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Home My WebLink About2502 VIA ASTUTO; ; 81-298; PermitC/1 z 0 ~ a: C _, u w 0 IC I[ 0 u 0 I hereby affirm that I am licensed under p,'0¥1slona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my llcense Is In lull force and effect. ,,, / lie No ____ Oass I hereby affirm that I am exempt from the Con· ~!0;'9;~~::: ~ ~f~~l~~c:fe~~I{~ county wtuch requires a permit to construe, altet, improve, demohsh, or repa1r 111y structure, pnor to its issuance also requ,res the applicant toe such permit to file a signed statement that he ,s licensed pursuant to the prov,s,ons of the Con- tracto,'s License Uw {Chapter 9 commencing with Sectt<>n 7000 of Otv1s1on 3 of the Business and Pro--fessIons Code) or that •s exempt therefrom and the basts for the alleged exempttM. A.ny Yt0tatIon of Section 7031 5 by an applicant fo, a pennIt subfects tne applicant to a cunl penalty ot not more than hve IC w 0 _, 3 I i drod dolli1<$ ($500) ~ owner ot the property, or my employees wages as their sole compensation, will do the , and the structure Is not intended OI offered for sale (Sec 7044, Business and Professions Code The Contractor's Lteense Law does nol apply to an w z ~ z 0 ;:: C C/1 z w ... :I 0 u Ill a: w "' a: 0 3 ·1l owner of praperty who builds or improves thereon and who does such waft( tumself or through his own employees, provided that such 1mproveme;its are not 1ntende1 o, ottered for sale H. hoWeYer, the building Ot improvement Is soki within one year of comp~tton, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of sale). □ I, as owner of the property, am exclusively contrachnQ with hcensed contr~tors to construct the pro)9Ct (Sec 7044. Business and Protesst0ns Code· The Contractor's License Law does not apply to an owner of property who builds or improves ~:'~t!t~ 7.~c:'~:!!~~ ~~~~'~\~;::.: L,cense Law). 0 I am exempt under Sec ____ ,B &PC torttus reason ___________ _ O I hereby afltrm that 1 haYe a cert1hcate of consent to self-insure, or a cert1t1cate of Workers· Compensation Insurance. or a certified copy thereof (Sec 3800. Labor Code) POUCYNO __ COMPANY _ _ __ Q Copy IS hied with the Ctly 0 Cert,hed copy Is hereby furnished CERT!FICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t the permit ,s for one hundred dotlars (S 100) or less) 0 I cert,ty that 1n the performance of the wont for which this permit Is issued. I shall not employ any person m any manner so as to become subJect to the Workers· Compensation Laws of Cahforn1a NOTICE TO APPLICANT If. at1er malun~ this Cert1 hcale of E.xempt1on, you snould beeome sub1ect t? the Wo~ers· Compensation prov1s1ons of the Labor Code. you must tortnw,th comply w,tn such pro~1s1ons or this perm,1 shall be deemed revoked 0 I hereby athrm thal there ,s a consttuc11on 1eod1ng agency tor !he perlorm~ce ol !he work IOf wn,ch this permit Is issued (Sec 3097, C1v1I Code) Lender s Name ___________ _ Lenoer·s Address __________ _ USl B"ll 1'01111 l'lll 0IIL l'Kt:ili H"KU ~ 1 ~· . -·-~ .... -. ·--....... _,, ...... ·-·· ......... -· .. ------· ·----•• --,. -- CARLSBAD BUILDING DEPARTMENT ,.,, APPLICATION & PERMIT -- -.. J 1200 Elm, Carlsbad, California 92008 (714) 438-5525 . JOB AOQ.~E.SS U w () ~ ri; t11 A~;T l?~;:;P~Tlil BUSINESS LICENSE # VALUATION PERMIT NUMBER !L.q'o~ ~ /071 81-218 OY1NI R'S ""'ME J (17.l.fw~4~E} PRl:;t;E TRACTOR (:J 1,1/ ~(C.. , CONTRACTORS PHONE • ZONE ~~ ,,";,I ·11-JJ~ 'A ~ • ' L • I , - OWNER'S MAI LING ADDRESS __ j_ ~ CONTRACTOR'S ADDRESS / I LICENSE NO. Ri~0lifl BLOG USE CODE ., ' • :Sn.N"'-"a _ n ~l IBLOC!s /1\511~ I/~ 7~~~o -o 9 DESIGNER 7 STATE LICENSE # STANDARD PLAN # BUILDING SO. F~;•AGE 7/24/81563 l ~5 • ,~ DESCRIPTION OF WOR~ v . 7 ---=--- DESIGNER"S AODRE'l DESIGNER'S PHONE l.,"v'l,J},.'-'-~'"' , , ~• JI I • ~.J f)7~~. ]$JJ1 -~ ----F/P FLR ELEV. NO OCCGP EDU STORIES vO NO CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Not Valid Unlt!ss Machine ~rtifi«I QTY. PLUMBING PERMIT -ISSUE /J,o?J QTY. MECHANICAL PERMIT -ISSUE ~,Vo SUMMARY/ACCOUNT NUMBER ....... EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT 1-1 .1 JU EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ' EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK /'l --~r;;, -EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL - EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HO00/DUCTS MOBILEHOME WATER SDFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP - EACH ROOF DRAIN (INSIDE) SOLAR TOT.t.L MECHANICAL STRONG MOTION • r;..,') ,._ I TOTAL PLUMBING FIRE SPRINKLERS :2, 00 PUBLIC FACILITIES FEE 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 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San D1egu1to REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I ~l, 916 I HAVE CAREFULLY EXAMINED THE COMPLETED''APPLICATION AND PERMIT" ANO DO HEREBY Exp-. e-,, ,.,--...i t,ythe Bu~dlng Otf1c,at under the pr011111onaof1ht1 * AN OSHA P£AMIT IS AEQUIAED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda shall npH9 by lltllitldion Md become null and vood If the building or work 5' O" DEEP ANO OEMOUT10N OR CONSTAUCTlON ~ DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autll«iZed by IUCh permit la not commencad w1tn1n 180 days from the date of such STAUCl\JAES OYER 3 STORIES IN HEIGHT permit. or if Ille ~o, -authorizad by such permit 11 auapanded or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON--at-lime 111a work os commenced for a ....,,od .,,...,80 ...... I • • STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND • ~Iv" APPROVED BY ~,/J~~I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN:~APPI.IC S SIGNATURE ~ OWNER CONTRACTOR 0 r1~/111r EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH • i.J i1 B p O 0 GRANTING OF THIS PERMIT. • j -~ -~ >t. y H NE --,, I -· -7 7 ~ u: >, ,ij 0 a. E Q) ~ I -0 0 " i. ;:. ' H-e <II ,E a. a. I< ! I 1.:.:. I .s ' a.. 0 U) U) Q) U) U) < I :: .2 ai >- ,Ji U) Q) 0 0 a: <II cG 0 ff Q) 0 C <II C u:: :s. C Q) ~ " £ 0 Q) a. U) C ~ 'E. ~ INSPECTION TYPE DATE INSPECTOR BUILDING FDUNDATION REINFORCED STEEL 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 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECtlON REQ IF INSPECTORS 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 -' ' l \ ( -- ; ,,. ... t-- ... I' .---r" ... --g, _.~ ~ l • ' . .,_ ~ : INSPECTOR'S NOTES C . - DATE ~ I .. --·-,_ -. - < . • . .. ' . f' ;__ --- L " ,: .. ·---- - ~ " -. - . "\ ..... -} INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DA~~CEIVED BUILDING ADDRESS: PLANNING DEPARTMENT ZONE __ rf--_k~ ____ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED UNITS PROVIDED ------------------------ ~ARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED --A,,...........,fb----PROVIDED _____ 0-+y--==---,----u PROVIDED ~ _____ ___;__.....__ _____ _ FRONT SETBACK: ALLOWED PROVIDED __ -1-0-+-#M~""""--- INTRUSIONS ---------- SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: PROVIDED REAR SETBACK: o/? ENVIRONMENTAL PROTECTION REQ: ~i:2,,__,,~.__~ffi.__,4f_/~\ ______________ _ ADDITIONAL COMMENTS: -----'N ___ l-1\.......__ ____________________ _ OK TO ISSUE: ~ATE 7/'J..,{~j OK TO FINAL _______ DATE ___ _ ENGINEERING DEPARTMENT GP .,rr-U"--" ~-. R.O.W. ______ INDUSTRIAL VAs~E _______ IMPROVEMENTS _______ _ SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT _______ EASEMENTS __ __,,_. _____ DRAINAGE ____ _ LEGAL DES CRIPT ION _____ ~/.-£c....-,..7--~3~/__,o'...____.--_():;...._+-CJ-------- ADDI TI ONAL COMMENTS / ---------------------- I PwI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRiliKLING 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 ________ _