HomeMy WebLinkAbout1841 VALENCIA AVE; ; 82-123-1; Permit~--c O I hereb, ~l11rm that I am licensed under o [ provisions of Chapter 9 (commencing with
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~ Section 7000) of Division 3 of the Business ~ and Professions tode, and my license Is In ~ full fol& and effect. z Lie No _______ Class _____ _
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I hereby affirm lhal I am exempt from the Con-~~~-~~~~:::~ ~f~~l~~~-~~I\~
county wtuch requires a permit to construct
Atte<, improve, demolish, Of repair any structure,
pnor to its issuance also requires the apphcant for such permit to Ille a signed statement that he 1s
hcenSied pursua.nt to the prov1st0ns of the Con-
tractOf's License L.a.w (Chapter 9 commencing with Section 7000 ot D1v1s1on 3 of the Business and Pro-
fessions Codel or that ,s exempt therefrom and the
basis for the alle,oed exempttOn. Any violation of Section 7031.5 by an apphcant for a permit subtects
1ne apphcanl to a civil penalty ot not more than five hundred dollars ($500).
D t. as owner of the property, Of my employees .,,th waoes as their sole compensat•on, w,11 do the
work. and the s1ructure 1s not intended or oltere<i f0<
sate (Sec. 7044, Business and Professions Code The Contractor's Licen5e law does nol apply 10 an
owner of property who builds or improves thereon and who does such work himself or through his own
employees, provided that such improvements are
not 1ntende1 or offered for sale If, however. lhe building Of improvement Is sold within one year of
complelton, the owner.builder will have the burden
of proving that he did not build or improve tor the purpose of sale)
~~·,:iin~w;~ ~~e~hs~/~~~·,i~ ,;~~~:;:~~
the pr01ect (Sec 70,U, Busmess and Professions
Code The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who conlracts for each pro1ects w1lh a
contractof'(s) hcense pursuant to the Controetor·s
License Law).
0 lam exempt under Sec_. __ . B & PC
for this reason
'Iii I hereby affirm !hat I ha;,e a cert1ftcate ol consent lCi\ self·insure, or a cert1!1ca1e of Workers·
Compensation Insurance. or a cer1,tIed copy thereol
(Sec 3800. LabOf Code)
POLICY NO _fiA(;_l,_lls57 d
COMPANY (JtJ.m.11:J____u.n L 0/1
KCopy 1s filed w,th ,,,rt~ S '-l../! I
D Cert1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm11
Is tor one hundrecl dOllars ($100) or less)
D I cert,ty that in the performance of the work for
which th,s perrrul 1s issued. I shall no1 employ any
person in any manner so as to become sub1ect 10 the Workers· Compensation Laws of Callforn,a
NOTICE TO APPLICANT II. after maktn~ lh,s Cer11
ticate of Exemption, you should t>ecome subIect l'J
the Workers· Compensation provIs1ons at lhe LabOr
Code. you must forthwith comply with such
pro¥-1s1ons or this perm,t shall be deemed revoked ,
\ V\ l D I hereby afhrm !hat there 1s a construcllon \i ' ffi Iend1no ao~ncy tor the performance al lhe wof'k. tor
0 -which this permI1 Is 1ssue<1 (Sec 3097 C1¥-1I COOe)
z ~ Lenders Name· ___________ _
Lenders Addre,s __________ _
USE BALL POINT PEN ONI v & PRESS HARD n--:
M CARLSBAD BUILDING DEPARTMENT \ Y
.,. 1200 Elm, Carlsbad, California 92008 (71 4L438-5525
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN~~CLARATIONS.
APPLICATION & PERMIT
J0111-, AV. ST. BUSINESS LICENSE# PERMIT NUMBER
J/aLJ:'11c,;1t-_4vF: e-1~-.39
OWNER'S NAME
J.. . R PA l'lr111n2 r; HI fJ l OWNER'S PHONE
7J.. 9-79 I J
AO.
PRIME CONTRACTOR
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OWNER'S MAILING ADDRESS CONTRACTOR'S A50AESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
P.D. l?M I !CS..£ _t!n1us1?0D I E:01~M u. -r1i' STATE LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE
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DESIGNER'S PHONE
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Bn:scl-lF.D ~~/Uifo€ -'-/D11 I vO NO
CENSUS TRACT GP LANO USE
PA~NtSOCEl
A S UNITS GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA
QTY.
A f./ -,
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IQTY.
PLUMBING PERMIT· ISSUE
EACH FI XTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO /OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~ .. ALTER. REPAIR WATER PIPE
YD N D vO NO
"26'dll QTY.I MECHANICAL PERMIT· ISSUE
-J~--J'ti i INSTALL FURN. DUCTS UP TO 100.000 BTU
i;-m I OVER 100.000 BTU
-+----~ BOILER/COMPRESSOR UP TO 3 HP
'J ._ BOILER/COMPRESSOR 3-15 HP
--l--------+ METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS EACH VACUUM BREAKER -------+-------+---+----RELOCAT10 N OF EA FURNACE/HEATER WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOT t;L -MECHANICAL
TOTAL PLUMBING r 7]::j -,J{
ELECTRICAL PERMIT· ISSUE ;)JP QTY. I SOLAR • ISSUE
NEW CONST EA AMP/SWT1BKR /0(1 1-,S -COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE
NO
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OCC LOAD
EDU
FIRE SPA 7 /0f:/828208 i 931.1,07
vO NO Not Valid Unlt!Ss M.chine Certified
SUMMAR~ACCOUNTNUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinitas
San Oieguito
San Marcos
Ql·!!Qll-4220
01 ·000-4221
01-000-4806
01·000-4222
01-000-4223
01-000-4224
01 ·000-4225
01 ·000-4226
65-640-0519
01-000-m,
25·000-4933
65·623-0519
65·624-0519
65·625-0519
65·626-0519
~---
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TEMP PO LE 200 AMPS I ~i B:: ~ I G l B HE JL,"i/i. )
TEMP OCCUPANCY (30 DAYSI 'Jlf:41 ---OVER 200 AMPS
r-,. I / +....
TOTAL ELECTRICAL ] -z_..q.,,... TOTAL SOLAR TOTAL FEES PAYABLE r 1q ehl1
' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on. Every per_m,t issued by the Building Ofhc1al undertheprov1s1onsolthis
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by limitation and become null and void If the bu1ld1ng or work
* AN OSHA PERMIT IS REQUIRED FOR EXCAVA~tvER
5' O" DEEP ANO DEMOllTION OR CONSTRUCTION OF
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2 DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorized by such permit ,snot commenced wilhin 180 days from the date of such
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~'::~noer,/~t'Z~ ~~~~'~R.~;h:~~r:~thor:d by such perm,, 1• suspended or STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND '-:'=:--:::-:-:-:=.:-::"'::-==-===.::..:;=::...::s:..:c:.,o=m:::en=c::::ed~foa'.!r-'a;.t:~r,:1od=o>!!f..c1~80=d!l!all. __ ...., ________________________ ,.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND )(APPLICANTS SIGNATURE • OWNE APPRO~ED BY • --
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. BY PHONE 0
STRUCTURES OVER 3 STORIES IN HEIGHT
1...,. • ~~1'18/17~ ,
INSPECTION TYPE
FOl.JNDATION
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION 1WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED .
JOB SITE FINAL ' PLUMBIN.G
ELECTRICAL
MECHANICAL
GAS ./,\)
BUILDIN<1 ;
t~ Vl.• 1-~'i m
SPECIAL CONDITIONS V"-· " ... •6E~9F OC<j' 10ANCY ISSUED
A . -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO. IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING . .
HIGH STRENGTH
BOLTS .
SPECIAL MASONRY
PILES CAISSONS
.
.
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INSPECTOR'S NOTES
DATE ~-'ZS·~Z. ,,. ll -.,, ~iNG <=#-= o.t;;,,
;q, -7,,.52, 11' \c.tJ\~11 () t-J fJ .IL. (.;ff
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APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR truction Co., Inc.
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
U/
REMARKS:
Iii
EXISTING BUILDING
LATERA L LOCATION
...= (/)
ST.
LATERAL NO. _______ INSTALLATION DATE-------
SE
. ISSUED BY _________________ ,_
DATE ISSUED-----:-,,....,..,,---,---~------:-----
VALIDATION
I I •
LATERAL CHARGE COMPUTATION
STANDARD 4" (Ma><. H. 30', V. 10') ________ _
OVER 30' H. ___ @=~---FT. _________ _
OVER 10' V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') ________ _
OVER 30' H. ___ @ _____ FT _________ _
OVER 10' V. @ FT,----------
TOTAL CONSTRUCTION COST----'-------
SERVICE CHARGE (REPAVING ETC.) _ ____,=--------
TO TAL LATEAAL CHAAGE----------
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNIT$ ___ COST PER UNIT ___ TOTAL---
PUMP STATION FEES
161t1 TOTAL CHARGES (LATERAL ETC.) _________ _
WHITE: Engineering-GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter
Date I t/-1...7 -82.
Prepared bys
,Joi
Jurisdiction CA RL C-1'.~A.!)
VALUATION AND PLAN CHECK FEE
PLAN CHECK NO. 8 Z -I 2 3 A
BUILDING ADDRESS VAL E:. N C I A A v £
" Bldg. Dept.
CJ £5 C, I L
APPLICANT/CONTACT ________ PHONE NO. _______ _
BUILDING OCCUPANCY 1<-. -3 /.::-/ DESIGNER PHONE ------
CONTRACTOR PHONE / If,, MAR) ------4.\ ('C,,<JS -r TYPE OF CONSTRUCTION V -A'
BUILDING PORTION
L I I/ I .-v' C:,
{;.Jk l-\GE'
p.:,I(~ I-' ,.·, .) (, 1 0//t l(fl/. 1.,/j
-
Air Conditionin~
Commercial
Residential
Fire S'Orinklers
Total Value
BUILDING AREA VALUATION
MULTIPLIER
/ 7 C) 1./ 1/1 I 112, --
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I 7... o k/, .)~
-·-
Building Permit Fee
Plan Check Fee
COMMENTS I PL. fl. f} Io I-A
VALUE
7 s-, ?, ,; 8
I-/ 5'/0
_st) tf
8a1 3 b Z.
.3 70, -