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Home My WebLink About2509 VIA ASTUTO; ; 81-383; Permit.,, z 0 ~ a: C .,J id 0 IC I[ 8 a: "' 0 .,J 3 J Ill z 3S 0 z 0 ;:: C .,, z "' CL :, 0 0 .,, cc Ill " a: 0 3S ll O I llereby'\ ... ,m 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 force and effect. LJc No _______ Class I hereby affirm lhat I am exempt from lhe Con· V:~~-~~~;~";: ~w ~t!!::~~~~,(~ county which requires a pemut to construct alter, improve, demohsh. or repair any structure. Pf'tOJ 10 ,ts issuance also requires the apphcant tor such penntl to hie a s,gnec, statemenl that he ,s hcensed pursuant to the prov1s1ons ot the Con· tracto,'s License Law (Chapter 9 commencing with Sectt<>n 7'0(X) of 01vIsIon 3 ot the Business and Pro-fess,ons Code) or that 1s e.xempt therefrom and the ba$1s fOf the aJlerged exempttOn Any v1olat,on of Sechon 7031 5 by an apphcanl fo, a permit subjects tne applteant to a c,v,I pena.Jty of not more than five hundred dollar$ ($5001 0 I. as owner ol the property, O< my employees ,.,th wages as !heir sofe compensation, will do the work. and the structure Is not intended°' offered fOf S&le (Sec ,o.u, Business and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and whO does such wortt himself or through his own employees. pro't'1ded that such Improveme;its are not intende':1 or offered tor sale It. however, the butldmg or improvement ,s sold w1thm one year of completion, the owner-builder will have the burden ot proving t~t he dtd not build or improve tor the purpose of sale) O I. as owner ot the property, am exclusively contracttn; with hcensed contractO<S to construct the proJect (Sec 7044. Business and Protess,ons Code· The Contractor's License Law does not apply to an owner of property who ~.ulds or improves ~~~-~ 7i~nc:'~~~!~~~ ~~~h~,~~~~::.: license La.w). 0 I am exempt under Sec B & PC tor th,s reason ___________ _ D I hereby affirm thal I have a cer11hcate of consent to self-insure. or a cert1f1ca1e of Workers· Compensation Insurance. or a cen1hed copy thereof (Sec. 3800, ubof Code) POLICY NO _____ _ COMPANY 0 Copy IS hied With the Ctty D Cert1f1ed copy ,s hereby furnished CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need not be completed 1f the perm,t 1s tor one hundred dolla1s ISH)0> or less) 0 t certify that in the performance of the wo"'-tor which this pennIt 1s issued. I shall not employ any person ,n any manner so as lo become subJecl lo the Wol'kers· Compensation Laws of Galtlorn1a NOTICE TO APPLICANT If. afler mak1n;, this Cer11 hcate of E)(empuon, you should beeome subIec1 ,., the Wonters· Compensation provIsIons of lhe Labor Code, you musl tonhw1th comply with such provisions o, ir11s permit shall be deemed re\/0ke<2 0 I hereby athrm that lhere Is a construction Iend1ng agency l()f lhe performance ol the wo...._ lor which lhtS permit IS issued (Sec ')J;E7 C1v1I Code) l enoer s Name ___________ _ l enders Address __________ _ USE BALL POINT PEN 01'1.l & PRE~S HARD . ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA At-'"" 1ECLARATIONS CARLSBAD BUILDING DEPARTMENT ~)) APPLICATION & PERMIT ~-;. 1200 Elm, Carlsbad, Calllornla 92008 (714) 438-5525 I JOB AOORESS f,,.As-r u,6 AV. ST. ,OATE OF APPLICATIONII BUSINESS LICENSE # 7o?o PERMIT NUMBER 1509 RO. \J,~ i, .:t>g~ OWNER"S NAME l :rz.s:2059 PRIME CONTRACTOR CONTRACTORS PHONE • ZONI: 't..u<cA. E:. {>\A.Ji:=-"-\ l• \(? Ii',._ \-f'"\ \A I 1-==-N 'I,) /-f,... OWNER'S MAILING AOORESS - CON~7:R'Sc 00;:: ~~ \ LICENSE NO. PLAiJ~Jg43 BLOG USE COOE 2..509 \J ~IA. ~~\rra lkt_s~n ~/A Loi:, 1 BLOCK I r~ r:,,:;:.i I ASSESSOR PARU:L NO. DESIGNER -STATE LICENSE a STANOARO PLAN# BUILDING SQ. FOOTAGE ~ '12.2J , L1 ,n...\.. E ~\td~~ ....;/ A. ~o OESCRIPTION OF WORIC -/) ~ -OESIGNER'S AOORESS DESIGNER'S PHONE ,-L D ~ ~, iA'n a ~ VE£_ 2..SQq \J,A.. ~~"'iU'\"C" 12.9-'"2.CS9 -' F/P F LR ELEV. NO OCC GP EDU STORIES 9/10/8(6792 vO NO --31.35 CENSUS TRACT I GP LANO USE I PARKING SPACE 1 RES UNITS J GRADING ~ERMIT ISSUED I REOEVELOPMENT T YPE OCC LOAD FIRE SPA O";.. 18792 nI01:iI ~: 1.35 AREA CONST YO ND v O NO vO NO Not Valid Unlffs Machin~ urtifi«I QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER ..... EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT f '--1 - EACH BUILDING SEWER ' OVER 100,000 BTU SIGN PERMIT , l,O - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 1-i,.. ~-' EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR TOTt.L MECHANICAL STRONG MOTION . TOTAL PLUMBING --r· FIRE SPRINKLERS PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE 2.00 QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San DIegullo REMODEL/ALTER PER Cl R CU IT PLAN CHECK FEE San Marcos TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) ----. -TOTAL ELECTRICAL 7-TOTAL SOLAR TOTAL FEES PAYABLE I 31.3.f I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT" ANO DO HEREBY Exp1r1t1on Every permit issued by the Bu1ldtng Ofhc,1I under the provisions of this * AN OSHA PERMIT IS AEQUIAED FOR EXCAVATIONS OYEfl CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void If the building or work s· o·· DEEP .\ND OEMOt.lTION ()fl CONSTiruCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit 11 not commenced v,1thin 180 days from the date of such STRUCTUMS OYEfl 3 STOAIES IN HEIGHT permit. or 1f the buildi~ or work authortZed by such permit ,s suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned al anv time a er lhe work ,s commenced lor • Denod of 180 davs ~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT"$ SIGNATURE • E~ CONTRACTOR 0 APPR,~O BY 1°o/it1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ~ ~OWNE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE X C. ~.A ~ BY PHONE 0 ...... ~ ., ~ GRANTING OF THIS PERMIT. -_. ~ 'I ..J -----.,-- ~ ii: >, ~ 0 ~ E (I) f- "O 0 C!l C: Cl! -~ ~ ~ <{ ~~ T~ 0: 0 V) V) (I) V) V) <{ I 3: .Q ai >- V) V) Cl> 0 0 ct Cl! '° 0 ~ (I) 0 C: Cl! C: u: C: (I) ~ C!l 0 0 (I) ~ V) C: ~ C 3'; .. I \ .. ... INSPECTION TYPE I DATE INSPECTOR , . g1 ... ~<;r3 \-. -\.,a\ BUILDING FIELD INSPECTION RECORD FOUNDATION .. REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES REINFORCED STEEL INSPECTION REO. IF INSPECTOR"S DATE MASONRY ' CHECKED APPROVAL GUNITE OR GROUT i l SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING 1 STRUCTURAL CONCRETE FRAME ; OVER 2000 PSI -I i PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING ' FIELD WELDING SEWER AND BL/CO I HIGH STRENGTH PLUMBING UNDERGROUND ! BOLTS - PLUMBING TOP OUT I SPECIAL MASONRY 1, . I I TUB AND ~HOWER PAN I GAS TEST i PILES CAISSONS ELECTRICAL I I TEMPORARY POWER ! I ELECTRIC UNDERGROUND ' -. ROUGH ELECTRIC I ' ELECTRIC SERVICE . I ·~ BONDING A ' G. F. I. -SMOKE DETECTOR'_ . MECHANICAL I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS --- VENT! LATI NG SYSTEMS f -.. \ -. ' . I, CALL FOR FINAL INSPECTION WHEN ALL APPROPR/f'-. TE • . ' ,. .. ~ . ~-' \ ... ITEMS ABOVE HA VE BEEN APPROVED. C ~-'. t C h. ' ., (' .•. JOB SITE FINAL ---. ... -' ) , . , ~L. ' .... . PLUMBING ELECTRICAL ~ ~ C..LV. ~ / I ' I !, ' I . , '• . - C,~ '"-.L /_/' ------' r .J •. MECHANICAL ' . -GAS t,, ~ .. lL ,.: '-' •. .,. -· i'I../ /11 ~ . l.-1/ /1 '"' r-- BUILDING SPECIAL CONDITIONS -\, ., CERT OF OCCUPt -·r;y ISSUED ~-......, l ' .... , I ' -v (: INTERDEPARTMENTAL INFORMATION SHEET J,ECEIVED BUILDING DEPARTMENT BUILDING ADDRESS: DATE : d.5aJ 21~ ~ sE-P-10-199_1 __ CITY OE CARLSBAD Bulldlng Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED UNITS PROVIDED -------------------------- PARKING SPACES REQUIRED PROVIDED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVI DED ----------- FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: REAR SETBACK : LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS : OK TO ISSUE:(}:JJv:v=;ATE "1/to(er OK TO FINAt ______ DATE ___ _ ENGINEERING DEPARTMENT R.O.W . INDUSTRIA IMPROVEMENTS --------------------- SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _ EASEMENTS DRAINAGE -----------------------GRADING PERMIT LEGAL DESCRIPTION ------------------------------ ADD IT ION AL COMMENTS ____________________________ _ PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPFiliKLING SYSTEM FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS ___________ LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET __________ DATE ________ _