HomeMy WebLinkAbout170 WALNUT AVE; ; 83-508; Permiten z 0 .:: <( ir: <( ..J u "' 0
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0 I Mreby affirm that I am licensed under
prOYlslons of Chepter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeeslons Code, and my license is in
full for.s;, !9d,e~ n
lie No r~ -~ ....... L~""--'7'7.,_....... Class ,.o,,J.... __ _
I hereby alhrm 1na1 I am exempt from the Contrac-Ior·s License uw lor lhe I011ow,ng reason 1sec 7031 5 Business and Proltssions Code Any c11y or county whicl'l re-quires a permit 10 consuucl. alter. improve, demohsh, or
repair any structure, pnor to ,ts issuance also reqU1res !he a1r pltcant tor such permit to ltle a ~9ned slatement that he ,s hcensed pursuant to the prov1s10ns or the Conuactor s
Ucense Law (Chapter 9 commenemg with Section 7000 of ON1s.on 3 of lhe Bus,ness and Professt011s COde) °' 1N1 ,sex· empl Iherelrom and Ille basis !or the allegeo exempI10n Any YIOlallOn 01 SecI10n 7031 .5 Dy an applicanl !or a perm,I sub· iecIs lhe applicani 10 a CMI penalty 01 not more lhan live hun· dreo dollars ($500)
0 I. as owner 01 lhe prGperty. or my employees with wages as their sole c.ompenWIOn, will oo the wo,k ano the suuc-lure ,s not mlenoed or ollereo !or sale ISec 7!M◄ Bu~ness
and Proless,ons Code The Conuactor's License Law does
not apply to an owner or prGperty who builds or lfflproves thereon and who does such WOO< hmseH or through hlS own employees, provided lhal such ,mprovemenlS are not mlend-ed or ottered !or sale II however. lhe burld11111 or improve-ment 1s s06d within one year oC completion. lhl 0Wnef·bu1k1er will haw the burden 01 prOYing that he did not build or im-
prDYe tor the P\lrpose 01 sale)
0 I. as owner 01 the propeny, am exclusively contracting with lecensed conIractors 10 construct the pro,ect (Sec: 7044, BuS1ness and Proless,ons Code The Conlroclor's License Law does no1 apply to an owner of property wl'IO builds or 1m-p(ovts thereon, ~ who contracts tDf uch pro,ects with a contractor(s) l,cense pursuanl 10 the Coniractor·s Lc:ense Law)
0 As a homeowner I am impr0Y1ng my home. and Ille 1o11ow-1ng cond1!10ns exist l . The w«k 1s being perlonned poor 10 sate
2. I have lived In my home tor twelve months
3. r::v~ =p~:,~oc 1
1
~1
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: :!~pt.on during lhe
last three years
0 I hereby att,rm that I na .. e a cen,hcate of consent to sell insure, or a cert1f1ca1e ol Wo,kers
Compensatton Insurance, or a cen,t,ed copy !hereof
(Sec J800, Lat>or Code)
POLICY NO
COMPANY
0 Copy 1$ hied wtlh lhe Ctly
0 (:et11t1ed copy 1s hereby lum1shed
CEATIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This sechon need not be completed ,I me oe:,m,t ,s lo, one nuna,ec, 0011ars rs 100) Of Jess)
0 I cen1ty that in the pet10fmance ot the wM lo, which thtS permit IS issued I Shall not tm,ploy any
person ,n any manner so as lo become sub1ect 10
the WOf11.ers Compensa11on Laws ot Cahtorma
NOTICE TO APPLICANT It alter mak1n;1 th1s Gen,
flute ol E•empt,on_ you should t>ecome sub1ec1 f')
the Wo"'-ers Compensation pro1i11s1ons ol the Llbor
Cooe you must 1or111~1th comply w1lh .such
prov,s1ons Of this permit shall be oeemec, revolr.eo
0 I hereby atlirm Iha! lhere ,s a con!lruc11on
1end•no a.oency •0t the perlormance ot !he wo,1,. lo,
wh1Ch 1h15 permit 15 tSSve<S tSeC 3097 C1v1I Code!
Lenoer s Name __________ _
Lenders AOdress _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.AO. NEAREST CROSS ST lizr ~qLtCATtONI eus1{)sst:sE • VALUATION PERMIT NUMBER /70 ~1~ '-~ \.l.1 Au£. r)f'6~ LOT I BLOCK I SUBOI VISION I l~f~-"t:1~~~n1 JJA:;AR~-i-"LI
CONTRACTORS PHONE • ZONE
t/34-3077
~z;.M~u., -:i..u Jq4~qjJJ°1 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG use CODE /70 W'1N1.t.T j,liT .~'I ;:;nq4 OWNER'S MAILING ADDRESS
/70 ~.<JLtT A.t)g C,A/J..LSNJJ OESIGNEA LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
,
6L)~wonr ~o f=RAMg /.J()IJ.,. S" z3 DESIGNER'S ADDRESS DESIGNER'S PHONE ,1'8 I 56l, ooe, -~ES7.T I ~ 'l6J 15-.0 F/P FLA ELEV. NO EDU I .o OCC GP STORIES
vO NO ---
CENSUS TRACT I GP LANO USE I PARK ING SPACE RES UNITS l GRADING PERMIT ISSUED
I
REDEVELOPMENT TVPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not Valid Unkn ~chint Ctrtd1«J
QTY. PLUMBING PERMIT · ISSUE ~Sa QTY. MECHANICAL PERMIT -ISSUE 3,oa SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU 8UILOING 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/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8B06
EACH GAS SYSTEM I TO 4 0 UTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUM8ING 01 ·00-00-8222 J-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00·8223 /.J --EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00· 8224
EACH VACUUM BREAKE R MECH EXHAUST HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELO CATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR 01-00-00-A??S
TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519
TOT AL PLU MBING I FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE l<ocJ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
8RIOGE 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 SKA ROCK STORAGE Enc,m1as 80·92-22-0519
1 PH 3 PH PUMP San D1egu1I0 80·92· 23-0519
REMO OE L AL Tt R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
J TEMP POLE 200 AMPS I~
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I !.J _,-TOTAL SOLAR TOTAL FEES PAYABLE I ---l \ --
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp,rat1on Every perm,t -bytllellutlding~unda, tlle prov,110111 of 1h11 * AN OSHA PERMIT IS REQUIRED Fbfl EXCAVATIONS OVEII CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall axp,ra by hmItat1on and become """ -IIOld ff the building or work 5· 0" DEEP AND DEMOLITION OIi CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not commenced wttNfl 180 day1 from the date of sucn STIIUCT\JfllfS OVEII J STOfltES IN HEIGHT permit. 0, ,f the bu1ld1~0, work authOrl&ed br 11,Ch permtl II IUlpetided or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON •ban-at an, bme --,a c--«I tor a ~od o1 tllO "•u• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AWc5J~Ur
OWNEA□ COIIITRACTOR 0 APPROVED BY .Pf 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 PHOIIIE 0 l /o -Li_-v GRANTING OF THIS PERMIT . ~ .
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL -
FLOOR & CEILING SUB FRAME l
SHEATHING D ROOF D SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
" SEWER AND BUCO D IPUCO ' I
UNDERGROUND D WASTE D \A{ATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
D WATER HEATER D SOLAR WATER
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC ' / ,.. I -
D ELECTRIC SERVICE 'tJ TEMPO~ARY U·l -~ ~,
D BONDING D PO6L I
. ·,,, .. / ~ ,, ' • l -' I
MECHANICAL I ~
D DUCT & PLEM., D REF. PIPING -
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
"'---I -'I. t"'f, . I.;
L·i .. Q~
-:~:· .
CALL FOR FINAL INSPECT!~N WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING --r"\ I ./
ELECTRICAL-uaiir'~ tva1._o_ ll·l~.rl, -z,{{)
MECHANICAL. -I
GAS I
BUILDING I V I\ 1 I
SPECIAL CONDITIONS I F " -~
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CITY OF CARLSBAr
BUILDING DEPARTME
729-1181 -Ext. 36
For A licant to Fill In
Owner's Nome .lf:'.....:..cl'L-.S.S..,£.§a....~..,__..l'--... s-'--e_?1..:._,c__ ___ _
Moil Addres#-==-.../<--.-2---4-§----L-L-;,-;.,..,.k_o......,c;,__,__ __
Controctor _..,0£__;W"'--=:;__?1.:.......i~e_ ..... Y,__ ________ _
Contr. Address -----------------
To Const. 0 To Add O To Alter~ Convert 0
~ ~4 .... a ~...... Re. -/VJ o cl el/1-13
Type of Const. Z4a ??1~ From~ osonry, etc.
To Be Used For£~ f C be 21 -[Z;,, ft,,-t) i??,z,,(
Kind of Foundotion ______ No. of Stories _____ _
Floor Spaco (Sq. Ft.) ----------------
Goroge Floor Spoce (Sq. Ft.)
Attoched _______ _
Detoched ________ _
Legal Description _________________ _
Block Lot
Subdivision ----------------'----Or
Section Township Ronge
No. of Existing Building ______ .._ _______ _
Will this co_ns~tion includo ony plumbing instollotion or olter-
otion? Ye~ No 0
Signoture of Applicont
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM T E LEGAL OWNER
OF THE ABOVE DESC ~SEO RESIDENT! PROPERTY.
Applicatio1 • >r BUILDING Permit
Building Pe~t Fee CJ t?_!?
O"/''i FEB -2·70~ 012*******9.00 7t?-ou
Building De t. Use Onl
Set Bock Bid . Voluotion
Front P.L. Moin Bid
Side P.L. Goro e
Controctor City Bus. Lie. No. ____________ _
Woter Meted ~
Inspection Record
Utility Compony Notified -Doto _____ _
Finol
By, ____ _
If o check is tendered for poymont for the obove fee ond the
check is not honored when prosented for poyment, your
building permit will be immediotely revoked.
City of Corlsbod Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY OF CAI. ___ AD PERMIT NO._____ TOTAL FEE S ~
7c/ -I 3 / /4,S-0 BUILDING DEPARTMENT
729-1 181 • Ext . 36 Application for E(ECTRICAL Permit
For Applicant to Fill In
5f AJG
Bu ilcli~ ?>~;,?~u~ 0n~15J* ... * • llt.50
PERMIT FEES:
Item R ecpt.
~
Lighting fixtures w ballast for each 10
Elec. Ranges, Clothes Dryers. Water flc,1ters
Elec/ Space Heaters Dishwashers, Garbage
Disposers, Auto. Washers, Sta. Cooking Units
MOTORS: Per each motor
0 to 1
1 to 2
2 to 5
5 to 15
15 to 50
50 to 200
SIGNS:
No. trans. Ea.
No. lamps over 50 ea.
Sw.
H.P.
SERVICE: 0 to 150 AMPS
For each additional 100 Amps.
Temp. Power Pole, 100AMPSor LESS
ror Each add"I Meter. over one per service
MISC:
SUPPLEMENTARY PERMIT FEE:
Each F co
BUILDING ADDRESS:
s 1.00 ::f ,11:fO
St. Near
.50
----,50 ,c;-t) ADDRESS:
$ .25 CITY:
S .50
S 1.00 TELEPHONE NO.
$ 1.50
$ 2.50 State ---==::::;;------''-....,_1 ty Bus 111ess-----.._o:e----,,
License ' license
$ 5.00
Group 'L---Zone O ~ '<,
$ 1.00
$ .50 Inspection Record:
s 10.00
s 2.00 l tJoO
s 3.00
S 3.00
Approvals Date By.
S 2.00 Conduit
TOTAL:
. ~1-.;.T..::e;;.;m,::.P;;.;-;;.;P..::o.:..:w..::e;;.;r __________________ ___.
~/" R. Wirinci
~'57? Fixtures
I ACKNOWLEDGE T HAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING. I CERTIFY THAT I AM PROPERLY LICC:NSED BY THE
CITY OF CARLSBAD AND THE STL TE O ALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE OVE DESCRIBED RESI
DENTIAL PROP~;g:-
SIGNATURE OF ' f1
PERMITTEE: ....,..., A-., .,,~ j'.,.. I) .... _ , / ,,
S.D. G. & E.
FINAL:
0 ~
~ 0
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City of CARLSBAD, CALIFORNIA 7 (>-j_/pg>" "' ► " 0
~ D " Applicant to complete numbered spaces only. uu, •..,. __ c;PAIQ.., ___ ..._,. .J JOB ADD .. r:ss 'W" I \, u -CC L.U-'\I .
I 70 we{_!~~ .f A-vP ~ '~ LOT NO, I L.K I T•ACT LEGAL I Q sEE ATTACHED SHIET) ' 1 otsc•.
OWN E.R -~;~ri~ PA rf /)y,
ZIP PHONE ~ ~ 2 £~ .siq I c:: ,-71 qVJd'if I\ CONT .. ACTO,. -MAIL ADDJIESS PHON!. LICCNSE NO.
3 ~~ )cl~rr 94.'7 ,11//;:;r a f).1;1/4►~ /0CJ2--~ ~
PLUMBING PERMIT APPLICATION 2
50
A RCHITECT OR DESIGNER I MA1L. ADD•ESS I PHONt LICCN5E NO, ~ 4 Q' ENGINEER MAIL ADDJIESS ?HONE LICENSE NO,
5 s:
LENDER MAIL AOD,.ESS l ,.ANCH l---4... 6
7ust/);L:; / /,''1/t a ~
C
8 Class of work: O NE.,/ 0 ADDITION ~RATION 0 REPAIR ~
9 Describe work:
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
~ BATHTUB ' '"L~ ,,,.--LAVATORY (WASH BASIN) J ') c;
SHOWER
KITCHEN SINK & OISP.
DISHWASHER
APPLICATION ACCEPTED BY: PLANS CHECKED BY .. ~ LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. J--GASSYSTEMS:NO.OUTLETS /ffi I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ~ WATER PIPING & TREATING EQUIP. I 5u ALL PROVISIO NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIF IED WASTE INTERCEPTOR HEREIN OR N OT, THE G RANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE V ACUUM BREAKERS PROV ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM ~ SEWER
CESSPOOL
SEPTIC TANK & PIT
SIGNATURE 0,. CONTJIU,CTOR OR AUTHOPUZ.ltD AGENT (DAT E)
PERMIT $ -::l B'O
SIGNATUJU. 0 ,-0WNCllt ti,-0WNCllt IIUILDUO (DATE) TOTAL FEE $ / _/,V
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.2 9·69 .. co,.oc .. ,,.OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e !50 50. LOS .. OIILES e PASADENA, CALl,-0 .. NIA 01101