HomeMy WebLinkAbout2659 VISTOSA PL; ; 82-290; Permit<I) z 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
ltc No _______ Class
I hereby affirm that I am exempt from the Con-~:0{8~~~~":: ~: ~f~~.~~~~~.\~ county which requires a permit to construct alter. ,mprove, demohsh. or repair any structure.
pnor to its issuance also requires the applicant for such perrmt to file a signed stat&ment that he 1s
hcensed pursuant to the provisions of the Con-
tractor's License Law (Chapter 9 commencing wtth Section 7CXX> of O1v1s1on 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the bu•s for the alleged exemption. Any v1olahon of Section 7031.5 by an applicant tor a permit subJects
1ne applicant to a civil penalty of not more than five hundred dollars (S500).
□ I. as owner of the property, Of my employees .,,,th wages as their sole compensation, will do the
wortt. and the structure ,s not intended or offered for
sale (Sec. 70,4.4, Business and Professions Code: The Contractor's license Law does not apply to an
ownef of property who builds or improves thereon and who does such work himself or through his own
employees. pro11ided that such improvements are
not intende1 Of offered tor sale If, however, the
building or Impro11emenI Is sold within one year of completion, the owner-burlder will ha11e the burden
of p,ovmg that he did not build or improve for the
purpose. of sale)
□ I. as owner of the property, am exclusively
contractin" with licensed contractors to construct
the pro,ect (Sec 7D«, Business and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves
thereon, and whO contracts for each proIects with a contractor(S) license pursuant to the Contr..ctor's
license Law)
D I am exempt under sec ______ B & PC
tor this reason
0 I hereby affirm that I hav"e a certificate of consent
to self.insure. or a cert1f1caIe of Wor1c.ers·
Compensation Insurance. or a certified copy thereof
(Sec. 3800. Labo< Code)
POLICY NO
COMPANY __ _
□ Copy IS hied with the city
0 Certified copy rs hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This seet,on nee<i not be completed 11 the permII
is for one hundred dollars ($100) or less)
I certify that ,n the performance ot the work tor ~ th,s permit ,s issued, I shall nol employ any
person ,n any manner so as to become subIect 10
!he Wor1c.ers· Compensation Laws ot Cahforma
NOTICE TO APPLICANT If. after makinJ this Gen,.
hcate of Exemption. you should t>ecome subIect t-:> the Workers· Compensation prov,sIons of the Labor
R •~°:o must lorthwtlh comply w,th such
~• th,~me<l revoke<l
O I hereby affirm Iha! there ,s a construction
Iend1nQ aoency tor the performance ot !he work tor wh,ch th,s permit Is issued (Se<: 3097. C1v1I Code) . Lenders Name ___________ _
Lenders Address __________ _
USE B~EN ONLY & PRE~S HARD ·-·-· APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
(1,yr)) CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JQt,..,....,.,.,1:SS
A~i.Tre E-O~~az ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
1-·,t5q \/\5ToSA fl.A~ -f 34-1 8Z-Z/fo OWNER'S NAME 175 3W:E9q:;~ s:~~ACT{;; ~\., ~~
CONTRACTORS PHONE • ZONE . '
~eN ~ ~ L,OJ o "-AOA ..... '{3 b· J. 112... ifr~
OWNER'S MAILING ADDRESS , . ~ I CONTRACTOR'S ADDRESS' LICENSE NO. PLAN 1.0. # BLOG USE COOi
'o~rM~ ~{,,.2... '\ l~ ,,_ UL. Pl ,.(~U.a ~°' .1. 0 °' '1 ~,Aro
LOT I BLOCK I SUBOIVISION I ~'1~A~~n • 60-m DESIGNER ST ATE LICENSE # STANDARD PLAN# eu;z;1A ·iTAGE
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DESCRIPTION OF WORK ow .... efJ-.
DESIGNER'S ADDRESS DESIGNER'S PHONE -I
I~ I GPaEfhf2
6/06/82 I 0511.i 21.i 01 DJ~ --NO 000 I I O~l.i ~/06/ Bel 104 00 . ----------F/P FLA ELEV. OCC GP EDU .,, . --STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N □ vO NO vO NO Not Valid Unlns Machine C,rtifi«J
QTY. PLUMBING PERMIT· ISSUE 7 c:: ("\ QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER < ("\("\ -
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00Q·422n /1 r A . .,_, u
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 V 7
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000·4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR J.15 HP TOTAL PLUMBING 01 ·000·4222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223
-
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·000·4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MDBILEHOME 01 ·000·4225
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000·4226 _J TOTI.L MECHANICAL STRONG MOTION 65·640·0519 . i;..,o -----, ~
TOTAL PLUMBING FIRE SPRINKLERS 01 ·000·4227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT • ISSUE BRIDGE FEE .., ("\ ("\
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65·623·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624·0519
1 PH 3 PH PUMP San Dieguito 65·625·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
... -
TOTAL ELE~TRICAL -T-TOTAL SOLAR TOTAL FEES PAYABLE :zi::----
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,r1t1on. Every permit issued by the Butldtng Off1c111 under the prov1S1ons ofthtS • * AN OSHA PEllttllT IS REOUIA£D FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expare by lim,tat,on and become null and void If the building or work S' O" DEEP AND DEMOLITION OR CONSTIIUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such STAUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON• r'~::O~ ·~, 1:~y i::-~·~-~~~~~.:~!h:O~~~l.ft~~ ::.~::.i·~,·~~~ t '
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S ~Tl E~ ~ OWNER□ CONTRACT~tJ AP,.tVE DBY I DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHON 0 ~ .. ,.~~ .. i--r6 ,{;,t,z.. GRANTING OF THIS PERMIT. 1~' vvv ~ r r,a
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INSPECTION TYPE . --DATE INSPECTOR .. ---
.f BUILDING
FOUNDATION
REINFbRCED STEEL
MASONRY
I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING '
' --
SEWER AND BL/CO I
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
I
TUB AND $HOWER PAN I
GAS TEST I
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I.. -SMOKE DETECTOR I
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS f-- I •
VENTILATING SYSTEMS I.,., !_ • r
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL ' -
PLUMBING
ELECTRICAL
MECHANICAL
GAS II
BUILDING e .. ,;.,,,,, ,.,,
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED
----
{ ~.;t-~ -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ_ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY I . ·-
PILES CAISSONS
.,
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INTERDEPARTMENIAL INFORMATION SHEET
BUILDING DEPARTMENT / / . D!:rft, CE IVE D
BUILDING ADDRESS: ~ b ~t ~~ -
A. P . N : ol I (:, -;2. S-0 -6 tJ C . T : AU~ ' 1982
*******************************************************t,fi*ot*CAM.~B
PLANNING DEf ARTMENT Bl'll-1.1: ':I cpartment
ZONE: JZ_; \ · ·scHooL FEES: SAN DIEGUITO _____ SAN MARcos __ _
ENCINITAS _____ CARLSBAD _____ _
UNITS REQ'D: _______ \--4------PROVIDED: _____ ..,....._ _____ _
% COVE RAGE ALLOWED : . PROVIDED : ---'(\\-j..,._-1,p1--------
PARKI NG SPACES REQ'D: PROVIDED: \ ---~+-------
BU IL DING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: \L_
PROVIDED-=====~==:\_C~~~-
INTRUSIONS: '\) ------
RE-DEVELOPMENT APPROVAL REQ'D: ____ kl_Pr~---
LANDSCAPE & IRRIGATION PLAN COMMENTS:___.~1->!--,;.p ____________ _
ENVIRONMENTAL PROTECT I ON REQ: --=F;"'--'-,<;::..__,c;_e-_M __ f_T ____________ _
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE : et-; DATE: ~t,1 tJ... OK TO FINAL: DATE: ---------
PUBLIC FACILITIES FEE:_· __________ SEWER CONNECTION: ___ _
DRIVEWAY LOCATION(S) : _______________________ _
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION:
ADD'ITIONAL COMMENTS: ______________________ _
*CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: _________ _
OK TO ISSUE:jU,Q.C DATE:Y -0~l PWI:. OK TO FINAL: __ _
DATE: ----
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MJ\KE
FINAL INSPECTION.