HomeMy WebLinkAbout2515 LA GOLONDRINA ST; ; 85-534; Permit"' z
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0 I hereby 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 Ne _____ _ Cla·,,
I heretiy alfirm :hat I a'rl execp! trom :he Corrrac 'or's License Law w tre follaw,ng ·easur 1Sec 7~31 ~
Business and P•ofess Jns Code Asy :,·y or :,~unly wt',cc ·e
quires a perm,: :c LCos!• JCI a,:w ,-;i·c-ve derrol,sh 0'
repair any structure pr,cr •o ,:s Issuanre a,so ·eq·Yes 'he a~-
pl,cant for such pe•m,1 t:i fl'e a s,qnea s:atpo-,enr 1h21 Cf ,s
I1(.eflsed pu·s,an: :o :ne .irov,s·ons ul tr,e Conrracwr s
L,~ense Law ·Cha;i:er 9 ~OT,menc,ng w1Th Sect1or 7OOJ of
D,v,s,an 3 of tre Busness and Pro•ess,ons Cede, 0· '.hat 11 e,
empr !he•efr~m :Jnc :se ~a•,:s fs, rr,e J,:eqea e,e-,pt,c-n An,
;10.,n,on 81 Sect1or 7031 5 Dy an aopl,:anl far a Jerr,, sub-
Iects the appl,can: 10 a c,vII penally of ~ol more tnan f,ve ru~
cred do'lars i$5OC·1
/2-I, as owne· of the pro:ier:y army e-•p'oyres w,r,, wages
~t~e·r sole corrpensatIor will do t~e wo·k asc tre struc
ture ,snot ,nrended or :iflered for sale (Sec 704~ B~s,ness
and Profession, Code Tne Contractors License Law does
not apply to an owner of prooeny who builds or improves
thereor and who aoes such work h1fYlsel' or through ~,sown
employees. pro•,,ded that such ,mprove.,,ents ore not •ntend
ed or o1Iered !or sale It. however the bu1ld1ng or ,mprove
ment Is sold wIlh1n one year of comp,etIon. the owne,·bu,lder
w,li have the burden ot pr:iv,ng lhal he o,a nol tiu,ld or ,m
prove f8r the purpose ol sa'eI
I. as owner ol the pro~erry am exclusively conI,ac:mg
wItr I,c~nsed contractors !O construe! the prorect (Sec 7044
Business and Proless1ons Cade The Contractor's License law does not apply lo an owner o' property who bu,lds or ,m
proves thereo~. and w~o co~1•acts for each proIects with a
contractor(s) license pursuant to the Conlractor s L,cense Law)
As a homeowner I am Imorov,ng my Mme. and tre tollow ,rg co~dIt,ons exisr
1 The worK ,s being per'or71ed orior to sa;e
2 I have lived ,n my home lor Twelve rnonlhs prior to compleI,on of th,s work
' have rot claimed th,s exemp•rnn dv,n;i :he last three years
-I am exempt under Sec -----~ !or this reason B & PC
0 I heret>y alt.rm thal I ha,e a cer1,1,c.ate ol cor.sent
to self ,nsure or a rert,f,cate 01 Wor~ers
Comper.sat,or. lnsuror.ce. or a cert,f,e<:J COP) thereo• iSec 380) labor Code1
POLICY NO
COMPANY
□ Copy ,s filed w,tr--lhe Uly
0 Certil,ed copy ,s heretiy 'urn,shed
CERTIFICATE OF EXEMPTION fROM WORKERS COMPENSATION INSURANU
(Th,s sect,or. neea not be completed ,I the ,,erm,· ,~ •o, one hundred dollars ;$1001 0r Ies~I
0 I cer1I1y tho! ,n the periormance ot :he "'"'k •or
.,,h,ch th,s perm,t ,s issued I shal, not E-mplo, dn;
person ,n ,my manner so as tc beco,np ~ut1ec• ,,,
the Worl<ers Compensat,on L.a"'s <JI CaI,Iu~"d
NOTICE TO APPLICANT If alter 'Ddkiri3 ti,s Cert,
ficate of E,emp1,on you should beCOf'"le ,ut,1en t
lhe Won<.ers Compensation prov,~1ons ol rne c..iibo'
Code. you must to,rh,..,t" comply w,T'1 <;u:"
prov,s,ons or rn,s perm,t sr,;1II be 1eerner. ,e,,:,ked
0 I heretJ; af,,,, •. tna· •nere ~ d r 0r,51ru· 1,,,r
end,nlJ age~cv 'or rr,,. perkrma"ce ,.' •r,e ,.orl< •~,
.,,.,,ch lh,5 pe,m,: ,o -~~ueo ,'.:,e, l097 C,, C,'.>de
Ler,de• s Nam,, ___________ _
Lende• s Address __________ _
#-\t"t"LIL.1-\1'4 I I u t"ILL 11'4 11'4t"UHMAIIUN WII HIN ~HAUt:.U AREA AND DECLARATIONS I --. -. . -·· _,._, -'··---...... _ '
I CARLSBAD BUILDING DEPARTMENT _/ APPLICATION & PERMIT I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 I JOB ADDRESS AV.ST.RD. NEAREST CROSS ST. DATE OF APPL~C.::IONI BUSINESS LICENSE # /:Zstl--_;>AMIT NUMBER I ·2.0\t=::> LA, ~ A --j ~ ,t,... ,'-j" gs-I '[ ,-ft( ,-,, / S3f-: tilt .,,I BLOCK I ,~w1 , ~ PARCfL_tl_Q. --Ll7~R A,, °"' (}_ -CONTRACTORS PHONE • ZONE ,_ _,,,
I OWNER'S NAME ' OWNER'S PHONE ·•
: Y2>L\ I~ \J-.J . Iv"!~~..., , ... '' 1..-7 --·-..... 1,A'~ ... -CONT RAC/OR'S ADDA~ LICENSE NO PLAN I.□.# BLOG USE CODE A /-r.7".,.,,;.,
I OWNER'S MAILING ADDRESS I
I '201'? L,p. / /:¥ ~ \ 1'.?'-f4 ' ~" ~. DESIGNER LICENSE # STANDARD PLAN n BUILDING SQ. FOOTAGE I
I DESCRIPTION OF WORK '
I DESIGNER'S ADDRESS DESIGNER'S PHONE
I l , I -i._~ J I ~ ~-\'{ _fp,po_Q?J~ ----e ' FLR ELEV NO OCC GP EDU . I
I STORiES
YO \a[J I CENSUS TRACT I (~PLANO USE
1
PARKING SPACE r RES LJ",ilTS r GRADING PERMIT ISSUED 1 REDEVELOPMENT TYPE ace LOAD FIRE $PP I AREA CONST I ,□ 'D "C -...□ YO ... u Nor Valid Unless Machine Certified I -JS!-1
1 QTY I QTY. PLUMBING PERMIT -ISSUE I MECHANICAL PERMIT· ISSUE 3---SUMMARY/ACCOUNT NUMBER I '
I EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMiT 01-00-00-8220 I 1--
" ------I EACH BUILlJING SEWER +--OVER 100 ODO BTU SIGN PERMIT 01·00-00-8221
d:-_3o I' ~------I--------------------~-EA CH WATER HEATER AN U OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 I -~-------------· ----· ----EACH GAS SYSTEM 1 T04 OUTLt.1S BOILER COMPRESSOR 3 15 HP TOTAL PLUMBlr,,,G 01-00-00-8222 ---. -~ --. ----------I---------------EACH GAS SYSTEM J OR MURE I ',1ETA_ ~IREPLA.C~ ELECTRICAL 01-00-00-8223 -----~ ----~ ~--+ -----------·· --~ EACH INSTA~ ALfE:.R, REPAIR IJ,'ATEf1 PIPE • VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ·------. --------· ----· ----. EACH VACUUM BREAKER . MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225
WAH.A SOFTNER ~ ----; RELOCATION OF EA FURNACE.HEATER MOB'LEHOME PARK lr~SP
~1.;:,,,r, I ~.S'.IL, SOLA8_ 01-00·00-8226 _ -·
~ ~----_l __ j TOTH MECHANICAL STRONG MOTION 80-92-33-0519 . ----'--1 -TOI Al PIUMfJINi_; FIRE SPRINKLERS 01-00-00-82?7 ,,
PUBLIC FACILITIES FEE 32-00·00-893J QTY ELECTRICAL PERMIT -ISSUE .s-!i QTY SOLAR -ISSUE I----. ------'_ ~------
BRIDGE FEE
. 'I ----·---NE\'/ CONSf t.A AMP sv,n 8KR CIJl '. ~cTn:::s SCHOOL FEE -DISTRICT .. ----I PH 3 PH S10~AGE TM,VS Carlsbad 80-92-21·0519 . ·-------' E/IST bl IJC EA AMP SWT 8KR i ROCK STORA.r;t Enc1nrtas 80-92-22-0519 -----·-------~----I PH ] PH I P._i',1P s~~ D1egu1to 80-92· 23-0519 ·----·. ---· REMODEL AlltR PfR C qcuIT . ~1.','; ::>-ILCV FEE San Marcos 80-92-24-0519 I ~----TEMP POLE /0UA'Y1PS i I ----
---. -----UVf.R !UU AMPS ' LICENSE TAX 01-00-00-8162 ---·---···---TEMP OCCUPANCY '30 OAYSI . ' MFF 80-92-57-0519
--· . CREDIT DEPOSIT
TflTAl FlU.lRII.AL
,-------~
I !i
l[JT<'.l :;r}l ,~'2< TOTAL FEES PAYABLE 7>LA, ~ '
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT·· AND DO HEREBY ExpirallOf'I. Everypermit1ssuedbylhe8u1ld1ngQff1c1elunderlheprov1s1onsoflh1s * AN OSHA PERMIT IS REOutRED FOR EXCAVATIONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expue by lim1talton and become null and void. If the bu1!dmg or work 5' 0" DEEP ANO 0£MOt..fTION OR CONSTRUCTION OF authorized by such permI1Is not commenced within 180 days from the date of such
STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY A~D AGREE IF A PERMIT IS permit, or If the buifdinx or work authorized by such permit Is suspended or
ISSUED. TO COMPLY WITH ALL CITY_ COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at an" lime a er the work Is colnmenced tor a =riod of 180 da--s
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY :!u T JI -a,A APPROV BY -i1J,9/sr KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND PPLICAN -~GNATU E " ~ uWNER CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \ llk lll --BY PHONE D --. ~ . . GRANTING OF THIS PERMIT _ J1-.
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
'
MASONRY I
GUNITE OR GROUT I
'
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
EXTERIOR LATH ' I
INSULATION I --
INTERIOR LATH & DRYWALL '
I
PLUMBING '
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN '
GAS TEST I
□ WATER HEATER □ SOLAR WA'.f"ER
I
ELECTRICAL ' .
D ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL ' ' □ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
' '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED
FINAL I
PLUMBING I '" ELECTRICAL I ~ ' MECHANICAL I . '-..:'-
GAS I (. -•
' BUILDING I J \ ~ '-,--..., -
SPECIAL CONDITIONS ' ----.......\ '
I •• J -
.. . --Q-5"-5',s'f ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
'•
INSPECTION REQ IF INSPECTORS DATE . CHECKED APPROVAL
S01LS COMPl_:A'\JCE
PRIOR TO
rouNDATIOr--. INSP
. . .
STRUCT LJRAL CONCRETE
OVER 2CrJQ PSI ' PRESTRESSEO
CONCRETE
POST TENSIONED )
CONCRETE
F-IELO v'iELDIN(;
-----rll(__>H Sl RENGTH
ROl Ts
:;PECIAL MASO~RY
Plc_ES CAISSOr--.~'
-----..• ..---------
'
·-r--------------~-~
----·--------
. -~
--
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--
... ' .
PLAN CHECK NUMBER 03,Y ADDRESS ~37.S-4-~ DATE ~S-
PLANNING: TYPE OF STRUCTURE ~ . ~
I,
ZONE: ____ _
SCHOOL FEES: SAN DIEGUITO -------ENCINITAS ______ _
CARLSBAD ______ _ SAN MARCOS ______ _
% COVERAGE -----------REQUIRED SETBACKS ___ _
BU IL DING HEIGHT _________ _ FRONT _______ _
FENCES/WALLS _________ _ SIDE ________ _
TWO CAR GARAGE _________ _ REAR'---------
~c □ REDEVELOPtlENT A?P~R AL R~: ...... □. ua::
"-' -~~ D 1.ANDSCAPE~TS, __ '-::: _________________ _
<:::
ENVIRC~!MENTAL REQUIREp: -'---------------------
ADDI IONAL
____ A.P.N. CHECKED?_
P.F.F. _____ _
R.O.W: ______ IMPROVEMENTS: ______________ _
E.D.U:
SEWER:
LATERAL: DRIVEWAY:
a:: ... GRADING PERMIT: 3 ... -"-' > ... DRAINAGE: ... ~ a::
~-□ EASEMENTS: ADDITIONAL C01f1ENTS:
::c::i □ I-LU ua:: cu-~8 □ 0 "-' u"" OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC 1-!0RKS INSPECTOR: _________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)