HomeMy WebLinkAbout2746 VICTORIA AVE; ; 85-248; PermitCl) z 0 ~ < a: < .., u ...
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~ I hereby affirm that I am licensed under
jfrovlslons of Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Proleaslons Code, and my license is in
full l~~d effect. C ~ J lie N 1..'1 (... Clas, -,,,;)
I hereby athrm that I am exempt from tne Contrac· tor's L,cense law tor the lollow1ng , .. son (Set 7031 5
Business and ProtesSlOns Code Any city or county wh1cli re-quires a permI1 to construe!, alter. improve demohsh. or
repair any structure. pnor 1011s issuance also requires :heap·
phcanl to, such permit to hie a signed stalement !hat he Is licensee pursuant to the provIsIons ot the Contrac10, s License Law (Chapler 9 commenc,ng with Sect10n 7000 of
D1vIs10n 3 of the Business and Prolesst0ns Code} Of !hat 1s ex empl therefrom and the baStS tor the al!egeo exemption Any v1Dlahon of Section 7031.5 by an applteanl !or a permI1 sub·
Jects lhe apphcant to a c1v11 penalty ol not mOfe than r,ve hun-dre<I dollars ($500)
J I. as owner ot the property. or my employees with wages as 1he1r sole compensat,on, will do the work. and the struc-
ture ,s no1 intended or offered for sale {Sec 7044 Busmess
and Proless.,ons Code· The Con1ractor's l.Jcense La'H does not apply lo an owner of properly who builds or improves
thereon and who does such work hImsell or lhroogh hts own
employees, provided Iha! such improvemen1s are nol intend-ed or ollered for sale If, however. the build mg o, improve·
ment is sold w1th1n one year ol complehon, the owner-builder will have the burden ol provtng that he did nol build or Im· prove tor the purpose 01 sale)
□ I. as owner ol the property, am exclusNely contrachng with hcensed contractors to construct the pro1ect {Sec 7044,
Business and Prolessions Code· The Contractor's license law does not appty to an owner al property who builds or im-
proves thereon. and who contracts for each proiects w11h a contraclor(s) license pursuant to the Contractor's License law)
D As a homeowner I am improving my home. and the follow Ing cond1lIons ex·1sl
1 The work 1s being performed ptI0f to sa)e 2 I ha\le lived in my hOme for twelve months
3 rr:: =p~:::t t
1
~: =~puoo dunng the last three years
D I am exempt under Sec ______ , 8 & P C
fOf lh1s reason
~hereby alt1,m mat I ha .. e a cen1hcate ol consen .,A'o blf insure. or a cen1tica1e ot Worker
Compensation Insurance. o, a cenifled copy 1tier,
!Sec 38lO Labor COdeJ
POLICY NO 8 I.{ -:)_c, :t::>7.. t
COMPANY f\--.<""-~ '
~Y ,s tiled w,th !he c,1y
0 Cer11t1ed copy ,s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed ,t lhe perm11 1s tor one hundred 00ll ars rs 1001 or less)
0 I cer11ty lhat ,n lhe pertormance of tne work tor
Ntuch lh•s permit 1s issued I shall no1 employ any
person ,n any manner so as 10 become suo1ec1 10
ltle WoO(ers Compensahon Laws 01 Ca11!0tn1a
NOTICE TO APPLICANT If at1er mak1n~ lh1s Cert•
hcate of Exemplton. you should t>ecome sub1ect t? lhe Workers· Compensation prov1s,ons ol the Labor
Cooe you mus! lorth"'1lh com~y w11h such
prov1s1ons o, lh,s perm,1 shall t>e oeemed revokeo
D I hereby attum 1Nt !here 1s a cons1ruc11ori
1endrng ~ency tor the performance Of lhe won,, lo,
which this perm,1 ,s 1ssue<l 1Sec .3097 c, .. 11 Cooe1
Lenders Name ___________ _
Lender s Aodress __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~
CARLSBAD BUILDING DEPARTMENT APPLICATION & P ~R IT afC-"/0 1.ssve
• I I 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RD NEAREST CROSS ST.
ID~f97;;:NI ROtrf1 VALUATION PERMIT NUMBER
~7L(0 \J'tC~\1"1.0-... Sf. 7/960 $5>y'f:P LOT I BLOCK I sueo, v 1s10." I AS5/i:0r~R~ 1o ~ 3 (... -ou et ::N:AC~V~V\_/ ~oc1lJ
CONTRACTORS PHONE • ZONE
jS s c..S-l. 7 5:E:s~C~.sta ( I 1 i;;;;;;;2E 090-"-CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
S'-7<-tS-ltv\c ~s,~ --ru L(~:U," OWNER'S MA L NG 4 DDRESS V ...,~
~"""_..a...... DESIGNER SJ). .._, LICENSE "' STANDARD PLAN # BUILDING SO FOOTAGE
OESCR IPT,QN OF WORK l
(") t"'I.C.'> ~ c-;,:x.,,.__ $Bar DESIGNER'S ADDRESS DESIGNER'S PHONE
' f '
e--F P FLA ELEV NO DCC GP EDU b/09/t:lEJ 196/ 9i• l STORIES 0CitJl.l9£i/ b/0~/8~ vO NO --9t1:-m
CENSUS TRAC1 I GP LAND use I PARK I NG SPACE
1
RES UNITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND vO NO vO NO Not V~/id Unl~s M~chine Certdied
QTY. PLUMBING PERMIT -ISSUE ---zE!., QTY. MECHANICAL PERMIT -ISSUE ~ SUMMARY/ACCOUNT NUMBER ...
EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100,000 BTjJ,,,,-""" BUILDING PERMIT 01-00-00·8220 I n'X' 1. '--'-.>
EACH BUILDING SEWER OVER 100.J)e!f"BTU SIGN PERMIT 01-00-00·8221 ---I' EACH WATER HEATER AND OR VENT 'i-~'-~ BOILER/COMPRE SSOR UP ¢HP PLAN CHECK 01-00-00·8806 _I±_ 4-_ I 6.::)
I EACH GAS SYSTEM 1 TO 4 OUTLETS -L ~ \. l BOILER/COMPRESS()Ji".f15 HP TOTAL PLUMBING 01·00·00-8222 fu ,oc::> -EACH GAS SYSTEM 5 OR MORE METAL F~REPLA ELECTRICAL 01-00-00-8223 ;;: <; QZ) -.. ---EACH lNSTAl . ALTER. REPAIR WATER PIPE VENT FA INGLE DUCT MECHANICAL 01 ·00-00·8224 . -I EACH VACUUM BREAKER Z S C M~EXHAUST HOOD DUCTS MOBILEHOME 01 ·00-00-8225 -WAl'ER'so~TNER •• -. ,)1fELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DR~IN (INSIDE) .
SOLAfl_ Ql-QQ·00•R??fi
/'~:,_.. TOTt;L MECHANICAL STRONG MOTION 80-92-33·0519 .,~CJ --TOTAL PLUMBING I /( J .Lil ~ FIRE SPRINKLERS 01-00·00·8227
<-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00·89ll QTY. ELECTRICAL PERMIT -ISSUE
BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH J PH PUMP San D1eguito 80-92·23-0519
11/.,-REMODEL ALTt:R PER CIRCUIT /r)-<C: PLAN CHECK FEE San Marcos 80-92· 24·0519
TEMP POLE 200 AMPS -
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 / 1.J ~
CREDIT DEPOSIT /J I<:-.. .,,.-v)
TOTAL £LECTRICAL I o'_::3-TOTAL SOLAR \ft--'?. q /'-. ' I I/--, ..--=-TOTAL FEES PAYA '9, tJ I I I..). -
Exp,rat,on Every permit issued by the Building Offtc,al under the prov1s1ons ot this ,
I t,iAVE CAREFUll Y EXAMINED THE COMPLETED APPLICATION ANO PERMIT'' ANO 00 HEREBY * AN ~A PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY l)NDER PENALTY OF PERJURY .. THAT All INFORMATION HEREON INCLUDING THE Code shall e•pire by hm1tat1on and become null and votd If the building or work 5' O" ~ .. A~eEMOLITION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhonzed by such permit ,s not commenced w,thm 180 days from the. date of such STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON :~~~n:, '!t t=~Y ~~:1~ffe~~h=~~,:~!~0~~~ei/e~~~~ ;'8~~~1
~,
5~8()d"1~~ or STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPL.0CANT· SIGNATURE Jf, OWNER□ CONTRACTO~
AP/(~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ 1'57 ~ GRANTING OF THIS PERMIT .,,t u~-:,,'~ BY PHONE 0 '5-.[
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TYPE I DATE INSPECTOR .
BUILDING I ~$ --;:,2, 4~
FOUNDATION I /4) ,A 1--f'IELD INSPECTION RECORD
-L" ... REINFORCED STEEL f~:).~ r7 /"""6/4,~? . I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I " (/ ..
REO IF INSPECTORS -----INSPECTION DATE . ) ' GUNITE OR GROUT I CHECKED APPROVAL .
FLOOR & CEILING SUB FRAME I f ' ;, 4., . SOILS COMPLIANCE SHEATHING D ROOF D SHEiAR PRIOR TO
FOUNDATION INSP FRAME I
STRUCTURAL CONCRETE EXTERIOR LATH i OVER 2000 PSI
INSULATION I • . PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
SOL TS UNDERGROUND D WASTE D WATER
TOP OUT 0 WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I -GAS TEST I ~-27•8S ,~·(,._ PILES CAISSONS
D WATER HEATER D SOLAR WAil"ER
I !
., ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER -· -. , .... . -ROUGH ELECTRIC I
0 ELECTRIC SERVICE D TEMPO~ARY ,//7 ___.,, , r
Ip-BONDING @:..POOL 4-_.,, ~ ,, .... 7 / /~ ~.-,A,~ ..
' I , ,-V
I V .,.P"
MECHANICAL I
D DUCT & PLEM., D REF. PIPIN'G .
HEAT -AIR COND. SYSTEMS I I
VENTILATING SYSTEMS J .
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ve BEEN APPROVED.
FINAL ' I
~ PLUMBING I .3...n
ELECTRICAL ' ~ \~ -I', I
MECHANICAL I ........ \'--~ . . ';\ GAS I ~-r--. ;:, '\
BUILDING I -• \. '\. ~ l
SPECIAL CONDITIONS I \ '(\ ,~
I J -
PLAN CHECK NUMBER fr-;zi./,f' ADDRESS ;?°Jlzf: ~/1=
PLANNING: TYPE OF STRUCTURE ~-. • ZONE: ____ _
DATE ~✓.:s-"
c::: Lu 3 Lu
SCHOOL FEES: SAN DIE:::________ ENCINITAS ______ _
CARLSBAD --------SAN MARCOS ---,..------
% COVERAGE ------------REQUIRED SETBACKS -----BUILDING HEIGHT ----------FENCES/WALLS -----------
FRONT ~ (_./
SIDE __ /\ -·-I ----
Tv JO CAR GARAGE ------------REAR ----------
;; ~ COl"iMENTS: ___________________________ _
Lu < IX C
~ □ REDEVELOPPtENT A?PROVAL REQUIRED: 6 ~ □ ---------------...;;.. __
Lu -er::: ::, 8 ~-□ LANDSCAPE PLAN COr.tiENTS: ----------------------
ENV IROi'!f,,E:NTAL RE:QUIRE:p: ----------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE: ;ei:;: DATE: ///..2.1f f>aK TO FINAL: ___ DATE: ___ _
ENGINEERING i----; ' _/ -LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?::..._
P.F.F. PARK IN LIEU ----------------,----------
R.0 .1~: IMPROVEMENTS: ______________ _
_______________ E.D.U: ____________ _
SEWER: __________________________ _
LATERAL: ------------c:::
DRIVEWAY: -----------~ GRADING PERMIT: ---------·----------------Lu > I-~ ~ DRAINAGE:
~ .□ 6~□
Lu -
EASEMENTS: ~ ADDITIONAL COMMENTS: -------------------
~~-□-
UC::: OK TO ISSUE: ----------* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC ~ORKS INSPECTOR: __________________ _
FINAL OK: -----------DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARlMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)