HomeMy WebLinkAbout2702 La Golondrina St; ; 86-1147; Permit"' z 0
" .. a: :l <.> ..
C
I[ ~
a: ~ -' 5 ~ .. z ~
z 0 ~ z .. ..
" 0 <.>
"' « ..
" a: 0 3
![
O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) ol Division 3 of the Business
and Proleaaiona Code. and my license 1s in
lull force and effect
I hereby atf,rm that I am exempr lrom tr>e Curtrac
tor's L,cense Law tor the tollow1ng reasor, 1Sec 7031 ', 1 Busrness and Prntess,ons Code Any c,ty O' coun:y wh,u, re
qu,res a perm,t to conslruc: airer ,mprove derr'0'1s~ ur
repa,r any siructure, prior 10 its issuance also requ res :heap
pl1cant 1or such permit lo Irle a s1qned slatemenl tM' r>e rs .
11cMsed pursuant to the provisions ol tr-e ~ontracwr s 1
License Law '.Chaoter 9 commencrng wrth Sert1on ?UOO of
D1v1s1on 3 ol lhe Business anO Proless,ons Code, O' Iha! ,sex
empt lhere!rom and The bas,s fO' The a legeo exempt,cn Any
,iolat,o~ af Section 7031 5 by an appl,car.t fo' a pe-'11I1 ou~
Iec!s The app'Icant 10 a c,v,I penalty of nol more lhan ',•;e ~un
ared do'lars !$500!
~ I, as owne, ol the proper"y or f")' empIoyees w·I" wages 1
as lhe,r soie compensation. wII• do •tie work and lne struc
tu,e ,s nol ,nteMed or olfered lor sal~ 1sec 7044. Business
and Profession~ Code The Con1racTor s License Law does
not apply to an owner of properly who Du,lds or ,mP'oves thereon and who does such work ~,mse,f or through rIs own
employees. provided that such ,mproverne~1s are not mTend
ed or ollered for sale II however 1ne ou1ld1ng or improve-
ment ,s sold w,th,n one year o1 complelton. the owner-builder
will have the burden of prov,ng that he did nol build or ,m
orove 1or \he purpose o1 sale1
I as owner ol the property, am exclusively con!rac!,ng
w1lh licensed contractors to conslrucl !he pro1ecl !Sec 7044 Busmess and Professions Cooe The Contractors License
Law does not apply lo an owner of property who bu•lds or im-proves the1eon. and who contracts lor each proIects w1lh a
conlractor(s) license pursuant to the Contractor's Lrcense
Law)
As a homeowner I am 1mprovIng my home. and !he follow ,ng condIt,on> ex,st
1 The work ,s be,ng performed prior to sale
2 1 have lived m my home tor 1welve "10~1,,s
prior TO complet,on of th,s work
1 have nol claimed :h,s exemp1,on during !he
iast three years
lor 1Ih~: re:'a~~il under Sec _____ _ B&PC
_ I hereby a•f,rm that I ha,e a ~ertif,ca1e of con sen I to
sel'-,nsure. or a certi11cate of Workers Compensat,on In
surance or a ~en,tied copy the•ecf ,Sec 3800 Labor Code)
POLICY NO
COMPANY
Copy .s filed with the c,ty
Cert1f1ed copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th,s sec1t0n need not be completed <1 the perm,t
,s for one hundred dollars 1S100) or le-5S!
;?r I cer11ty that ,n the performance of the work for wh,ch I
tn,s permn ,s issued. I shall not employ any person ,n any
manner so as to b-ecome sub1ect To the Workers Com pen
sat,on Laws of Ca1,rorn1a
NOTICE TO APPLICANT II, after making th,s Cert,!1cate
ol Exemption. you should become sub1ect to the Workers
Compensation prov,s,ons of the Labor Code you must
lorthw1th comply with such provisions or this perowt shall
be deemed re,oked
=1 I hereby at!irm that !here •s a constr·Jct,on eno,~g
agency for the performance ol the work for,,, s,cr, this pe,
'T\I1 Is issued (Sec 3097. C1v1 Code,
Lenders 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 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV, ST.AO. NEAREST CROSS ST. l / D[-,/flAT<ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
~'7<J~ L#I <?,, le;, dr //f-, sr-f~ 71(2-5 ~lo~
14''1 BLOCK ld.UBOIVISION ~ • .JJ,~O~<"l;L NO / CONTRACTOR CONTRACTORS PHONE 11 ZONE ( I\ ~1 .1,,.,1. ,er v-I ~ AO
OWNER'S NAME
~.,/ ~W;E;~H;E ,_ ),._es ~ 1J.,fie1--CONTRACTOR'S ADDRESS STATE UCENSE NO. BUILDING SQ FOOTAGE
OW"IER·s MAILING ADDRESS
1~7.gti L,., 6'.,/,,_,,._,/,./ .. ~ Sr, . {!,, ;,./4 ,,, ,J DESIGNER DESIGNER'S PHONE
~ u::
>-~
DESCRIP~O;Wj)RK /:; , iiiiZ5 STATE LICENSE NO. ii iii. .iU/29i56t°tiiiiT 6f4 B t ui& E ·~,... .-........ DESIGNER'S ADDRESS
Li:.?!'-'' X 3_71 -----' ' FLRELEV NO DCC GP EDU
STORIES
ylJ "'□ ---
;
I PAf'i<;1N(, SPACE: RE:S UNITS I GRADING PERMIT ISSUfD I REOEVE:LOPMENT TYPE DCC LOAD FIRE SPFI
AREA CONST
,□ ' D ,'.] -.□ vO "<0 Not Valid Unless Machine Certified
! 1 S'.9--QTY PLUMBING PERMIT -ISSUE I i QTY MECHANICAL PERMIT -ISSUE 3oS-SUMMARY/ACCOUNT NUMBER
EACH ~IXTURE !RAP . I INSTALL FURN lJUCTS UP TO 100 000 BTU BUILOl"JG Pf.R'v1!T 001-8 ~ (J-00-00-8220 '..,r-T :::--
-----~---
EACH BUILlJING SEWER I OVER 100 000 BTU SIGN PERM!T 001-810-00-00-8221
~ +-----... ---------PLAN CHECK 001-81 0-00-00-8821 c2S-.~ EACHWAH:R HEATER Ar-.u nR VUI.T BOILER.COMPRESSOR UP TO 3 HP
----------------~-------------
EACH GAS SYSTEM 1 T(] 4 U UT U'TS -t 80ILE_R C~_M_~R[~SOR J 15 HP TOTAL PLUv1B'\G 001-818-00-00-8?22
~. ---------' ---.
EACH GAS SYSTEM 5 OR MORE
'
I \lETAL F REPI AC~ ELECTRICAL 00' -81 C·-0C-00-8223
EACH INSTA~ _!1_0JR. REPAIR WATER P1PE --7------------------
,; VENT FAN SINGLE DUCT MECr'ANICAL uu, -810-00-00-8224
----lt--------.
EACH VACUUM BREAKER ' . MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225 --
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR 001-810 -00 · 00-8226 ----. . -------
F:1.::,I R():_:i l:>'.'.I~. · \:: IH 1 DRYER VE~ T STRONG MOTIUl\ 88C-519-92-33 ----------
I I TOT.c.L MECHANICAL F1RE SPR''1'\LERS 00 1-8 i 0-0D-0C-82 27
----
IOI Al Pl UMHINl, ,, PUBLIC FACIL1T1ES FEE 320-8 '. 0-00-0C-87 40
...5 ~ :, QTY I
-------------
BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP PARK-IN·i..lEU (AREA :1 ' --
rl!EW CONST f.A AMP SWl bKR CAR PORT TIF 134-810-00-00-8835
-------------
I PH i Pf-I I AWNING LA COSTA TIF 133-8' 0-00-00·8835
------·------. -
' FXIST blOG EA AMP S'-NT 'lKR _ _, --GARAGE FMF
---------' . I PH HH Ii LICENSE TAX oc 1-il '. 2,-0,:-0,~-e, s2
. --'I
. ---~ . -
REMOOElA!TtR PER CIR[Ull MFF 880-519-92-57
----I l[\1PPOLf: 200 AMPS --
□VER JOU AMPS Ii ----
IEMP OCCUPANCY 1JD OAYSi " . ----------------. ' -------------I CREDIT DEPOSIT --. -
:
----
1 il I AL Flt I, 11--!ll,!. l T()T ,\ L TOTAL FEES PAYABLE I 0cf -~
11 I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY E)(piratmn EYery permit issued by ttie 8u1ld1ng Olfic1al under lhe prov,s,ons of this * AN OSHA PERM:T IS REQUtRED FOR EXCAVATK)NS OVER
CERTIFY UNDER PENALTY· OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e)(pIre by hm1tat1on and become null and void I! the budding or work 5' o·· DEEP ANO DEMOllTION OR CONSTROCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit Is not commenced w1thm 180 days from the date 01 such STRUCTURES OVER J STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON-~~:~1~n~ I~t 1~~" ~~~1;Pte~;h:~~,:~tc°;~~e:6eJ~~~ ~~~gdI~i5~Jg~na~~d or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND n... , RR1. CONTRACTOR 0 APSRQVE{ ' DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND !CANTS s~-:~~NE I I ro/L 9/K-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J BY PHONE 0 GRANTING OF THIS PERMIT. / / ..
w f-
"O
0
CJ
C • ~
0.
0.
<{
I
~ C
Cl.
0 m ~ w m m <{
~ 0
-,; >-
w 0
C • C
u.
::.
C w ~
CJ
0 u w
0. m
C
w
re s
TYPE
BUILDING I
DATE INSPECTOR 3to-ll q 1
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ Sf;IEAR
FRAME
INSPECTION REO IF INSPECTORS DATE IM /} I ;/LJ 15 A J_ /.1/<..Arc.-rlt>N t(:.c _,..,, ,, ~7' CHECKED APPROVAL --' -, .
SOILS COMP1_:ANCE I PRIOR TO
F-C!Ur--.iDA-:-ION INSP i
----'-·
EXTERIOR LATH STRUCTURAL CONCRETE
OVER ?000 PSI
INSULATION ' PRES TRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TfN~-.IONED
CONCRETE -1--------------
PLUMBING F!fLO Vo'ELOIN(;
~ SEWER AND BUCO ~ fll/CO r-·-··---~ Hl(;H STRENGTH
UNDERGROUND □ WASTE □ WATER £-JUL rs
TOP OUT □ WASTE □ WATER 2'FE0AL MASONRY
---
TUB AND SHOWER PAN
GAS TEST PIL!:-S CAISSC)"<'.:'
□ WATER HEATER □ SOLAR WATER ---t----
.. ---t----------ELECTRICAL
□ ELECTRIC UNDERGROUND ['.] UFFER ----
ROUGH ELECTRIC
□ ELECTRIC SERVICE D TEMPbRARY
□ BONDING □ POOL 1 ~---------:
---
MECHANICAL ' I --------t------
□ DUc:T & PLEM., □ REF. PIF'ING !
i ___ , ·-··
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS I
I I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV~BEEN APPROVED
-. --I
FINAL '
'
PLUMBING I
ELECTRICAL ~ I
MECHANICAL ~ • GAS I ... \:"' .
BUILDING ' ~ .... ""~· SPECIAL CONDITIONS ' ' ""' ~
""'---