HomeMy WebLinkAbout2706 LA GOLONDRINA ST; ; 81-382; Permit.. z 0 ~ a: .. -' u "' 0
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D I here{))' affirm that I am licensed under
provisions 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 tiereby atf1rm that I am exempt from the Con ~tl~ul~~;;:; a~dw ~~f~~~,~~l~~e'S:~~,\~,
county which requires a perm,t to construct
alter. 1mpro~e. demolish, or repair any structure,
prior to its issuance also requ,res the apphcant tor
such penmt to Ille a s,gned sta1ement that he ,s
licensed pursuant to the prov1sIons ol the Con
1ractor's License Law (Chapter 9 commencing with
Section 7000 of O,v,s,on 3 of tr,e Business and Pro
less,ons Code) or that ,s exempt therefrom and the oas,~ for the all69ed exemption Any v1olat,on of
Sectoon 7031 5 by an applicant for a perm,, sub1ects me appllc,int to a c,v1I penalty of not more than 1,ve
hundred dollars ($50))
D I, as owner of the property, or my employees
••th wages as their sole compensat,on. will do the
won<.. and the struc1ure ,s no! intended or oftered tor sale (Sec 7044, Business and Profess,ons Code
The Contractor's L,cense Law does not apply 10 an owner o! property who builds or improves thereon
and who does such worl<. h,msel! or throug~ h,s own
employees. provided that such 1mpro~me~ts are not intende1 or offered tor sale 11, however. the
bu,ld,ng or improvement Is sold w1thm one year of
completion. the owner-builder will have the burden
of proving !ha1 he did not budd or improve for the
purpose ol sale)
D I, as owner ot the property, am exclus,vely
conlracting with licensed contractors to construct
the proiect (Sec 7044, Busmess and Profess,ons
Code The Contractor's License Law does nm apply
to an owner of property who builds or 1mpro..es
thereon. and who contracts for each pro1ects w11h a
contractolisl 1,cense pursuant to the Contractor"s
L,cense L.aw1
D I am exempt unde, Sec
tor this reason
. 8 & PC
D I hereby aHorm that I ha~e a cert1l1cate of consent
to self-insure or a cert1!1cate ol Workers Compensation Insurance. or a cenihed copy thereof
(Sec 3800, labor Code)
POLICY NO
COMPANY
□ Copy IS filed w,th the c,ty
D Cert•!•ed copy Is hereby furnished
0 CERTIFICATl OF EXEMPTION FROM
O WORKERS' COMPENSATION INSURANCE ~ (This sec1Ion need not be completed,! tile permit ~ '-.., . "'" '"' """""' '°'"" ""'" ,, ""' a:: ~ certify that 1n the pertormance ot the work tor
O wh,ch 1h,s perm,t ,s ,ssued. I shall not employ any
~ person 1n any manner so as 1o become sub1ect 10
1he"Norkers· Compensat,on Laws of Cal1torn,a
![ 0 I hereby at¼m that the,e Is a constructI0~
Iend1ng agency to, :he pertorr,-,ance of The wori< for
which :l">,s pe,mIt Is issued 1Sec 1097 C,.i Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT T~ FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -------------------------CARLSBA_ BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 At-r'LICATION & PERMIT
JOB AOORESS
'l,,_1D/o_ LA Go~ DF?-11'-CA $-r:
•~gT I o•;;;:;r~e;•TIONI
OW~-L. er~[») l43e:oei~ PRIME CONTRACTOR
I ... ··--
OWNER'S MAIL!NG AOORESS CONTRACTOR'S ADDRESS
~AM~
LOT BLOCK I SUBDIVISION
J ~l't;'~b'"k'D-0.~ DESIGNER
DESCRIPTION OF WORK
~JSJ-Jt;Jf,"_J<..oa¥1'L/t'f2I)L71Dl'-l.
CC'SUS TRACT l Ge LAND use -, eAR"NG SSA CC RCS LJN,TS l
DESIGNEA·s ADDRESS
----
GRADING f:ERMIT ISSUED l
YO fl □
F·P FLA ELEV
y[J r-.0
REDEVELOPMENT
AREA
YD,□
NO
STORIES
TYPE
I CONST \J-tJ
BL/SlNESS LICENSE# VALUATION PERMIT NUMBER
ai1e0
CONTRACTORS PHONE 11 ZONE B /-3Sz
UCENSE NO. PLAN 1.0. # BLOG USE CODE
ReS, ADD,
STATE LICENSE # STANO,<\AO PLAN.# BUILDING SO. FOOTAGE . , ' ( -~ Z-33,P
DESIGNER'S PHONE
OCC GP EDU
1<,-3
OCC LOAD Fl RE SPA
.<:..IC v0 N~ Not Vc1/id Un/en Mc1chine Certified
QTYI PLUMBING PERMIT· ISSUE / l7 ()II QTY MECHANICAL PERMIT· ISSUE ~-00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU
----1---t OVER 100,000 BTU
BUILDING PERMIT
SIGN PERMIT +-'CU,_.!:2._Q
EACH BUILDING SEWER
f----EACH WATER HEATER ANO.OR VENT ---~ 1 -1-
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 51.. 35' :!=Z?::"1-=zrri ·-t----~-+T-□T-AL PLUMBING p:i_c_ I~ EACH GAS SYSTEM 1 TO 4 OUTLETS
I ! EAC_HGAS~_YSTE~50R~_ORE
I EACH INSTA~ .. ALTER. REPAIR WATER PIPE
1--------t-EA~_H VACUU_M B~E-~KE~
WATER SOFTNER
EACH ROOF ORAi~ 11~S'OE1 ..__I ~I
TOT AL PLUMBING r ~-"--=
BOILER/COMPRESSOR 3-15 HP ___ _
. _ __,,__ METAL FIREPLACE
VENT FAN SINGLE DUCT 41----e--------
MECH EXHAUST -HOOO-'OUCTS ------.__.__ RELOCATION Of EA FURNACE/HEATER
TOTt:.L MECHANICAL
~-. ·----------.... -r-----◄
ELECTRICAL
MECHANICAL .---
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
~---17,0CJ
-
----t-
---~
---+-
H I
r PUBLIC FACILITIES FEE
QTY j ELECTRl~A_L__F'E_RMIT.:.'ss .. uE__ • 00 QTY. SOLAR· 1ssuE ---+-------11 BRl□GE FEE --=
· NEW CONST EA AMP'SWT _B_K_R___ _ ___ __ COLLECTORS __ _______ --+------" SCHOOL FEE DISTRICT
·-+--
--
·---
\-----1 PH _ 3 PH •.. STORAGE TANKS --· ---+----· ----!~a r Is bad \----
EXIST BLOG EA AMPISWT/BKR Encinitas --+---------
1 PH 3 PH +----
:t500
ROCK STORAGE
PUMP ~IJQUI _10 ___ _ ----------t-----------j
REMODEL/ALTER PER CIRCUIT ---------·
>---+-T"E"M'-'P PO L E 2 0 0 A M PS ---
OVER 200 AMPS
~~--rTEMP ac~_i~~NCY oo DAYSI
---+-------
I
PLAN CHECK FEE ---1-----
----+-----
-------+--
------
San Marcos
·----
-
+----
TOTAL ELECTRICAL 1Jr. TOTAL SOl AR TOTAL FEES PAYABLE I B9.t5
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
* AN OSHA PERMIT IS REQUIRED FOR EX.CAYA TI0NS OVER 5' O" DEEP AND DEMOLITK)N OR CONSTRUCTION OF
STRUCTURES OYER 3 STOflfES IN HEIGHT
Expiration. Every permit Issued by the Building Official under the provisions of this
Code shall expire by limitation and become null and void. If the building or work
authorized by such permit is not commenced within 180 days lrom the date of such
permit. or If the building or work authorized by such permit is suspended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-~ja~ba~n~don~ed~~•~•~••~~ti~m~e~a~fte~,Jt~he]w~o~,~•~;s~,o~mc"J!m~•~n~o~ed;fo~•~•~~,µ;ooQ!l_~O~f;1;;;:•;•~•~;i□tAP:;O\miii~--7,;---------;;~~=-:-::--1 STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND~~C T' SI If, O CONTRACTOR O APPROVED BY alt DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND llt.;i~!JilV 1f ,, Z.""' _Q -
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE . ~ BY PHONE □ ~ I ..., .. '--" Cl I
GRANTING OF THIS PERMIT.
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY.
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING -
FRAME /4.'lfJ..!,/ It.I"
EXTERIOR LATH lNSULATION •
INTERIOR LATH & DRYWALL " H.L.. fl/ I ,:r
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND A
ROUGH ELECTRIC ~ ..... ,.,,, tf
ELECTRIC SERVICE
BONDING ,\
G. F. I. -SMOKE DETECTOR
MECHANICAL A
DUCT & PLEM., REF. PIPING /., ....... ", J
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING /I
ELECTRICAL "--J;
MECHANICAL "'--•• !Z/ "'
GAS " ,, .
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
81· 38'.:).
FIELD INSPECTION RECORD
REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE --POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS -------~----------
SPECIAL MASONRY
--------i PILES CAISSON~
I :
,
----------
-
----
----
----
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INTERDEPARTMENTAL INFORMATION SHEET
' .,: ..
B~ifiiNG DEPARTMENT
BUILDING A~ESS: ~10 '2Ut:/q'-51 '.t:15a.1 f>\ ~
':ltS-S4e?-03
PLANNING DEPARTMENT
DATE: 9 /q l <f)
tZtaLoND&tNf¼
ZONE __ f.._,_C..cc-_____ LOT SIZE. _________ LOT WIDTH. ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED /)~ PROVIDED __ ~~-1,t---.,.,,_ ______ _
% COVERAGE ALLOWED ----~V,o_J.t:._ ______ PROVIDED _ ___;O=-F,._ ______ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED /\ I(
INTRUSIO_N_S--+uHr-·~--
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: ~£:ILL)(G13£.!VV\,~e~-r.!.-____________ _
ADDITIONAL COMMENTS: ~N'--'-l{~A-=--------------------~-
OK TO ISSUE:~ATE ~,,()1i, OK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT ~1=-0
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS _________ DRAINAGE. ____ _
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ____________________________ _
PWI ____ 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 ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _