HomeMy WebLinkAbout2604 LA GOLONDRINA ST; ; 86-632; Permit"' z 0 ;:: .. a: ~ u w C
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~ I hereby affirm that I am licensed under
~Ions ol Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Protesalona Code, and my license is in
lull force and effect.
I hereby afhrm \hat I am exemp1 trom the Contrac
tor·s License Law lor the follow,ng reason (Sec 7031 5 Business aM Pro1ess1ons Code· Any city or county wh1ct; re
quires a permit to construe!. alter. improve. demolish. or
repa,r any s1ructure. pnor to ,ts issuance also requires !heap-
plicant lor such perm,1 to file a signed statement !hat he 1s
1,censed pursuant to the prov,s1ons 01 the Contractor s
License Law (Chapler 9 commencing with Ser.tmn 7000 of D1v,s1on 3 of !he Business and Protess1ons Code; or that ,s e~
empt therefrom and the basis tor 1he allegeo exempl1on Any
v1olat1on ot Sechon 7031.5 by an appl1can1 for a permit sub-1ec1s the applicant to a crv1I penalty of no1 more than live hun
dred dollars fS500)
I I I, as owner of the property, or my employees w•I~ wages
as their sole compensation. will do 1he work and lhe struc-lure 1s not in1ended or of1ered for sale (Sec 7044_ Business
and Protes,1ons Code. The Con1ractor"s License Law does
not apply to an owner of property who bu,lds or improves
thereon and who does such work himself or through his own
employees. prov,ded that such improvements are not ,ntend-
ed or ol!ered for sale 11. however. the bu1ld1ng or improve
men11s sold w1lh1n one year 01 completion. 1he owner-builder
will have 1he burden ot proving that he did no1 build or im-
prove tor the purpose ot saleJ
~J I, as owner 01 the properly, am exclusively contracting
w1!h licensed contractors to construct the praiec! (Sec 7044 Business and Professions Code. The Contractor's License
Law does n01 apply to an owner of property who builds or im-proves !hereon_, and who contracts for each pro1ects with a
contractor{s) license pursuant 10 the Con1ractor's License Law)
U As a homeowr0• I am improving my home, and 1he 1ollow ing cond1t1ons exo
1 The wor~ 1s being performed prior to sale 2 I have lived 1n my home lor twelve months
prior to completmn of this work
I have not cla1me(( \his exemption durmg the las1 three years
~ I am exempt under Sec _______ B & P C
for this reason
\.A · hereby affirm that I have a certif_icate of consen11o
~ure. or a cert1l1cate ot Workers Compensat,on In-
surance. or a cert,1100 copy thereof (Sec. 3800. Labor Code)
POLICY NO, • ~ coMPANY ot,,"() U't.S~11l1fy ~ ~ Copy •s filed w•th the city ! =:J Cert,hed copy ,s hereby furnish;_ /~
~~~~TE~~
0 WORKERS' COMPENSATION INSURANCE
"' a: w " a: 0 3:
il
(This sec1,on need not be completed if the permit
1s tor one hundred dollars \$100) or less)
D I certify that 1n the performance of the work to, which
this permit is issued. I shall not employ any person in any
manner so as to become subJe<:t to the Workers· Compen-
sation Laws of California
NOTICE TO APPLICANT; If. alter making this Certificate
ot Exemption. you should become subJect to the Workers
Compensat,on provisions of the Labor Code. you mus1
forthwith comply with such provistons or this perm11 shall
be deemed revoked
J
D I hereby afhrm that 1here is a construction lending
agency for !he performance of the work for which thtS per
m11 is issued (Sec. 3097. C,v1I Code)
lender s Name
Lender's Address ___ _
, USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
/11-h,e,,..,:,e) //-!7-8(o /4-715 .:Jo.:s7) .d-. k.sf? j eL-OCK_ '' l sueo1~v1_s1~N CONTRACTOR CONTRA(:TOAS PHONE II ZONE ~ -6.;3~
OWNER'SNAME OWNER"SPHONE • m~rtr 43g~.23#-'
2trJ4-
M /VI Pe-'ti , ,$/ff,e L}3fj-"g4-{,(, STATELICENSENO. BUILOINGSO FOOTAGE
OWNER'$"'1AlLINGAOORESS .\ 4/C,'f,§;2_
,6,, "":'--· -. DESIGNER DESIGNER'S PHONE
,;::::, A l,v:,, er .. ~-· _
f?E~~Rli>TiON,oF ~~-~
OESJGNEA'S ADDRESS I-.---.:.------,------~-'------------, 9pe :-.'F"1<1e-io"y~...,..,_,,,,Je:.. :_ &.1/1 -a <Jd-S'
n .. ,ct Eu,c,,'i..-(t:,_ I >ARKING s,.c, RCS UNITS I
QTY. PLUMBING PERMIT· ISSUE 1$-
GRADING PERMIT ISSUED
YD"'□
e , F LR ELEV
YO ,o
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REDEVELOPMENT
AREA
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QTY. MECHANICAL PERMIT· ISSUE
NO
STORIES
TYPE
CONST
3-
·sTATE LICENSE NO.
QCC GP EOU Ut1U~ UU.i .i.i/2i).id6F-Ki-iT
ace LOAD FIRE SPR
vO NO Nor Valid Unless Machine Cemfied
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILOING SEWER
INSTALL FU RN. DUCTS iJP TO 100 .000 BTU BUILDING PERMIT --□□1 ·810-00-00-8220
r--
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
OVER 100.000 BTU SIGN PERMIT 001-610-00-00-~ r . ---t-is□ILER,COMPRESSOR UP TO 3 HP • PLAN CHECK 001-810-00·00-8806
I
11 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 --------j ---------------t---·
METAL FIREPLACE ELECTRICAL 001-810·00·00-8223 1--+----------------
VENT FAN SINGLE ouc_r ___ -__ =f== I MECHANICAL 001-810-00-00-8224 EACH INSTAI,.. ALTER. REPAIR WATER PIPE EAc-H-VA-CUUM-BiE-AK_E_R ---r------i--rM_E_C_H_ExHA_u_s~HOOu OUCIS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE1HEATER SOLAR 001-810-00-00-8226
1._I, ;_
I I E.ACH ROOF DRAIN I 1'NSIDE' i I !I ! DRYER VENT I I
TOT.C.L MECHANICAL
STRONG MOTION ----
FIRE SPRINKLERS
·-88.0·519·92·34--______ ---t
001-810-00-00-8227 h TOT AL Pl UMBINC ---.--11 --PUBLIC FACILITIES FEE 320-810-00-00-8740
1 I I BRIDGE FEE QTY. ELECTRICAL PERMIT. ISSUE 5-QTY. MOBILE HOME SETUP PARK-IN-LIEU {AREA )
NEW CONST EA AMP SWl llKR CAR PORT TIF 001-810-00-00-8835 __
l PH 3 PH AWN ING LICENSE TAX __ 0_0_1·_8_10_·0_0_·0_0_·8_1_6_2 _, ________ ---1
GARAGE MFF 880-519-92-57 EXISf BLOG EA AMl-':'-::,Wl 1:iKH ~r-JrAicraA,J ~
I' -1 PH 3 PH ,
REMOOEL ALHR PER CIRCUIT I II I --/---------,9( l 't«t'<J,$/OIZ.. .?.~:.--
TEMPPOLE ]OOAMPS
OVER 200 AMPS
TEMP OCCUPANCY i]0 DAYSI
CREDIT DEPOSIT -TOTAL ELELTRICAL 1 I
TOTAL TOTAL FEES PAYABLE -~
, 1 • ,~ ---
1 HAVE CAREFULLY EXAMINED THE COMPLETE[) ··-"PPL!CATION AND PE8MIT'" AND DO HEREBY EXJ)h'a~Of\: E~ry per.mi~i~byth&BuildingOftiCtl:I undeflheprov1s,ons ofth1s
CERTlfY, UNDER PENALTY OF PERJURY THAT, ALL INFORMATION HEREON INCLUDING THE Code ~hall exprre by hm_it■t1on and become null ~nd vold If the building or work
DECLARATIONS ARE TRUE ANO CORRECT AND 1 F\IATHeffGERTIFY ANO AGREE tF A PERMIT I& authonzed by sucti permit 1• not commenced w1ttun 180days from the date of such
* AN OSHA flENl(t IS BEQUIRED fOA EXCAVATIONS OVEfl s· 0 .. DEEP ANO 0EMOUTI0N OR CONSTRUCTION OF
STIIUClURB OYER 3 STORIES IN HEIGHT ISSUEO: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAW$ GOVEANtNG BUILDING CON· ~1:i the ~itd~ Or vtOfk authonzed by such pe1m1t 1& suspeoded or
STRUCT!ON. WHETHER SPEC1FIED HEREIN OA NOT. l ALSO A<IBEE TO SAVE INDEMNIFY ANO L;':;;;';';;::;;::-:""~·~-=~·=·~·~ .. ...,,w~Ori<!!_•"-'i'~om!!!!!menc~£0<l!!!!.'~0~•~·~~•e!!.~0~• ~•80!2.!•~•!U--c~~~~~~~--------------------~ K6E!hHARMLESS<THE·CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENT$, COSTS ANO A.PPLICANT·S 5'GNATURE lf. OWNER□ APPROVED BY DATE
EXPENSE$ WHltH ~AY IN, ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~:'ir,t--"'lj-... __ l( rt::i \ .-.,
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TYPE DATE Ul"\IC INSPECTOR '
BUILDING ' ~(p~~3~
FOUNDATION ' FIELD INSPECTION RECORD '
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S.NOTES MASONRY I . .
GUNITE OR GROUT INSPECTION AEQ. IF INSPECTORS DATE ' CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEll!ING SOILS COMPLIANCE
SHEATHING □ ROOF □ Sl-iEAR PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE -I OVER 2000 PSI
INSULATION PRE STRESSED -..
I
' CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED
' CONCRETE
PLUMBING ' ' FIELD WELDING
□ SEWER AND BUCO □ PUCO --HIGH STRENGTH
UNDERGROUND □ WASTE □,WATER BOL.l'S
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN '
GAS TEST I PILES CAISSONt'
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL ' □ ELECTRIC UNDERGROUND □:UFFER
ROUGH ELECTRIC '
□ ELECTRIC SERVICE □ TEMPG>RARY
□ BONDING □ POOL '
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS .
' '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I /'\ J
PLUMBING I . J Y/ v /
ELECTRICAL )\ \ / ' ' -... ,---., ~.-;
MECHANICAL ' .. . / .
GAS ' t, /
BUILDING ' I/ ' SPECIAL CONDITIONS '
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D □-.! c
DATE~
ZONE: j:-/ • TYPE Of" PROJECT ANO USE: ~~~ ~
SAN DI G ITO ENCINITAS ~~ ~ MRCOS ---SCHOOL DISTRICT:
SETBACKS:· f'RONT SIDE REAR
DISCRETIONARY ACTIONS1._J4.a.._.....,... ________________ _
LANDSCAPE Pl.AN CONMENTS:._-Aa:.11------------------
ENVIRONMENTAL REQUIRm:_-"'4'il"--------------------
COASTAL PERMIT REQUIRED: YES ____ NO ----
ADDITIONAL CONMENTS1 _____ ..._ ________________ _
ENGINEERING
, LEGAL REgtJIROIENtS
LEGAL DESCRIPTION VERIFIED? ____ _ APN CHECKED? _________ _
EASEMENTS: __________ _ RIGHT-Of-WAY: ________ _
EDU'S: _____________ _ DRAINAGE: _________ _
IHPROYEHENTS:._··---------Pff..-r"'lffll"""-.......--r-s,_.-n,.,..,,-------FIElO cil:tk oot & iAitlALs:
PERMITS REQUIRED
GRADING: __________________________ _
GRADIN; COMPLETION CERTIFIED: ____ _
DRIVEWAY1 INDUSTRIAL WASTE:
FEES REQUIR£0
PARK-IN-LIEU QUADRANT:..,._ __ , FEE PER UNIT: ____ TOTAL FEE1. ____ _
P.f.f".:. ___ TRAF'fIC IMPACT FEE PER UNIT: . .,.... ___ TOTAL FEE:. ____ _
FACILITIES 104T, FEE: _______ BRIDGE & THOROUGHf'ARE FEE:. ____ _
SEWER FEE (CONNECTION)1 SEWER LATERAL:
ADDITIONAL ClHENTSs. ______________________ _
OK TO ISSUE:. ___________ __;DATE:. ___________ _
DPD2:DP06:10/24/86
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APPROVED
By
rrrfv 20 1986
City of CARLSBAD
BUILDING DE'7.l'!!" .
. : .
. '
-
ClJR8# GUTTER
lLOT PLAN OF LOT NO. 154 OF
PONOEROSA COUNTRY
IN
:ARRILLO ESTATES (UNIT NO. 2),
MAP NO. 10257
38.00'
.;:·(·:-··
.::~ ':'
RICK ■N■IN■■IIIINtl CDMl'ANY
CIVIL ■Nll---•~•11'1.ANAUI■ ------·-·----.... -.acnmee IIA ■1■ ZM -·--· .. ---·-
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