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 _______ _