HomeMy WebLinkAbout1859 VALENCIA AVE; ; 83-43; Permit"' z 0 ~ CIC "" .J u w 0
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~ he<eby 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 for~,M(!,tf~f-_ /" ~
lie No~~ Ctos~...c'2:L'-"'"----
I hereby att1rm lhal I am exempt from the. Con· ~:·r~~~~::: ~ ~f~~~ ~~ county which requires a penmt to construct alter, improve, demohsti. or repair any structure.
poor to its issuance also requires the apphcant for such pemut to hie a SJgned statement that he 1s
licensed pum,Mlt to the proviSIOOS of the Con-tractor's Ueense Uw (Chapter 9 commencing with Sectaon 7000 of Dtv1sM)O 3 ol the Business and Pro-
fessions Code) or Iha! 1s exempt thenlfrom and the boSis tor lhe alleged exemptlOO. Any vlOlation of
Sec11on 7031 5 by an opplicanl for a pe,mll sul>feels tne applicant to a civil penalty of not more than hve
hund<ed dollMS ($500)
D I. as owner of the p<Ol)erty. or my employees .. uh wages as their sole compensatton. will do the wM. and the structure 1s not intended or offered for
sale {Sec 7044. Business and ProfesslOlls Code. The Contr,ilCtor's LJcense Uw does not apply to an
owner of property who builds or Improves thereon and who does such ~ himself 01 through h,s own
employees, prOY1ded that .such ,mprovem,e;,ts are not mtende1 or offered for sale It, however, the
building Of 1mp,oveme(lt IS sold Wtlhin one 'fe:M ot
complehon, the owner-builder will have the burden
of proving that he dtd not build or 1mpr0¥e tor the
pulJ)OSe of sale)
C I. as owner of the property, am exclusively
contracting w1!h hcensed contr~tOf"s to construct
the prOJf1Ct (Sec ~. Business and Professtons Code: The Contrac1or·s License uw does nol apply
to an owner of property who builds o, 1mpr0¥es ~:~i~~ 7.~nc:'=!~ -::~t!'t.:~~;;:.:
License Law).
0 tamexemptunoersec ____ ,B &PC
tor this reason
M I hereby affirm that I have a cert1hcate of consent
~elf-insure. or a cert1f1cate of Wor1(ers·
Compensation Insurance. o, a certified copy thereo
(Sec 3800. Labor Code)
POLtCYNoWG. =>~-
COMPANvllN~
~y IS hied with the City
0 Certified copy 1s hereby furnished
CERT I FICA Tl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed 1t lhe permit
,s for one hundred dollars ($100) or less)
O I certify that in the pcffiormance of the wont fo,
whtCh 1h15 perrmt 1s issued, I shall not employ any
person ,n any manner so as to become subfect 10 the Workers Compensatt0n Laws ol Cahlornaa
NOTICE TO APPLICANT If. after ma1<1n1 thlS Cen,
ftcate ot Exemphon, you shoutd beCome sut>,ect l'J
the Workers· Compensahon prov1s.cms of the Labor Code, you must forthwith comply w1lh such
prov,s,ons or 1h1s permit shall be deemed revoked
0 I hereby affirm lhat !here 1s a consuuc1,on
lending agency to, the performance of lhe wOR tor which this perrml IS issued (Sec 3097, C1vtl Code)
ltndef s Name ___________ _
lendef's Address __________ _
• 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, Callfomla 92008 (714) 438-5525
JO(ffiC/~A~ ~~-T·1i EU-:~'ONI
BUSINESS LICENSE '1 ~v ~~. PERMIT NUMBER
~ -~T es~ OWNER'S NAME l1z<=j0:~~se PRIMECONia(KRA .&11JAJ~/. ,1/f'h_l I CONTRACTORS PHONE • ZONE e:JlL ~'\J'ES~ /vi~ ., --, D r:Ari,1/iJ ~~-4/f./
re:~~:f'W::s~ A Prlt!:=,~B,A/:S ~~r7flt½iaJ 6ce6e-~ LICENSE NO.¼, PLAN 1.0. # BLOG USE Coo.,
~D.t'Y2." 10 .d"' n..,_, r_..,z. • ,_T{J It-~I BLOCK ,~~~".~ ~07~2~4 -14-DESIGNER STATE LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE
OESCRl~~L. ./jq/ ,,ffl O[SIGNER'S ..-.ooAESS OESJGNE R'S PHONE \
--------· -. -F/P FLR ELEV. NO OCCGP EDU l,?'I I I 1{;6,it STORIES
vO NO --(,, 1~).t 17 y ' e::i If '1-E
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machine Certifitld
QTY. PLUMBING PERMIT -ISSUE 7 c:;n QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARVACCOUNTNUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220 Y'.O,~n
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000·4221
I EACH WATER HEATER ANO/OR VENT /Lf;)() BOILER/COMPRESSOR UP TO 3 HP PlAN CHECK &;,'/.'%.CM, ---• A ":/ ·t E.ACH GAS SYSTEM 1 TO 4 OUTLETS q . ./:J'. ' BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING , 01 :000-4222 I ~.l)t'J
EACH GAS SYSTEM 5 OR MORE METAL FIREPlACE ,; .. ~. ELECTRICAL 01-000-4223 )"·""
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
. 01 ·000-4224
I EACH VACUUM BREAKER 7 __ 51,, MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01 ·000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000·4226
TOT .l.l MECHANICAL STRONG MOTION 65-640-0519 /:,;,f,,,.
-/hoO \"·
TOTAL PLUMBING I -FIRE SPRINKLERS 01·000-4227
,::;;., Q..Q f PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT -ISSUE --• V V
QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS / SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519 ,· -
I REMODEL/ALTER PER CIRCUIT &:;-tJO PLAN CHECK FEE . .. , . San Marcos r 65·626·0519 ,
TEMP POLE 200 AMPS ~
OVER 200 AMPS
TEMP OCCUPANCY (30 DA VS) . ( •· .. -...
TOTAL ELECTRICAL I If) /JO TOTAL SOLAR TOTAL FEES PAYABLE I /O0 ,tb
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT"'-AND DO 1-jEREBY Expiration. E..,.,permitiUued!JVlheBuildlngOllfCial--prov,sionaoflhis * AN 06HA PERMIT IS REQUIAED FOR EXCAVATIOttS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON lNCLUOll-fG THE Code~•..,,.,. 11V lllllilalion and become null and void II 1lle building or work 5" O" DEEP ANO DEMOLITION OR CONSTRUCllON OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY A. ND AGREE IF A P1£1'!,MIT IS autllOnad :r-pennlt la nol commenced wi1hin 180 daya "°'" Ille date of such STAUCTUAES OYER 3 STORIES 11"<-.EIGt'T • pannll, o, I Ille ~or -■ullloriUd !JV MCtt permit ,a suspended or ISSUED TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING C_ON· aballdolled al -IMM Ille wo,11iacommermec11or ananod of tllil "•-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE T .. o S,t.VE INDEMNIFY AMO '[7?:'' / .z:_o Je,TRACTOR ~ fflovEo BY. • t. DATE • KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. CCSTS AND
-• /)l"M 1'-Z· ~1·8s EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY JN CONSEQUENCE OF THE _ ·•--, , . YPHONE 0 GRANTING OF THIS PERMIT. • /~• :' '• _ ' t 'Iv• y . • ' ' I r --.
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INSPECTION TYPE DATE INSPECTOR . \ ~ --r . -. ff3 ,,.1:J,3 ., -' ' .. / ' j • BUILDING _,
FIELD INSPECTION RECORD .; • FOUNDATION
REINFORCED STEEL ,.tJ.n-ix . . ~~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
~ I INSPECTION REQ IF INSPEC TOR'S DATE \ MASONRY CHECKED APPROVAL -
GUNITE OR GROUT I SOILS COMPLIANCE rn' FaJlI=" ti. .. K--ria-i ,m --4,2J>..Sh I'~
FLOOR & CEILING SUB FRAME i PRIOR TO
"' r FOUNDATION INSP
SHEATHING . STRUCTURAL CONCRETE w c' i ---~ -,
FRAME I OVER 2000 PSI l~e,• l&A./\,.,,V\6 'll~
EXTERIOR LATH lNSULATION ~ I PRESTRESSED
~.l_.t._.t. ~ ~ ~(/a\ n ~ ~-b.A f ' CONCRETE c:: ~"")
INTERIOR LATH & DRYWALL I POST TENSIONED ¼rnu..o .rnl.:N\~ ~ A,,_~ rv.ct "'-<9~-' • CONCRETE ft
PLUMBING I FIELD WELDING t-)p,., . ~ ~ ... ~ u (\~ r7A:. o __ d,/ -,,. I SEWER AND BL/CO " HIGH STRENGTH ,..-, ~"")\ J J ~.~ (J __ . '-.) -• ,r, I BOLTS PLUMBING UNDERGROUND ~~ --I ',-r~ r,_),..,~ED PLUMBING TOP OUT '-j SPECIAL MASONRY ... c)ylC,, h-?fJ. ·B3 fir_..-.
TUB AND $HOWER PAN I . '"' i
GAS TEST I ?_~'Zl,-~ I~ PILES CAISSONS I a ("-
ELECTRICAL I -
TEMPORARY POWER \ -\. 'J ,,:,
ELECTRIC UNDERGROUND ~·A~ '1-M ~ \ ~'C\(', --.. , i:_':",7)t kl ~~·, .. ·W"1~ ...... :-• ROUGH ELECTRIC '.i -c --=-·-. .. .J • -
ELECTRIC SERVICE -", 'r-. ,-... .--u· ,.._ _, -
BONDING ~ 'l/t3~ ~ ' -
G. F. I. -SMOKE DETECTOR
MECHANICAL •
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS -' VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE '· '! ,,_
ITEMS ABOVE HAVE BEEN. APPROVED. ---. --~
JOB SITE FINAL I .. .-
' I i ' ' I' ' ('. (. ·,_ ',
PLUMBING ,_ -~ I '~----"' ~--ELECTRICAL ,_.-· --.......... ~ :I -~ ! ' . . • \' . / ' ... . .-._ -I . \. .. MECHANICAL ~ -----.... --
/ ' 8 .. _ I .. GAS ... ~ w . .. ' Jr-• \ I......_ -' -.=; ~"'--.;"~
BUILDING qt)'ji1 ) --. -~ •'"":" ~ ... -;,
~ c. • ·..: p .. 'l ,,r--I ..---, . ,
a.-
SPECIAL CONDITIONSL.J frm ~,' U-IZKtri::> -<
'l'"'.YlJ .,
CERT OF OCCUPANCY ,ssueo I , -_,/
........ .....
'
~RTMENIAL INFORMAT ION SHEET lECEIVED
m* * * * * * * * * * * * * * * * * * * * * i= * * * * * * * * * * * .~ * * * * * * * * * * * * * * * * * * z, * * •= * * * * * * * * * * * * *-
£LANNING DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS _____ CARLSBAD _____ _
UNITS REQ'D: __________ PROVIDED: ___________ _
% COVERAGE ALLOWED: ________ .PROVIDED: __________ _
PARKING SPACES REQ'D: _______ PROVIDED: __________ _
BUILDING HEIGHT REQ'D: _________ PROVIDED: ________ _
FRONT SETBACK ~
ALLOWED: h.-p
SIDE SET REAR SETBACK
PROVIDED: \ ~~
INTRUSIONS : -----=---D\6
RE-DEVELOPMENT APPROVAL REQ'D: ---------LANDSCAPE & IRRIGATION PLAN COMMENTS: ----------------
ENVIRONMENTAL PROTECTION REQ: --------------------
ADDITIONAL COMMENTS: ------+------------------
ENGINEERING DEPARTMENT
' R. O. W: IMPROVEMENTS: -----------------------
PUBLIC FACILITIES FEE:· SEWER CONNECTION: --------------
DRlVEWAY LOCATION(S) : _______________ _
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: ____________ _
LEGAL DESCRIPTION: _______________________ _
ADDITIONAL COMMENTS: -----------------------
'Ii};**:/;~:** ~m * * * * -DiLUJaJ;.Jd .. :Di.l.£:DiJi.:DJGi:li:tl.ld ,~ •~ •~ * ~ * * * * * GJi.L'JJi.
* IP TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTlON .