HomeMy WebLinkAbout2660 VISTOSA PL; ; 81-484; Permit"' z 0
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0 I he;eby ,.t I am licensed under
provisions of\ ,r 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHslons Code, and my license is In
lull force and effect.
lie No _______ Class
I hereby atf,nn thalt I am exempt from the Con-
~~0~:'~:~~~"sS: ~; ~f~~1~1~c!l,~~1\~
county which requires a permit to construct alter. improve, demohsh, or repau any structure.
pnor to ,ts 1ssUM1Ce also requires the applicant tor
such permit to hie a signed statement that he 1s hc&nsed pursuant to the prov,s,ons ot the Con·
tractor's License Uw (Chapter 9 commencing with
Sechon 7000 of D1v1st0n 3 of the Business and Pro-
fessK>ns Code) or that ,s ex&mpt therefrom and the
basis tor the alleged exempt.on Any violation of
SectJOn 7031 5 by an applicant fOf' a permit sub,ects
tne apphcant to a c1v1I penalty of not more than five
hundred dollars (S5(X))
D I, as owner of the property, 0< my employees
v,1th wages as their sole compensat,on. will do the
wort(, and the structure ,snot intended°' offered tor
sale (Sec TOrU, Business and Professions Code The Conlracto,'s License Law does not ~Y to an
owner of propefty who builds or improves thereon and who does soch work himself o, througt': his own
employees. provided that such Improveme:'lts are
not Intende1 or offered for sale If, however, the building o, Imp,0"emen1 Is sold within one y~r of
comple11on, the owner-builder will have the burden of proving thal he did not build or improve for the
purpose of sale).
□ I. as owner of the property, am exclus1Yely
contrachn9 with licensed contfi~to,s to conslruct the pro,ect (Sec 70U. Business and Professions
Code The Contractor's License La.w does not apply to an owner of prc,perty who builds or improves
~~~i~~ 7.~n~~~!~~~ ~~~h~rc:,\~;;:.:
Ltcense Law) .
D I am exempt under Sec
fo, this reason
___ ,B &PC
D I hereby affirm that I hat'e a cen,hcale ot consent
to self-insure. or a cert1t1cate of Workers·
Compensation Insurance, or a certified copy thereol
(Sec 3800, Labo< Code)
POLICY NO ______ _
COM~Y ~Y ,s hied with lhe city AA .A,-
□ Certified copy 1s hereby turn1s~'f V'f'
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the perm,!
Is tor one hundred dollars ($100) or less)
D I cen,ty that ,n the perlormance of the wont for
which this permit 1s issued. I shall nol employ any person ,n any manner so as to become subIecl to
the Workers' Compensation Laws ol Gahtorn1a
NOTICE TO APPLICANT It, after makm1 ttus Cert•
lteale ot E•emp11on, you should become sub1ect t? lhe Wortliers· Compensation pro..,IsIons ot lhe Labor
Code, you must forthwith comply w1lh such prov,s,ons Of this permit shall be deemed ,e..,oked
... 0 I hereby affirm thal there 1s a cons1ruct1on
lending agency t()f the performance of lhe wont lor wh,ch this perm11 1s •nued (Sec 3097 C1v11 Code)
Lenders Name ___________ _
Le~r·s Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT T "'-{ILL IN INFORMATION WITHIN SHADf""-"'~EA AND DECLARATIONS -~
CA' )A~ BUILDING DEPARTMENT { ) Af--t'LICATION & PERMIT 1200 ~. _;rlsbad, California 92008 (714) 438-5525
JOB ADDRESS
0s-rps/9 A~-i.T-1 ;;;,-9::;;;TIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
yt,,f:,,o ~L-~~ t? ~ L.S 1>/?5) l---37?9 13 .. 4DB Bl-484 OWNER'S NAME
/11 I l-L-ot-1 i,tX,N_;;;;~ PRIME CONTRACTOR r CONTRACTORS PHONE# ZONE
t;Jo/4 '17H "7M st,; ,Is c-7" ;Pa:;1..s µI l:t:f-r?) Jr ' 1r/-v ~ >v4'3
OWNER'S MAILING ;\OOAESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE
'J,/(,bCJ /;s 7tZ/J-p'L,fi-C 'lE-, C#~LS .J>/?J:) .rJ JJ_ S#/7"4--~ Er 1¢ e-),,,fv:!./7
~
~BLOCK ,~_,J SUBDIVISION {, I Ar,cr::~o. (/C, o_ -._.,u STATE...\-!EENSE # STANDARD PLAN# BUIL~?!f sOO~GE JJl.ll'H ~cu.1-t"a 'I! -c)c) l'.!., J .>
OESC01P ION OF WORK p7o,..,, .> '/,,,~/.#~ c;,-?...-. G-t-~"/«1 I£--DESIGNER'S ADDRESS DESIGNER'S PHONE 0~ !.-IA/~ D y~ I I /23/813404 127, t.1 ~-----··------F/P FLA ELEV. NO OCC GP EDU
STORIES 00013404 I I /23/ 8 L 127 •'-'-' vO NO --
CENSUS TRACT I GP LANO use I PARKING SPACE AES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA AREA CONST
y D ND vO NO vO NO Not Valid Unkn lhchine Cutifitd
QTY. PLUMBING PERMIT -ISSUE 7,5C QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
.J
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT I n "'-f'. ~ t"l
_EAC!i BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ,
I EACH WATER HEATER AND/OR VENT -I/ .. q BOILER/COMPRESSOR UP TO 3 HP PLANCHECK 1,.-,,q;r::, o:t ll•t't-8t ., EACH GAS SYSTEM 1 TO 4 OUTLETS 71 -~' BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING tc: I on
EACH GAS SYSTEM 5 OR MORE r METAL FIREPLACE ELECTRICAL , --/ D t:J
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL I
I EACH VACUUM BREAKER "} ,it:; r.. MECH EXHAUST -HOOD/OUCTS MOBILEHOME --
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
TOTt;L ME CHANICAL STRONG MOTION ~4
TOTAL PLUMBING ~--r-~ -I J:;~or, I FIRE SPRINKLERS -
' PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE 1.,,. 00 QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguito
I REMODEL/ALTER PER CIRCUIT z:;,.oo PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY 130 DAYS) -. .,. .. -· ----
I
.. ... "·"-'-TOTAL ELECTRICAL 7,oo TOTAL SOLAR TOTAL FEES PAYABLE I /'t1M---
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY ~ ~It verype. rm~t by!!!!..._8ulfdtng0ff1c1alunderlhep. rovosoonso(lhos * AN OSHA PEfNIT IS IIEQUlflED FOR EXCAVATIONS OV£A
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE h expore by hmotato "u~~1null and VOid If th" buolding or work !!I' O" DEEP AHO OEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMiT I aulhor ed by,~uc mot' 1 comm ed wolhon 180dayofrom lhedateolsuch STAUCTUAES OVER 3 STORIES fN HEIGHT pa:~ or of I tldo work au oroud by such permot II suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNT'(,AND STATE LAWS GOVERNING BUILDING C -al> ned at ,me Iha work commenced for a """Od of 1110 "•u•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY D ~ ~~ l~I JA? >~ Ai~aM-I o;;:ZLJ -8 / KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS A D A P ;;.t.N G T E • OWNER O CONTRACTO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH~ ~,yJ·.11 C? BY PHONE 0
GRANTING OF THIS PERMIT. / 7/ ~,1;,_ ~ ,, ,. .
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BUILDING
FOUNDATION /)
REINFORCED STEEL A~ ,-:f
MASONRY
'
INSPECTION TYPE DATE INSPECTOR ~i~c_f%1J
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR 'S DATE ~~·-A ---.-,u;<;CCl-tet::~ CHECKED APPROVAL -I. ,
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO /J HIGH STRENGTH
PLUMBING UNDERGROUND I ~ if
PLUMBING TOP OUT
BOLTS --I • I . SPECIAL MASONRY ~
~ I TUB AND $HOWER PAN A
GAS TEST I.J.-'1·8/ 1# PILES CAISSONS
ELECTRICAL
TEMPORARY POWER .
ELECTRIC UNDERGROUND I /) .-
-·
ROUGH ELECTRIC t ~-/~II if --.fJA~-' .-.
ELECTRIC SERVICE A
\ . •
BONDING A ' ~ "'7' I
---
G. F. I. -SMOKE DETECTOR. I .
MECHANICAL --
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
BEEN APPROVED. -
PLUMBING
ELECTRICAL
MECHANICAL
' GAS -BUILDING
SPECIAL CONDIT''"'"1S
CERT OF OCCIJP/ =-,S-U_E_D-----+-1----t-1-----•· \ ( \ ,\ . ' "", ......... -'-I' ' ()
SHEET Received
BUILDING DEPARTMENT DATE: NOV 191981
• BUILDING ADDRESS: z_,{;p 0 0 \JI 80$ Pl-:&<--e
Ar:' fr ~~C,-2-SQ _ <a (o CITY 06 CARLSBAD
PLANNING DEPARTMENT
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED -----------
BU IL DING HEIGHT ALLOWED ___________ PROVIDED __________ _
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK: REAR SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: 11t3/fY/ OK TO FINAL DATE /J ' --------------
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
________ DRIVEWAY LOCATIONS ____________ _ SEWER CONNECTION
GRADING PERMIT _______ EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING 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 ________ DATE ________ _