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Home My WebLink About2617 LA GOLONDRINA ST; ; 83-80-248; Permit~ O I hereby affirm that I am llcensed under S prcwlalona of Chapter 9 (commencing with [ Section 7000) of Division 3 of the Business c and Proleaalons Code, and my llcense is In .,, z 0 ~ Cl: C ~ u ... 0 c lull force and effect. ~ ltc No ______ Clm 8 C "' 0 ~ 5 ~ ... z ~ z 0 .:: ~ z ... IL 2 0 u II) a: ... ><: Cl: 0 :f; i[ I llereby affirm that I am exempt lrom the Contra'c· tor's License Law for 111• following reason (Sec 7031.5 Business and Professions Code· Any city or county wh1cn re· quires a perm,t to construct. alter, improve, demolish, or repair any structure, prior 10 ,ts issuance also requires ?he arr phcanl tor such permit to tile a signed statement that he 1s hcensed pursuant to lhe J>fOY1sions ol the contractor· s License Law (Chapter 9 commencing with Section 7000 ol Div,s1on 3 ot the Business and Professions COde) or that 1s ex· empt tllerelrom and tile basis tor the allegeo exemptt0n Any violation ot Sect10n 7031.5 by an apphcant for a permit sub- iects the applicant lo a C1\lll penally of not 11l0fe than ttve hun- dred dollars ($500) □ I, as owner ol the property, or my employees wilh wages as their sole compensation, will do the work, and the struc· lure is not intended or oflered lor sate (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply 10 an owner of property who builds or improves thereon and who does such work h1msett or lhrougn his own employees. provided that such improvements are not intend• ed or offered for sale. II, however, the building Of improve- ment is sold within one year of comptetion, the owner-builder will have the burden of proving that he did nol buiki or iln" prove for the purpose of sale). D I. as owner of the property, am exclusively contracting with licensed conlractors to construct the project (Sec. 7044, Business and Profess,ons Code: The Contractof"s license Law does not apply to an owner of property who builds or im• proves thereon, and who cootrac1s for each projects wilh a contractor(s) license pursuanl to the Conlraclor's License Law), 0 As a homeowner I am improving my home, and the fotlow-lng conditions exist: 1. The work is being pertormed prior to sale. 2. I have lived 1n my home tor twelve months prior 10 completion of this work. 3. I have not claimed lhis exemption during the last three years. □ I amtxempt under Sec. ______ , B& P.C. lor this reason ____________ _ □ I hereby aft1rm lha1 I ha.,e a cen,hca1e of consent 10 self.insure. or a cert1t,ca1e of WoOlers· Compensation Insurance. or a cer11fted copy !hereof (Sec 3800. Labor Code) POLICY NO WCP-6255-061 COMPANY GREAT AMERICAN Q Copy tS filed with lhe city Q Cen1hed C()py IS hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be compleled 11 lhe perm11 ,s tor one hundred dOllars (S H)O) or less) 0 I certify !hat in lhe performance ol lhe work tor wh,ch this permit 1s ,ssued, I shall no! employ any person in any manner so as to become sut>1ec1 10 the WMers· Compensation Laws ol Cahtom,a NOTICE TO APPLICANT It, afler mak,nJ lh1s Cen1 hcate ol Exemption, you should become sub1ec1 I'> the Workers· Compensation pr'ov1s1ons ot 1he LabOr Code. you must tonhw11h comply w1tt'I such provisions or lh1s perm11 shall t>e oeemed revOke<J 0 I heteby affirm 1na1 !here 1s a cons1tuct1on lending agency tor the performance ol lhe wor1-.. to, wh,ch th,s perm,1 ,s ,ssueo tSec Xl':J7 C,v11 Code) Len<>er s Name PONDEROSA HCt-1ES Lenoer·s Aooress __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 JOB AOO RESS 2617 IA oou:NDRrnA STREEl' AV.ST.RO. NEAREST CROSS ST. PHASE 5 I DATE OF Al'PL~TIONI BUSINESS LICENSE # VALUATION I PERMIT NUMBER 3587 $92 ,163.60 83-80-248 LOT l~t,.Clc_~---I SUBDIVISION _J ASSESSOR PARCEL NO 2481CARRILID ESTATES UNI'l'lID.2 215-562-16 CONTRACTOR SAME AS OJNER OWNER'S NAME IPCN>EIDSA HCMES l 619/~6~:~;~o;E CONTRACTOR"S ADDRESS OWNER'S MAILING ADDRESS 11300 SORRENro VAU.E'i RD-STE 100, S.D. 92121 DESIGNER DESCRIPTION OF WORK SINGLE FAMILY WITH ATI'J\CHED 3-c.AR GArulGE PIAN 1826 BXR ~~-~~-CA! ------F/P FLA ELEV. vO NO CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRAOING PERMIT ISSUED y D ND I REDEVELOPMENT AREA 621 1 vO NIM QTY. PLUMBING PERMIT · ISSUE rJ ~ II QTY.I MECHANICAL PERMIT· ISSUE 11 EACH FIXTURE TRAP / ?7 _ t;() I 1 I INSTALL FURN. DUCTS UP TO 100.000 BTU 1 EACH SUI LUING SEWER 6. 50 I I OVER 100.000 BTU 1 EACH WATER HEATER ANO/OR VENT 2.50 I I BOILER/COMPRESSOR UP TO 3 HP 1 EACH GAS SYSTEM 1 TO 4 OUTLE'TS 2_._50 I I BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE EACH INSTA~ . ALTER. REPAIR WAl ER PJPE 1 I VENT FAN SINGLE DUCT EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE) TOTl.l MECHANICAL TOT AL PLUMBING 46.50 QTY. ELECTRICAL PERMIT · ISSUE s-QTY. SOLAR · ISSUE NEW CONST EA AMP/SWT BKR 100 25.00 COLLECTORS /) 1 PH 3 PH STORAGE TANKS » EXIST BlOG EA AMP/SWT/8KR ROCK STORAGE . //-' /) CONTl!ACTOAS PHONE # LICENSE NO. 343456 LICENSE II c-8395 ~170 I DE. SIGNER"SPHONE ~ n14/7Ei2-1Rl;4 NO I occ GP I EDU STORIES 2 TYPE CONST VN R-3 1 OCC LOAD FIRESPR vO N[X ZONE PLAN 1.0. # BLOG USE CODE STANDARD PLAN# BUILDING SQ. FOOTAGE 1826 6/13 14 7; • Not Valid Unkn MJchine Certifi«J :5-SUMMARY/ACCOUNT NUMBER 4 •. 00 8UILDINGPERMIT 01·00·00·8220 SIGN PERMIT 01·00·00·8221 - PLAN CHECK 01 ·00-00·8806 TOTAL PLUMBING 01 ·00·00·8222 ELECTRICAL 01 ·00·00·8223 2.-0.Q MECHANICAL 01·00·00·8224 MOBILEHOME 01·00·00·8225 - MOBILEHOME PARK INSP - SOLAR - STRONG MOTION 80·92·33·0519 ,it; 9.00 FIRE SPRINKLERS 01·00·00·8227 = PUBLIC FACILITIES FEE BRIDGE FEE 32-00-00-8933 I -- SCHOOL FEE · DISTRICT - I Garlsbad 80-92·21·0519 7 Encinitas 80-92-22·0519 1 PH 3 PH REMOOE L 'Al TE R PER CIRCUil :~:: CHECK FEJJb¢:./ <z; fl /i5 San Dieguito San Marcos 80·92· 23·0519 80·92·24·0519 PAID TEMP POLE 200 AMPS V' jl~ \ vJ ( ~ i OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) 1¥' TOTAL ELECTRICAL T 30.00 TOTAL SOLAR I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" AND DO HEREBV CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO L.;;;':':,E;;a;:;:":='="'-"=-===~'""-::X::llllli:= KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. \ -:> LICENSE TA~ 01-00.0Q.8162 1,843.27 #.r'°.r' mC:'l"ZI. 'RRZI.T T,171'='0 i:;nn nn CREDIT DEPOSIT TOTAL FEES PAYA;~ 3 ,215.02 luncMflhe~Soflllts -lf-~O<-,s from -dale of suctt P9ffllll • _,,....,. o, ~--"'--· * AN~IS IIEOUIAEO FOR EXCAVATIONS OVER 5' O" P OEMOUn0N OR CQNSTIIUCTION OF S OVER :S STORIES IN HEIGHT 10 CONTAAC1'8fl[X BYPHONE 0 APPROVELi lf05<t -i:;;;;;;;>' -, ~ u:: >-;;; 0 a. E I- I 'O 0 (9 C ell -~ a. a. <( I -""-c a: 0 en en en en <( I ~ .2 a) r en "' 0 0 a: ell co 0 ~ 0 C ell C u:: :::. C C, 0 0 a. "' C ~ .c. 3: TYPE ! DATE INSPECTOR BUILDING, I FOUNDATION I J'I I REIN FORCED STEEL '"-o/4-4/;J-11 MASONRY -/ I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I ,.. SHEATHING □ ROOF D SHEAR //14/J,~ If'.: FRAME I 1J/J4/y1 Ir' I EXTERIOR LA TH I -/ "' ,.. INSULATION ' \ z./n/J,r Ii,;? INTERIOR LATH & DRYWALL I \. 1.,:12,,,n I"" 7 I I PLUMBING I A SEWER AND BUCO DIPUCO I 9'/1111'1' I~ UNDERGROUND □ WASTE □ WATER 'vlh/;1 t,A TOP OUT □ WASTE □ WATER ;/pj./J,t r TUB AND SHOWER PAN I -/--~ /) GAS TEST I //N/J-r T □ WATER HEATER □ SOLAR W~TER I ELECTRICAL ' D ELECTRIC UNDERGROUND □:UFFER /'I ROUGH ELECTRIC I ///-1/;r lP □ ELECTRIC SERVICE □ TEMPORARY / D BONDING □ POOL ' I l MECHANICAL I /) □ DUCT & PLEM., □ REF. PIPlt'JG l///-,/,r-tr' HEAT-AIR COND. SYSTEMS ! , VENTILATING SYSTEMS I '· I CALL FOR FINAL INSPECTrON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED . FINAL . I PLUMBING I I ELECTRICAL I n MECHANICAL ,, l I / ~ GAS ~ 1111.117 ' BUILDING I " I I I SPECIAL CONDITIONS I ' ' I -· '2-3,-SC -~'-t'& ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTOR·S DATE 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 ~-------····--~- - ' ..