HomeMy WebLinkAbout2701 La Golondrina St; ; 81-253; Permit.. z 0 ~ "' .. ... ~ Q
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0 I hereby affirm that l am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 ol the Business
and Professions Code, and my license is in
full force and effect.
L,c No C' ass
I hereby att1rm tha1 I am exempt from the Con
~~t;·~~~;:;:: ~: ;7~!~hs~,~~~~e'8t~~,\~,
county which requ,res a perm,\ to construct
aller, 1mprove. demolish, or repa,r any structure. pnor to its issuance also requires the applicant !or
such perm,1 10 tile a signed sta1ement that he ,s
licensed pursuant to the prov,s,ons of the Con-tractors License Law (Chapter 9 commencmg w11t>
Sect,on 700J o! 01v1s1on 3 o! the Business aml Pro
tess1ons Code) or that ,s exempt !heretrom and the
bills•~ tor the all!!Qe(l exemptmn Any v1olat,on of
Section 7031 5 by an applicant tor a permit sub1ects
tne app11can1 10 a c1v1I penalty ol not more than live
hundred dollars ($500)
Q I, as owner o! the property, or my employees
with wages as their sole compensat•on. will do the
wort<., and the s!ructure ,s no! ,n!ended or offered for
sale (Sec 7044_ Business and Profess,ol'ls Code
The Contractor·s License Law does not apply to an
owner ot property who builds or ,mproves !hereon
and who does such wofl( himself or through his own
employees, provided that such 1mproveme:its are
not intendln or oflered for sale_ If, however. the
bo1ld1ng or ,mprovement ,s sold w1th,n one year of
comp1e1,on, the owner-builder will have the burden
of proving that he did not build or improve !or the
purpose of sale)
□ I. as owner of the property am exclusively
con1ract,nQ w,th licensed contractors to construct
the pro1ect (5ec 7044. Business and Protess1ons Code· The COn1ractor s license law does nol apply
to an owner ot property who builds or improves
thereoo. and who con1racts for each pro1ects with a
contractorls) hcense pursuan1 to the Controctor's
license Lawl
0 I am exempt under Sec
!or th,s reason
B & PC
O I hereby affirm tha1 I have a cert,f,cateof consent
to se1t-1nsure. or a cert1!1cate of Workers
Compensa11on lnsu ranee, or a cen1t,ed copy thereol
(Sec 38:Xl Labo• Code)
POLICY NO
COMPANY
O Copy ,shied with the city
O Gert,hed copy ,s hereby furn,shed
CERTIFICATE. OF EXEMPTlON FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the pe,m,1
,s tor one hundred dolla,s 1$100) or less)
0 I cert,ty that ,n !he performance ol ttle wor1< tor
wh1cn th,s permit ,s issued. I shall not employ any
person ,n any manner so as to t>ecome sut11ec! 10
the Worl<e,s· COmpensat,on Laws of Cal1lorrno
NOTICE TO APPLICANT II. alter mak1n~ lh1s Cert,
t,ca!e of Exemption you snould t>ecome sub1ect M the Workers Compensat,o" prov,s,ons 011he Labor
Code you must lorthw,th comply w1lh sue~
pros1s.o"s or :h,s perm,1 shall t>e deemed •evoked
·□ 1 he,eby .i.ffirm .1na1 •here ,s a construction
end1,;g agency 'or :r-.e performance vi lhe wor1< lor .,,~, ':h th,s perm,t ,s ,~sued 1S<ec !097 Ci, 1 Code,
~enoer s Name ___________ _
Lenders Address __________ _
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 (714) 438-~25
JOB ADDRESS ft{_,_ M~ AV.ST. DATE OF APPLICATION
::J.?tJ I ?,t-~ ,' -RD. -, / , ,, .,, 6-<r,-~/
OWNE'R~2 ,t~ n /1,L/,il L I t/3;:';~0N.;_ PRIME CONTRACTOR
P,u111e Pod)
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
51'9-M~ If-.:> J4.;t. I) V ..(!_ . 1967, /"11?,t,1 Lt"'-
LOT I BLOCK -I SUBOI VISION I ASSESSOR PARCEL NO.
t9-/~-S'13-/7
DESIGNER
DESCRIPTION Of-WORX PtJ.,.,,...1,,, i <. ~ ...... , ...... ,_ Pc.m I DESIGNER'S ADDRESS
CENSUS TRACT l Ge LAND us, I eAR<,NG seAcE
V
RES uN,TS -I GRADING ~ERMIT ISSUED
YO N □
,1, F LR ELEV.
YO NO
l REDEVELOPMENT
AREA
vO NO
1)11..
NO
STORIES
TYPE
CONST
BUSINESS LICENSE#
y~71~
VGUATION.,,.,,,,,,,.
-1 7J_ j.
CONTRACTORS PHONE #
'-,1,,/ -7 /..t,) -
ZONE
PERMIT NUMBER
~l-·rS3
LICENSE NO.
eLA!/.,D, -~ -y .r-, BLDG use CODE
STATE LICENSE# STAN-DARO PLAN# BUILDING SO. FOOTAGE
3 '-/7/ 7o/-o: t/-J:_/S! ~
DESIGNER'S PHONE V I \,4 • ,:_ ~ :,: -
OCC GP EDU
OCC LOAD Fl RE SPA
vO NO Not Valid Unless fhchine Certified
QTY. PLUMBING PERMIT · ISSUE 'I~-& QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER 0>
EACH FIXTURE TRAP _________ ·+---INSTALL FURN.DUCTS UPTO 100,000 BTU ~IL~PERMIT _ _ __ -, ~--
EACH BUILDING SEWER OVER 100.000 BTU SIG'-J PERMIT
_-EACH W_ATER-.HEATE. R AN□,~ENT L= ---so1LER1cciM._PREsso~~P ~3 HP~-=~~ __ ___ PLANCHECK Pzt __w S___l, ·_7 _ -= __ ----
EACH_ GAS SY_STEM 1____!._Q ~ OUTLETS t----___ ~--'I--BOI_LER/COM~~S~--~--__ TOTAL PLUM81NG __ __ __ __ __ __ __
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~CTRICAL _ _ _ -~7_-::._
-:-YS" VENTTA-N SINGLE auCr __________ _,_ ______ __, MECHANIC~
E
I / I EACH INSTA~ .. ALTER, REPAIR WATER PIPE f----C-+-= ----------· --· . -MOBILEHOME
----------
MECH EXHAUST -HOOOIOUCTS REL□CA-T~1-□N o~~~RNAcE1HEATE·R-----=t_=-: ~I LEHO ME PARK INSP -__ _
SOLAR
EACH VACUUM BREAKER
·--~ATERS□rnER --~ -r-+ EACH ROOF. ORAIN_IINSIDEI -
-
7--~---+---,--I~
TOTAL PLUMBING I -
on "'°'""'LJ>;""" ossocf ~ '1--1 ,,;-__ SOLAR· 1ssuE _ _ I j-::.__
L TOT<L MECHANICAL I : ~ONG MOTION~--
FIRE SPRINKLERS ----
PUBLIC FAC',LITIES FEE
7o-:;:.;-
1---+--N_EW_CO~EA~ SWT B~ -------COLLECTORS ~ F__ ---=
1 PH 3 PH STORAGE TANKS -----------------·-----
EXIST BLOG EA AMP/SWT BKR I ROCK STORAGE ---
I PH r--+----. -
I REMODEL 'ALTER PER CIRCUIT
, TEMPPOLE 200AMPS
3 PH PUMP
_____ ~"'-: .-r-=-~J'LA~ CHE~K FE_t -+-/~J:,,
----f
-,. +-
~DGE FEE --=-
SCHOOL FEE -DISTRICT I-----
Carlsbad
Enc1n1tas
San 01egu1to
SJ~ Ma.rcos
f-----j OVER 200 AMPS
-----------+------if-
TEMP OCCUPANCY 130 DAYS)
---jf---
----
--+---· ---~
+--------
-,... -· ---~-
-+---~-
-----
--~
---
---
--
----;
j
TOT Al ELECTRICAL I
I 7-
+-
JOTAL SOLAR -7 ~II TOTAL FEES PAYABLE I f':>-1-,.. ..--I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Every permit leauedbytheBuildingOlficfa1 underthepro11isioosofthis
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda ~hall expire by lim_l~lion and become null and 11oid. If the building or work
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulh~ized by sueh permit IS not commence_d within 1BQ days from the date of such
* AN OSHA PERMIT tS REQUIRED FOR EXCAVATIONS OVER
5' 0"' DEEP ANO OEMOUTK>N OR CONSTRUCTION Of
STRUCTURES OVER 3 STORIES IN HUGHT
I
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• =~i~ ': t:'~ WOR ~ltlonzed ~y soc'h per~tl ts suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO '-:':::c"::="=:=::..:"'-""'"-'""~ ... ,,,,~-""'~'~'~c~om"'"m~•e,sc•~•,..,,10~•~•Ja,;~n£odQ.20~f ~•ao!!!.!•~•!X>•~-..... -............. -------------------'
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPi.iC S SIGNATURE Jf AO CONTRACTOR O APPRO ED BY Of T
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / l . L·/71 /g
GRANTING OF THIS PERMIT. BY PHONE D \J I / ---~ l~....._____....------I , •
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
-
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT -~-
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING //
ELECTRICAL . /,
MECHANICAL //.// -L_
GAS /4'\ ~/
BUILDING ' '--')
SPECIAL CONDITIONS '-CERT OF OCCUPANCY ISSUED '-
8'1-~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ------
SOILS COMPL,ANCE
PRIOR TO ----
FOUNOA TION INSP
--------STRUCTURAL CONCRETE
OVER 2000 PSI --PRESTRESSED
CONCRETE ----.-----·----e----------POST TENSIONED
CONCRETE
~
FIELD WELDING
-------------------------------------------
HIGH STRENGTH
BOL rs -----i-----·--------· ---------------
SPECIAL MASONRY
-----r·--
PILES CAISSON~
---
-. -
--
---------------
--·---
----------
------
-----
-------------
------., ___ ---
-----------------
---··-----
INTERDEPARTMENTAL INFORMATION SHEET
•"1.1JILD1NG
BUILDING
DEPARTMENT ✓ f ,,., ~'6.(::EIVED
ADDRESS: d2o,l~d4.t4c ca ✓ .mN 261981
_,. •
PLANNING DEPARTMENT
-~
ZONE ______ ~ __ LOT S IZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
__________ PROVIDED __________ _
PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED -------------__________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED _> INTRUS IO_N_S _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: _--,,,..,p..._DATE (-), OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT (J#
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ---,,......--...,.....-EASEMENTS~ ________ DRAINAGE ____ _
LEGAL DESCRIPTION~~ i,4e _.. /4,r:-S-'IJ-17
ADDITIONAL COMMENTS . J'
OK TO ISSUE: ..J/1/C. DATE G-:,26 ~WI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______ ~--------
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
' -OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ __.Jt.._
"===============================================~
WATER DEPARTMENT J
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ \~,.--
\