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Home My WebLink About2717 LA GOLONDRINA ST; ; 81-376; Permit.. z 0 : :'.5 u "' " g[ ~ .. ,.. z 8 "' ~ ., 3 ~ "' z • 3 0 z 0 s z "' .. ,. 0 u .. "' "' " "' 0 3 !f 0 I hereby affirm that t am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. L,c No ___ Class __ I hereby ;if!1rm that I am e~empt from the Con ¥oo~1~;'8~~~:;:: ~; ~~~,~~:1~~l~~e'8t~;~,(~1 county wh,ch requ,res a perm,, to construct aller. 1mpro~e, demohsh, or repair any structure. prior to ,ts ,ssuance also requires the apphcan1 for such perm,! to file a signed S!olltement 1hat he ,s licensed pursuan1 to the prov1s1ons of 1he Con tractor's L,cense Law (Chapter 9 commenc,ng w,1h Section 70(X) of D1v1s1on 3 of the Busmess and Pro less,ons Code) or that 15 e,emp1 therefrom and the bas•s for the alleged e,empt,on Any v,olat,on of Section 7031 5 by an applicant for a permit subiects ~ ne llcant 10 a c1v,I penalty of not more 1han f,ve ed dollars (S500l as owner of the property, or my employees ages as lheor sole compensat,cin. will do the • work. and the structure 1s not intended oroflered for sale (Sec 704ot. Business and Protess,ol1S Code The Contractor's L,cense Law does not apply to an owner of property who builds o, improves thereon and who does such work himself or through his own employees. prov,ded that such ,mpro~me:"ltS are not mtende1 or offered tor sale I!, however. the building or improvement Is sold w1th1n o~ year ot complet,on, the owner-builder w,1I have the bu,den ol provmg that he d•d not build o, improve for the purpose of sale) D I, as owner of the property_ am exclusively contract1n9 with licensed contractors to construct the pro1ec1 (Sec 7044. Business and Professions Code The Contracto,·s License Law does not apply to an owner ot pmperty who builds or ,mproves thereon, and who contracts for each pro1ects with a contractorts) license pursuan1 to the Contr..ctor's License Lilw) D I am exemp1 under Sec 101 this reason B & PC D I hereby a!tirm 1ha1 I ha~e a cert1f,ca1e of consent to selt-msure. or a cert<frcate of Workers Compensation Insurance. or a cert,f,ed copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY D Copy 1s hied w,th 1he city D Certified copy ,s hereby turmshed CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s se,:t,on need not be completed ,t the perm,! ,s for one hundred dollars (S100) or less) D I cert,fy that on the pertormance of the work 101 which lh+s perm,! 1s ,ssued, I shall not employ any person ,n any manner so as to become sub1ect lo the Workers· Compensa11on Laws of Cal1forrna NOTICE TO APPLICANT 11, a!ler mak1n1 lh1s Cert, !,cate of Exemp1,on_ you should become sub1ec1 l'l the Workers· Compensation prov,s,ons ol the Labor Code. you must forthw,th comply with such prov,s,ons or this permII shall be deemed revoked 0 I hereb}' affirm 11'1at there ,s a conslruct,on Iend1ng agency •or the pertormance ot the worl< for which lh1<; pe,m,t ,s ,ssued (Sec 109? Civil CodeI Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD ____________________ __:A:.:P:.:P:.:L::.IC=A:.:N:.:..:.T T' FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS I pA /\ . I CARLSBA-BUILDING DEPARTMENT Al-l"LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 "' AV. ST. BUSINESS LICENSE# VA;rTlON PERMIT NUMBER ii: RD, I l.f-1 I \ ~ ~ JOB ADDR~S :271,Z_,lf>r. __ G-oloNd,tLNA o:N···~:w't .'f, 't1c.,f..Lµ'j' lv§:z~w CONTRACTORS PHONE fl ZONE 3-7 ~ 8. E "' . ~ ! dWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE :! 'O LJ°i/ _:,!c!:_...t....:2-.::..,~_u'._.._J.,,;,r_t!~IS,,_~~~!...-"~2:B.'8,::.:l...:!lf:.4-DE5'0NeR STAH UCeNSE. S.ANDARDFLAN. ""'"?°C'TAGE . 8 I 6EirCR!PTION of-WORK DESIGNER'S ADDRESS LnL1t~~-r-~-F/P FLA ELEV. vO NO GRADING ~ERMIT ISSUED NO STORIES TYPE CONST DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRE SPA crnsus ,RAU I o, cAND us1 eARK,NG seAcc RCS uNns I y D ND 1 REDEVELOPMENT AREA vO NO YO NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER =~ EACH FIXTURE TRAP , ..... 1-----+~-CH BUILDING SEWER ~--i---+INSTALL FURN DUCTS UP TO 100,000 BTU BUI LOI NG PERMIT _ +---OVER 100.000 BT~-__ SIGN PE~ ~ L i BOILER/COMPRESSOR UP TO _3 HP . PLAN CHECK / b ,,,,..-I EACH WATER HEATER ANO:OR VENT --1 EAC-H GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE ~ ---------1'---rsoiLE_R_/COMPRESSO R J.-15-HP ----TOTAL PLUMBING 1 METALF;REPLACE ELECTRICAL --t-------VENT FAN SINGLE DUCT --------: MECHANICAL EACH INSTA~--ALTER. REPAIR WATER PIPE f--+---- E AC H VACUUM BREAKER ------i-MECH EXHAUST H00 □10UCTS MOBILEHOME ------- t:::t_-l_W_A_TE R SO F TN ER E~CH Ro6FDRAIN!,Ns10E) ------+-----'---~--+-R_:E_:L_:0_:C0ATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP SOLAR TOT..C.L MECHANICAL STRONG MOTION ~ TOTAL PLUMBING -. ~ll FIRE SPRINKLERS r PUBLIC FAC_I_LI_TI-ES-FE_E __ _ -- QTY. ELECTRICAL PERMIT · ISSUE [ NEW CONST EA AMP·SWT.BKR ' . QTY. SOLAR -ISSUE I ==!BRIDGE FEE -+--2_._QJ) ------------------,-. SCHOOL FEE· DISTRICT J PH 1-------------1-~ PH ~-=----EXIST BLDG EA AMPiSWTiBKR COLLECTORS . __ ---+---Carlsbad STORAGE TANKS t--· -1= . .. ~ =BROCK STORAGE Eccmllas 1 PH 3 PH • PUMP _______ _,_ ______ _,0 __ San 01egu1to REM~~~~LTER __ ~~IRCUIT ___ _:_ ~ __ ~---:--P_LA_N -~H~CK_£E~----=----=~-----Sa~M-arco_s _______ _ ·-~ C--TEMP POLE 200 AMPS --------ti-----1----- ._ _ __,.__Oc_cVER 200 AMPS ---+-------- TEMP OCCUPANCY (30 DAYS) --- --- ----- - -----·-- -- ---1------------- TOTAL ELELTRICAl -l I --I!-----+-- -------#---+-- I -----+------n--- TOTAL. SOLAR -~ F l I i,~ TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL JNFORMAT!ON HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS 1r AN OSHA. PERMIT IS REQUIRED FOR EXCAVATIONS OYER s· O'' DEEP AND DEMOLITION OR CONSTRUCTION Of STFIJCTUAES OYEA 3 STORIES IN HEIGHT Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitatiOfl and become null and void. ti the building or work authonzed by such permit is not commenced within 180 days from 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 AND STATE LAWS GOVERNING BUILDING CON-lJ•~b~•~odo~o~ed!L!at!!_!o~ot'..!!11.,,.!>!!~•~ftM~l~h!•!w~o~ri<!_!!•~e~om!!!!!m~on!!!fee~d!!..!Jlo~•~•~~rt~od,Llo!!,ll180~d~• ... •~· -;::;-r.~:::"::::':~::'::°-----------:::!'!"''t--r--1 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY ANDl/iANT'SSIGNATURE Jf. OWNER □ CONTRACTOR □ APPR.]BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTIES, JUDGMENTS, COSTS AND \ (7 EXPENsEs wH1cH MAY IN ANY WAY ACCRUE AGAINST sA1D c1rv 1N coNsEauENCE oF TH 11~-... £ /.2_ r ~ BY PHONE □ I 0/ GRANTINGOFTH!SPERMIT. //J/_/j_u~ V /7,T,lrj ~.,J/1,d _ ~ I' --=---------------7 c ro u 0. 0. « I "' C ii 0 w w ru w w « I ~ £ .; >- ,,; w "' '-' 0 0: rn oi 0 fj: "' '-' C rn C u:: C ru i" "' 0 13 "' 0. w C -"' .c ~ INSPECTION TYPE DATE INSPECTOR . BUILDING FOUNDATION fl'EINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION 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 HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ,_ u A ELECTRICAL "' ,.rv AA •y MECHANICAL -4/JV' .., ,, •u· 1 GAS r.v·1 '\. ~ BUILDING '\. SPECIAL CONDITIONS ' CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ IF INSPECTORS CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP -----· STRUCTURAL CONCRETE OVER 2000 PSI -PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY -. --------.. - PILES CAISSONS ,-·~ . ' . u• I INSPECTOR'S NOTES DATE /A#r. p,r' ..vo ~e,O'AH-f CA~.P ~It.. P~A~ /JI) ~.....,.,, . /J~ '"A// ,,::'4,t_ C4MU/lt1d10H.l_ .VO ,, .. ~,A ,-... I -4 4i}A ::raa ,,-: <11.0!2 ~!U.'-T"ifE. .0 . , ~$"t0t~ / .... ~ ---A•A/&,7?i "~ (24,µ~ AdAt-1&t'2~ .,f--/;f~~ l'/11/T~ ow~ '9P(..IL..EJsL~.,;_-~-- AA '~~ •.A I"& .rr: 1--------------------· ---------- ------------- ---- - -- ------ . ----------- ----- --------