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Home My WebLink About2702 La Golondrina St; ; 83-111; Permit1/) z 0 ;:: C ,r: ~ u Ill C IC I[ 0 u IC Ill 0 ... 3 I Ill z ~ ~I ~ 1/) z Ill A. :f 0 u 1/) iz: Ill ><: ,r: 0 3 ![ O I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lie No ______ Class ______ _ I hereby amrm that I am exempt from the Contrac· tor's License Law lor the following reason (Sec. 7031.5 Business and Professions Code: Any city Of county which re· quires a permit to construct, alter, improve, demolish. or repair any structure. prior to i1s 1ssuance also requires the ap--ri:~°' pu~~ri~t t1~em~~~~ ~~\:"~o~';:~~!: License Law (Chapler 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) Of that Is ex- empl therefrom and the basis for the alleged exemption. Arr, violation of Section 7031.5 by an applicanl for a permit sub-jects the appl,cant to a civil penalty of not more than five hun• dred dollars ($500). O I, as owner of lhe property, or rrr, employees with wages as their sole compensation. will do the work, and the struc-ture is no1 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does :r~'1,:,0 :~ r~rs~cir:t~i::, ~i~~~~~r;c:~ employees. prCMded that such improvements are not Intend-ed or offered lor sale. If, however, the building or improve• ment Is sold within one year DI completiOn, the owner-builder wiU haVe the burden of prov,ng that he did not build or im· prove for the purpose of sale). D I, as owner of the property, am exclusively contracting with ncensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who buikls or im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's l icense Law). D As a homeowner I am improving my home, and the follow· ing conditions exist: 1. The work is being performed priof lo sale. 2. I have lived in my home for twelve months prior to cornpk,Oon of this work. 3. I have not claimed this exemption durtng the last three years. D l amexemptunder Sec. ______ ,B&P.C. for this reason D I hereby affirm that I ha-..-e a certificate ot consent 10 self-insure, or a c~•flcate of Workers· Compensation lns~1ance.~ a cert1fted copy thereof (Sec. '3800. ul;or Q>del □ Copy I □ Cert1fi CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permit Is tor one hundred dollars {$100) or less) D I certify that in the performance of tne wort\ tor which this pemut 1s issued. I shall not employ any person in any manner so as to become sub1ecI 10 the Work.ers· Compensatton Laws of Cahforma NOTICE TO APPLICANT If. after makin'J this Cert• hcate of Exemption, you should t>ecome subIect t? lhe Workers· Compensation provIsIons ol the labor Code, you must torttiw1th comply with such provIst0ns or ttus permit shall be deemed revoked D I hereby afhrm lhat there ,s a construction lend,no agency IOf lhe performance ot the wont tor which this permit Is issued (Sec 3097. C1v1l Code) Lenders Name ___________ _ Lender's Address __________ _ l USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT .. APPLICATION & PERMIT . -, 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 . ' JOB:):)S'o ~ ~ ~ ~ ~~ , A~;.T.,03:~:;~ IIUSfNES LICENBE • /;LifHJ PERMIT NUMBER 0/ (J._7 4-CJ- OWN~~t-~ I OWNER'S PHONE 2/JNTR~R . ,:-7;; 4 ~ CONTRACTORS PHONE• ZONY J3-tl/ "" ~-.. ..,_ ._ I'-' -• OWNY R'S MAILING ADORESS CONTRACTOR'S ADORESS UCEN8ENO. PLAN 1.0. # BLDG USE CODE LOT l BLOCK I SUBDIVISION l ASSESSOR PARCEL NO. I OESIGNER LICENSE • STANDARD PLAN # BUILDING SQ. FOOTAGE DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE . -~,:_~,,..~~'"-.~~~,~~ • tlt'iii% -+ --• ---------F/P FLR EL EV. NO OCCGP EDU STORIES vO NO --- CENS\JS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRACING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR .... fi/.9156!~, : "'~•~e AREA CONST ~~""""',$a, YO ND vO NO vO NO • ~.t:@.2 3 Q TY. PLUMBING PERMIT -ISSUE 7~ QTY . MEC H A NICAL PERM IT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILOlNG PERMIT 01 ·00-00-8220 Y.6'~ Ju EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 I -· 1,, .5"6 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR ORJO 3 HP Pl.AN CHECK 01-00-00-8806 "/ EACH GAS SYSTEM 1 TO 4 OUTLETS .,, .~~ BOILER/COMPRESSOR 3·15 IIB.... TOTAL PLUMBING 01-00-00-8222 /S-:. UV EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE "'-. . ELECTRICAL 01 ·00-00-8223 /n . ~ I EACH INSTA~ .. ALTER, REPAIR WATER PIPE 7./ .r o VENT FAN SINGLE DUCT "" MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS "" MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER "~ MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) "" SOLAR 01-00-00-82?~ .. TOTt;L MECHANICAL . STRONG MOTION 80-92-33-0519 VJI TOTAL PLUMBING I /j -~ i-I FIRE SPRINKLERS 01 -00-00-8227 s--' PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERM IT -ISSUE QTY. SOLA R · ISSU E BRIDGE FEE NEW CONST EA AMP/SWT /BKR COLLECTORS I SCHOOL FEE • DISTRICT I PH 3 PH STORAGE TANKS carlsbad 80-92-21 ·0519 EXIST BLOG EA AMP/SWT/8KR ROCK STORAGE Encinitas 80-92-22-0519 I PH 3 PH PUMP I San Dieguito 80-92-23-0519 I REMODEL/ALTER PER CI RCUIT -s-. h',, PLAN CHECK rEE San Marcos 80-92-24-0519 TEMP PO LE 200 AMPS ' OVER 200 AMPS -.......... . -C ··-.>::, TEMP OCC UPANCY (30 DAYS) -.,, r--.. . . '-:.,:i· ... :,. 11( .. 1 ., . . ' . . • C . ,.•/. ·' ~ '--. -"' TOTAL ELECTRICAL 1 •' /6 og TOTAL SOLAR r TOT A L FEES PA YAB LE I I I L.Z,$ , l. i.,.. .. I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Expiration. Every perfflfl -bythelluikllngOfflcialundarlhe~olltlia * .AM~ l'ENIHT IS REQUIRED FOR EXCAVATIONS 0¥EA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ohall exf)tre by limilallon -beeoma ndl and void If 1118 ~or-' -S-r DEEP AND DEM0UTIDN OR CONSTAUCTl0N OF OECLARATtO,NS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~::::~•:i ?,Y ~c=it 1~"°!:;:;:::::'._,wffllin ::.,daya 1r':"1a""' Of -ic; SJIIUC1URES OVER 3 S10RIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON--ned at anv tin,e~arlhe wOfll ia~b =.....ot 11111 ~- STAUCTfON, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY~~ , r rotrf!I.; APPROVED BY DA TE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS NO APPLIC ~NT S Sf~(~~ .f)/2 0 CONTIIACT • r--.~,;._~.:-~ I 3-.2J,?$ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF • ~ Q ,., BY PHOltii 0 GRANTING OF THIS PERMIT, '(. · l •, j b-" - • "~-' I~\, ... • BUILDING INSPECTION TYPE DATE INSPECTOR i~-/11 -;,c ~ FOUNDATION " FIELD INSPECTION RECORD REINFORCED STEEL "' 4-Y-f.J 1' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I INSPECTION R'EQ IF INSPECTOR'S DATE CHECKED APPROVAL - GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING Iii SOILS COMPLIANCE I,-•-# ' .l""AA~ CL~ OIJ ~J,J~ L ,.___ ,t#IJu(.,, L~J..Jlr. PRIOR TO FOUNDATION INSP 8~ /1,A"Ler .,,, .... _,,,." / STRUCTURAL COf':ICRETE FRAME OVER 2000 PSI EXTERIOR LATH lNSULATION PRESTAESSED CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING --FIELD WELDING SEWER AND BL/CO A HIGH STRENGTH PLUMBING UNDERGROUND 4-F'-i".r. /' BOLTS PLUMBING TOP OUT SPECIAL MASONRY · -. --I TUB AND ~HOWER PAN A GAS TEST !4--lf-?3 r PILES CAISSONS ELECTRICAL I ,. TEMPORARY POWER ELECTRIC UNDERGROUND -- ROUGH ELECTRIC 4-14--B -f /40 ELECTRIC SERVICE I - BONDING 14-~-f'? ,., -- G. F. I. -SMOKE DETECTOR I MECHANICAL '.'"-"'U ~c"'e '"'i> -:;,. r • -~ ' . -~-.-= .;.~ :E"~ -~ . - DUCT & PLEM., REF. PIPING ' - HEAT-AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS . ·'Cllif '?\ l\f~• .. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED -- " JOB'SITE FINAL PLUMBING "' ELECTRICAL "' /) ~ MECHANICAL "' # ,. ,'.I GAS "' A _J,f :J -BUILDING "' 7 ---.. SPECIAL CONDITIONS .... CERT OF OCCUPANCY ISSUED llfilfil1EE8RI.N ·1 AL I NF O llli8IlillLSHEEI BlllLD I NG DEPARTMENT &~~EI VE D BUILDING ADDRESS: ,;2 )~?{ ai: ~~~ MAR 211983 A. p . N: d. I 5 -51/1 -0 I C • T : ~ * t t; * * * * * * *z* * t * * * * * * * ,·, * * :* * * * * :;; * *-* -* *_*_*_*_*_*_*_* -* *_*_*_*_*_*_*_* _*ij==IaT--,~,-~---;,-~--.fAF! .............. --, -------.R..-.-* . 0~ PLANNING DEPARTMENT J.J//J,-- zGNE: _____ SCHOOL FEES: SAN DIEGUiko . SAN MARcos __ _ ENCINITAS CARLSBAD ------------ ·UNITS REQ'D: PROVID~D: ~ % COVERAGE A-LL_O_l-VE_D_: ______ /L_-_PRO~ID-ED-: --29---,.=~-~------- PARKI NG SPACES REQ 'D: p;r = . PROV !DED: _ -_ -_-_ -+--...... _ --,_:_ -_ -_ -_ -_ -_ ....;;;;.-;;_ ___ -_ -_-_ -_ -_ BUILDING HEIGHT REQ'D: PROVIDED: ------~-- FRONT SETBACK ALLOWED: ??Sir PROVIDED: ~ INTRUSIONS: ------ RE-DEVELOPMENT APPROVAL REQ'D: SIDE SETBACK ---------LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK / ---------------- ENVIRONMENTAL PROTECTION REQ: ------------------- ADDITIONAL COMMENTS: OK TO ISSUE:~ DATE:_:;:,/'21 &> OK TO FINAL: ___ DATE: . I I ---- *, ,_,*,.._.,*~*~* ..,...* ";,--~ .l.t...0-,-, ,,'"""' .. *,-,*~*...,...*-,-* -,--* *~*,-,*~*~'/;' EC* i; * * ~ * *~ * {0£t0!Cf:10it * * 1; U * * * * * l~ * ;:; * -Di * * * * ·liiv:i..:li. ENGINEERING DEPARTMENT /,/?c-. ../ ~. R.O.W: _____ &PROVEMENTS: PUBLIC FACILITIES FEE:· SEWER CONNECTION: DRIVEWAY LOCATION(S): ------------------- GRADING PERMIT: --------------------------EASEMENTS: DRAINAGE: ----------------------- LEGAL DESCRIPTION: --------------ADD IT ION AL COMMENTS: ----------------------- * IF TlltS ITEM IS NOT CHECKED, 13UILDJNG DEPARTMENT WtLL MJ\KE PINAL INSPECTION.