HomeMy WebLinkAbout2765 VICTORIA AVE; ; 86-1290; Permit"' z 0 ;::
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0 I Mreby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of lho Business
and Proleaalons Code, and my license is In
lull force and effect.
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I hereby affirm that I am uempt from lhe Contrac-I tor's License Law lor the lotlow1"'l reason (Sec 7031 5 I
:~;~es: ;~!~~~s!::1~: al~;~ ~~P~~~:~~~: ': l
rtpair any structure. pttor to ,ts issuance also requires !heap-I
=~!J°'p~~:a~':'' 11:.11~!.,~ne;i ~:ai,~~o~~:!c: 1: 1
License Law (Chapter 9 commene,ng w,th Sec1,on 7000 01 l ~~~~~e~!: a~s~:s:a~ ,:~:Sa~~e~O:~:P:~ is~; I
vlOlatlon at Section 7031 .5 by an applicant lor a perm,t sub· 1
Jecls the apphcant 10 a avd penalty ot noI more than five hun-I
dred dollars ($500). I
I I I, as owner ol the property, or my employees w1lh wages
as !heir sote compensation, will do lhe work. and lhe slruc·
lure 1s no1 inlended or ollered !or sale (Sec 7044, Business
and ProlesStOns Gode. The Contractor's Lttense Law does no1 apply to an owner of property who bu1IC1s or improves
thereon and wl\O does such WOJk tumsell or through his own employees. provkSed !hat such tmprovemenls are not intend·
ed 0< olfered 1or sale II. however, the bu11ding or ,mpnm-ment Is sold w1Ihin one year of compietion. the owner-builder
will have the burden of prDVlng lhal he did not build or Im· prove for the purpose of sale)
n I. as owner ot !he property, am exclusively conIractmg wi1h lteensed contractors to construe! the pro;ect (Sec 7044,
Busmess and Pfotess10ns Cooe. The contractor's License
Law does nol apply to an owner of property who builds or tffl.
proves !hereon, and who contracts IOJ each pro,ects with a
conlractor(s) license pursuant to the Contractor's Ltcense Lawl
D As a homeowner I am improving my home, and the lollow
ing conditions exist. 1 lhe work ,s betng pertOfmed prior to sale 2. I have hved in my home !or twelve months
prior to complehon of this work
3. I have not clauned this exemption dunng lhe last three years
O I am e,empl under Sec. ______ , B & P c.
for this reason -------------
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D I hereby afhrm that I have a certificate of consent 10 I
self-insure. or a cerUficate of Workers· Compensation In-i
surance. or a certified c.opy thereof (Sec. 3800. Labor Code} I
POLICY NO
COMPAN Y
□ Copy IS filed Wtlh the c,ty
D Certified copy is hereby lurn1Sl'led
:E 0 CERTIFICATE OF EXEMPTION FROM 0 WORKERS' COMPENSATION INSURANCE
Ill ~Is section need not be completed It the permit CC is for one hundred dollars ($100} Of less) ~ I cen,fy t~at in the performance of the wOfk for which
CC t permit is issued. I shall not employ any person in any ~ ma ersoastobecomesubJectt hemker~·co O·
;> sauon Laws of CalHorni,.
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NOTICE TO APPLICANT: If ft making this• rtlllcate
of Exemption. you should e subject to the Workefs·
Compensa11on PfOV1Sions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby affirm that there ,s a construction lending
agency for the performance ol the wor1( for which this per-
mit Is issued (5ec. 3097. Civil Code}
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS
17{A~
CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION ~MIT
AV ST.RD, VALUATION PERMIT NUMBER ~ ~-
-CO ZONE :3 /4;< '71)
.,......, ______ __JL....JIIL,,O=--c......1'---....L.--f---(...1--=~4-.k.._.....___., ____ __ , I o w NER·s PHONE
0 0 ~ Pl·h ll 1 • s 229-'3 ,st" BUILDING so. FOOTAGE
owNft.s MAI' I NG ADD p r. .scJ ~ ' ----
_9:i.o'l!i ~7IL,~ oeStGNeR·s PHONE
~
STATE LICENSE NO.
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P ' ~ ~:.;~~-~trt A( MovL-
F/P FLR ELEV.I
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:st}(nL
I occ GP I EDU iiii.25 iiiil l2/24/is6fRiiT
Q) t-
64. $ii 1
STORIES
vO NO , PAR.(ING SPftE REDEVELOPMENT
AREA CONST ] RES UNITS f GRACING PERMIT ISSUED
YO ND vO NO I I TYPE I occ LOAD I FIRE SPA
vO NO Not Valid Unlffs ~chine Certified
QTY. PLUMBING PERMIT • ISSUE __"]_ .J:,D QTY. MECHANICAL PERMIT· ISSUE 3 ,tt, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS uP TO 100.000 BTU BUILDING PERMIT 001 ·810·00-00-8220 =?'I-
EACH BUI LUI NG SEWER I OVER 100,000 BTU
EACH WATER HEATER ANDIOR VENT BOILER/COMPRESSOR UPTO 3 HP ---<I------11---P-L_A_N_C_H-EC_K ___ _ __ ,,,,_
SIGN PERMIT 001-810-00·00·8221
001 ·810·00·00·8821
EACH GAS SYSTEM I TO 4 OUTLETS I I I BOI LER/COMPRESSOR 3 15 HP
EACH GAS SYSTEM~ OR MORE I . METAL FIREPLACE
TOTAL PLUMBING 001 ·810·00·00-8222 --
ELECTRICAL 001 ·810-00-00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE I I I VENT FAN SING_L_E_D_uc_T ______________________ _
EACH VACUUM BREAKER I II I MECH EXHAUST HOOD'DUCTS
---MECHANICAL 001-810·00-00-8224
MOBILEHOME 001 ·810·00-00-8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN (INSIDE) I II I DRYER VENT STRONG MOTION 880·519·92·33 ~
TOTI.L MECHANICAL FIRE SPRINKLERS 001·810·00-00-8221
TOTAL PLUMBING ] PUBLIC FACILITIES FEE 320·810·00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE _',.00 QTY. MOBILE HOME SETUP
BRIDGE FEE 360-810-00·00·87 40
PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 134·810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 133·810-00-00·8835
EXIST BLDG EA AMP/SWT BKR GARAGE FMF
l PH 3 PH LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57
TE MP POLE 700 AMPS
OVER 700 AMPS
rEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL ] TOTAL TOTAL FEES PAYABLE 1 GLt~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO DO HEREBY Exptrat,on. Every permrl issued by the Bu1ld1ng Offoc1aI under theproV1s1onsolthrs
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall exp,re by l!m,latron and become null ana vo,d rl 1he bu,ld,ng o, wo,~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT L', aulho"zed by such permit 19 nol commenced w,th,n 180 days lrom the dale or such
ISSUED TO COMPLY WITH ALL CITY C0UNlY ANO STATE LAWS GOVERNING BUILDING CON perm,,, or '1 the bulldinr. or work ■ulhorized by sucn perm,1 1s suspended or
* IIN OSHA PERMIT IS REOUIAE0 FOR EXCAVATIONS OVER s· 0 DEEP .\NO OEMOt.lTION QA CONSTRUCTION OF
STRUCT\IMS OVER 3 STORIES IN HEIGHT
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned ■I ■n trmo ■ tel lhe work IS commenced tor I nod ol l80 da s
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO IIPPLICANT'S SIGNII TURE lf OWNER O CONTRIICTORX
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r/. /Yli~ ~~'/_
GRANTING OF THIS PERMIT • BY PHONE [J . -'
APPROVED_#
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TYPE j DATE INSPECTOR
BUILDING !
FOUNDATION !
REINFORCED STEEL l
MASONRY l
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEil-iNG
SHEATHING □ ROOF □ S_!1 EAR
FRAME I
EXTERIOR LATH l
INSULATION :
INTERIOR LATH & DRYWALL I
I
PLUMBING :
□ SEWER AND BUCO □ RUCO
UNDERGROUND □ WASTE 0 WATER
TOP OUT □ WASTE □ j,/__ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR \/{ATER
1
ELECTRICAL j
□ ELECTRIC UNDERGROUND qJ UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPbRARY
□ BONDING □ POOL I
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MECHANICAL j
□ DUCT & PLEM., □ REF. PIP.ING
HEAT -AIR COND. SYSTEMS l l ' , I
VENTILATING SYSTEMS ; . --.. 'I
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CALL FOR FINAL INSPECTION WHEN At.L APPROPRIATE
___ IT~EMS ABOVE HAWE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
'\ \
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S
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
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INSPECTOR'S NOTES
DATE
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PLAN CHECK NO. / rJ-9 0 DAT~~
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PLANNING
ZONE: (l_,,.,...., l TYPE OF PROJECT AND USE: ~-~
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS CARLSBAD SAN MARCOS
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
SIDE REAR
-------:::~------------------REDEVELOPMENT PERMIT REQUIRED: --P----4+--~-r-;.._-------------
L ANDS CAPE PLAN COMMENTS: ----r+---~-+-f-----------------
E NV IRON MENTAL REQUIRED: ---+-+--~f----,f--;.._:Jo,.._-..-,,:::;;.._ __________ _
COASTAL PERMIT REQUIRED:
ADDITIONAL COMMENTS: -----It---~'--------------------
OK TO ISSUE: __ ....,~....:::;;.;___ ___ _ DATE: / t,/7, '1 Ir? •
---~"r.rrrnrrnnrr~nnrr~rrrrnr.nrnnrnnr~nrrrrrnnrnrnnnrrrnnrrnrrrnnr.nnnnnr.nrrrnrrrnnrr.rrrnnnnnrrnnrnnnnnnnnnnnnnnnnnnnnnrnn
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ENGINEERING
LEGAL REQUIREMENT,S
LEGAL DESCRIPTION VERIFIED? APN CHECKED? -----------
EASEMENTS: RIGHT-OF-WAY: ------------------------
EDU'S: --------------DRAINAGE: ------------
IMPROVEMENTS: -----------r=IE=L"""De-=CH,..,.,E"""c"""'K,-"'"DA~T=E,_&,,_...,,I,.,..N=-I=rr"'"'A,..,..L-=s-: ------
PERMITS REQUIRED
GRADING: ------------------------------
GRADING COMPLETION CERTIFIED: -------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: ........ ---------------
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: ----.... -----------
D D FACILITIES MGMT. FEE:
-SEWER FEE (CONNECTION):
________ BRIDGE & THOROUGHFARE FEE: _____ _
SEWER LATERAL: ro ...
C: ADDITIONAL COMMENTS:
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Cl OK TO ISSUE: DATE: ---------------------------
DPD2:DPD6:10/24/86
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