HomeMy WebLinkAbout2625 LA GOLONDRINA ST; ; 83-80-252; PermitS~\) O I hereby affirm that I am licensed under
0 provisions of Chapter 9 (commencing with ~ [ S.Ctlon 7000) of Division 3 of the Business !i: and Professions Code. and my license is in
a: full force and effect. ~ Lie No ______ Clas1
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I hereby alhrm that I am e,empt lrom !he Contrac-
tor's License Law lor the following reason (Sec 7031 ~
Business and Profess,ons Code Any i:,ty or county wh,cr, re·
quires a perm,t lo construct. alter. 1morove, demolish. or
repair any structure, pr,or to ,ts issuance also reQu1res the ap pl,cant tor such perm11 10 hie a s,~ned statement that he ,s
licensed pursuant lo lhe provisions of the Comractor"s
license law (Chapler 9 commencing w11h Ser.t,on 7000 of
D1v,s1on 3 of the Business and Professions Code) or that 1s ex-
empt therefrom and the basis !or 1he allegea exemption Any
v1ola!1on o! Sec11on 7031.5 by an applicant for a perm1T sub
1ects the applicant 10 a crv1I penally ol not more than !1ve hun-dred dollars ($500)
1 J I. as owner 01 the properly. or my employees w11ti wages
as their sole compensation, will do the work, and the s1ruc-
ture 1s not m1ended or oUered for sale (Sec 7044. Business
and Professions Code: The Con1ractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees. provide{! that such 1mprovemen1s are not intend-
ed or offered tor sale. If, however, the bu,lding or improve·
ment ,s sold w1tt11n one year of com~elion, the owner-builder
will have !he burden of proving that he did no1 build or im-
prove for the purpose of sale)
LJ I. as owner of the property, am eJcclus1vely contracting
with_ licensed contractors 10 construe! the project (Sec. 7044,
Business and Profess1ons Code: The Contractor·s License Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts !or each pro1ects w11h a
contractor(s) license pursuant to the Contractor·s License Law)
[l As a homeowner I am improving my home, and 1he follow
ing conditions ex1s1
1 The work is being performed prior to sale
2 I _have lived m my home for twelVll months prior to comple1'on o1 this work
3. I have not claimed this exemption during the las1 three years
□ I am exempt under Sec ______ . B & P C
for this reason
□ I hereby alflrm 1ha! I ha~e a cert1t,cate o! consen! to self-insure. or a cert,t,ca1e of Workers
Compensatoon Insurance, or a cert1f1ed copy !hereof
(Sec 3800. laDor Code)
POUCV NO WCP-6255-061
COMPANY GREAT AMERICAN"
D Copy ,s 1lled w,th the c,cy
□ Cert1t1ed copy ,s hereby furn,shed
CERTlflCATl OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be comple1ed 1! lhe permn
ts lo, one hundred OOllars IS 1(X)\ or less)
D I cerl1ly that m 1he performance ot the work to,
which this perm,1 ,s ,ssued. I shall not employ any person .n any manner so as 10 become sub1ect 10
the Workers· Compens.a1,on Laws ot Cal,fom,a
NOTICE TO APPLICANT If, a!!er mak,n~ th,s Cert,
!,care ot Exemp1,on. you should be{;ome sub1ec1 10
the Workers Compensa1,on prov,s,ons o! 1he LaDor
Code. you must forth .... ,th compl~ w'1h such
provisions or this perm,! shall be deemed re,oked
0 I hereby affirm !hal !here ,s a cons1ruc1,oc,
1end,ng a<;1ency lor 111e periormilnle of 1he won. lor
which th,s perm,! ,s ,ssued 1Sec )09l (;,,,,· Code,
lende, s Name PQNDERQSA HC'e4E£
Lenders Adtlfess __________ _
USE BALL POINT PEN ONLY & PRE~S HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-552_§ __
JOS ADORE_~,,_
,, <'-"t·t·
2625 I.Ai
LOT I Bt.'OCt,,;; I S~OlV!StON 25.2_
OWNER'S,-NAME . ., 1
HOii$
OWNER'S:MAIU'NG ADOfte~
420
QTY.I PLUMBING PERMIT -ISSUE
AV.ST.RO, NEARESTCROSSST.
OWNER'S PH~NE
619/560--8555
100 c S.D. ,92:i.21 •·=;;:·_
;: J •h
51\ME'l\SQl',IER
CONfRACT01'1, Aoc5m:~--
OES.rdNJ., R 01 ~
•.-:~)I ~~~ \...:......_,w--.. --•
F/P FLR ELEV
vD NO
RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
1 r □ ND v □ N~
'f!. -:--QTY. MECHANICAL PERMIT -ISSUE
10 I EACH FIXTURE TRAP I , 25.00 i 1 I INSTALL FURN DUCTS UP TO 100.000 BTU
11 EACH Bu>L□>NG sEwER I i;_.~o i -1 ovER 100.000 BTU
11 EACHWATERHEATERANOiDRVENT J_.c;O II jBOILERICOMPRESSORUPTOJHP
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
1
TYPE
CONST
OCC GP EDU
R-3 1
OCC LOAD j FIRE SPR
VALUATION
STANDARD PLAN#
PERMIT NUMBER
83-80-252
BLDG USE CODE
BUILDING SO. FOOTAGE
1808
VN ,o ID Nor Valid Unlen ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00·8220
S!GN PERMIT 01-00-00-8221
PLAN CHECK 01-00-00-8806 I 11 EACH GAS SYSTEM 1 TO 4 OUTLETS +-----BOILER/COMPRESSOR 3-15 HP I I IVIMLt'LUIVl□II~
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE
rnrn o, "''""•G 01-00-00-8222
ELECTRICAL 01-00-00-8223
EACH INST Al. ALTER. REPAIR WATER PIPE -t-----t-2 VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS
MECHANICAL 01-00-00·8224
MOBILEHOME 01-00-00-8225
WATER SOFTNER ]I I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR ____ 0_1·
TOTAL PLUMBING 44.00
TOT/'.il MECHANICAL STRONG MOTION 80-92-33-0519 11.00 ~RE-sPR1NKLER~
---------
01 -00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE 5'-QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP'SWT BKR 25.00 COLLECTORS SCHOOL FEE -DISTRICT
!PH J PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT'BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL·ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAt EIELTRICAL
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TYPE I DATE INSPECTOR
BUILDING I 8"3~-~~
FOUNDATION ~ I -' FIELD INSPECTION RECORD
REINFORCED STEEL ~ --✓-.. /~ '"I"" rr •
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION AEQ IF INSPECTORS DATE CHECKED APPROVAL . FLOOR & CEILING SUB FRAME I A
SHEATHING □ ROOF □ SH)=AR a /_ 1--'t'A
FRAME I UI /~: /,~ I.,..
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH ;"\ , . ,. STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I \ ~•./, lrf' /I
INTERIOR LATH & DRYWALL I '--·/11./,/')' 7
PRESTRESSEO
CONCRETE
POST TENSIONED .
I I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO .......... /)
UNDERGROUND □ WASTE D INATER.. vln/g~ '~
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER /1biJ/wl -r SPECIAL MASONRY
TUB AND SHOWER PAN I •
GAS TEST I /:J//t>IH T PILES CAISSONt'.
□ WATER HEATER □ SOLAR WATER .
I
ELECTRICAL ' I
□ ELECTRIC UNDERGROUND D!UFFER /I
ROUGH ELECTRIC I /~ht>/.M -r
□ ELECTRIC SERVICE D TEMPQRARY '
□ BONDING □ POOL I
I
MECHANICAL I
I A
□ DUCT & PLEM., □ REF. PIPING /-,h#J,;,.i. .,-
HEAT -AIR COND. SYSTEMS .
I
VENTILATING SYSTEMS :
I
CALL FOR FINAL INSPECIU~N WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING ' I
ELECTRICAL "" I II
MECHANICAL ' , V
GAS I'\. 1,,tlJ p
BUILDING I " :i IY'I
SPECIAL CONDITIONS I
I