HomeMy WebLinkAbout2627 LA GOLONDRINA ST; ; 83-80-253; Permit('Y
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O I hereby affirm that I am licensed under
provlalona ol Chapter 9 (commencing with
section 7000) of Division 3 of the Business
and Professions Code, and my license is in
fu11 force and effect
L,c No ____ _ v~,,
I hernby atf1rm that I am exempt 1rom the Contrac-
tor's License Law for the follow,ng reasO!l !Sec ?031 5
Business and Professions COCle Any city or county wh,cn re-
Quires a perm,t to construct a•ter. ,mprove, demolish. or
repa,r any structure. pnor to its issuance also requ,res ~heap pl,cant for such permI1 to hie a s,qned statement Iha\ he ,s
l•censed pursuant lo the provisions o! the Contractor"s
license Law (Chapter 9 commencing w1rn Section 7000 of
D1v1s1on 3 of the Busmess and Protess1ons C(l(le) or lha1 Is ex-
emp11herehom and the basis for the alleged exemp1mn Any
v10Iatmn of Section 7031.5 by an applican1 tor a permit sub 1ects the applicant to a c1vII penalty of no1 more than live hun-
dred dollars ($JOO)
7 I_ as owner ot the properly, or my employees with wages
as 1he1r sole compensation, will do the work, and the struc-
ture 1s not intended or offered lor sale {Sec 7044. Business
and Protess1on~ COOe The Contractor's License Law does not apply to an owner ot property who builds or improves
!llereon and who does such work himself or through his own
employees. provided that such 1mprovemen!s are M_t intend-
ed or offered lor sale. If. however. the bu,ld1ng or improve
ment Is sold w1th1n one year of completion, the owner-builder
will have the burden o! proving that he did no1 build or Im·
prove Jor the purpose of sale)
cJ I, as owner 01 the properly, am exclusively contracting with licensed contractors 10 construct the proiect (Sec 7044.
Business and Professions COOe: The Contractor's License
Law does not apply to an owner of property who builds or im-
proves thereon. and who con1racts for each pr~ects with a contraclor(s) license pursuant to 1he Contractor's License Law)
~ As a homeowner I am improving my home, and the follow
mg cond11lons exist·
1 The work 1s tleing per1ormed prior to sale
2 I have lived ,n my home for twelve months
pnor to compJet1on of this work
I Mve no1 claimed this exemp!rnn during the last three years
0 I am e~empt under Sec ______ , B & P C
for !his reason ____________ _
O I he•ebyafhrm tha1 I h.1,1~ a cerl1!,ca1e ol consen1
10 sell-insure o, a cer1,!,cate of Workers
Compensation Insurance. or a cert,t1ed copy the,eoT
(Sec J800. Labor Code!
POUCYNO WCP-6255-061
COMPANY GREAT AMERICAN"
□ Cooy IS hied with the city
D Gel"'l,hed copy 1s hereby !um,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be comple1eCl 1! 1he perm,t
,s tor one hun<lre<1 dOllars IS100\ or less\
0 I cert,ty thal ,n the performance of the worl< 10,
*h,ch 1h,s perm,t ,s issued. I shall nol employ any
person ,n any manner so as lo becom!" SubIec1 to
the Workers· Compensa11on Laws of Calitorn,a
NOTICE TO APPLICANT 11. al!er makIn~ !h,s Cert•
locale ot Exemp1,on. yO'-' sho,.,ld become sub1ect t'J
the Workers Compensa11on prov,s,ons ol !he Labo,
COOe. you mus1 !orth,.,1h comply w,th sue~ I
p,ovIs•ons or th,s perm,t shall De deemed re,uked
0 I hereby a!!11m ttiat ttiPre ,s a coristru, 1,on
Iend,ng agency tor lhP pertun<'ance ol tne ,.,Q.,._ lo,
wh,cn lh,s perm,! ,s •55uea ,Sec 3097 Ci.<i Cod!"I I
Lende, s N.ime PONDERQSA HCMESI
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
'
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (6~9) 438-5525
JOB ADOf•f~SS
2627IA~STREE:1'
AV. ST.RD. NEAREST CROSS ST.
PH1\SE 5
OATE OF Af'f>LtCATION BUSINESS LICENSE #
$l;;c~;~~~0 J PERMIT NUMBER
3587 83-80-253
LOT
25J_
BLOCK ·t sUeo1vtS10N it ASSESSOR PARCEL NO. u.,n Fm'A'l'F.S UNI ID.2 215-562-11
CONTRACTOR
SAMEASGINER
CONTRACTORS PHONE II ZONE
OWNER'S NAME OWNER'S PHONE
J?ONDEm:lA HCMES 619/560-8555 CONTRACTOR'S AOORESS
OWNER'S MAILING A00,4E$S O£StGNER
ll30iSORRffllb'""Vllli.EY.ffi>.-!m: 100, S.D •. 92lil ·Jml\M~ & ~ ____ _
E lf>TtONCF' wd .. '-~-~i ' ' z, ."'"-, ~ , . '. OFf.E"' : · ' " ·" '-' . DES!G!f~~ PK<fflt;
c_.:•.½.;;..r.-r.,· ffl'M,rr:,-,:;.~T~¾zt".iZ.:"'WWr.,n "' rnlh """" ..... ~,-.r.i ,~{~~99tft'~iF1V l,f.J!rfF~~l70 ___ -___ '_ '~ ---
..... ~ .. ~" c1t·a, ·M:LDKlf 1-, ..a.-1.. i _.1z.-• ~•~ --··-· ----
-
LICENSE NO. PLAN I.O. # I BLDG USE CODE
343456
LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
c...;s39s 2255
-·
F/P FLA ELEV NO OCC GP EDU
.,,., :;, vO NO ---
STO2ES R-3 1
CENSUS TRACT GP LANO USE PARK tNG SPACE
420 RCS i"TS I GRADING PERMIT ISSUED
YD ND
I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
v0 N~ VN ,□ ~ I Not Valid Unle!s Machine Certified
QTY.I PLUMBING PERMIT· ISSUE 1~ QTY.I MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
13 ! EACH FIXTURE TRAP 1 J2.50~ 1 /INSTALL FURN OUCTS0PTO1OOOOOBTU 4,(1(1 BUILDING PERMIT 01-00-00-8220 ,u;n .50
1 I EACH BUILDl~G SEWER 6.50! I OVERlOO.OOOBTU SIGN PERMIT 01-00-00-8221
1 ! EACH WATER HEATER ANO,OR VENT 2. 50 i / BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 299.35
1 I EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
+---~2~·~5-0 ~ I BOILER/COMPRESSOR 3-15 HP I I ·-.. ,_' __ ..,_,,,_
METAL FIREPLACE
TflTAI Pl IIMRINf: 01-00-00-A'i??
ELECTRICAL 01 ·00-00-8223
51.50 ~ 1(1. (l(l
EACH INSTAI.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
--+-----··----2_ I VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
4,00 MECHANICAL 01 ·00-00-8224
MOBILEHOME 01-00-00-8225
11 nn
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE)
TOT AL PLUMBING 51.50
TOTi;L MECHANICAL 11.00
SOLAR
~RONG MOTION
FIRE SPRINKLERS
~,=, t= -1 BIJ:92·33-O519_ _ __ _J__._7-fi___
01-00-00-8227 -
QTY. ELECTRICAL PERMIT · ISSUE -II QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP.'SWT BKR inn ?c;.nn _..,...,. __ • ........ COLLECTORS SCHOOL FEE· DISTRICT ___ _
1 PH 3 PH STORAGE TANKS ,~J ) Carlsbad 80-92·21-0519
EXIST BLOG EA AMPISWT/BKR ROCK STORAGE ~ V ~ ':21 U Encinitas 80-92-22-0519
I PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMP POLE 200 AMPS
PUMP r,fV 't-. C\. . U\ .IU l II San Oie_lluito
PLAN CHECK FEE ~ ,'I/ ? ,'\ 1 I II San Marcos ,~-JV
80-92·23·0519
80-92·24-0519 PAID
OVER 200 AMPS _U ' LICENSE TAX 01-00-00-8162 2.?m 4n
TEMP OCCUPANCY {JO OA YSl ,
fl? /:r"CDSTA REAL WATER i=;oo_oo
TOT Al ELECTRICAL ' 30. 00 Ii '
__l
~1'1-IAvE dA~ERJWi ~1~ i~~ptcTJo ~APPucAlJON AN(; PeftJ,~:: A~o ho ,A·E~.Esv:
CERTIFY; UN0ER PENALTY Of p;e&llJRY ~I-IA'T ALL INFOflMATfON HEREON 1NCLUOING THE"
DE CLARI' TIONS ARE TRUE ANO:OORRECT ANQ l ft)RTHEA'eEATIF¥-A'NO l!«lREE<tF A PERMIT 15
·~ TO,QOMPLY wrtf+ AU,-9t'T¥~.Y AN,0.:STA1£. l.AWS GOVfERNtlllG BUtLOJNG CON-
,STRUCT~. , WH0-t;E£llect ___ -•M_ -... ])R NO __ L IA_l.sii. AGRE-E.TO SAVE:INOEMN\,)=YAND , ,eEP H~es&,:r'WE,,~-f4AtN.ST ALL UAQtUTIES. JUDGMENTS cosrs AND EXPl;f<$~ Mffl:11'1"<A\h . ill\ ". 1!!JE AGA1"\IT.~ Cr!Y i,rco"5~.<ll' THE . ,.QR~TMIS>~ · ' · -►--J0 0-, • ' ' . ,. , . .;,· ''"""'' s;.,,,,, .. ,1'"·"', ·' ~-----·---'----.:..::
tAEDIT DEPOSIT
TOTAl SOLAR TOTAL FEES PAYABLE l 3,661.45
AE<lUIRU>~-= _,. .,...-.<lit OF -
'ovEA:'3 STORIES 1M HE,dif !}
APPROVE~}--1~!1=r/tf
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TYPE I DATE INSPECTOR
BUILDING I
' 'x-2.-S-0 -:;).-S3
FOUNDATION -I /l FIELD INSPECTION RECORD
REINFORCED STEEL ,""-. -'-• I. r
MASONRY I , .
' GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I ,. SOILS COMPLIANCE
SHEATHING D ROOF D SHl=AR -. _ .. 'J",.
FRAME I ~ ._, -.,,, PRIOR TO
FOUNDATION INSP
EXTERIOR LATH .
I A
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I Z,,7/H 7_
INTERIOR LATH & DRYWALL I ~ 'T
PRESTRESSED
CONCRETE
POST TENSIONED ' I
--. CONCRETE
PLUMBING I . FIELD WELDING
SEWER AND BUCO DIPUCO . ~ .,, HIGH STRENGTH
UNDERGROUND □ WASTE D :WATE~ P//1/J-1 .,,
~
TOP OUT D WASTE D WATER ,:,.. _, ~ .... .,, r
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I /I
GAS TEST ' nht>/P.f-I/ I PILES CA1ssor-.s
D WATER HEATER D SOLAR WATER -~
I
ELECTRICAL ' ' D ELECTRIC UNDERGROUND □'UFFER ,,
ROUGH ELECTRIC I -,.~,,., T
D ELECTRIC SERVICE D TEMPQRARY -
D BONDING D POOL I
I
MECHANICAL ' ' ,,
D DUCT & PLEM., D REF. PIPING Mqt>/>,1 -r
HEAT -AIR COND. SYSTEMS I
.
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPEC
1
~~N WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING "' I -
ELECTRICAL "' I /}
MECHANICAL ,, I ,/ 1 ...
GAS " /Alli t'
BUILDING ;"'-. IS. I'"'
SPECIAL CONDITIONS I -
I