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HomeMy WebLinkAbout2705 VIA ROBERTO; ; 81-174; Permit.,, z 0 .: C cc ~ u Ill 0 IC I[ () IC ... Q .., 5 I Ill z 3 0 z 0 .: ~ z Ill ... ~ 0 u .,, a: ... "' cc 0 3 ·1r O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profusions Code, and my license Is In full force and effect. Lie No____ Clm ___ _ I hereby affirm that I am exempt from the Con- ~;o;·~;~;:':: ~-~f~r::~~~I~ county which requires a. permit to construct alter, improve, demolish. or repau any structure, P,K>f to its issuance also requires the apphcant for such permit to hie a signed statement that he ,s hcen.sed pursuant to the provIst00s of the Con-1,ac:10,·s License Law (Chapter 9 commenemg with SecttOn 7000 of 01v1s100 3 of the Business and Pro- fess,ons Code) Of that ,s exempt therefrom and the b&s1!ii for the ~~ uemptt0n. Any vt<>lahon of Sectoon 7031 5 by an apphcant tor• permit subf9Cts tne apphcant to a c1YII penalty of not more than hve hundfed dollars (S500) . 0 I, os owner ol the property, or my employees .. 11h waiges as their sole compenS,1;hon, will do lhe WOt"k. and lhe strocture ,s no, intended or offered fOf sale (Sec 70.U, Business and Profess10hs Code The Contractor's llce·nse Law does not apply to an ownef of property who builds or improves thereon and who does such wM himself or through his own empk>yees, provided that such 1mproveme;its are not intende1 or offered for sale If, however. the building or improvement 1s sold within one yNI ot completion, the owner.builder will haYe lhe burden of proving that he did not build or improve for the purpose of Ylel . O I, as owner of the property, c1m exclusively contract•~ with hcensed conlr~tors to constnJct the proteet {Sec 70«, 9u.s,ness and Protess,ons Coder The Contractor's Ltcense Law does not c1PPly to an owner of property who builds or improves =~i~~ ~~nc:~~~~ ~~~,!r~~~~;:.: Lteense Law). 0 lamexemptunderSec ____ ,B &P.C for this reason _______ _ D I hereby alhrm that I have a cert1hcate of consent to self.insure. or a cert1f1cate of Worii;ers· Compensation Insurance. or a cen1f1ed copy thereof (Sec 3800, Labor Code) POUCYNO __ COMPANY D Copy ,s hied with the city D Certified copy Is hereby furnished CE.RTlFICATl OF E.XE.MPTION FROM WORKE.RS'COMPE.NSATION INSURANCE (This section need not be completed 11 the perm,t ,s tor one hundred dOllar$ (SU))) Of less) D I cen,ty that m the perlormiltlce of the w~ tor which this permit 1s issued. I shall not employ any person ,n any manner so as to become sub1ect to the WOfkers· Compensa11on Laws of Caflforn1a NOTICE TO APPLICANT II, alter mak1n11h15 Cen, hcate of E)cemphon yoo should become sut)Jecl l'J 1ne Wofiters· Compensation provisions of the Labor Code, you must forthwith comply w1lh such prov,s,ons or this permit shall be deemed revoked D I hereby ~ftum lha1 there Is a construchon 1end1ng aigency tor ll'le performance of the work tor wtuch this penTHI ,s issued (Sec 3097. C1v1I Cooel Lenoer s Name ___________ _ Lender's Address __________ _ 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 (714) 438-5525 JOB ADDRESS t//}4 Rnht0.Y'fo A~i.Tr:nipp 18'T7N 1 BUSINESS LICENSE # VY:[foN PE.AMIT NUMBER ~,.,e;s-t /-17'-I- ;1R•r,:;,r/?~f lo/4 I f11¢-/;p;~ PRIMEC1JW~ ~ CONTR ... CTORS ~ONE. o ZONE OWNER'S MAILING Aqp,R~ESS ,£i L ·t": CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0, # BLDG USE CODE o27or /o'4 ,_()~--, r_,t:) ~,BLOCK I SUBDIVISION I ASSESSOR ~RCEL NO LJ DESIGNER STATE LICE.NSE # STANDARD PLAN# BUILDING SO. FOOTAGE Ir, ~50 /1::r O 5/08/81 c7• ~7 .9'l OESCRl/"5 OF WORK -DESIGNER'S ADDRESS DESIGNER'S PHONE UUU I le/~ Oil.Id/BI d7.-;-LJ -T~--r:~_o --~Cd_ #'""10 l', ---F/P F LR ELEV. NO OCCGP EDU STORIES vO NO CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlffr lhchine Certifi«f QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARVACCOUNTNUMBER ,"A. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT I -; EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT /. EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK //> ,_ EACH GAS SYSTEM I 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 S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR T0TJ;L MECHANICAL STRONG MOTION TOTAL PLUMBING I FIRE SPRINKLERS 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 Encmilas 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 ---/1,. TOTAL ELECTRICAL 7-TOTAL SOLAR TOTAL FEES PAYABLE I -;,-7 I,., - Expiration. E.-y perllllt -by the Budding Offtcial under the prOVlSIOfll ol th11 , I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION ANO PERMIT'" ANO 00 HEREBY * AN OSHA PEAMIT IS AEOU1RED FOfl EXCAVATIONS OVEfl CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall expire by llmrtat,on and become null 1nd void If the bu,ld1ng or work 5' 0" DEEP ANO O£M0UTlOH 0A CONSTRUCTlON ~ DECLARATIONS "RE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autlKlrized by auch parmlt II not commenced w1th1n 180 days from the date of such STIIUCTUAES OVER 3 STORIES IN HEIGHT permit. o, if Ille buildi~o, work authorlUd by such permit IS ~ded or ISSUED, TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv im. Ille work IS commenced for a -nod of 1 liii -.. .... ~ M STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ,_,,,.,. OWNER □ CONTRACTOR 0 APPRO~~ 1 oo/ i !&i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO (~~~~SiJIIBNA-TURE • . ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .-A ~ , ~ BY PHONE 0 GRANTING OF THIS PERMIT. I' -~ .,,.,-__,. ,._ 7 7 Q) u::: >, ~ 0 a. E ~ I " 0 (!) ,;:, T1: <U -~ a. a. ~ I .x: C a: 0 (/) (/) Q) (/) (/) ~ I 3: .Q Q) >- "' (/) Q) 0 0 a: <U ta 0 ff Q) 0 C <U C u::: ,... C Q) Q) i, 0 0 Q) a. (/) C ~ .s:: ~ .. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DATE: ~ECEIVED BUILDING ADDRESS: MAYO 8 1981 PLANNING DEPARTMENT ZONE __________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED ...... D'-1--1,'-L-----PROVIDED _______ _ t7 PROVIDED ------------ PROV l DE D ----------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK : ALLOWED PROVIDED ___ _,_jrj'-1,jf'i.-~,- INTRUSIONS u LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: ✓~?~: OK TO FINAL DA TE -------------- ENGINEERING DEPARTMENT R.O.W . ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------, SEWER CONNECTION =E=u~u=-s _____ DRIVEWA~ONS GRADING PERMIT EASEMENTS~ DRAINAGE ____ _ LE GAL DE s CR IP r I ON c}(i:.tc:21'{ 1 C T 2 ;;;_ __ .,.__.;;?_y __ ;.._::¢-_/ ___ _ ADDITIONAL COMMENTS OK TO FIRE DEPARTMENT -----,----------------------------- DATE !:lr}fl I PWI ____ OK TO FINAL ____ DATE ____ _ SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP . ____ ~ FIRE ALARMS EXITS _____________ ...&l!~-~ FIRE HYDRANTS LOCAT ION __________________ ~--- ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE_~--=- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET _______ _