HomeMy WebLinkAbout2759 VICTORIA AVE; ; 85-169; Permitt~[
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ot Division 3 of the Business
and Professions Code, and my license Is in
lull force and ellecl.
Lie No ______ Dass
I hereby athrm that I am exempl lrom the Contrac·
to(s License Law !Of lhe lollowmg reason (Sec 7031 5
Business and ProleSSKlns Code Any c,ty or county which re· qu11es a permit to construct, auer improve_ demoI1sh. or
repair arry structure. poor 10 11s issuance also requires !heap-pltcant lor such permit to lite a sIqneo statement thal he Is
lK:ensed pursuant 10 the provIsJOOs ol lhe t;onirac1or s License l.ilw {Chapter 9 commencing with Sec11on 7000 of 01v1st0n 3 of lhe Business and Pro!esst0ns COde) or lhat 1s ex•
empl lherefrom and the basis for the a!1eged exemption Any vi0Ia11on of Sechori 7031 .5 by an apphcan1 tor a perm11 sub·
iects the apphcan1 10 a cIv,I penally of not mOJe lhan tI-.ie hun-
dreo dollars ($500)
I. as owner ol lhe property. Of my employees w11h wages
as their sole compensation wm do lhe work and !he strut·
ture tS not intended or offered lor sale (Sec 7044 Business
and Protess,on!, Code The Conlracror·s Lteense law does
not apply to an owner ol property who builds or improves
!hereon and who does such WOfk himself Of lhrough htS own
employees, provided that such ll'Tlprovements are not inlend-ed or offered for sate n. nowever, !he bu11d,ng or Improve,
menl 1s sold within one year of complehon, lhe owner-builder will have 1he burden of proving tnat he did no1 build or Im-
prove 10< the purpose of sale)
I. as owner ol the property, am exctus1vety contract mg
with hcensed contractors to construct lhe pro1ec1 (Sec 7044
Business and Professions Code· The Contractor's License
Law does nol appty to an owner of pruperly who builds or im-proves thereon. and who contracts 1m each prOjecls with a
contractor(s} license pursuanl to the Contractor·s License Law)
D As a homeowner I am improving my home_ and the tolk>w tng conditions e.111s1
1 The work ,s being per1ormed prior to sa1e
2 I have IIVed m my home tor 1welve months
pnor to complehon of this work
3 I have not claimed this exemphon during !he
tast three years
D tam exempt under Sec _____ _
ror this reason B&PC
-------------
D I hereby all.rm tha1 I ha-1e a cert1t1cate al consenl
to self insure, or a cenit,cate ot Workers
Compensation Insurance, or a cenrhed cooy lhereor
!Sec 3800 L.abOr Code!
POLICY NO
COMPANY
D Copy 1s flied wrth the c,ty
D Cen111e<:1 copy 1s hereby rurn1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed ,I lhe perm,1
,s f()f one hundreo dOltars 1s 1001 or less;
0 I cer11ly that 1n 1he pertormance al !he wor1t tor
which 1tus permit 1s issued I shall nol employ any
person m any manner so as to beeome sub1ec1 10 me Wonters Compensation Laws of Calltorn1a
NOTICE TO APPLICANT II, alter makin1 this Cer11 !1ca1e ot Exemption )'0\.1 should t>ecome sut>1ec1 I'>
IL the WOl'1ilers Compensa11on prov1s1ons ol the Labor cooe you must tont1 ..... 11h comply wtlh sucn
prov1s1ons or lh1s permit snall De deemed revokeo
0 I hereby attum lhat there 1s a cons1ruc1ion
1eOdtnQ agency tor lhe oertorma.nce ot ine work !or
wtuch thrs perm,1 ,s ,ssued tSec 3097 C1v11 COdet
Lenders Name ___________ _
Lenoer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
,,. i 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
";;s-cr IJ/c7D~~ G.. A.~V~T RD NEARESTCR;;Tnt <T /Jo-tiTt~ 1D.;z;~NI BUSINESS LICENSE d ;A3A;~ ~v PERMIT NUMBER
LOT I BLOCK I SUBDIVISION ~SSL~p2.'.:~90-i,,,d , CONTRACTOR CONTRACTORSPHONE• ZON£ f $'"-/0\
OWY"\'SNA ... E{) 1 -
1
OWNER'SPHONE t-f--/??~t'-l=--'1..c,_,..,,,,,,£_:......-=.e--=-----+----+-----+------1 i. klA) ,ex ~ ~ f\,~VY\ ~ 'l.3 '{-/:2. '?7 c?,,,•rT!ACTOR'S ADDRESS LICENSE NO, PLAN 1.0.,; BLOG USE CODE
OWNER'S MA, ,NG A~Dy-ss '-:-) /' ' / /J
;;;.?S"? v,~"Cl Ave l,,4;,rt{.A.ad'f"ci2&~ DESIGNER LICENSE~ STANOAAOPLAN# BUILDINGSO.FOOTAGE
DESCAIPT ON OF WOAo< f_/') ,::2.6() Ip ~ 1 ....."1... .-. ~ f ~ J_ DESIGNER'S AODRESS DESIGNER'S PHONE J/4=~/t:1
'l'/7 ( V --!._V -~ ~,n-.,. T ..,_. _________ ,___.,~~----.-----'! O,{Jltlii::!t1 J/i:!.:JI r-. ~ •,
,__ ' n-' _, ...,10>1!_ F.P FLRELEV. NO OCCGP EDU -~-· •·•1
Z-,, A./ ~ -.A./-/.-1 ~ b STORIES
~~-..,-' -/ ----vO NO
CENSUS -::.. GP LAND USE PARl(ING SPACE I RES UNITS I GRAbtNG PERMIT ISSUEO I REOEVELOPMENT TYPE occ LOAD FIRE SPP ~ I AREA CONST
v O N O v O "'0 v O "'O Not Valid Unl~s M~chine Certified
rlJ
QTY. PLUMBING PERMIT· ISSUE / ~ QTY. MECHANICAL PERMIT. ISSUE °"3,,,,,,,,,,.. SUMMARY/ACCOUNT NUMBER ,.,h
EACH FIXTURE TRAP • INSTALL FURN. DUCTS uP TO 100.000 BTU BUILDING PERMIT 01·00·00-8220 ~~-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
EACH WATER HEATER ANO OR VENT BOILER /COMPRESSORUPT03HP PLANCHECK 01·00·00-8806 /,Y-;;>d -
EACH GAS SYSTEM I TO 4 OUTLETS BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222
EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE ELECTRICAL 01 ·00-00-8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00·8224 -,-
EACH VACUUM BREAKER MECH EXHAUST HOOD OUCTS M0BILEHOME 01·00-00-8225
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INS10E1 SOLAR 01-00-00-8226
TOTt.L MECHANICAL STRONG MOTION 80·92·3~3---05_1_9_..,.-r-_-_-_~---_-_-,,-~::,_.u---,
TOIALPLUMBING I ~ FIRESPRINKLERS 01·00-00-8227
QTY. ELECTRICAL PERMIT. ISSUE /,_/ QTY. SOLAR. ISSUE PUBLIC FACILITIES FEE 32·00-00·89ll
.:;) -BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE. DISTRICT
I PH 3 PH STORAGE TANKS . Carlsbad 80·92·21-0519
EXIST BLOG EA AMP.•SWT BKR ROCK STORAGE Enc1mtas 80·92-22-0519
I PH 3 PH PUMP San 01egu1to 80-92·23·0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24·0519
TEMPPOLE 700AMPS
OVER 700 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL £LELTRICAL \ TOTAL SOLAR TOTAL FEES PAYABLE I 3~. ~
I HAVE CAREFULL y EXAMINED THE COMPLETED• APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued by the Building Otf1c1aI under the provIs1ons olth1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT_ ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmotallon and become null and void If the budding or work 5· 0" DEEP AND DEMOLITION 00 CONSTRUCTION 0• , authonzed by such permit ,snot commenced w1th1n 180 days from lhe date of such DECLARAT_ IONS AR~-TRUE AND COR~ECT f\fllD t FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 11 the building or work authonzed by suc~permlt 15 suspended 0 , STRUCT\JflES OVER 3 STOOtES IN HEIGHT
ISSUED TO COMPLY,WtTH ALL CITY._COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv 1Ime alter the work Is commenced tor~ nJoo ol 180 davs
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND L::===..::.:..:::..:z.=:.::.,,=...::.::::..=.=~-"'-'===r~~F'--"'-"'"-"'e=--=-rA~P~P~R~O~V~~y-------------------,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN~¼2tCANT'S~tGNATURE¾: N~ CONTRACTOA O ED B )I-DAT~E
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY p O Q ~0r:.~ GRANTING OF THIS PERMIT -_ -O , ,........ H NE I -/ -~---.-u ,
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TYPE I DATE IN_§PECTOR . .
BUILDING ,J1. I i~---1~ I . --/_
FOUNDATION I 1.-1•'0 ~ I til _..,.., FIELD INSPECTION RECORD
REINFORCED STEEL I -.
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MAsbNRY I
REO IF INSPECTOR S GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE ... i
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE
SHEATHING □ ROOF □ SH~AR PRIOR TO
FOUNDATION INSP FRAME I
EXTERIOR LA TH STRUCTURAL CONCRETE
i OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE 1NTERIOR LATH & DRYWALL I POST TENSIONED
I . CONCRETE
PLUMBING ' I FIELD WELDING
SEWER AND BUCO · □IPUCO I HIGH STRENGTH
BOLTS UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY .. TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC U.N0ERGROUND □ l9FFER -
~
ROUGH ELECTRIC • I
□ ELECTRIC SERVICE □ TEMPOPIARY -
□ BONDING □ POOL I .
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -
ITEMS ABOVE HA Ve BEEN APPROVED.
FINAL I
' ~
PLl)MBING I I I
ELECTRICAL ' ~\ I L
MECHANICAL I u... I~ -. 1 GAS ' ' \ I -/' . a i
BUILDING I I ... -V
SPECIAL CONDITIONS I \Jr, l
I
PLAN C~ECK NUMBER '?S-/6f:,ADORESS d 759(.)~a.:::: DATE ¼c:2/s:--
PLANNING: TYPE OF STRUCTURE Y~C~ ZONE: ____ _
c:: LU 3
LU
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
% COVERAGE -----------
BU IL DING HEIGHT ----------FENCES/WALLS __________ _
TL-JO CAR GARAGE ----------
ENCINITAS --------
SAN MARCOS -------
REQUlRED SETBACKS -----
;:: ~ C01-'iMENTS: _________________________ _
~ c§
~ □ REDEVELOPf1ENT A?PROVAL REQUIRED: 6 ~ □ ---------------------
LU -c:: ::, 8 ~-□ LANDSCAPE PLAN COMMENTS: ---------------------
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Er·!VIRm!;-i£NTAL REQUIREp __ : ____________________ _
ADDITIONAL COMMENTS: ----------------------
OK TO ISSUE:~ DATE: cj,/2 ~JOK TO FINAL: ____ DATE: ____ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?
P.F.F. PARK IN LIEU ----------------------
R. O. l ~: IMPROVEMENTS: _______________ _
_______________ E.D.U: ___________ _
SEWER: __________________________ _
LATERAL: -----------DRIVEWAY: -----------
GRADING PERMIT: --------------
DRAINAGE: EASEMENTS:~_-_-_-_✓ __ ·_---------~~~-A~~;;~NAL-CO-,...--EN_T_S_: =====: ___ _ ~ .□ -o □
~~□-~
UC:: OK TO ISSUE:-~------------
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC ~ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)