HomeMy WebLinkAbout2624 La Golondrina St; ; 83-452; Permit.. z 0
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O l hereby alllrm that I am licensed under
provisions of Chapter 9 1comrnencing with
Section 7000) of Division 3 of the Business
and Professions Code. and my license 1s 1n
full force and effect ,,
·~oa,r any
ol,ca"1 'or ;ierrr,• 1:i a
,,,:e1sec J1_1rsuan1 10 !he ;l'Ol'IS'or; ct the Lc11r,a::,·
I, cn,e S1i.01~r 9 comme~c1"'.; ;.•,tc Se;t,on "(<:'.1 ;'
~,,. :-t the 5us,ness and P•Jfeoo J~i CGde, :ic :r;;1 ,s c1 '"e·~l•c-, a~c :ne bas rs for :ne ai·egea e,empt,nr: ~"I
·,·;,a· u-of Seel roe :031 ) by a1 ap·,unt lor a perm•t oub
e:.ts ·ne aor;l,canr 10 a c,v I oenol!y of not ""Dre 1nan frve nun
dred do•lars i$500'
as owner ol the orooer•y Jr rT/ e~p,Jyees w,1~ wages
as 11Le1r so,e compensat1on w11, do the wO'k and the 1truc
ture Is sol In:endec or a11ered for sa•e ,sec 7Q4~ Bcs1nes1 and Protes5ron~ 8ode The Contraclor's License La·1,· does
no! apply 10 an owner ot property who builds or 1moraves
thereon and who does such work himself or through hrs own employees. prov,ded that such improvements are no1 intend
ed or altered lor s.ale II. however the building or improve-ment ,s sold w11h,n one year of complet1on. the owner-builder
w11I have the burden al provmg lhal he did not build or Im
prove for the purpose o1 s.aleJ
I as owner of 1he property. am exclusively contracr,ng with licensed contractors to construct the pro1ect (Sec 7044,
Business ana Professwns Code The Contractor's License Law does not apply lo an owner o! property who builds or ,m-
proves :hereon. and who contracts for each pro1ects with a con1ractor1s) license pursuant to lhe Contractor's license Law)
lJ As a homeowner I am 1mprovIng my home. and the follow 1ng condItIons exist 1 The work Is being per!ormed prior to s.aIe
2 I have lived rn my home for !welve months prior to compl~l1on of this work
I have not claimed this exempllon during lhe 1ast three years
L; I am exempt under Sec _____ _ B & PC lor this reason ____________ _
I hereby a!!rrm tha! 1 h !o sell-,nsure. or a a.,e a f,:,,i,t,cate ol consen1
Compensat,on lnsuran cen, ,cate ol Workers !Sec 3800 Labor Cod,:,~e. or a cer1•lied copy thereat
POLICY NO we ). 1,,'~-,_ ~ V
COMPANY~)i~
□ Copy IS t,led ..-,tr, the city z "' ..
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~r11f,ed copy ,s hereby !urn.shed
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CEATIFICATl OF EXlMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sect,on need not be completed ,1 the perm t ,s tor one hundred dollars 151001 or lessI
0 I cer1,fy that ,n 1he performance ol the "'or!<. 'or
,..h,ch lh,s perrn,I Is ,ssued. I shall no1 employ any
person ,n any manner so as to become sub,ec• :,J lhe Worl<ers Compensation Laws o' Ca1,to,n1d
NOTICE TO APPLICANT If after makrnJ 111,s Cen, hcate ol E•empt,on you should become sub1ecP "'
the Worl<ers Compensat1or, pmv,s,ons ol !he La.OOr Code. you must !onh,..,,lh comply w,111 such
p,ovIs•ons or 111,s perrn,t shill De deerne<l ,p,nkP<l
DI 1'ereDy dl1,rrn 11'dl rrerP ~ d uw,r,~ · ''"
iend-ng agercy tc" ,..,,.. ,,e;1,,.,1 '"" ,-. ,,, rhe "'"'' · wr,cr--th,~ pem, r , .,,,,,.,: ,~;.,, !097 r_-" r __ ~l~
. enj{'r <; NJ'''e ___________ _
LPnder ~ AQdre5s ----------~
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
;OB ADDRESS AV.ST.RD. NEAREST CROSS ST. I DATE OF APPLICATION BUS!~l~ENSE # VALUATION PERMIT NUMBER
-:i. (,Vj LL G~..1, ... 4-.,, ,.,., ,___ s-r-'f· l·'I'} &?;, -
LOT I BLOCK ! SUBOiVISION A,;:sESS'jf PARCEL tf: .J... CONTRACTOR CONTRACTORS PHONE# ZONE ,//§;:!_ ~. li,'j ,, ~i-,«f IJ-,,., t-...}Je'o/1<-~-/:i= • ~ 5'1/ '/•~O S"D ()WNE R'S NAME l5Zo0:;r;;, R....,J,.,.,.ai~ /Irr-.~ CONTRACTOR"S ADDRESS . UCENSE NO . PLAN 1.0.:: BLDG USE CODE
33) e.,,,.,.....,, -Lv..<.. Ef_ ~~ I .:;'f~ Ii 'I OWNER'S MAILING ADDRESS
i/4,Q"'1 er/~, "' //3•0 j,.,..-yh,~ ..Yno,/),..,.,. £l, fZJu DESIGNER f / • / LICENSE tt STANOA~'c-G~~ l!j 'UILDING SQ FOOTAGE a,1~,,&--1,.,L~,..,,, ... -M-f," -' .
DESCRIPTION ~:i...WORK J_ • L -
.
....-=::_ jJ ,--~--. J_ DESIGNER'S ADDRESS DESIGNER'S PHONE
I I . '1-:a 5/.,A /1-..u., ,s;,.,,_p,~. 12-J. 1r-!:)15'
--------------------es FLA ELEV NO OCC GP EDU
STORIES
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CENSUS TRACT I GP LAND USE 1 PARKING SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPP AREA CONST
,□ N □ ,□ NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE
I -1-t!.. QTY MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ' / INSTALL FURN DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER I OVER 100.000 BTU SIGN PERMIT 01-00-00·8221 ------+ ·----------------------•-s --------
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN""CHECK 01-00-00-8806 ·----, ---
_/C) =--EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00·00·8222 -----' EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 --------·---
EACH INSTAI,.. ALTER. REPAIR WATER PIPE . -·· j .J.~
VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
~ t ------------------t,;---->-----------
EACH VACUUM BREAKER MECH EXHAUST HO□□·□LJCTS MOBILEHOME 01-00·00·8225
WAHR SOFTNER RELOCATION OF EA FURNACE,HEATER MOBILEHOME PARK INSP .
EACh PUO• IW.l.lN I INSIDt 1 SOLAR o 1-00-0P-8226___ .. ----------· --· -TOTt.L MECHANICAL STRONG MOTION 80-92-33-0519 . -. -
TOTAL PLUMBING I j,l"IJ ,J{) -FIRE SPRINKLERS 01-00-00-8227 -PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE s--QTY SOLAR -ISSUE __ , ______
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT ----·-
I PH J PH -STORAGE TA"IKS Carlsbad 80·92·21 ·0519
EXIST l:lLUG EA AMP·SWT BKR ROCK STORAGE Ermnitas 80-92-22-0519
I PH J PH PUMP San Dieguito 80·92-23-0519 --------
REMODEL Al HR PFR CIRCUIT Pl AN CHECK rE[ San Marcos 80·92·24·0519 ---------
TEMP Pou= 200 AMPS
-
OVER 200 AMPS LICENSE TAX 01·00-00-8162
TEMP OCCUPANCY 130 DAYSI --' ' CREDIT DEPOSIT
T!llA! ElfLTHILAl ' ' 'OTAI SOLAR I ./(J ~ -!
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT. AND DO HEREBY E)(piration Every per_mit issued by the Building Olhc1al under the prov1s1ons of lhii * AN OSHA PERM:T 1$ REQUIRED FOR EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1ta11on and become nu!! and void If tne building or wor 5' 0 .. DEEP A.NO DEMOLITION OR CONSTRUCTION OF author,zed by such permit 1s not commenced w1th1n 180 days from the date of sue DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANL.l AGREE IF A PERMIT IS perm,t. or 11 the bu1ld1nPi or work auth0<1zed by such permit 1s suspended or STRUCTURES OVER 3 STC IES IN HEIGHT
ISSUED TO COMPLY WfTH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandoned at any hme a ter the work is commenced for a oer1od al 180 da··s
SlRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPUCA~ ~==ER □ CONTRACTO~ APPROV~D BY r: Pt. DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
BYPH E ~_[,.---1r✓1•13 GRANTING OF THIS PERMIT
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TYPE ' DATE INSPECTOR
BUILDING '
FOUNDATION '
REINFORCED STEEL '
MASONRY ' '
GUNITE OR GROUT '
FLOOR & CEILING SUB FRAME ' SHEATHING □ ROOF □ SHEf\R
FRAME ' . EXTERIOR LATH I
INSULATION ' ' INTERIOR LATH & DRYWALL I .
I
PLUMBING I .
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W4TER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER D SOLAR WATER
I
ELECTRICAL :
□ ELECTRIC UNDERGROUND □ l,IFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
I
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV6 BEEN APPROVED.
FINAL I l\,M
PLUMBING I ,t' f ./,
ELECTRICAL I ' 0 (\ \ ' .
MECHANICAL I ( I 1 ., -" -' ' -
GAS ' In -Ill ~'
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BUILDING V ·,-\-,M ' ,... \
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SPECIAL CONDITIONS ' /l
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECToR·s NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMP•_IANCE
PRIOR TO
FOUNDATION INSP
-~~-----STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOl Ts
SPECIAL MASONRY
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PILES CAISSONt·
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