HomeMy WebLinkAbout2475 TUTTLE ST; ; 84-576; Permiten z .o i .., u .w\
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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 Proleas!ons Code, and my license Is in
lull force and effect.
lie No ______ Class
I hereby affirm Iha! I am exempl from tile Conlrac-
fOf's License Law 10< the fOllowtng reason (Sec. 7031.5 eusmess and Professions Code Any city or coun1y which re-quires a perm,1 to cons1ruc1. alter, improve demolish, or
repair any structure, prtor to I1s issuance also requires :heap-phcanl IOl such oerm,1 lo tile a signed statement that he Is
licensed pursuant to the provIst00s OI the con1rac10f s license law (Chapter 9 commencing w1tl'l Sect10n 7000 of
01v1s1on 3 of lhe Business and Proless,ons COde} Of that ,sex-empt therefrom and lhe basis lor the aI1egea exemplt<>n Any violauon o1 SechOn 7031.5 by an apphcant IOf a permit sub·
Iec1s the apphcanl to a tMI penalty of 001 more than five hun-dred dOllars ($500).
I, as owner of lhe property. or my employees w11h wages as their ~e compensation. will do lhe work and lhe slruc·
ture 1s no1 intended or olfered lor sale (Sec 7044 Busmess
and Pro1ess1ons Code The Contracfor's License Law does not apply to an owner of property who builds or improves
!hereon and who does such work himself or lhrough his own
employees. provided that such improvements are not intend· eel or offered tor sale II, however. the buI1dmg or improve·
menl is sold w1thm one year al complehon, !he owner-builder w1U have lhe burden ol proving that he did not build or im-prove for the purpose of sale).
D I, as owner of the property, am exclusJVely contracting w1lh licensed conlractors to construct the proiect (Sec. 7044,
Business and Profess10ns Code'. The Conlractor's License Law does not apply to an owner ol property who builds or im-proves thereon, and who contracts for each prasects with a contractor(s) license pursuant to lhe Contractor's License Law)
D As a homeowner I am improving my home, and lhe follow ing conditions exist· 1 The work is being pertormed prior 10 sale 2. I have lwed in my home lor twelve months prlOf to completion o11h1s WDfk.
I have not claimed lhIs exemption dunng the last lhree years
O I am exempl under Sec ______ . B & P C
!Of lh1s reason
□ I hereby athrm that I ha,_.e a cen,ticate of consen1
to self insure, or a cert1f,ca1e ol Workers
Compensation Insurance. o, a cen1t1ed copy thereof
(Sec 3800 Lal>Ot' COde)
POLICY NO
COMPANY
O Copy ,s hied w1tn !he city
D Cen,t,ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sec11on need not oe complele<J ,t lhe pe.rm,t 1s tor one hun<!red dOllars CS 1001 or less)
D I cen,ty that 1n the performance or the work tor
which th,s permit ,s issued. I shall not employ any
person in any manner so as lo oecome subIect to the Work.ers Compensation Uws of Callfom,a
NOTICE TO APPUCANT II alter makm~ lh1s Gen.
t,cate ol Exemption you Should beeome sub1ecI l':1
the WoO..ers' Compensallon prov,s,ons ol 1he Lat>or
COde. you mus1 tonh .. 1lh comply w11h sucn provIs1ons or ttus perm,I shall be deemed revokea
0 I hereby affirm lhat lhere is a consiruct1on
1end,nQ aoency tor !he perlormance ot the wor1-. 10,
wh,ch trus perm11 ,s issued !Sec J097 C,v1I Code1
Lender s Name ___________ _
Lenders A.oo,ess __________ _
USE BALL POINT PEN ONLY & PRE~S 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
~rf 6 • 1ur1tt:iSr. AV ST. RO. NEAREST CROSS ST. ,~z~;7i41 BUSINESS LICENSE :t VALUATION PERMIT NUMBER !VI-:3DA,:==;
LOT BLOCK I SUBDI VISl~N I AS 1·~-;_; R~L~,. 3l!/ ~Ti,f/~1L,C~
CONTRACTORS PHONE • ZONE ~t\-'51~ 0\IVNER"S NAME l11~11PJ ~~ ~!: Jrwt(_j -l0:;,06·s0~~ uJ, LICENSE NO. p§+.:57~ BLDG USE CODE
,Z.V\A_~~.:
OW~M1t; ATLJf rt.£ S, .
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L, AA. ~ LICENSE zt STANDAflD l'l'.AN '#" '--6UILDING SQ. FOO~E. . Vt , ,,, ,.~ I I I -S1-S OESCRIP110N OF \IVOR><: . .
OESIGNER'S ... OORESS r1Z:4414~ t
~'a:»~ 515 ~ ~O)..l_-,__ F/P FLA ELEV. NO DCC GP EDU
~~-~,. k' ~~\-n~ vO NO
STOf lES 12-3
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRA0ING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO FIRE SPA AREA
\
lNST >\O YO ND vO NO -~ vO NO Not Val,d Unl~r Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7,rfo QTY. MECHANICAL PERMIT · ISSUE .?,01 SUMMARY/ACCOUNT NUMBER -, EACH FIXTURE TRAP l, .':::,C INSTALL FURN. DUCTS UP TO 100 000 BTU BUILDING PERMIT 01 ·00·00·8220 l 4-/, -~r, ,., EACH BUILDING SEWER ., OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221 l-
EACH WATER HEATER AND OR VENT ,; _J!!.r BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00·8806 \7_'1, tL6"
EACH GAS SYSTEM I TO 4 OUTLETS I ,, -~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222 ~~-----'7~~-EACH GAS SYSTEM 5 0 R MORE METAL FIREPLACE ELECTRICAL 01 ·00-00·8223 ----EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 -EACH VACUUM BREAKER ME CH EXHAUST HOOD 'DUCTS M0BILEH0ME 01 ·00·00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN I ,NSIDEl SOLAR 01 ·00·00-R??O
TOTiiL MECHANICAL STRONG MOTION 80-92-33-0519 1 . I?> -TOT Al Pl UMBING I ;J,,r,. -FIRE SPRINKLERS 01·00·00-8227
,~dcJ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-89l) QTY. ELECTRICAL PERMIT -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 Enc1ni1as 80-92-22-0519 l PH 3 PH PUMP San D1eguito 80·92-23-0519 A-REMODEL ALTER PER CIRCUIT 'l.h --PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS _L,,...____.,.., LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 D_/tySl MFF 80-92-57-0519 -' 1) CREDIT DEPOSIT #CJ. l0·3l~ f -( '6!1 2.<:> I> TOTAL ElELTRr(AL I '}JS _ -TOTAL SOLAR TOTAL FEES PAYABLE I '2..A-S .1&' I
I HAVE CAREFULLY EXAMINED THE COMPLETED · APPLICATION AND PERMIT AND DO HEREBY Exp,rat1on Every permit issued by the Bu tiding Offlc1el under the prov,sIons of this * AN OSHA PERM!T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1,m,tahon and become null and void If tne building or work ~-o·· DEEP AND DEMOLITION OR CONSTRUCTION OF • DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w,thtn 180 days from the date of sucn
STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON :~r;:~on':c, ·~, ·:~v ~,;!~':He~~h:~!~ aut~~~~e~leJ~~~ r~~~1~,sr:c~~~~ or STRUCTION WHETHER SPECIFIED HEREIN OR N,'.lT'11-ALo0 AGREE TO SAVE INDEMNIFY AND
APPLICANl5?:::~ ~O~NE:□ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST .ALL LIABILITIES JUDGMENTS, COSTS AND ~ . -EXPENSES WHICH MAY IN AN'v WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -GRANTING OF THIS PERMIT BY PHONE 0 t'<_~J · I lZ -l,84-.
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION ,
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REINFORCED STEEL I
MASONRY .
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
EXTERIOR LATH I --
INSULATION t
INTERIOR LATH & DRYWALL I
I
PLUMBING r
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W~TER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WAtER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND D lJFFER
ROUGH ELECTRIC t
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . i ,_
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
--~IT~EMS ABOVE t1A VEj BEEN.APPROVED. ' ' ~
ANAL I •
PLUMBING
ELECTRICAL
MECHANICAL
GAS '":"'· ..
BUILDING
a;_ SPeCIAL CONDITIONS
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... .~ . S{l.J-6 / -f -,,.. • __,0 • I
FIELD INSPECTION RECORD •• ~-·
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIAN CE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE:
OVER 2000,PSI
PRESTREss·ED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ".
BOLTS -
SPECIAL MASONRY
PILES CAISSONS
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CHECKED APPROVAL
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DATE
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INSPECTOR'S NOTES
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City of Carlsbad MISCELLANEOff~~~·1• .i.ut~_l_t su T31.1 ~25 TL:
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 RECEIPT
,. ~ -T vt-"i \~ ~'-' !~~ress 4 \ .\. MISCELLANEOUS FEE RECEIPT
Owner \/ <J.N ~ ~~~ \N ~ \A □ • PLAN CHECK FEE 01-00-00-8806 /J{/,olS-
Malling
s~'-L__ □ -:J~ --. ~
Address VALUATION I L7' V /_/
City~)S.~ I~ ~~bY ~t)C\-\£).<()i □ DEMOLITION
Contractor ~\}.) ~ I'( . 'o \,-,\~ v< □ HOUSE MOVING
Address □ PARKS AND RECREATION FEE
□ City I Zip Tel. PUBLIC FACILITIES FEE
□ SCHOOL FEE · DISTRICT State Lrc. City
S. Ctassif. Uc. No. 0 Carlsbad
COMPLETE FOR PLAN CHECK ONLY □ Encinitas
A -J □ San Diego , LEGAL DESCRIPTION /r -□ San Marcos
0 CERTIFICATE OF OCCUPANCY
ASSESSORS PARCEL NO \ s s ' \ \o ~ -~ ~ n
DESCRIPTION OF WORK '\) C) Y" , Y')~j)•)+~~ \~ n
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□
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PLAN ID NO.
DESIGNER ADDRESS ' t) ~ ~ ~~~l'"Q\<l )_ Y\
□
--□
PHONE 1~L\i ,-L+, ~ ~ 17 '\/J))'l ~
□ .
CONTACT PERSOC:,~ '\.~ ~(h~Th\-'~~
TOTAL FEE S /...? (/.2.0
0 •WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
l APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
s;,,..,,,.,,,,,~.,.) ll ~1-~ I
COMMENTS:
• .
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White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
1,rp
PLAN CHECK NUMBrai1 •t1'-~,:£~i$~ ~ved
PLANNING: TYPE OF STRUCTURE~~A~, ,w_;d./~ZONFo cr Sl 19Q4
. ..,,.. ~-
SCHOOL FEES: SAN DIEGUITO_______ ENCINITAS CITY 06 CARLSBAD
CARLSBAD -------SAN MARCOS -~-~---
% COVERAGE --------1-1------
8 U IL DING HEIGHT -----tt-'t---\-l~-,,,'--FRONT ---H--+--t-+--~--
F ENCE S /WALLS _____ -+-1 ___ .,._ __ SIDE ---~+--+----
-TWO CAR GARAGE RE AR 0::: Lu
3: Lu ..... Lu > I-Lu ex: 0::: 0
COMMENTS:
-------------------
-------------------------
O
v,z D Al I\ REDEVELOP~1ENT APPROVAL REQUIRED: IV I"" 6 ~ □ ......... _____________ __:_ __
0:::0' ~S D 8 ::ii LANDSCAPE PLAN COMM ENTS: __ ,.._ ____________ ~-+J----A
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~SD a:: O' 01.J.J u 0::
ENVIRONMENTAL REQUIREO.a...: --"'--"""'6....:.'f-_e_vfl.._/Jr _________ ....,.=-'-=---i.--
OK TO ISSUE: ~ I
ENG !MEER I NG LEGAL DESCRIPTION VERIFIED? ,'fe-s A.P.N. CHECKE~
PARK IN LIEU ;Jltr __ .,..., .,_._ ___________ _
______________ E.D.U: ~r'T
SHIER: _________________________ _
LATERAL: -----------DRIVEWAY: ------------
GRADING PERMIT: ______________________ _
DRAINAGE: t;-,f<:_._; _ _.r__ _______________________ _
EASEMENTS: /4/4-Af:~7: ADDITIONAL COMMENTS: 'T#-/~ /~ 0 N0"'
A: /c~n;~ ~ -4 Ao-rf-#r¢/~.Lc; A-~/77a-,,J.,
* ENGINEERING INSPE T
PUBLIC ~!ORKS INSPECTOR: ____________________ _
FINAL OK: ----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)