HomeMy WebLinkAbout1002 FOXGLOVE VW; ; 82-349; Permit"' z 0 : ~ u w C
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O I hereby afflo. _,1at l 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 .
lie No _ Cla1s
I hereby alf•rm !hat I am exempt from the Contrac-
tor's License Law tor \he lollow,ng reason !Sec. 7031 5
Bus,ness and Profess1ors Code A•y city or county wh,ch re-
quires a perrn,t to construct. a,ter. ,mprove, demolish. or
repa1· any str~ctcre. p_r10, to ,is 1ss:.2nce also ·equ,'es the ap
pl·cant for such permit to file a signed statement that he ,s
licensed pursuant !O the prov,s,ons of ttie Contractor's
ucense Law :Chao!er 9 commenc1ng with Section 7000 of J1v1s,on 3 of the Business and Professions CodeJ or ttiat 1s ex· emor lhe<efrom and the basis tor the alleged exemption Any
v,olat,on of Sec•,on 7031.5 by an a~ol,cant for a permi! su~-
;ects !he aonl1cant to a c,v,I pena•ty of not more tllan five hun-
dred do1lars 1$500)
1-:. as owner 01 the property, or my erno!oyees with wages
e,r sole compensat,on, will do the work and the struc-
s not intended or offornd for sale (Sei; 7044 Business
and Professions Code: The Contractor's License Law does not apply to an owner ot property who builds or improves
thereon and who does such work himself or through IHs own employees. prov,ded !hat such improvements are no1 intend-
ed or of1ered for sale If. however. the building or improve-ment 1s sold within one year of completion, the OWnBr-butlder
will have the burden o! proving that he did not build or im-
prove for the purpose of sale)
~ I, as owner of the property, am e(clusively contracting
with licensed contractors to construct the proiect (Sec. 7044,
Business and Professions Code The Contrac1or's License Law does not apply to an owner of property who builds or im· proves thereon_, and who contracts for each projects with a
contractor{s) license pursuant to the Contractor's License Law)
cJ As a homeowner I am improving my home, and the follow-
ing conditions exist
1. The work is being per1ormed prior to sale 2 I have lived 1n my home for twelve months
pnor to complet_oon of th_1s work I have not claimed this exemption during the
last three years
D I am exempt under Sec , B & P C
lor this reason-------------
D I hereby alf1rm 1hat I hawe a cert,1,cate ol consent
lo sell-insure. or a cert,f,cate of Workers
Compensation Insurance, or a cert,f1ed copy thereof
(Sec 3800. Labor Co<lef
POLICY NO
COMPANY
D Copy ,s !,led w,m me c,ty
D Cert1f1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (Th,s se{;f1on need not be completed 1! the perm,1
,s for ooe hundred dollars IS100l or less)
D I cert,ty 1hat ,n the periormance of 1he worl< lo, which 1n,s permit ,s issued. 1 shall not employ any
person 1n any manner so as 10 become sub1ect 10
the Worl<ers Compensation Laws ot Caldorn,a
NOTICE TO APPLICANT 11. a!1er makin~ 1h1s Cert•
t,cale of E~empt,on, you should become sub1ect 10 1he Wor',:.ers· Compensation provisions ol The Labor
Code. you must !orthw,th comply with such
pro~1s1ons or th,s perm,1 shall be deemed ,evoKeO
D I nereby aft,rm That 1here ,s a consrruct1or
1end,ng 3Qency !or lhe performance ol the worl< lor
wh,ch this permn ,s ,~sued 1Sec 3097 C,v,1 Coae,
LenoersName ___________ _
Lenders Address-----------
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
J08 ADDRESS ~ v,~ AV. ST. oi;/~/~10Nl BUSINESS LICENSE # /Ov14-ok::, PERMIT NUMBER L
1( /tJ02-RO,
. ,v,,o/}9 ... dw2:iN~~ j. A· f !UttJ(X. I 7S"!o::;'~' fJ .• ~O~T~ CONTRACTORS PHONE # ZONE
' I
ow7~~M;_LIN~\G_ v,f:µ,J ~~ CONTRACTOR'S ADO RESS UCENSE NO. PLAN 1.D. tt B DG USE CODE
LOT BLOCK . I SUBDIVISION ! ASSESSOR PARCEL NO . OESJGNER LICENSE# STANDARD PLAN# B~,G $?FOOTAGE 'JU-tho -2-3
DESCRIPTION OF WORK ~°""' '41>bt '1'70 ,.J -DESl~NER'S ADDRESS DESIGNER'S PHONE -to,J oF ~roz--.£,a!Uoll/\ ., . --"' F LR ELEV NO OCC GP EDU
STORIES
YO NO --
CENSUS TRACT I GP LAND USE I PAAK•NG SPACE I RES UNITS
1
GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
AREA CONST i ~ D N D YD NO YO NO Nor Valid Unless M~chine Certified
QTY. PLUMBING PERMIT -ISSUE -JC-QTY. MECHANICAL PERMIT -ISSUE 3~ SUMMARY/ACCOUNT NUMBER ,, .
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING Pt.R~I _ .,1."' 01-00-00-8220 II.,_ ,-r !
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMll. I\_ rL -I ~1-00-00-822'. --c __ ---------- -
EACH WATER HEATER ANO.-'OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ...vo1-oo-oo-aao6
--~----------
EACH GAS SYSTEM 1 TO 4 OUTLETS 1-----BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
----2 EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 ----------------, EACH INSTAl. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ..--
----•
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 ·-------------------------------------------
' WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOSILEHOME PARK INSP --1 EACH ~O?F DRAIN 1 !N-s1DE/ ___ OO•AA 01 -_QQ,'"'-------~-
I TOT.C.l MECHANICAL STRONG MOTION 80-92-33-0519
~ ----------r -------
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 --~=
I ~ PUBLIC FACILITIE? FEE 32-00-00-8923
QTY.1 ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE
---- ----~-Y----BRIDGE FEE --
NEW CONST EA AMP'SWT,8KR COLLECTORS --SCHOOL FEE • QISTRICT
. ---
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 -------·-. ,I--. --+---------- -
EXIST BLOG EA AMP/SWT,'BKR ROCK STORAGE Encinitas 80-92-22-0519 -----------------IPH 3 PH PUMP San ~le.ill!.!!Q_ 80-92-23-0519
---------~-------. ----
REMOOEL:ALTER PER CIRCUIT Pl AN CHECK FEE San Marcos _ ----_80-92-24-0519 ---------------------------------~ -
TEMP POLE 200 AMPS ---------------i---------,-------------------
OVER 200 AMPS
~ ------------------------f-------
TEMP OCCUPANCY !30 DAYSI ---~. ----· ----~--------------------~------
_ _J__ ----------------·-l------------ -------------
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I Inn. c;;
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT"' AND DO HEREBY Expiration. E~ry permit iSsued by the Building Oflk;iai unt:terttte provisions offflis * AN OSHA PERMIT IS AEQUIAED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code ,shall expire by ttmrtatton· and become null and void. If the buildmg'or wotk-· 5' O" DEEP ANO OEMOUl10K OR CONSTRUCTION OF· authoriz;J.A such permit ,s;~omm_enced within 180 days from the date of 9UCtl DECLAR,ATIONS ARE TRUE ~ND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or · the buildi~ or rk authorized by such f>!l'..~~t ~~fMded or STRUCT\IRES OVER 3 STORIES IN HENJHT
!SSUED:'T0 COMPLY WITH Jill CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandon anv lime er work ig. commenced for a i f 1 da ......
STRUCTlON, WHETHER SPECIFtED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APf'l.'P'S JJ7·rr OWNER~ CONmACTOA0 APPR' ED BY %~ KEEP HARMLESS THE C11Y OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE-AGAINST SAID CITY IN CONSEQUENCE OF THE ~' . ._ • evPHONe D ,\ --GRANTING OF THIS PERMIT. ' 7 A I ~~ .
~ / ./ '/
INSPECTION TYPE DATE INSPECTOR
BUILDING / I./?,· A
' FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME -.-l~fJTI -. 1-1 LJ.Q? /\jJ,
EXTERIOR LATH 1NSULATION "I
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF occupr·~._,_Y_,.IS:c,Se,Ue,E"'D'---------'-----'-
. ' 7)d -3 "+q
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
·----STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE ----·-POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
'
I PILES CAISSONS
I
!
--
-·----
I
·-·
-
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----·-----------
..
·-------.
---·----
--·-
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·---------------
----·
DEVELOPMENh\L
SERVICES
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
0 Assistant City Manager
(714) 436-5596
lb Bullding Department
{714) 436-5525
D Engineering Department
{714) 436-5541
D Housing & Redevelopment Department
{714) 438-5611
D Planning Department
{7141436-5591 p LAN CHECK
Plan Check No.?;z-31/.//
Date~
CORRECTIONS
Address ~~JO,/[£ /jBAf
Checked by ~
M e7Jf t/O {JP H em-t7 fA#
~d J _/?C.':r{2. t e_ I /I ,lJ5"" 2.4-{!~.
IVGW 4£o1111JAJ -IF ,
!'forG ON S1f£ET s..z. -GXtsTb
G-4-S PA-<J 6 NOT 1;;1,B:-7R...IC..
/'l.dTE
~~Dt;£" ,z-Y718Z, OJ'L t.-tt?r Hr A-T ~7l312 ,0 e l::vPR!. ') i~
~01.,l) J;c2Bo tJUW1f3~ Ftf{2. Atzep~ ~
\ "1.oTE. -s l.ee+ S"Z. e7AL J I F /TltdZ.. 61 tJe-:Ve-YA IL-' I
:SH{)1,u -"lC...Eo ~0M~ ~ ~'fGl~uTS; -Sl-lln.U
~\ 2.£ 1 ~UVv\ f38(2__ fo+.JD ~IJ..V; OF'° s~y LA~ 1-lT.S~
iu.u~,-1--(A-t)~ p..,. IMI~\ MUIM. 4'-011 OF \-{01212.0N~
~~'...l).:~D~ . > Shee-\ 5~
$.l.....aic\--~-l~ ON.~ ~oe. ~T ?trFIC.. ~)
/JON,6 ~\~fl~ . ia<.J'S,T G -NOTE Sl.ee f S,Z..
~oJ ~~s.) va"-'~
INTERDEPARTMEN'IAL INFORMATION SHEET ") ~ (; t~: !
BUILDING DEPARTME.NT DATE:--:-:-~~-~ ~ R-,, /Y I 1 -:-:, ;i 11 "1982
BUILDING ADDRESS: /o'~:Z.. ·r~:;,e,,r v-c-~ . C,
· A.P.N: ;)If -j'/() -<7<3 c.r: ~so <;-t: 7t 39 CITY
· .r r I
.t:£u;-***************************************************************~
PLANNING J).E~RTMENT
ZONE: \L-2\ · SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS CARLSBAD ----------
·UNITS REQ'D: PROVIDED:
% COVERAGE A-L-LO_W_E_D_:_______ PROV ID-ED-: ::::~:r--,~:::::::::::::.=
PARKING SPACES REQ'D: PROVIDED: _V
BUILDING HEIGHT REQ'D: PROVIDED: ------------------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: ___ ~-L-~/_·
PROVIDED: ~ ___ ..___ __ ti/.,
INTRUSIONS:
RE-DEVELOPMENT APPROVAL REQ'D: 'fJA
LANDSCAPE & IRRIGATION PLAN COM_M_E-~N_T_S~:==N==p.======~---------~
ENVIRONMENTAL PROTECTION REQ: -------------------
ADDITIONAL COMMENTS:
OK TO ISSUE: ~ OK TO FINAL: DATE:
NEITT NG' DEPARiMEN~ *2)2.';* * * * * •••••••••••••• *" ••• * * •••••• " ••• * * *
R.O.W: QJ9({tJe.., IMPROVEMENTS: l:.)(f5Tf,Jf, .
PUBLIC FACILITIES FEE:_· _h)_A_, --------SEWER CONNECTION: ty,A.
DRIVEWAY LOCATION(S): C'::XtST/1'.lb __ _
GRADING PERMIT: N~-A' ---------------
EASEMENTS: lJ:OfJ6 DRAINAGE: 0. ~ ~
LEGAL DESCRIPTION: {p[ 'c<S'D e.T J3<3Cf {Sfu.iNI\KCf f/LLSif3)
ADDITIONAL COMMENTS:~~~O~N~~---·---------~--~-~---
*CIIECK IF E. ,I E INSPECTION REQ'D. ON FINAL:-tJC'· -------------0 K TO ISSUE'-=: .,,,-..-¥-'...__~._DATE: fl?-(q PWI: OK TO rINAL:
DATE: ----
~:Ji* * tlJ, ~: :'; :1i * * ~ )~ * * * * :!: {iJ;.Js.3i .. 1iJ;_;'Ji * * * :/; ·k.:Jti'i.~:J: * * * tiJi.:li.ll :& t; * * -Jdi.J, £ITU
' \. * IF TliIS ITEM IS NOT Cl!ECKED, 13UJLDING DEPARTMENT WlLL MAKE
FINAL INSPECTION.