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HomeMy WebLinkAbout2718 La Golondrina St; ; 86-1072; Permit., z 0 ;:: : .. ... " .. 0 ~[ : ... z 0 " "' .. 0 ... 3 .. ii: .. z ~ 0 z 0 ~ z .. .. ,. 0 " ., ic .. " "' 0 ~ L z, ';51 " Wi ....:: O I hereby affirm that I am licensed under provlalona ol Chapter 9 (commencinQ with Section 7000) of Division 3 ol the Business and Prolesalons Code. and my license 1s in full lorce and effect. hereby af11rm that I am exempt from :he Contrac tor's License Caw tor lne lol'ow•ng reason !Sec 7031 S Business and Pro1ess,ons Code Any c,ty or i:oumy wh·c.n ·e auires a perm,t to cons:•uc: alte• ,mprove. derno,,s~ or repa,r any structure JrlOr !o ,1s issuance a.so requ1•es !hear; p11can1 lor such perm,! to file a s,qned statement 1hal he ,s ,cersed purscant to 'he prov,s1oos of lhe Unrrac·cr s c ce."se Law :Chapter 9 commenc,ng wt' Se:1,v, IOOC-J' :,,,s,on J Jf The Business and P·ofess,ons Code, a, !haT is e, e~cr lhere<,om and tne bas,s for i/1e al:eqec e,e~or,,;n ~c1 , 0la\ on ot Sect,oo 7•J3' ~ by dn appl1cao! f~r d ~~rrrI' suD- Ie<''S t"e aopl1canI10 J :1,1 peoalty GI not mere than 11,e h r.red col!a•s ($50()1 1. 'lS cwner of the prope~y o' m·; erriployees ·1,,1h wages as •he,r sole compensal1on wIII dO The nork and :he s:ruc 1.,e ,s nol intended c-o'fered lur sale :Sec 7•J44 H,,s,ness and Proless1ons Cade The Contrac!or s License Law does not apply lo an owner o' property who builds O" ,.mproves thereon and who does such work hImseli ~r Through n,s own employees. prov,ded Jhat such Improvemenrs are nor ,ntenc ed or altered lor sale 11 howeve' t~e nu,:a,0q o, ,mprove ment ,s sold w1th1n one year of co11pler,o-. '.he ow~er-b1cilde' w1II have \he burden of prov•ng thal he d1d not bu,·d or Im orove for the purpose ol sale1 I as owner of the prope<ty am exclusively can',actI1g w1Th licensed conIrac:ors to constr~c: the proJect !Sec 7044 Busrness and Pro1ess,ons Code The Contractor's License law does not apply To an owner oJ property who bu,lds or ,m proves lhereon. and who contracIs 'or each or□Jects w,:h a conlractor(s) license pursuant to the CorIrac:or's L,cMse Law) As a homeowner I arri ,mprov,ng my home and •~e f□llaw ,ng conaIt,ons ex,sl 1 The work Is being performed pr,or :v sa·e 2 I have lived ,n my home lo· rwel·,e .,,anths pr,or lo comple1,on of lh1s work I have nor claimed t~,s exemo'.on Curin~ t~e last three years l~r t'h~: r:~~~t under Sec _____ _ B & PC I ~ereby affirm that I rave a cer!Lf1cate of consent to sel' insure. or a cert1!1cate of Wcirkers CompensaI1on In- surance. or a ce-td,ed copy the'eof 1Sec 3800 Labor Cede! "OLICY NO C0'-1PANY Cooy IS f1·ed With !he city 1 Certified copy Is hereby turn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE IThrs sect,on need nOT be completed 1f the permit Is for one hundred dollars 1$100) or less) I cer1ify that .n the performance of the work lor wh1c!l th,s ;:,ermIt ,s ,ssued. l shall not employ any person ,nan; manner so as to t>ecome subIect to the Workers· Corri pen satIon Laws of Cal,forn,a "IOTICE TO APPLICANT: If after making this Ce,t1/1cate of Exemption. you should becorrie subIect to the Workers Compensation prov,swns of the Labor Code. ;ou must fort!lw1th comply w,th such prov,sIons or th•s pe,m,t shall be jeemed revoked 1 •·e0cbv a"irrr trat :her~ 15 a cors:rJ.:t1.Jr iPcCIn~ :, -~, •he ne·lc,•r,aoc~ ,,, :~e ·;,o·L; ·o•,. 01 · :~ o -,er -,· •s ·ssued ,Sec 3091 C;.,,· C;:,ae1 '-:roe, s Name . ?,aer s Addr•OSS USE~LL POINT PEN ON_LY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUil.DiNG DEPARTMENT • APPLICATION & PERMIT Carlsbad, Cal1forn1a 92008-4859 JOB ADDRESS . !JT.AO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE VALUATION Lrl 7 ,.,~ lo-9, ?'7 f30'.;RM,T NUMBER CONTRACTORS PHONE LONE l Ol"L-I OWNERS NAME I OWNER.SPHONE 7c21-J/7P <J~1 F' F rr?-1 't3f _ 03~y ~~"7"' STATE LICENSE No. BUILDING sa FOOTAGE OWNER'S MA!L•NG ADDRESS OESCRtPT~ OF WORK .JI. 7.2 I c,-,fs L/tfl!! '"' /710£, CQl.t. ,;P,,,.._~~ I OESIGNfR•s AOORESS C----------' 0 FLR ELEV ,n "C GRADING PERMIT ISSUE'D NO STORIES OE.SIGNER'S PHONE STATE LICENSE NO. OCC GP EDU OCC LOAD FIRE SPF> ill u_ ~ ~ 0 o_ E ill f- D 0 ('J 1 I OAR,"G SSAU I RES u,,,, I 7$ 1 D N 0 1 REOE:VE LOPMENT A REA -c .... o TYPE CONST YO 1'<0 U U j_~o/ivi.i.t &i.M Mr;fiiW.iiQJ ,iu,fi\, rn u QTY PLUMBING PERMIT -ISSUE ! QTY MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIX I URE TRAP ---r \: l INSTALL FURN DUCTS iJP TO \Q[] ,,,",,~ 8TU BUILDING PERMI:" 001 810-00-00-822D j__ EACH WATER HEATER ANO OR VrNT I BOil ER COMPRESSOR UPTO 3 HP Ti t . =t SIGN PERMIT 001-810-00-00-8221 ---I . PLAN CHt.CK 1)01-810-00-00-8806 +----~--1------· ---- f-- TOTAL PLUMBING 001-810-00-00-8222 10- E~ BIJIL[)IN~WER ___ __ +-_ __ 1., ~ _ GVER 100 000 BTU EAc~GAs~y~~-! T(-J_~.!:)-~TLETs --~ ~ .5 -~soiLERcoMP~EssoR] 1sHP L-----.1-~-~~ r,A~YST_~J o_R __ MDRE_ ___ --. ___ ___ _ l rt"~~_:_~D1Ac:1;: _ EACH INSTA~ -~_ER REPAIR WATER PIPE _ _ _1 VENT t-AN SING~ DUCT_ --L-- +--~-=1= ELECTRICA~-~-=-_!□1~00~223 ---+-----------1 '----~----M ECH_A_N_I CAL_ o_o 1_-8) 0, _-.,.oo,_-.,.oo"-"'""'2'--1--------- I-EACHVA-CUUMSREAKER 1·1• IMEC.HEXH.AUST HOOODUCTS I ~ MOBILEHOME 001-810-00-00·8225 1--~A~~OFTNER__ __ __ ___ .! • RELOCATIO~~A FURN_ACE·HEA~-__ . ~ SOLAR 001-810:00-0Q·?~ ---· --.. -. -STRONG MOTION 880-519·92-33 I.Ar:t---Rnu l'1RA 'J I ·.s 1·~, DRYER VtN I -----------1 ---t--l . ·I TOHil MECHANICAL FIRE SPRINKLERS 001·810-00·00-8227 PUBLIC FACILITIES FEE 320-810-00-00-8740 ~-----,------f()!Al Pi ur..rn1NG r -/0 -~I -------bcc------41------------------+----------< QTY ELECTRICA~ERMIT -ISSUE I 5-~y MOBILE HOME SETUP -----j'-- 1---+-N_E_l'_I C_O_NS_T_EA_A_MP_s.1_'1_b_KR ---~· -----J.__+-c_A_R_P_OR_T __ BRIDGE FEE PARK·IN-LIEU {AREA ) -------- 1----+-PH ____ ~---_J -----t-1 AWNING --t----· ~ TIF _______ 001-810-00-00-?835r--_ ___ L_ICEN_S_E_TA_X ___ ~~-81_0-_0_0-0?_-8_1_62 ________ _, ---------f------ EXIST !HU(; EA AMP SWT flKR 1------------- 1 PH 1 PH REMODEL ALTtR PER CIRCUIT 1----------- fE\1P POl t ?OD ,',,MPS GARAGE ==1=-_ J_! __ ~ ---~-------lf-MFF ---II-------- 880-519-92·57 --f--- ----+ -------j OVE:R /(JO AMPS ----l UflP OCCUPANCY 1}(] DAYSI --1 --' -----1---+-~----_ I ---~h~EDIT DEPOSIT ------_ . ___j_ -· -r ______,_ ---t-----· ' I TQ]AI -- TilTAL t.lFLJPICAI ' . 'I ,, I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMtr AND DO HEREBY CERTiFY UNDER PEl~ALTY OF PE8jlJi-,Y THAT ALL INFORMATION HEREON INCLUDING THE DECLP.RAT•ONS-MSE -;-RUE AND CORRECT AJ',;D I FURTHER CERTIFY AND AGREE IF A PERMIT !S !SSUED TO COMPLY W!TH ALL CITY CQL;NlY AND STATE LAWS GOVERN!NG BUILDING CON STRUCTION. WHETHER SPECIFIED H!cREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSf ALL UABJUTIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY 'N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ' TOTAL FEES PAYABLE T /0 - Exp1rat,on. Every permit issued by the Buol dong Ott,c1a1 under !he p,ovIs,oras w' ,-s COOe shall expire by l!m,tat,on and become nuH and vo,d I! the bJ.I01ng or ""''l'~ authorrzed by such perm,t ,snot commenced w,th,n 180 days from the date c,f SJCh permit, or 1f the building or worl<; authorized by such perm,t ,s suspend11d or abandoned at any time after the work ,s commenc~d for a ~nod ol 160 days.c....__ APPLICANT'S SIGNATURE • owNeAD CONTRACTOR D BY PHONE CJ * AN OSHA PERM:T lS RfQulAEO FOR EXCAVATIONS OVER 5' O'" DEEP ANO OEMOlfTK>N OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BY DATE i I I I o_ o_ <! ~ C "- 0 ~ w ill ~ ~ <! I ~ 0 © >- ill 0 C rn C U:: -I C w w (5 0 u ill o_ ~ 5c 0 ~ ,: TYPE DATE INSPECIOR. BUl(DING' FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR D CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING ,□ SEW~AN;Di3U.()O .. : □ PUCO UNDERGROUND □ WASTE □ WATER . TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER D SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEM$ ABO\!_E HAVE_BEEN APPROVED FINAL PLUMBING \.. ELECTRICAL \\,;" MECHANICAL . ' GAS ,, "'' BUILDING '\. \,.' - SPECIAL CONDITIONS \... ,,,, 'Ii ... '-.: "" FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOL Ts SPECIAL MASONRY PILES CAISSONS REQ IF I INSPECTOR'S CHECKED APPROVAL I x(o~\O,J-- INSPECTOR·s NOTE.S DATE T