HomeMy WebLinkAbout2712 LA GOLONDRINA ST; ; CB881710; Permit"' z 0 ;:
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing witti
Section 7000) of Division 3 ol the Business
and Profesalons Code, and my license 1s in
lull force and effect
I hereby a!f1rw thot I am e,empt 1rorn the Co~trac
lor s License Law tor the tollow,ng reason (Ser. 703" ~
Business and Proless,ons Coae Any c,ly or county wn,cr, :e
qu,res a ~rm,1 10 construct airer ,mprove. demo1,sn a,
rep;i,r any structure. prior to its issuance also requ11es !heap
01,cant lor such perrn,t lo 1rle a s•~ned stateme~t that he ,s
1,censed pursuanr to 111e prov,s,ons 01 lhe Lomraclo' s
License Law :C~apter g commenc,ng w11n Se,1,on 1000 ot
D1~1s,on J 01 tne Busmess and Protess,ons Cooe; ormal ,sex
empt r~erefrom and :he bas,s for the allegea e,eroptIon Any
,,o,at,on o• Section ?031 S by an appl,c;rnt ror a perm,r sub
1ecls the apol•cant to a c1v1I penalty of nor more Than lwe hun
!l'ed ~o,Iars 1$)00'
I, as owner ol the prooer\y or rn~ emplo1·ees ,'l'lh "aqes
as ltieir sole compensation w,II do lhe work anc 'lie struc
•ure ,snot intended or oftered 1or sale :Sec 7J44 Bus·ness
ana Protess,ons Code The Con1ractor s License law does
rot ao~ly· 10 an owner of properly who builds or improves
•ne,eon and who does such work hrC",Sell or mrough h,s own
employees prov,deo that such ,rnprovemenrs are nol ,ntend
ed o• offered tor sale 11. however. lhe bu1ld1ng or ,rnprove
ment ,s sold w11h1n one year of complehon •he owner-ou,lder
w,1I have the ~urden of prov,ng that he did not Du1ld or ,m
prove 1or the purpose o1 sale 1
I, as owner of me properly, am exclusively conlrac1,ng
w,tn licensed contractors le construc1 lhe pro1ec1 (Sec 7044
Business and Professions Code The Conlracto,·s license
Law does nol aoply 10 an owner of properly who builds or ,m proves thereon and who contracts for each pro1ects with a
con1ractor(s) 1,ce~se pursuant lo !he Co~lrac1or's L<cense
law)
As a homeowner I am ImorovIng my home and the tollow
Ing cond1h0ns ex,st
l The work 1s being performed prior to sale
2 I have l,ved ,n my home for twelve monlhs
prior to completion 01 this work
I have not claimed th,s exemo1,on dunn9 lhe
last three years
for 11h~: ,~~;~it under Sec _____ _ B & PC
I hereby a!hrm that I ha,e a ce,t1!1cate ol consent to
se·t ,nsure. or a cert,f1cate of Wor~ers Compensa\1on In
surance or a cert,hed copy the,eol 1sec 3800 Labor Codel
POLICY NO
COMPANY
COD)' ,s filed wItn the city
Cer11hed copy Is ne,eby furntshed
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
1Th1s section need not be completed il 1he permit
1s for one hundred dollars \$100) or l,;,ssl
-I cert.ty thal In the performance of the work for whIcn
this permI1 ,s issued. I shall not employ any person ,n any I
manner so as lo become sub1ec! to the Workers Compen 1
sa1Ion Laws of Cahforn1a
NOTICE TO APPLICANT. If. after making this Certohcate
ol Exemption. you should become sub1ect lo the Workers
Compensation provIsIons of the Labor Code. yoo niusl
for1hw11n comply w•th such prov,s,ons or this permI1 snali 1
be deemed revoked
I ~ereby atf,rm that there ,s a construc!1on lending 1
agency for tne performance of the work forwh1ch this per 1 mIt Is ,ssued !Sec 3097 C,-11 Code\
Lenders Name
Lender s A<ldress
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 92009-1915 (619) 438-1161
JOB ADDRESS ~ ~ Lo~v;;;;~A/;o:;;MS NO. OA~}/o7f0 BUSINESS LICENSE # VALUATION PERMIT NUMBER
~1/;:? " 3o',9s,,t:?
COT BLOCK I $UBO! V1S!ON f ASS~;,"AACEL ~ .
CONTRA7J (,.__,,fl,: / .:riJ , CONTRACTORS Pt-!ONE • ZONE C1 I) ?f/7/0 ~ -.:'. -o-6
St~:Ji;: .r-Fri" nc ,nP lJlf rn(liJ
OWNER'S PWONE . .
'lJ f--o /'} ')_ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOTAGE
S9cJ 0'i>.~J/jA<uNkJ.~~t('11 / A hj t'ilD s+ DESIGNER pes1~NEA'S PHONE
OESCA";!JNJJ' 'Jf"· ./A ,,_,?"e-7.f~~ h' -z--4_ ·o·Es1G"NER'S A'ooRESS STATE:: LICENSE NO. 5307 03/.1.0./89 0001 01. 02
/..,.,, , f.:lOF'mt 437-( .
.. . . .. --
' e F LR ELEV NO OCC GP EDU . STORIES
vD "-0 I CENSUS TRACT I PAPK IN(, SPACE: RES UNITS I GRADING PERMIT ISSUEO REOEV~LOPMENT TYPE OCC LOAD FIRE SPP
AREA CONST
,□ ' □ -c .... o vO r-.0 Not Valid Unless Machine Cemf1ed
QTY. PLUMBING PERMIT· ISSUE 75{) QTY MECHANICAL PERMIT -ISSUE /5. o•, SUMMARY/ACCOUNT NUMBER
,
<r-EACH f-lXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU -BUTtunic, n::n,vrl I uu 1 ·O 1 u-UU-UU-ol lD -::,,
EACH BUILOING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER ANlJ UR VENT BOILER·COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 J_~ ~
EACH GAS SYSTEM l TO 4 OUTLETS BOILER,COMPRESSOR 3 \'j HP TOTAL PLUMBlf..lG 00; -810-00-00-8222 ,-;;-
EACH GAS SYSTEM 'J OR MO Rf METAL F·,REPL.ACE ELECTRICAL 00 1-i:l 'C -00-00-8223 /.5 -
EACH INST AL ALTER, REPAIR WATER PIPE ;;,::_. VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ~'-I'
EACH VACUUM BREAKER MECH EXHAUST >-lliOO DUCTS MOBILEHOME 001-810 · 00-00-8225
WATER SOFT"-iER RELOCATION OF 'A FURNACE-HEA-0:R ] SOLAR 00: -8 1 0-00-00-8225
FACH R,JOf ·1..i;.1\ , ,~~ ':ll, DRYER VENT /I ,( '\./ STRONG MOTION 880-519-92-33 ' TOT~LM ANICAL
'~ 'O ----FIRE SPRINKLERS 001-810-00-00-8227 . _, ;?f TOlAL Pl U~fllr'-.L I /)< • PUBLIC FACILITIES FEE 320-810-00-00-8740
"') oO /I \~BILE HO~ ;.,,UP
BRIDGE FEE 360·810-00-00-87 40
QTY. ELECTRICAL PERMIT· ISSUE QTY. PARK-IN-LIEU \AREA
NEW CONST f.A AMP SWl fJKR q ~ 0. ,\ "'I TIF 312·81 0·00-00-8835
I PH J PH " I G u '-' J\ • LA COSTA TIF 311·810·00-00-8835
EXISI !HOG EA AMP swr BKR bA ~ I)' FMF
I PH 1 PH \ LICENSE TAX 001·S10-00-00-8162
I REMOOEL ALltR Pff.l CIRCUIT /u I\ MFF 880-519-92-57
TEMP POL£ !00 AMPS ,I
OVER 200 AMPS \
IE\<iP OCCUPANCY 1 30 DAYSI
. CREDIT DEPOSIT <Jlf'l=--,
lilTAL EllLlRILAL I l:i". ----TOT Al TOTAL FEES PAYABLE I f/.?Jrv
.
J HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT" AND 00 HEREBY £11:pifation. Every penrut iffuedbylhe8uildrng-Off1cial11ndef-theprovtS10Mofff•1ts * AN OSHA PEfN:T IS REQUIRED FOR EXCAVATIONS OVEA
CERTIFY 'uNDER PENAL TY OF PERJURY' THAT ALL INFORMATION HEREON IN,CWOING THE Cod• shall ••pire by hmttatiOl'I and become null and VOid II the bu1kt1ng or WOrll 5' O" DEEP AND DEMOLITION OR CONSTRUCTlON OF
DECLARATIONS ARE TRUE ANO CORRECT ANO' I FURTHER CERTIFY ANO AGREE tf"A PERMIT I& auth~1zed by such ~~it iS Ml commence_d Wtlhm l80 days from lhe date Of such STFIUCTUflES OYER 3 STOAIES IN HEIG.tf! , , , . . , , permit, or 1f the buUdi:X Of wo,-k autt,onz.-d by such permit 1& suspended ot .
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNIN~ BUILDING CON· abandoned at anw tune a er !M worti IS -commenced tor Ii ,....rlO<t of f>ffi•.::"'.':
,STf\UCTIO~. ~HJTHER SP€ClftED ljERE_IN _OR NOT. I ALSO AGRE,E T,O $A.VE INDEMNIFY Af,{0 APPLICANT'S ¥GNATURE Jf. ' Q
A CONT'"C:tQR,0 APP"[; , ru '-1%/4 KEEP HARMLESS TljE C!TY OF CI\R>~SAO Jf<l~INST -ALL LIABILITIES. J.UPGM!\NTSiCOSTS ANO :I, . n -• Olll!li!'R
EXPENSES WHtCH MAY IN AN¥ WAY· ACCAUf AG'AIN:SJ SAID CITY, 11.\1 CONSe:OUENCE OF THE i>Ah\.• ~A. , , I IIJ • . 8~~0 .,, ,,,. A ,, ~
:tmANT1NCfbfftfis PE'f1Mt't ,·-0--< -~ ~-"'-""· ·. · · 2-.-1 ·, • , _/Cl -.., < ---' < > ., ,' ; ' ' < A A A ; • • ., ' A " . '
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TYPE\ ' DATE INSPECTOR
BUILDING ' ' FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL '
MASONRY ;
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ' INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ S~EAR
SOILS COMPLIANCE
PA!OA TO
FRAME ' FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE {
OVER 2000 PSI .
INSULATION PRES TRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
' CONCRETE
PLUMBING ' FIELD WELDING
□ SEWER AND BUCO D PUCO HIGH STRENGTH
UNDERGROUND □ WASTE □•WATER SOL fs
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN '
GAS TEST ' □ WATER HEATER □ SOLAR WATER
. PILES CAISSONS
'
ELECTRICAL I
□ ELECTRIC UNDERGROUND □:UFFER .
ROUGH ELECTRIC I
' □ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL ' I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS I
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED
FINAL I .
PLUMBING I
' ELECTRICAL I
MECHANICAL I
GAS I
BUILDING '
SPECIAL CONDITIONS ' ' '
' •
City of Carlsbad
I(,.],, I,,;: i, I i&i •14424 [-] ., , , t@, ifi
December 7, 1989
San Marcos Unified School District
270 W. San Marcos Blvd
San Marcos, CA 92069
RE: 2712 La Golondrina (APN 215-541-06)
Attached is the certificate of compliance for above address paid to
you on 3/10/89. This building permit application has been abandoned
and the permit has expired. Applicant wishes a refund of school
fees.
~L_
DORIS COSMAN
Building Department
cc: Mr. & Mrs. Altman
Enc. ( I)
Mrs. Altman:
This building permit has expired and 180 days have past since
its issuance, therefore the City is unable to refund any monies
paid for this permit per section 304 (fl 3. (copy attached).
We will keep the city set of your plans (871710) for ten days at
our office for you to pick up, after which time they will be destroyed.
2075 Las Palmas Drive•Carlsbad, Californ,a 92009-4859•(619) 438-1161
• ..
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CERTIFICATION OF COMPLIANCE
CITY OF CARLSBAD Plan Check No.
DEVELOPMENT PROCESSING SFRVICES DIVISION
2075 LAS PALMAS CARLSBAD, CA 92009
(619) 438-1161
This form shall be used to determine the amount of school fees for a project and to verify
that the project applicant has complied with the school fee requirements. No building
permits for the projects shall be issued until the certification is signed by the
appropriate school district and returned to the City of Carlsbad Building Department.
SCHOOL DISTRICT:
___ Carlsbad Unified Marcos Unified
6350 Yarrow Drive Ste. A
Carlsbad, CA 92009 (438-5710)
Encinitas Union Elementary
189 Union Street
Encinitas, CA 92024 (944-4306)
270 West San Marcos Blvd.
San Marcos, CA 92069 (744-4776)
San Dieguito Union High School
710 Encinitas Boulevard
Encinitas, CA 92024 (753-6491)
Project Applicant: -~-w...,11-'-'11>"'-----'s;="'c...~.:.J<v"--------APN, f1....!2._ -s tfl _v ~
Project Address: ,;; 7/ q{ L, 4 f O ,{ Q 4< ):, .,0 C Ad
RESIDENTIAL: SQ. FT.· of living area .Sfo
SQ. FT. of covered area
Number of dwelling units
SQ. FT. of garage area -----
COMMERCIAL/ INDUSTRIAL: SQ. FT. AREA -----
Prepared By WMG ~ Date __ ,;2--'-j-'-)','-"'/{C.L./ __ _
FEE CERTIFICATION
(To be completed by the School District)
---Applicant has complied with fee requirement under Government Code 53080
Project is subject to an existing fee agreement
Project is exempt from Government Code 53080
---Final Map approval and construction started before September 1, 1986.
(other school fees paid)
Other ------------------------------------
Residential Fee Levied: $ 'i/,:/"1,-Y() based on :r½? sq. ft.@ ~/,~.5~'4{~---
Comm/Indust Fee Levied: $ based on sq. ft.@ ------------
AB 2926 and SB 2.01 fees are capped at $1. 53 per square foot for residential.
AB 2926 is capped at $.25 per square foot for commercial/industrial,