HomeMy WebLinkAbout2743 WOODWIND RD; ; 86-538-114; Permit.,,
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 70001 of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and effect.
I hereby affirm that I am exempt from lhe Contrac-I
~~~~nel:a"n~ P~~;s!:n!hl~:11°:~;9c1~fi0~0J~: wJ~~~e~ I
quires a perm11 to construct, alter. improve. demohsh. or l ~~~•~,a~i s!~~tu;;~:,•r0•~~s ~s;,~~~e :::~e~~;rf~},~:~~ I
licensed pursuant to the prov1s1ons of the conuactor s I ~~~s~~~ }~7,~~~i;~;s ~:~;,~~~o~~,g~:f;7~~,~~ I
empt lherelrom and the basis for the al!egea exemption Any l
;~:~l~c::! ~~~!~,t~3c1
1~~ ~~~l:~f~~'::i~~; :hrnrt~~ ~~~: I
dred dollars ($5001 I
I I I, as owner ol the property. or my employees w1lh wages I
as their sole compensation. will do the wOfk, and the strut· I
~~~ ~o~~~:~~dc!i~ ol:~r~C:t,:~r~e~1c~~~-L~:1~:: I
not apply to an owner ol property who builds or improves I ~~~!~e!~ p~:~,::~~~c:u~h~~;::~!~1~h;~~~1 ~~e~~ I
ed or ottered tor sale. If, hOwever, the bu1ldmg or Impr!M!· I
ment Is sold within one year of compIeI1on. the owner-builder I ;~~~!: :~ g~::e oiIp~~1~9 lhat he did nor build or 1m-I
fl I,. as owner ol the property, am exclusrvely contracting 1
with hcensed contractors to coosuucl the prOJetl (Sec 7044. I
Business and Professions Code: The Contractor's License I
~~:~~e~~~~~~Jo;;o~onn~~a0:1~'W~c~::~~s !~1~m~ I
f=)actor(s) hcen~ pursuant to lhe Contraclor's l1tense I
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0 A.s a homeowner I am improving my home, and the tollow-mg cond1t1ons exist·
1. The work Is being performed prlOf to sa1e 2. I .have lived m my home tor twelve months
prior to completion ol this work.
3. I have not claimed this exemption during the last lhree years
0 I am exempt under Sec ______ , B & P C
for lhis reason -------------
D I hereby aflum that I have a certificate of consent 10 I
self-insure. or a certihcaIe ol Workers· Compensation In• I
surance. or a certihed copy thereof {Sec 3800. Labor Code) I
POLICY NO I
COMPANY I
D Copy Is filed with the city
0 Cef11l1ed copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit
Is for one hundred dollars ($100) or less)
D I ce,llfy that in lhe performance ol the work tor which I
this permit Is issued. I shall not employ any person in any I
manner so as to become subJect lo the Workers· Compen-
sation Laws of Cahfornia. I
NOTICE TO APPLICANT: II. after making this Certificate I
of Exemption. you should become subIect to the Workers· l
Compensation provisions of the Labor Code. you mus!
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby affirm that there is a construction lending I
agency fOf the performance of lhe work tor which this per-I
mit Is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD
JOB ADDRESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
PERMIT NUMBER
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QTY. PLUMBING PERMIT· ISSUE 7 ~ QTY. MECHANICAL PERMIT -ISSUE ..3 -SUMMARY/A~~~T NUMBER /
/11..f EACH FIXTURE TRAP ~S -/ INSTALL FURN. DUCTS uP TO 100.000 BTU f.1. -BUILDING PERMIT 00~·00·00-B220
/ EACH BUI LO ING SEWER C-,. 5~ OVER 100,000 BTU SIGN PERMIT f--'--lf---------------------+----"i,J.-"'r~f---+-----------------
/ EACH WATER HEATER AND DR VENT ,.t)_ -~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
001-810·00-00·8221 .
001 ·810·00-00-8821 _")9(,....-
/ EACH GAS SYSTEM I TO 4 OUTLETS ~ -~ _ BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING
METAL FIREPLACE :::l, -ELECTRICAL EACH GAS SYSTEM 5 OR MORE I
001·810-00-00-8222 ..59....--
001-810-00-00-8223 -~..,-
EACH INSTAl . ALTER, REPAIR \\'ATER PIPE
_"f EACH VACUUM BREAKER
-t---
VENT FAN SINGLE DUCT /.J. .-MECHANICAL ---------+--±---t------------C..C.....:..=--t----4
MECH EXHAUST HOOD/DUCTS ::;> -MOBILEHOME I
001-810-00-00-8224 Jq-
001 ·810-00-00-8225
, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810·00-00-8226
EACH ROOF DRAIN {INSIDE! J DRYER VENT ....:'.) .• -STRONG MOTION 880-519-92-33 /~
TOTAL PLUMBING I
TOT J;L MECHANICAL FIRE SPRINi<LERS
) 9 .-PUBLIC FACILITIES FEE
001-810-00·00-8227 '
320·810-00-00-8740 ~~-
QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP BRIDGE FEE AJlcJ 360-810-00-00-8740
I NEW CONST EA AMP SWl BKR /<:::Je-AJ.,;o CAR PORT
PARK-IN-LIEU (AREA' JJJA )
TIF
, -,3-4--8-10--0-0--0-0--8-83-5-+---/-,-.-~---=:---j
I PH 3 PH AWNING LA COSTA TIF 133·810-00-00-8835
EXIST BLDG EA AMP/SWT BKR GARAGE FMF ,
I PH 3 PH LICENSE TAX Nb.. 001 ·810-00-00-8162
REMODEL ALTfR PER CIRCUIT MFF ,
880-519-92-57
TEMP PO LE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY (30 DAYSI ....
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAi TOTAL FEES PAYABLE I i
I HAVE CAR,EFULLY EXAl..'INED JHE COMPLETED APPLICATION AND PERMIT AND DO HEREBY E,p!fatlon Every permit issued by the Bu1ld1n9 Off,c11lunde,the prov,s,onsofth,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ,shall expire by lom,tatoon and become null and vo,d II the buold,ng or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ autho ,zed by such permol ,s nol commenced w,thon t80days trom the dale <>I such
* AN OSHA PEAM:l IS REQUIRED FOR EXCAVATIONS OVER
5' O'" DEEP ,.NO DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT ' I _permit. or 1f the building or work aulhor1zed by such oermIt Is suspended or
ISSUED TO COMPLY WITrl ALL CITY COUNlY AND STATE LAWS GOvERNING BUILDING CO~Llal)p..:•=,:;n";do=n:.:ed:=..:a:.:l..:a:;.n:L.:vl:.:.tm;.:;e::..::•:..:ft7'e!Al'lhN="'-J::;o:::r..::k..:i::.s..:c.,,orm::;m;.:;e:,:n:.:c..:e_,,d..:f_,,o:_r"f ""'-~•ro_,,o,,_d_,o:.:1..:1,,_80"-"d"'a,1.v,s.__::-1""~~~~~--------------------""1
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY Af/DJ/1; . ;rr:Jfa J KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND A Fl I ANTS SIG T E lf-OWNER CONTRACTOR O APPROVED BY /1-I DAT/E 'i /'-1 /~t
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CITY IN CONSEQUENCE OF THE -• / '/ ~ BY p O fJ
GRANTING OF THIS PERMIT l 'IA } 'fl l H NE
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TYPE J DATE 1 lf!fECTOR
BUILDING ' J I .
FOUNDATION I .. ~10 I~ I
REINFORCED STEEL l ~" j
MASONRY ; ' GUNITE OR GROUT J
I
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D SijEAR
FRAME l
I
EXTERIOR LATH I
INSULATION ' J
INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BUCO □ FIL/CO
UNDERGROUND D WASTE □WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST l
D WATER HEATER D SOLAR ~ATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND yl UFFER
ROUGH ELECTRIC l
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL J
I
I
I
MECHANICAL l
D DUCT & PLEM., D REF. Pl~ING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS· I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL J
PLUMBING ) I \.
I
ELECTRICAL I ' . ('I
MECHANICAL J )
GAS ~ : / A j
BUILDING I 1~1/tro I )'A/
SPECIAL CONDITIONS I
I
I
,l
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI -PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS .
SPECIAL MASONRY
PILES CAISSONS . '
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CITY OP CARLSBAD L8~ ,. I le/
-DISP!CTION R!CORD
BOILDP!§
FOUNDATION , rf/: (p <
REINFORCED STEEL :) ,,,[$ • ~
MASONRY
GUNITE OR GROUT
SUB P'ltAMB ( j;P'LOOR C ) CEILING
INSULATION
EXTERIOR LATH
INTERIOR LATH, DRYWALL
FINAL -------------
PL CO
TUB , SHOWER PAN
GAS TEST 7, I -8t. ~
( ) WATER HEATER ( ) SOLAR WATER
FINAL ------------
ELECTRICAL / :;18//5/() /
ELECTRIC UNDERGROUND ( v1 OFFF.~,--
BONDING ( ) POOL 2:.
FINAL 7 -L -S:7 (
MECHANICAL
( ) DUCT, PI.EM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL ______ ;_-___ _;_ __
COMPLETE BUILDING
DATE :
FINAL ~ td-16 ·::>7
CLEARED WITH GAS AND ELECTRIC
· DATE: ________ _
NOTES ON REVERSE SIDE ••...•
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86=538-1 14 DATE: 12-2-87
PROJECT NAME: ____ Lo_s_A_r _bo_le_s:...._ ______________________ _
ADDRESS: _____ ....:;Dl=.=c;,_x;___::,_27:....4.:..::3c........::W.:..::oo=d:....:w.:..;:l:..:.;n:.::d,.._,_r-=d,..,.. ______________ _
PROJECT NO.: ____ ....:7....:7_-..::2 __ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ____ ..::s..:..fd=----------NUMBER OF UNITS:
CONTACTPERSON: ____ R_od~_C~o=oe~------------------------
CONTACT TELEPHONE:, __ 4~3~4~-~1~9~3~2 _______________________ _
all dot
INSPEjr/~ DATE z_
APPROVED~ DISAPPROVED INSPECTED/2--7/,)?: BY:~-..,
INSPEC ED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
Rev. 1186 WHITE: Suspense BLUE: Water District CANARY: Utllltles PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 862 538-114 DATE: 12-2-87
PROJECT NAME: ____ Lu __ A_f"bo __ l~_S _______________________ _
ADDRESS: _____ _;n;c:;,:_:;..:....:......_---=.27:..._4.:..:3:.._:\V.:...:ood=-=..::::...:W:.:...:l:..:.:n:..::d:__:_r_::::d:..::• ______________ _
PROJECT NO.: _____ 7_7'----=2=---UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ____ -=-..:...fd=-=-----------NUMBER OF UNITS:
CONTACT PERSON: Rod Co
all d ot
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE ' BY: INSPECTED: APPROVED DISAPPROVED
' INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:----------------------------------
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\9hcZs -at:
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineer g K: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: SG::538-114 DATE: 12-2-87
ADDRESS: 27Q3 Woodwind rd.
PROJECT NO.: _____ 7_7_-_2 __ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ .,_f_d ________ NUMBER OF UNITS: 1
CONTACT PERSON: ____ R_od __ C_ope~------------------------
CONTACT TELEPHONE: __ 4_3_4_-_1_9_3_2 ________________________ _
INSPECTED / / / ./'
BY:-------~--~--/
INSPECTED BY: __________ _
INSPECTED BY: __________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVE~ ---
COMMENTS: -----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utllltles PINK: Planning
FINAL BUILDING INSPECTION '
RECEIVED DEC O 4 1987
PLAN CHECK NUMBER: 86=538-114 DATE: 12-2-7
ADDRESS: 27143 Wood ~Ind rd.
PROJECT NO.: _____ J_7_-_2 __ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ fd ________ NUMBER OF UNITS: 1
CONTACT PERSON: ____ R_od __ C_o_pe.___ ________________________ _
CONTACT TELEPHONE: __ 11_3_4_-_1_9_3_2 _______________________ _
u I >t
INSPECTED ~ DATE /)-11 -17 ~ DISAPPROVED BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVE~
COMMENTS: ----------------------------------
\ Rev. 1/86 WH ITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Plannl g GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86=538-114 DATE: 12-2-87
PROJECT NAME: ____ L_o---"s--'-A.;_cr_;_bo~l..:..e=s _____________________ _
ADDRESS: -------=m=::...:X:..____2=-7=--4.:..,3c......_:W.:..,oo=d=--=w::...:IC!..n,..,,d:........!.r~d:..,_. ______________ _
PROJECT NO.: -----'-7-'-7---'2"--_ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ___ ___:S:c..:t:...:d,__ ______ NUMBER OF UNITS:
CONTACT PERSON: ___ !._!R~o_,,,d'----"C°"o'-"p°"e,....._ ______________________ _
CONTACT TELEPHONE: _ ___,4'-"'3'--"4_-_,_1.,e.9-"'-32.,__ _______________________ _
111 dep t
INSPECTED b)nA DATE DEC. 1 0 1987 APPROVED / \
BY: / INSPECTED: DISAPPROVED
INSPECTED DATE DISAPPROVED \ BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Costa Real Municipal Water Disttict
COMMENTS: Engirrnering Department
(619) 438-3367
..
Rev. 1/86 CANARY: Utilities PINK: Planning GOLD: Fire