-----
>--+-~~~::~l:::\,;:: rniu'.~---t----f +--~--~~ --_--:--. ---= --~ _-~---~· -
--
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-. -t--t---,---~-------4 i . -' ~·t--CREDIT DEPOSlT
,: ' TOTAl l11lAL FlU,THIL;.L
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TOTAL FEES PAYABLE f 3tJ -
I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT"' AND DO HEREBY
CERTiFY UNDER PENALTY OF PERclUl-lY THAT A.LL INFORMATION HEREON INCLUDING THE
DECLARATiQrSS A.RE TRUE ANO CORPECT ANO I FURTHER CERTIFY AND AGREE 1F A PERMIT It,
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPEC1FIEO HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration E,..ery permit issued by the Bmldmg OH,cial under the prov,smns · ,., s
Code shall expne by hm11a11on and become null and ~Old 11 !he bu11dm9 c,• ,.,0,~
author,ied by such permit ,snot commenced w1thrn 180 days from 1he date ot such
perm,t, or 11 the building or work authorized by such perm,! 1s suspended or
a~ndo~ed at a_ny time af1er the work is commenced f_o~nod o! 180 days
A'J'f'J,ls SIGNATURE * owNEr;>"l---CONTRACTOR 0
""u"""c..:(r»i,,,,.J 1.,,.,£-&_,,...( f/P_ Q.~ ~HONE 0
7
* A.N OSHA PERM:T t5 REQUIRED FOR EXCAVATIONS OVER ~· o·· DEEP .\NO OEMOl.lTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPR.QVED BY 7Z (aft~{,
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TYPE I DATE INSPECTOR
BUILDING ! 2, -,o· , . ' ,.,._, ~--"'T
FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL ' MASONRY I
' GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS . INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEJI.JNG SOILS COMPLIANCE
SHEATHING D ROOF D SH!=AR
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRESTRESSEO
INTERIOR LATH & DRYWALL '
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
D SEWER AND BUCO D PL;JCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOL Ts
SPECIAL MASONRY
TUB AND SHOWER PAN I
' GAS TEST I
PILES CAISSOr-...<::
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D.UFFER
ROUGH ELECTRIC J
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ' I
I
MECHANICAL I ----. --) ... , '.-: .:. ,_ = ' _,., -..:; --D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I "
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
. ITEMS ABOVE HAVE_BEEN APPROVE{)
FINAL I
PLUMBING I
ELECTRICAL I ~
MECHANICAL I ~
GAS I • .,,. _ ~ ' -
BUILDING I • "' .
. • ·-· • SPECIAL CONDITIONS I ~ .._
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LOCAL CODE COMPLIANCE CERTIFICATION
(Sect1on 221 (d) 2 (f) National Housing Act)
Larry & Cheryl Deutman
Mortgagee
Property Address:
2623· La Golondrina, Carlsbad, CA 92008
• Street City
IT IS HEREBY CERTIFIED by the Undersigned:
Zip
1. That he is the __ B.c:.U..:..IL;:cD=-1:.:.N..:..G=----:l.:..;Nc=S..:..P.:::E..::;C..,;T..;:Oc,:.Rc._ ___ ~ _________ ....;Of the
(Official Title)
CITY OF CARLSBAD, COUNTY OF. SAN DIEGO
City-County
STATE OF CALIFORNIA
State
2. That it is a part of his official duties to inspect and/or determine whether
buildings, structures, real property or premises meet or comply with the
requirements of State and Local Laws, Ordinances·, Codes, or Regulations relating
to Public Health, Safety, Zoning or otherwise, which may be applicable thereto • ..
,3. That on October 6, 1986 , 19 __ , the property of premises above
described was inspected and as of that date said property or premises and the
structures and buildings located thereon did meet and comply with the require-
ments of all said laws, codes and ordinances applicable thereto.
4.. That on __________ , 19 , the property or premises above
described was inspected and as of thatdate said property or premises and the
structures and buildings located thereon did not meet and comply with the
requiirements of all said laws, codes and ordinances applicable thereto for the
following reasons:
DATED This _...;1~0..:.;th"-______ day of ~~~i!.--#--+l---#Y , 19, ..8.6_·
(Signed)
Title
PETE li'REI BELBIS
(Name Printed)
Building Inspector
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
October 14, 1986
~it!' of etarlsbab
BUILDING DEPARTMENT
Larry and Cheryl Deutman
2623 La Golondrina
Carlsbad, CA 92008
2623 LA GOLONDRINA: COMPLIANCE
On October 6, 1986, I did a Compliance Inspection at the above-
mentioned address. I found the patio to be in compliance with
the Uniform Building Code.
If you have any questions or need any further information,
please call me at the above number.
rd~
PETE DREIBELBIS
Building Inspector
PD:hmj
•
TELEPHONE
(619) 438-1161