HomeMy WebLinkAbout2501 VIA SORBETE; ; 81-284; Permitti> z 0 ~ a: "' .., u
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O I hereby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHslons Code, and my license Is In
full force and affect.
lie No __ Class
I '-eby att,rm that I am exempt f,om Ille Con· =~o;:"~~;::: ;:' ~t!:9~~~ ~~
county which requires a perrmt to construct alt9t', ,mprove, demohsh. or repair ltftY s1ructure,
pnor to ,ts ,s.suance also requues the -,phcant tor
such penmt 10 hie a signed statement that he Is licensed pursuant to the p,ov,s.,,.. of the Con· ttaet0<'s ucense Law (Chapter 9 commencing with Seet,on 7000 of o,.,...,., 3 of the Bus,,_. and Pn>-
fess,ons Code) 0< that •• exempt thetef,om and the
bas•s 10< the alleged oxemptoon Any vlOlatoon of Sectl0<1 703t.5 by an applicant fO< a permit subfeetS tne apphcant to a c1v11 penalty ot not fflOf'e than hYe :=; hundred 0011...s (S!i(l()I.
9 •"\:A,. as owner ot the p,operty, or ITl)' ~ 3 ~ as their so1e compeosa.hon. WIii oo the I S.,e ·(Sec 1~~e!,us~r:s~,=~-=
1&1 The Contractor's License law does not apply to an
Z owner of property who butkis or ,mprt>¥eS thereon ~ and whO does such WOti< himself 0< tt,mugt, htS own
O empkJyees, provided that such ,mproveme;,ts are not mtende1 or ottered tor sate. II. howeYer. the
bu1ld1ng or improvement ,s sok:l wIthm one ~ of
eomptetton. the owner-OU1tdef will have the burden of proving that he dtd not build or improve tor the
purpose of sale)
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□ I, as owner of the property. am exclusively cootrachtli with licensed contrac-tors to construct
the p,Of'!CI (Sec 704', Busoness and Ptofess,ons Code. The Contractor's License law does not apply to an owner of prQperty whO butlds 0< mproves
~~~i~ r~c::;!~~~:~~~::-:
L1cenw: Law).
□ I am u:empl under Sec _____ e & P C
for1h1s reason ___________ _
□ I hereby atlirm that I ha;,e a ce-rt,hcate or consent
to sell-insure, or a certificate of Wof1<ers'
Compensatt00 Insurance, or a cen,lted copy thefe<>f
(Sec 3800, Labor Code)
POLICY NO
COMPANY
0 Copy IS hied with the City
O Cer11hed copy 1s hereby tum1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be compteted ,f the petm1t
~ 1s tor one hundred doUars ($100) o, ~s)
certify that in the performance or the wont f0<
h this pemut 1s issued. I 5hajl not emptoy any
son 1n any manner ,o as to beeorne sub1ect to the Wonters· Compensat.on Laws of California
NOTICE TO APPLICANT 11. alter makon1 th,s Cert,
hcate of Exemptt00. you shouk:1 become sut>,ecl I'>
the Wonters· CompenY11on provisions of the Labof COde. you must forthwith comply with such
provisions "' this permit s~I be deemed revoke<J
O I heteby afhrm that there ,s a constn.ction lend•nQ agency to, the perlOJmance of the work fOf
which ltUS permn IS issued (Sec 3097. C1v1I Codel
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN Qll_l . PRE~S HARD APPLICANT TO FILL IN INFORMATION WI I HIN :SHAUt;U AHt;A ANU . .VI!', LAHAI IUN::>.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, Callfornla 92008 (71~ 438-_5_52_5 __ ~
,qe-AO.ORESSz s-o I vtA-~ tJ-ll.6 ere A~°it 1 ;T~,Fi=atON
BUSINESS LICENSE II VALUATION
9:JO(o
OWNER'.S NAl~ • if.4-N. s~ ,J l rJcf:'"i~H? PRIME CONTRACTOR
>~-,::,-
CONTRACTORS PHONE • ZONE
PERMIT NUMBER
6(-z&t
OWNER'S MAI Lt NO AOORESS CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG use CODE
'5'1i-AA2:
LOT I BLOCK l SUBOIVIS•ON I ASSESSOR PARCEL NO ' IY'Z 4'~ !-sou
DESCRIPTION OF WORK
DESIGNER STATE LICENSE If STANOARO PLAN # ~rcJl· iTAGE
1------------------------------------------11 DESIGNER'S ADDRESS DESIGNER'S PHONE
/JA-77 t) ~ F/P -NO I EDU ~ --•
LA~'1\CE TDP
l~1Jtl!'
5J ~~
CENSUS TRACT I-USE I PARK I NO SPACE RES UNITS l vO NO
FLA ELEV.I
GRADING f'.EAMIT ISSUED REDEVELOPMENT I AREA
I STORIES
CONST I TYPE
I occ GP
I occ LOAD I FIRE SPA
7/16/815286
o□n1b2e6 11161 81 or l b286 CJ3 Not Valid Unkss Machine C.rtifi«I
Pf,9
26,9
711 ,,
YO N 0 vO NO vO NO
QTY. PLUMBING PERMIT · ISSUE ?--So QTY. MECHANICAL PERMIT · ISSUE ' :3-07) SUMMARY/ACCOUNT NUMBER
I
EACH FIXTW!E TRAP I -~1 I INSTALL FUR~OUCTS UP TO 100,000 BTU I I BUILDING PERMIT tln .DO
EACH BUILOI G SEWER OVER 100,0DO BTU SIGN PERMIT
EACH WATER H TER AND/OR VENT UP TO 3 HP PLAN CHECK
'
EACH GAS sYsTE;).i TO 4 ounns I I I BOILER/COMPRESSOR~s HP I I TOTAL PLUMBING
/0&0
EACH GAS SYSTEM 5 MORE METAL FIREPLACE \ I I ELECTRICAL I I
EACH INSTAl .. ALTER, RE R WATER PIPE VENT FAN SINGLE DUCT '\. MECHANICAL
EACH VACUUM BREAKER '\ I I I MECH EXHAUST -HOOD/DUCTS"-. MOBILEHOME
WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) I I I I I SOLAR
TOT.C.L MECHANICAL STRONG MOTION r::;n
TOTAL PLUMBING 7 FIRE SPRINKLERS
PUBLIC FACILITIES FEE
!QTY. ELECTRICAL PERMIT • ISSUE ;:2,,olJ QTY. I SOLAR • ISSUE BRIDGE FEE
NEW CONST EA~P/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH '\ 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AM~T/BKR ROCK STORAGE Enc1mlas
1 PH °"'\: JPH PUMP San D,egullo
REMODEL/ALTER PER d\CUIT PLAN CHECK FEE San Marcos
TEMP PD LE 200 AMPS
OVER 200 AMPS ~
TEMP OCCUPANCY (30 DAYS) "·
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE l 1~/10
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exptrat,on Every permit lnued bytheButldtngOtt1c1atunder lheprovoo1onaofth11 * AN OSHA PEAMIT IS RE0UIAED F0A EXCAVATIONS 0YEJI
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by llmtlalton and become null and void If the bu,ldong or work ~• 0" DEEP ANO OEIIIOUTION 0A CONSTAUCTION OF authorized by such permit 11 not commenced within 180 days from the date of such DECLARATIONS ARE TRUE. AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permtL o, 1 the buoldlng o, work authorized by ouch permit 11 auapended or STRUCl\Jflf.S OVER 3 STOAl£S IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• L!a!!!ban~do'2/-!!J/l-.!an~!!;t1me!!!!..!a!!!!fleri.:t!!!he!_!W!,!O<!!:k!!_!!tS!,!C=!O!!;m!!!men!!!!?!C:!!ed~fo2!r!:.,!ii!!j~!c02!f~l!.!!80!!L!id!n:L--li-~~~--------------------...II
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND S O AiJ;PR VED B~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND IGNATURE • CONTRACTOR .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .._, BY PHONE 0
GRANTING OF THIS PERMIT. ---'------------' ~
DATE
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FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQU IRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --'"-1••
MASONRY INSPECTION REO IF INSPECTORS DATE ' ~ ' . CH ECKED APPROVAL -
GUNITE .OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING
STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
POST TENSIONED INTERIOR LATH & DRYWALL CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS -
PLUMBING TOP OUT SPECIAL MASONRY • r---• ... ·1. \ -
TUB AND !:;HOWER PAN
GAS TEST PILES CAISSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -.
ROUGH ELECTRIC • '-1
ELECTRIC SERVICE -I .
BONDING t, ~-
G. F. I. -SMOKE DETECTOR
MECHANICAL
C:
-• --t-• _r ,I ' DUCT & PLEM., REF. PIPING ' ' • r C .
HEAT -_AIR COND. -SOLAR SYSTEMS ~ ,r .. ~~·
VENTILATING SYSTEMS •I ~ C -.
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ,.._
ITEMS ABOVE HA VE BEEN APPROVED. / • ,:
JOB SITE FINAL / '
PLUMBING //
ELECTRICAL II I/ ./.,,,,q-)J
MECHANICAL /""l. \ v.;:: ~ ' GAS /. ~"7r-< ... v • #0 ' , .. .... ' -
'. -_,
"'· --.... \. . ' ..
BUILDING .. l 1/ r1,==-
SPECIAL CONDITIONS "\.'1/
CERT OF OCCUPANCY ISSUED ' t''· (
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING
BUILDING
nEPAR;MENT I/ ~ DATaffi-8tED
ADDRESS: .2.SOL vJA Me
JUL 141981
Bulldlng epamen
PLANNING DEPARTMENT •
ZONE __________ LOT SIZE _________ LOT WIDTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
_L_A_N_D_s_c_A_P_E_& __ I _R_R_I_G_A_T_I_O_N_P_L_A_N_c_o_M_M_E_N_T_s_: ------------------&~
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: NttD PUi( p(JV'J ~ BiiiiJ tW~t1 1D JWf, ~ vl\JO:·
OK TO ISSUEZierf~,..,14~1 OK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRI IMPROVEMENTS ---------------
SEWER CONNECTION
GRADING PERMIT
________ DRIVEWAY LOCATIONS ____________ _
______ EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO rssu;;J:]l_;nATE 7 { /48/ Pwr ____ oK To FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING 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 _________ -~=~ac--