HomeMy WebLinkAbout1855 TULE CT; ; 83-116; PermitIll z 0 ;::
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D I hereby affirm that I am licensed under
1)(0\'lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Lte No _______ Class ------
1 hereby aflirm ihal I am exempt lrorn the Conlrac· lor's License Law lor the lollowing reason (Sec. 7031.5 Business and Professions Code· Any city or county which re-quires a permit to construct. alter. Improve, demolish, or
~~bi~,a~i s!u~~u;r:i~'% 1il!s ~s;I~= :~sr::~:rr~\~rs
ficensed porsuan1 to the provisions of the Contractor's License Law (Chapter 9 convnenci"!I with Seclion 7000 ol
Division 3 ol the Business and Proless,ons Code) or lhat Is ex· ernpl 1heretrorn and the basis tor ihe alleged exemp110n. Any
violation ol Sec11on 703t.5 by an applicant lor a permit sub-1ects the appllcanl lo a civil penalty ol nol more lhan five hun· dred dollars ($500).
D I. as owner ol lhe property. or my employees wilh wages as their sole compensation, will do the work. al'KI the Slruc·
ture is not intended or olfered tor sale (Sec. 7044, Business and Prolessions Code: The Conlraclor"s License Law does
not apply lo an owner ol property who builds or Improves thereon and who does such work himself or through his own employees, provided lhal such lrnprovemenlS are nol lnlend· ed or offered lor sale. 11, however, the building or improve-ment Is sold wilhin one year ol completion. lhe owner·bullder will have lhe burden ol proving lhal he did not build or Im-prove tor lhe purpose ol sale).
O I, as owner of the property. am exclusively contracting wllh licensed contractors 10 construe! the projecl (Sec. 7044,
Business and Professions Code: The Contractor's UCeose Law does not apply 10 an owner of property who builds or Im-proves thereon, and who contracts for each projects with a
~rctor(s) license pursuant to the Contractor's License
D As a homeowner I am improving my home. and lhe lollOW· ing conditions exist: 1. The work Is being pe~ormed prior lo sale. 2. I have lived in my home for iw.lve monlhs prior 10 completion ol this work. 3. I have not claimed this exemption during the last three years.
g iJ:r:.:t under Sec.------. B & P.C.
D I hereby afhrm that I hat'e a cert1he41te of consent
to self-insure. or a cert,t,cate of Workers' Compensation Insurance. or a cert1hed copy thereof
iSeC 3800. Labo< Code)
POLICY NO _______ _
rl1""ed w,th lhe c,ly -/
Cert,tied copy ,s hereby lurn~
CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This seetton need not be completed ,1 !he permit
,s tor one hundred ctollars (StOO) Ot' tess)
0 I certify that ,n lhe performance ot the work tor which lh1s permit 1s issued. I shall nol employ any
person 1n any manner so as to become sub1ecl 10
the W<)f1(ers· Compensation Laws ot Gahforn,a
NOTICE TO APPLICANT 11. aller mal<1n~ !hos Cen, hcate of Exemption. you should t>ecome subJect t?
the Wo'1{.ers· Compensahon provisions of lhe labor Code, you musl for1hw,th comply '#rt11lh such
prcw,s,ons or H'us permit shall be deemed revoked
0 I hereby attum that there 1s a construction 1enc11no agency tor lhe performance 01 lhe wO(k IOf
which rtus oerm,1 1s issued (Sec 3097 c,.,..,t Codel
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLA,
CARLSBAD BUILDING DEPARTMENT .. APPLICATION & PEA IT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
JOB ADDRESS
A~i.TrJ::i~~3l
IUSINHSL~# VALUATION PERMIT NUMBER
JA55 TuLE t..,-r. ~
-.A to4-5o-~-B=>-fffo OWNER'S NAME I OWNER'S PHONE R;;;::;J:~➔~ ~ CONTRACTORS PHONE I ZONE WI\'<~~ h-:~~s JYJ-7<1¥3
OWNER"$ MAILING ADDRESS c/i~c/°:_p°j;:,1h. lJ S,N\ LICENSE NO. PLAN 1.0. # BLOG USE COOE
,-iA,r;J.~ ,,, . ~Pt;oL.
LOT I BLOCK I SUBDIVISION I ~~•~A~b~-08 DESIGNER LICENSE# STANDARD PLAN #
56l30¢00TAGE
DESCRIPTION OF WORK I J1x 5o'~\~Jiv.i~t~ ~ i-~ DESIGNER'S ADDRESS DESIGNER'S PHONE.
~t.zfhlf ne-.e , >'Mi,E -• NO q~~~~ -~~~ 8:! --------• --F/P FLA ELEV. OCCGP EDU l !i,&J STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not V~lid Unlffs M.chine O!rtified
QTY. PLUMBING PERMIT -ISSUE 23-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
-✓ EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT OHl0-00-8220 nv. ·.1u
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00-00-l\f'21
r EACH WATER HEATER ANO/OR VENT 'I .J:n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~fF, ptf, uo
I EACH GAS SYSTEM 1 TO 4 OUTLETS A .r:::r, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 1~-~
EACH GAS SYSTEM 5 OR MORE ,_,. -METAL FIREPLACE ELECTRICAL 01·00-00-8223 In , /Yl./
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
I EACH VACUUM BREAKER CJ. ,::::,n MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·00-00·8225
WATER SOFTNER --RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00•R??fi
TOTl<L MECHANICAL I STRONG MOTION 80-92·33·0519 23 ~ -. -TOTAL PLUMBING I l'-7 .o~ FIRE SPRINKLERS 01-00-00-8227
.P-PUBLIC FACILITIES FEE 32-00·00-8923 QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR . ROCK STORAGE Encinitas 80-92·22·0519
1 PH 3 PH PUMP I San Dieguito 80--92·23·0519
r REMODEL/ALTER PER CIRCUIT 1:-,.-PLAN CHECK FEE San Marcos 80-92·24·0519
'
-
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS) ,~ I l--L -,Z::'.'."')
TOTAL ELECTRICAL .
TOTAL SOLAR I ~ /0 00 TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT"" AND DO HEREBY a hp,rahon Every permit 1uued by the Budding Officlal undarlhe~oftllia * AN OIHI' PERMIT 1$ REQUIMD FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ohall exp,re by hm,tatlon and become null a,d void II Ille building or worl< S 0-DEEP AND OlM0UTION OR CONSTAUCTION OF authorrzed by such permit ,s not commenced within tlO days from Ille daht Of IIUCh DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 1f the bu1ldi~ or work authorizad by such permit is -,ended or STIIUC1UIIES OVER 3 S10flES .. HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any t11ne a er the •""'""" r,,,.._.,,enced for a -in., Of tlO -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPl~CANT· SIGNATURE • (! -":_;_.. ,. WNE O i)ONTRAc::rrg,_p,-~PPRPVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
0
~ ~~.i4:": -"<.ti. -l R /1 J.. \ .::,..,
l '1>•i~83 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ._ . ' ~, • .-. _. ~-:,_ IV~ 0 / GRANTING OF THIS PERMIT. 'A.,_,,., i 1,. , · ',:. ,.. ,. . , ·v .
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I ~✓--INSPECTION TYPE i DATE INSPECTOR .. -'. ' . , •
BUILDING ,/"" -
""'~lnl l""7>1A FIELD INSPECTION RECORD f ?, -, '~
FOUNDATION .... -,,..,, --~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL ~
MASONRY : INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL . •· ~ ..
-• -> .... ~ "~
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE ' FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED .
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING I
FIELD WELDING --
SEWER AND BL/CO I ' HIGH STRENGTH I
PLUMBING UNDERGROUND 5,i1~ ~ BOLTS
PLUMBING TOP OUT . If SPECIAL MASONRY "I ~ ~
TUB AND $HOWER PAN ' :•
GAS TEST ' IC, r1-;f,lit; "ff • I :'
PILES CAISSONS ' ELECTRICAL I ' ij ,,
TEMPORARY POWER ' I ,-
ELECTRIC UNDERGROUND : '
ROUGH ELECTRIC ~1·~~ ~· \..~~'\·.r~ 1 ~ ,;-,., i. :., ..
,, '·~•l~• I
ELECTRIC SERVICE t , I ~ II . r-,-.
Ytit1.~ I ~UY.\.Afl0/1.Pi:<T'
........ \
BONDING \ ,....,, .. UH • .,._. ............ ··1' ..
G. F. I. -SMOKE DETECtOR' r .
--\J .. -.
MECHANICAL I I ~
.• ' DUCT & PLEM., REF. PIPING :
HEAT -AIR COND. -SOLAR SYSTEMS -.,'l"tU'."\•. -,--: I ;,: ·~ -......
VENTILATING SYSTEMS ~ ... ! .. ~::~ I .-:. ;
J,;,
---
-L •• .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ' ' I . .
• i ...... ' -· •.:.. -~ -. -·,: ..
ITEMS ABOVE HA VE BEEN APPROVED. --.. 1:.::-~ -... -,: C'
..... ,. ·-,. ·-
JOB SITE FINAL ~ ' • I " . ,-.
I I '
j /"\ / /7
.
PLUMBING
ELECTRICAL " ,I< '\\D~
MECHANICAL ,..(14k' ~' Y.,,VJ
GAS o..\ ·;~-'fb'v • . I ,.. ' ,.: , I , -
'""'=:" . • t-· .. ' • '
BUILDING ~ ie!''• C £()£1 u ..
. " ~ . "., I ..
SPECIAL CONDITIONS -\II ~ I ->
CERT OF OCCUPANCY ISSUED \' .. '
INTERDEP/\RTMENIAL INFORMTION SHEtiE CEIVED
BUILDING DEPARTM.ENI M~~n1_19_83-'-----
BUILDING ADDRESS: //s-s-~ CJJ;icJ,~F-cARI SB-Ao
A. P. N: ;2/f) -..soY -tJ ..3 c. T: _______ • _g_D_ep_a_rt_m..:..:en~t __ _
PLANNING DEPARTMENT
, ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS CARLSBAD ------
UNITS REQ'D: __________ PROVIDED:
% COVERAGE ALLOWED: . PROVIDED: -----------PARKING SPACES REQ'D: PROVIDED: -----------BU IL DING HEIGHT REQ'D: PROVIDED: -----~---
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: -----i--
PROV IDE D: _-\1---+-+-.I.L...--=::,,.~
INTRUSIONS: ---""=>''----',,----
RE -DEVELOPMENT APPROVAL REQ'D: ---------LANDSCAPE & IRRIGATION PLAN COMMENTS: _______________ _
ENVIRONMENTAL PROTECTION REQ: -------------------
ADDITIONAL COMMENTS: -----------------------
OK TO FINAL: DATE: ---------
.ENG..INEERING DEPARTMENT
R.O.W: ---
PUBLIC FACILITIES FEE: SEWER CONNECTION: --------------
DRIVEWAY LOCATION(S): ______________ _
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: ________________________ _
ADDlTIONAL COMMENTS: -----------------------
' *.U.li.:Ji£·l> fi:3:-k * :ii :x * :I: £:ii:Dr.:ll1il .. :t, .. A:.UiLilililLUiXt.:k:.LV.:iLJ.'i..D:..:Ddi.J.iDU3L£:Ji..il.JC£-¾J; m.:tJ;.UL1'.
* IF TlfTS TTEM IS NOT CIIECKED, l3U[LDINC DEPARTMENT WILL MAKE
FINAL INSPECTION.