HomeMy WebLinkAbout2601 VIA MASADA; ; 84-582-414; Permit~
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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 Prole11lons Code, and my license is In
lull force and effect.
lie No ______ Class
I hereby aflirm lhat I am exempt lrom the Conrrac· tor's UC:ense Law fOf the lotlowmg reason (S~ 7031 5 Bus,ness and ProlessJOns Code Any ~ty or coonly wt11ch re-quires a permit to construct, alter improve. demohsh. or
repair any structure. pn01 to its issuance atso requires !heap· phcant tor such permit to file a s19ned statemeOI thal he 1s
l1tensed pursuant lo lhe prov1s00s ot the Contractor s License law (Chapter 9 commencing with Section 7000 ot
OIY1st0n 3 ol the Busmess and Professions Code) or IhaI ~ ex· empl lherelrom and the basis fOf lhe allegeo exempuon Any
v10lat1on of Section 7031 . ~ bv an applicant !or a permit sub·
1ec1s the applicant to a civil penally of not mOfe than live hun· dred dollars ($500)
r I. as owner of the property, or my employees wnh wages as their sole compensatwn. wrll do the wock. and !he struc·
rure ,s not intended or ollared for sale (Sec 7044 Business
and Profess,ons COde The Contract0<'s License law does nol apply 10 an owner of property whe butlds or improves
thereon and who does such work himself or through his own employees. provided Iha! such improvements are not mlend-
ed or offered for sale II. however. !he building or improve-ment rs sold w,lhm one year ot compte110n. the owner-builder wall have the burden of proving 1hat he did not build or im-
prove 10< tne purpose ot sale)
n I, as owner o1 the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7<M4.
Business and Professt0ns Code: fhe Contractor·s License Law does nol apply lo an owner of property who bo11ds or im-
proves thereon. and who contracts tor each protects with a contractor(s) hcense pursuant to the Contractor's License Law)
0 As a homeowner I am improving my home. and lhe follow mg cond111ons exist l . The work ts bemg per1ormed prior to saie
2 I have ltVed in my home tor twelve months pnor lo comple!lon 01 this work
3. I have not claimed this exemp11on during the last three years
D I am exempt under See ______ . B & PC for this reason
0 I hereby alf1rm thal I na ... e a cen1hca1e ol consen1
to self insure or a certificate ot Workers
Compensa11on Insurance. or a cen,t1ed copy lhereol
(Sec J800. Ubo< Code)
POLICY NO
COMPANY
□ Copy 1S filed With lne City
0 Cer1,1ieo copy ,s r\ereby turn1sr\e<J
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section neeo not be como1e1ed ,t tne permit
,s for one hundred dollars tS 1001 or Iess1
0 I cer111y that In the performance ot tr\e worif ror 1Nh1ch lh1s pemut Is issued I sflall not employ any
person m any manner so as to become sub1ec1 10
!he Workers· Compensa11on Laws ot CaMorn,a
NOTICE TO APPLICANT II alter maktnJ 11'l1s Cen, ltcate ot E11emp1ton. you should t>ecorne sut>Iect I'>
lr\e Workers Compensa11on pro"¥1s1ons of the Labor
Cade you must lorth'41th comply w1lh such pro"¥1s1ons or ttus permI1 shall be deemed re..-011.eo
0 I hereby altirm inat 1riere •S a cons1tuc11on Iend1ng <igency tor trie performance ol !tie woni !or
which 1h1S perm11 •S •ssueo tSec J097 C n111 Cooe1
Lenders Name ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS 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
JOB AODRESS AV ST. RO. NEAREST CROSS ST I 4E~;;~;A;NI
BUSINESS LICENSE # VALUATION PERMIT NUMBER/
c:J~ ol V;-:, /v1 e.J .:s .:l c1 ~ 8BSo 7964-0 ~f-1~ ~ BLO.tK' I SUBDIVISION I ASSESSOR PARCEt.¥;'· CONTRACTOR CONTRACTORS PHONE• ZONE 7+-~5 I IP 7 4-)..1, OD 7ne ,'-/iQ/, /4:;J,-,d Co. 4d44-S94-bWNE R'S NAME J4.:3;:;;9~ Tl,e H/q),/~rid Co. CONTRACTOR'S ADORESS LICENSE NO. PLAN I.D. # BLDG use CODE
<'.'.!c:0 r I ..s /:)..;}d, CY1 ~4-'24-07 OWNER'S MA• L NG ADORESS
IOIS Che..!S""l>-iuf ltveE.:3 &r/:sb::;Jd DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
G,v; ,-o /'lffJ t!!!/lt-.:JI ~ ~ i.g n C1798 / 7&:.D OESCRIPT,ON OF WORK / -r~ ,l~J.,....)-..t""JL J < ~ 'Plc:i/l ~OA OESIGNER'S ADORESS OESIGNE R"S PHONE
~~ Enc//>; 1'.:J__s; CA 9~6 ..:i "..:l
r----~ F/P F LR ELEV NO OCC GP EDU
v□ NO /~
STORIES R-.3 I O< ~ t;;.;~i..,LI '• H• CENSUS TRACT I GP LAND use I PA44-s;cE I RES U/ITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
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N lid Unless M~chine Certified YO ND ,□ .... ~ vl'I YO Nb(
QTY. PLUMBING PERMIT -ISSUE ~!!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMM~~ ~C~T NUMBER
// EACH FIXTURE TRAP .,..., .~r:: I INSTALL FURN DUCTS iJP TD 100,000 BTU 4.-BUILDING PERMIT ~ 01-~0-00-8220 -.;::12_.3 -
I EACH BUI LUING SEWER G:> Sl"l OVER 100,000 BTU SIGN PERMIT \\" Offi00-8221
I --~ ~4.:J.45 EACH WATER HEATER ANO OR VENT ~-:Sc:".'. BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01-00-00-8806
I EACH GAS SYSTEM I TO 4 OUTLETS I c.Q .~r.. BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 'V 01-00-00-8222 Jf-&:, .So
EACH GAS SYSTEM~ OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 ~~o-
EACH INSTAl . ALTER. REPAIR WATER PIPE 4 VENT FAN SINGLE DUCT ✓--MECHANICAL 01-00·00· 8224 L~--,---
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHDME PARK INSP
EACH ROOF DRAIN I INSIDE I SOLAR 0]·00-00-A??~
TQTJ;L MECHANICAL STRONG MOTION 80-92·33·0519 -.5._S_i_
TOTAL PLUMBING I -~-Sc 13 .-FIRE SPRINKLERS 01-00-00-8227 -QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-89ll QTY. ELECTRICAL PERMIT -ISSUE ::,--BRIDGE FEE
NEW CONST EA AMP SWT BKR / r,n Ll ~s-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad V / . 7'12_ 80·92-21-0519
EXIST BLDG EA AMP SWT SKA ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Diegullo 80-92·23-0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /~9.:3-
TEMP OCCUPANCY 130 OAYSl MFF 80-92-57-0519 /~ ABO-BAn-
CREDIT DEPOSIT
TOTAL ELECTRICAL I VO-TOTAi SOLAR TOTAL FEES PAYABLE I .._g I 8::3. S' ~
Expiration Every permit tSStJed by the Bu1fdmg Off1c1al under lhe prov1s1ons of th,s I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" AND 00 HEREBY * AN esRA~ IS REQUIRED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by ltm1tat1on and become null and void If the bu1ld,ng or work 5' o·· DEEP A DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th111 180 days from the date of such STRUC OVER 3 STORIES IN HEIGHT permit. or 1f the bu1ldinPt or work authoHzed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any 1tme a ter the work 1s commenced for a period of 180 davs b STRUCTION. WHElHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT·s SIGNATURE 1f-OWNER O CONTRACTOR,,.. APPROVEt:,__i)--12,/rr KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUOGMENlS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ X= ~~~ONE □ GRANTING OF THIS PERMIT ~ ~~--;, L -? ,
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TYPE I
i DATE INSPECTOR
1 BUILDING I
FOUNDATION I
REINFORCED STEEL i
MASONRY I
J.
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
J.
SHEATHING D ROOF □ SH6AR
FRAME I
I
EXTERIOR LATH i
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING 1
SEWER AND BUCO □\PUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST ' _1
□ WATER HEATER □ SOLAR WATER
' I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ OFFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL i
I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN;G -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ve_ BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES --
DATE
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-f>O~ FINAL BUILDING INSPECTION 2 , .:2..bO'T, .:< f:::,o~, ;2 '=' OB i ~~r1;;tr-:..s;';i.~:r-s, ~~o
;2.6\0J :261?,J ;26L 1-I ~o:3, 2."&,,o-Jf et.°'i·~'f-::,,
PLAN CHECK NUMBER: VIA Mt:i.-sb.,.-o.A.. BLDfi fl='5 DATE: _,/_-~;?~.,.,-~=s--'-c.. ___ _
PROJECT NAME: YAsJ "l ,E' y.J,CQP
ADDRESS: -------------------------------
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ---------'------NUMBER OF UNITS:
coNTAcT PERsoN: M t:,,,rz..,ty 7 zq -7 to B
CONTACT TELEPHONE:_f>._,.._4_._·...::-S_._B"--'Z-=-----------------------
INSPECTED • DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: :tAL~FJ2 :to
t1c,-r LOM r2 GE;..--tE-,
\ \
9 1-teeJ\1 -Lfli_NOSC,A-p)N z,02. Z"'o'-l Z<..ob 'Z~og 2-610
-----=:::::::;;;=--------e-+----"c--;;,"------~---~--+-----t----I
ZG:,\2. Z'-1-f l3t.D• '? A-No 2(oo\ 2-'163 '2(ooq '2~07 Z~oq z~,, z,t'? ~"1'=' 2'117, J
Rev. 1/88 WHITE: Suspense GREEN: Engineering CANARY: Utllltles PINK: Planning GOLD: Fire
To: ENGINEERING, FIRE, PLANNING, UTILITIES J__
FINAL INSPECTION NOTICE
2617,2615,2613,2611,2609,2CO
~GOS 2613 2601 Via Masada
Address ___________ _
--U':J. , 4
Date 1-27-86
Plan# ~ 18 ~
Type of Construction ___ T_o_w_n_h_o_u_s_e ____ a. __ 1 ___ ,_v_v_u __
Person to Contact .arty ---------~ g I~ ~a~ Date
Ph.No~l')
Approved _3 ~ "'U
Fire
Prevention Date Approved
Planning
D artment --.._ Date Approved
Date Approved
LComments:
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS, IT WILL BE ASSUMED IT IS OKAY TO FINAL.
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SITE ADDRESS ---~--==u:,=-=O~\.:-----'V~i=a::..--=..M=a=s=a=d=a~,_;::_C=a=r =l =s=b=a=d~,---=-CA=-=-----------
Owens/Coming 6¼" CEILINGS Certain Teed 6 "
Batts: Type Fibergl ass Manufacturer Manville Thickness 6!" R-Value 19
Blown: Type Manufacturer Thickness R-Value ------------~-----Owens/Coming 3 "
3 "
Thickness 4 "
EXTERIOR WALLS Certain Teed
Type Fiberglass Manufacturer Manville
FLOORS Type _____ Manufacturer _______ Thickness
General Contractor License# ----------------
R-Value 11
R-Value ------
By Title Date ---------------------------------
Schmid Insulation Contrac tors, Inc. License# 221517 C-2