HomeMy WebLinkAbout2761 VICTORIA AVE; ; 87-304; Permiten z 0 .: <I[ a: <I[ .., u ..,
0
C
I[
u
a: ..,
0 ... 5 ~ ..,
z 3 0
z 0 .: <I[ en z .., ...
2 0 u en ic ..,
><: a: 0
3
ir
O I t>ertby affirm that I am licensed under I
pr0¥t1lon1 ot Chapter 9 (commencing with l
s.ctton 7000) of Division 3 of the Business I
and Profoaalone Code, and my license Is In 1
full force and effect. i
I nereby al11rm Iha! I am exempl from lhe Contrac· 1
lor's L,cense uw lor lhe lollowong , .. ,on (See 7031 5 I
!~1~e":
5
a
5 :~~~~~:;tr~~ al~;~ ~:p~ovc:'~~O:~ ': I
repair arty structure. prior to its issuance also reauires !heap-1
r~~~~°'P:~~t:'
1
,
1;>..1
':r~~~~~ !?'ti~J~~!c: '! I License L,w (Chapler 9 commencong wIlh SeeI1011 7000 ol I ~;~~1~~e~e~:: :s~:5~~7; ,:~o1r:Sa:~~~=~P~~~ 1s A9:; 1
vlOlat10n ot Sectton 7031. 5 by an applicant for a perm,1 sub I
Iects lhe applic.ant lo a c1v~ penalty Of not more than live hun• I
dred dollars ($500) I
f I I, as owner ol lhe properly, or my employees with wages I :i,!~1'~1~:n:~f;~IOfd~~(~:t,i~ ti~i~~~ 1
and Professions COde The Contractor's license law does I
r:,:gf~n~0
;~ :e°ir~~t:eti,;~~t ~•:~;~~~~:=~ I
employees. provided that such improvements are not mtend· I ed or offered f~ sale lf. however, 1he bu1ldmg or improve·
menl 1s sold wIthm one year ol completion. lhe owner-t>u11der will have the burden of proving that he did no1 build or im-prove tor lhe purpose of sale)
n I, as owner ol !he property, am exclu$Jvely con1racImg I
~l:a~~;:s coPr~~:~;:~~O i::truf~~hc:~:~~=\~~ I
Law does not apply to an ownec ol property who bulkis or im-I :~:c:~~~c:: ;'irs't::3f ~s,:: C:frfcr,:~•\~:~s! I LJwJ I
D As a homeowner I am 1mprovmg my home. and lbe lollow I ing cond1hons eiust. I
~-r~::r~I;~ t>e;~g :vrl= r;o\~0el e1e months f
pnor to complehon ol this work. I
I have not claimed this exemption dunng lhe last lhree years. I
D I am exempl under Soc ----r-<r-, B & p C l
for 1h1s reason ---------rt----I
I
l
l
0 I hereby alfirm lhat I have a certihca
self-Insure. or a cert1hcate of Workers' C
surance. or a cert,hed copy thereof lSec
:onsenl to I
1pensation tn. I
POLICY NO
COMPANY
L.aoorCo<l<!JI
D Copy 1s filed w1tn the city
D Cer11l1ed copy is hereby lurnl$hed
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This sec11on need not be comp4eted if the perm11
1s for one hundred dollars !SlOO) or less)
I
I
I
I
I
0 I cer11ty that in 1he performance of the work for which I
this permit is ,ssued. I shall nol employ any person In any I
~a~~:nerl~~:s~~ ~~::i=~bject to lhe Workers Compen-I
NOTICE TO APPLICANT: If. after makmg ttlis Certificate I
of Exemption. you shOuld become subject to the Workers· I
Compensation prnvisions ot lhe Labor Code. you must I
forthwith comply with such provisions or U'lis permit shall I
be deemed revoked I
I
I
D I hereby affirm that there is a construction lending :
agency for lhe performance of lhe work for which this per•
m,t IS Issued [Sec. 3097. CtYil Codel I
Lender's Name _____________ I
I Lender's Address ____________ ,
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 L as Palmas Dr., C a rlsb ad , C A 92009-4859 (61 9) 438-111~ D APPLICATION J'PERMIT
JOB ADORESS .. A V, ST. AD . ><EAi ST CROSS ST c;~~3 I D~E :F ;:L~A;ONI
8USIN~rr1CENSE It VALUATION PERMIT NUMBER
J 7 (QI v , • r +o e, ~ five_ 1M-ii If-/"/or? 1-1 ✓ f
l:JIO BLOCK I SU.t:•i S~N I ASSESSOR PARCEL NO ' ~D V CONTRACTOR CONTRAd TORS PHONE • ZONE V 3fJ \<o1 4-',,Q l'1 .I m A-f K l4u ~ Ji Ii,..; o/ l/-0 9 I 2-(, OWNE A'S NAME I OWNER'S PHONE
h1 J'l ~ rn e.s. A ole I ~DJ>J CONTRACTOR'S AOOAESS <.,j STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS l07~ (,,Jte_L c;e ,4 CA-'fl/37f-'f IV'l."U. IH, lncJ 1\1 C\1 C\?Rl rlPmt. u.5i,
~,lol V 1· t +lla214--tl-u-e C.Pre/5.S 4C\ DESIGNER DESIGNER'S PHONE --..
0 '.s j-p,_ CA-~~ r'-/ 7l./0'tl:l~ DESCRIPTION OF WORK .p 4+, /"\ a :r.tz-GV ~_L--DESIGNER'S ADDRESS STATE LICENSE NO.
I <a // i./lf 3. 7~J../ • /6 --h ,;/4 .. F/P F LR ELEV NO OCC GP EDU
~I·'!: .. ~ ,...-STORIES
I vO NO --\t I / ., P' PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT T YPE OCC LOAO FIRE SPA AREA CONST
YO N 0 vO NO vO NO Not Valid Un~s M,1chine CertiliM
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE 3e-e SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TD 100.000 BTU BUI LDING PERMIT 001·810·00·00·8220 ....25 -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00-8221
EACH WATER HEATER ANO DR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 001 ·810·00·00-8821 /£-
EACH GAS SYSTEM I TO 4 OUTLETS I ---BOI LER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00-8222 -----EACH GAS SYSTEM ~ OR MORE ' METAL FIREPLACE ELECTRICAL 001-810·00-00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00·00·8224 -EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RE LOCATION OF EA FU RNACE1HEA TE R SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT ~ STRONG MOTI_ON __ 880·5 l 9·92·33 -~ TDTJ;L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227 -.
TO I Al PLUMBING I PUBLIC FACILITIES FEE. 320·810·00·00·87 40
v"° BRIDGE FEE 360·810-00-00·87 40 QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP
PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT TIF 134-810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF _ 133·810-00-00·8835
EXIST BLOG EA AMP•SWT BKR GARAGE FMF_-(j''
l PH 3 PH
IA ~IC!NSE TAX 001·B10·00·00·8162
REMODEL AL TtR PER CIRCUIT -~ MFF 880-519-92-57
TEMP POLE 200 AMPS I .
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI ...,~c::1 -CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL ·¢ TOTAL FEES PAYABLE I L-/1~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT ' ANO 00 HEREBY Exp,ratton Every permit issued by the 8u1fd1ng Othcial under the prov,s,ons or this * ... N OSHA PERM:T IS REQUIRED FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmllatlon and become null and void It the building or wort-. s· o· DEEP ... NO DEMOU TION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE (FA PERMIT 11' authorized by such permit is no1 commenced w1tt11n 180 days trom the date ol such STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUN'IY AND STATE LAWS GOVERNING BUILDING CON :~'::don~
1
!1 t=~y ~~~~·;ne~;h:~~r:~~ni~~~e~le~~~~ :'~7.~,,~:rcs~r,~r I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . 0
APPROVED BY f '/ ,D~l(!r; KEEP HARMLESS THE CITY OF CARLSBAD AGA1NST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANTS SIGNAJ_TURE 'f OWNER CONTRACTO~h
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1'4 CONSEQUENCE OF THl~t\ m J
1
i 'l BY PHONE GRANTING OF THIS PERMIT .~ • ~ '..A.. •
., J ,.
1 77 Q \,
a,
u:
>-;;;
0 a. E a, ....
I
-0
0
('.)
C co u
a. a.
<(
I
-" C a:
0 1/)
1/) a,
1/)
1/)
<(
I
'!: .Q
ai >-
a, u C co
C u::
::::..
C a, ~ ('.)
0 u a, a. 1/)
C
a,
i::. ~
·~
\
...l.
TYPE I DATE INSPECTOR
BU ILDING I
I
FOUNDATION l
I
REINFORCED STEEL l
MASONRY I
I
GUNITE OR GROUT !
SUB FRAMED FLOOR D CEILING
SHEATHING □ ROOF □ S~EAR
FRAME l
EXTERIOR LATH I
INSULATION ' l
INTERIOR LATH & DRYWALL ~
I
PLUMBING l
I
D SEWER AND BUCO D ~UCO
UNDERGROUND □ WASTE d WATER
TOP OUT □ WASTE □ }NATER
TUB AND SHOWER PAN l
GAS TEST I
□ WATER HEATER □ SOLAR VVATER
I
ELECTRICAL .
I
□ ELECTRIC UNDERGROUND ltJ UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMAORARY
□ BONDING □ POOL f
I
1
MECHANICAL l
□ DUCT & PLEM., □ REF. PIP.ING ' \'·
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS l
l ' ' •
I
CALL FOR FINAL INSPECrJON WHEN All APPRfJPRIA TE
ITEMS ABOVE HAlVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS '
BUILDING
SPECIAL CONDITIONS
i : • t !
I • ~
FIELD INSPECTION RECORD
\ . -~ -.
'l • ••• •' \ • \ ~ ,.., .. ~ • . ..
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL .. ·';.
SOILS COt,,11-'I IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRfSTRESSED
CONCRETE
POST TE' "IONED
CONCA!: iE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
. .
.
.. t;_
'' ' -·-,• ... '.' \. .. . . I •'
; -. -
I . --I, .
. ' --'
....
~ .:-·., <i?7~30<-f
INSPECTOR'S NOTES
I '~ ·C. ' • ..,
,:_.,, ./'
-I
~
. . ' ~ ..... -, ..
' \ . ' . , ..
j I
()91\f .Of\08 OTOT OSEJQl:Pf •T •20 -I l . ·~ ~ ' \ -" ...
.
' . . .
'• ~ .. . ,
-
• PLAN CHECK NO. 2 {} f ADDRESS
..
~ u (1) .c u
C:
(I) a:
C'l
C:
"O
:::,
co
~
(1)
~ (1)
·-(1) > ... (1) (I)
0::: C>
--
ZONE: __f2j__ TYPE OF PROJECT AND USE: ~ a,_,,,,__, , 1
PLANNING ~
SCHOOL DISTRICT: S~)EGUITO __ ENCINITAS CARLSBAD~COS __
SETBACKS: FRONT _d_ /I l_L--___ SIDE _____ REAR
DISCRETIONARY ACTIONS ~
REDEVELOPMENT PERMIT R .... E .... QU~I+R-~-----------------------
LANDSCAPE PLAN COMMENTS~·~,.=..,_ _____________________ _
ENVIRONMENTAL REQUIRED: ~/fJ _...._ ______________________ _
COASTAL PERMIT REQUIRED: YES__._____ NO j[!/1
ADDITIONAL COMMENTS: _____ ____. ___________________ _
OK TO ISSUE : __ __.g)=-a,Q. ___ _ DATE : _ __._¥1_...P,~~"-"'-7___.__
rn~rnn~r~n~r~rnnnnrnnnnnnnnnnnnnn~nnnnrnnnnnnnnnnnnnnnnrnnnnnnnnnnnnnnnnnnrnnnnnnrrnnnnnnrnnnnnnnrnnnn~nnnnnnnnnnnrnnn
ENGINEERING
LEGAL REQUIREMENTS .,
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
EASEMENTS: RIGHT-OF-WAY:
EDU'S: DRAINAGE:
IMPROVEMENTS:
FIELD CHECK DATE & INITIALS:
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 (CONNECT ION): -
BRIDGE & THOROUGHFARE FEE: --------------
SEWER LATERAL: (I) ·.;:;
C: ADDITIONAL COMMENTS:
en en
(1) "O ~ (1)
0) ...
0 (1)
~ C. a. E
C: 0 (1) -u ...
(I)
C> OK TO ISSUE: DATE: ----------------------------
DPD2:DPD6:10/24/86