HomeMy WebLinkAbout1029 IRIS CT; ; VARIOUS; Permit<
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[~| I hareby affirm that I am licensed under
provisions of Chapter 9 (commencinQ with
Saction 7000) of Division 3 of the Business
and Profeasions Code, and my license is in
full force and effect.
Lie No Class
I hereby aflirm Ifiat I am exempt from the Contrac-
tor's License Law tor the followmg reason (Sec. 7031 5
Business and Professions Code. Any cily or county which re-
quires a permit to construct, alter, improve, demolish, or
repair any structure, prior lo its issuance also requires the ap-
plicant for such permit to file a signed statement that he is
licensed pursuant to Ifie provisions ol ttie Contractor's
License Law (Chapter 9 commencing with Section 7000 of
Division 3 ot the Business and Professions Code) or that is ex-
empt therefrom and the basis lor Ihe alleged exemption Any
violation ot Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than five hun-
dred dollars ($500).
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as owner of the property, or my empleyees with wages
leir sole compensation, will do the work, and the struc-
ture is not intended or oflered for sate {Sec. 7044, Business
and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees, provided lhat such improvements are not inlend-
ed or oflered for sale. II, however, the building or improve-
ment is sold within one year of completion, the owner-builder
witl have the burden of proving that he di^not build or im-prove for the purpose 0! sale),
n i; as owner ot the properly, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'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).
• As a homeowner 1 am improving my home, and the tollow-
ing conditions exist:
1. The work is being performed prior to sale,
2. I have lived in my home for twelve months prior to completion of this work.
3. I have not claimed this exemption during the
tast three years .
• I am exempt under Sec,,
for this reason .. 6&P,C.
• I hereby aflirm that I have a certificate of consent
to self-insure, or a certificate of Workers
Compensation Insurance, or a certified copy thereof
(Sec 3800, Labor Code)
POLICY NO
COMPANY
• Copy IS ttied with the city
D Certitied copy is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed if the permit
IS for one hundred dollars ($100) or less)
• I certify that in the performance ot the work for
which this permit is issued, I shall not employ any
person in any manner so as to tsecome subiect to
the Workers Compensation Laws of California
NOTICE TO APPLICANT H, after making this Cerl.
ticate of Exemption, you should become subject to
the Wortters' Compensation provisions o' the Labor
Code, you must forthwith comply with such
provisions or this permit shall be deemed revokea
• I hereby atfirm that there is a construction
lending agency 'of lhe perlormance of the work tof
which this permit is issued iSec 3097, Ci^'ii Codei
Lender s Name ,
Lender s Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
12QQ Elm, Carlsbad, Calitornia 92008-1989 <619f43&-St>2»
APPLICATION & PERMIT
JOB ADDRESS
LOT BLOCK j SUBOTVISION j ASSES
AV. sr RD
ASSESSOR PARCEL NO
•IWNI R •-. PHCINI
OWNER'S MAtulNS ADOftESS
DESCRIPTION tIF VWOBK
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
pATE OF IWLICATIOW BUSINESS LICENSE #
CONTRACTOR
COMTJ<*CTOn-S ADDRESS
DESIGNER
•eSlSNFR^ AliI'HI •.•
GRADING PERMIT ISSUED
vO N •
REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
•j'RiiriiON '.VHtTHEn .spi Cir.ED HFi^Eifi on NOT I ALSO AGAEE'TO SAVE INDEMMIFY AND
KEEP HARMLbSS ThE OITY OT CARL I-A! A(>A|N.->I Al . 1 lAHII ITILS. JUUCiMbNIS CnSTS AND
EXPENSES WljjCH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY.JN CaH6EQLIENCE.40F
GRANTING OFTHfS PERMIT
CONTRACTORS PHONE «
XiCENSE NO.
LICENSE tt
DLSIKNt R'S PHONF
FIRE SPR
VALUATION
ZONE
PLAN l.D. #
STANDARD PLAN #
PERMIT NUMBER
BLDG USE CODE
BUILDING SQ FOOTAGE
Not Valid Unless Machine Certilied
QTY. PLUMBING PERMIT • ISSUE QTY. MECHANICAL PERMIT - ISSUE 5—-SUMMARY/ACCOUNT NUMBER
<^ EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACHWATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 1 OUTLETS 80ILER/C0MPRESS0R 3 16 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 r t.^
10 — EACH INSTAI. . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD'OUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER • RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING | FIRESPRINKLERS 01-00-00-8227
QTY. ELECTRICAL.PERMIT - ISSUE QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
QTY. ELECTRICAL.PERMIT - ISSUE QTY. SOLAR - ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
IPH 3PH STORAGE TANKS Carlsdad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
/ REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE ;?UU AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 OAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I
1
TOTAL SOLAR TOTAL FEES PAYABLE \bP\ nJ^
y^imt iisuad Bv KM Buildine OHicial undsr the pro>isiaiw of thw
ilion and becoma null and void l( lhe building or work
9 nol commanced within iBOdays Irom lhe dateo'such
or work auihorued by such permit is suspended or
Iter the work is commenced for a perulb ot 180 days
AfPLfCANT-S SIGNA' I IHE"* OWN3»fi(f CONTHACTOftO
1 any i
BY PHONE C]
f
* AN 06MA PEfWIT B R£QUmEO FOR EXCAVATUNS OVER
5 0' -DEEP AND OEMOUTKMH OR CONSTRUCTIOM OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVED BY I BY DATE
!
TYPE ] DATE INSPECTOR
BUILDING ! y
FOUNDATION i w
REINFORCED STEEL I /
MASONRY !
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME |
SHEATHING • ROOF • SHEj^R
FRAME 1
EXTERIOR LATH !
INSULATION [
INTERIOR LATH & DRYWALL I
PLUMBING ;
SEWER AND BUCO DIPUCO i
UNDERGROUND • WASTE • \A AT^
TOPOUT DWASTE WATER
TUB AND SHOWER PAN I
GAS TEST ;
• WATER HEATER • SOLAR WATER
'~ '•" • 1
1
ELECTRICAL
m ELECTRIC UNDERGROUND • UFFER
ROUGH ELECTRIC 1
• ELECTRIC SERVICE • TEMPOFjiARY
• BONDING • POOL '
1
1
MECHANICAL I
• DUCT & PLEM., • REF. PIPING
HEAT — AIR COND. SYSTEMS [
VENTILATING SYSTEMS 1
1
CALL FOR FINAL INSPECTIC
ITEMS ABOVE HAVE
N WHEN ALL APPROPRIATE
BEEN APPROVED.
FINAL
PLUMBING 1
ELECTRICAL
MECHANICAL ^SJ tk GAS .Vp
BUILDING <>^'
SPECIAL CONDITIONS V i
. __ 1
1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD Vk/ELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
r
1
i
/
GRADING CUBIC YARDS X RUiNNER NOTIFIED
TNTFRPFPARTME^TAL INFORMATION SHFET
[SSS B3
mm DATE
BUILDING ADDRESS: /OJSf ^-^^oZ (S^
A.P.N: SL\^^ QO^— 10 C.T:
PLANNING DFPARTMENT
ZONE: ; SCHOOL FEES: SAN DIEGUITO
CARLSBAD
SAN MARCOS
ENCINITAS
, -UNITS REQ'D: PROVIDED;
COVERAGE ALLOWED: .PROVIDED:
. PARKING SPACES REQ'D: PROVIDED:
BUILDING HEIGHT REQ'D:
FRONT SETBACK
ALLOWED:
PROVIDED
INTRUSIONS:
PROVIDED:
SIDE SETBACK REAR SETBACK
-ft
RE-DEVELOPMENT APPROVAL REQ'D:
LANDSCAPE ^ IRRIGATION PLAN COMMENTS:
'ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE:
AAAAAAAA A A A A A A iKAik A A A A A A AAAA A A ft A
ENGINEERING DEPARTMENT
R-Q'W: [Qlft
OK TO FINAL: DATE:
A A A A A A A A AAAA A A AAAAAA jl Ak^jfe^^ jr<i{r^^A A AAAA "A A A A
IMPROVEMENTS : /A
tv^
X
^ PUBLIC FACILITIES FEE:- yJ
DRIVEWAY LOCATION(S)
GRADING PERMIT:
SEWER CONATION:J28|_J^0T
IVODI^C^ TO 6€w€J^
EASEMENTS: Q , |^
LEGAL DESCRIPTION:
ADDITIONAL COMMEN';
DRAINAGE: ^y\f^^6P_ ^oP.e, PoOL K)0^
*CHECK IF EN
OK TO ISSUE:
DATE:
'G INSPECriaN REQ'D. ON FINAL:
DATE: \^\y^P\n: OK TO FINAL
* IF THTS ITEM IS NOT CHECKr,D, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTION.
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(~] I hereby affirm that I am licensgd u^dei
provisions of Chapter 9 (conimencing with
Saction 7000) of Division 3 o* the Business
and Professions Code, anc my Mcense is m
fuil force and effect.
L c No ^ .-
'. hereby aHtC'^ ir,a! • tx'Tc; MO^I V-?. G'-'fii'sc-
tofs License LJ'A tr- ;rr 'S',-. ^: p.^^--: 'S-r ~'03' 5
Business rino P'c'ess.ons Coce Any c 'y c vOun:y '/Tn re-
quires a perriiii to construct, ^i:er. inrKove. deTioiisfi or
'eoair any strijcture, onnr to it- 'S- .-i 'JO 'e'.'i.-i'e? ''T' aD-
ahcani tor sucn ^er'^iit to fiie 3 S'line, s:ctp"^:;'^t '"t^ .r
licensed pi^fs^Mn! to tne provisions of tne .. ".'•:;'ac'or -
License La>Aj 'C^iiD'er 9 comrr.enr>,Q witti Se^'rC^ TOOO o'
Division 3 of 'rie Business a^^d Prcless'cs C:idei or ttiat ;s ex
e.T!c: inere'i'om aid lhe oasis ior iiie a^iegen e-'^ -^ip'^.n A"y
vioiation ot Seclion 7031.5 Dy an applicant for 3 pamil S'jP-
lects lhe appucai^t lo a ci'vii penally ot nol morf tvn-' five cjn-
d'ed doiiars (SSOO)
: • I, as owner of the property, or rriy emoiovees with wages
as their so'e corr.pensation, will do the worK. and the stiuc-
ture IS not irienfled or ollered tor sale iSec 7G44 Business
and Professions Code ine Contraclor's License Law does
nol apply to an owner ot property who builds or improves
tiiereon and who does such work hiTiselt or ILrough his own
employees providtJd that such improvements are noi intend-
ed or offered for saie. it, howevef, llie buildir.g or imprcve-
p""""' is so'd wiltitn one 'year of completion, the owner-builder
Wiii : i'.'e Purden of proving lhat he did not build or im-
pro'A ID! il"!!; purpose of sale),
f : i. as owner 0! the property, am exclusively contracttng
with 'icensed contraclors to construct the project [Sec. 7044,
Business and Professions Code: The Con'.ractof's Lmense
Law does not apply to an owner of property who buNd^ c: im-proves thereon, and who coniracts for each D'Oje^'^ •A'ii'^ 3
contractor(s) license pursuant to the Contractor's Licen'^e
Lawi.
ij As a homeowner I am iniorovi
ing conailions exist:
1. The work is be^ng o::i
2. I have lived m
prior to co:Tipiet.: n J'
3. i have noi claimed last tnree years.
r J ! am exempt under Sec.
lor ttiis reason
:Q Tiy home, and Ihe toUow
lornerf prior lo sale-
home for twelve months :' IS work.
i. s exemption dunng the
O I hereby affirm that t have a certificate ol consent
to self-insure, or a certiticate ol Workers
Compensation Insurance, or a cenitied copy thereof
(Sec 3800, Uber Code)
:J POLICY NO
COMPANY
D Copy IS tiled the city
Q Certified copy is hereby turnished
CERTIFICATt OF EXeWPTION FROM
WORKERS' COMPENSATION INSURANCF.
(This section rieed nol be completed d the permit
li for one hundred dollars ($100) or less)
• I certify thai in the performance of the *or1( lor
which this permit is issued, i shall not employ any
person in any manner so as to become suDiecf lo
the Workers' Compensation Laws o< Caiifornta
NOTICE TO APPLICANT It, alter making this Cen>
ficate ol Exemption, you should become subiect to
Itie WorVers' Compensation provisions ot the Labor
Code, you must forthwith comply with such
provisions or this permit sha'l be deemed revoked
O i hereby alfirrp ihal there is a construction
lending agency the perlormance of the worn tor
which this permit is issued |Sec X)97, Civii Codej
Lender s Name .
Lender s Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-'OB ADDRESS
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008--',989 (619)438-5525
APPLICATION & PERMIT
AV. ST.RD. NEAREST CROSS ST.
LOT I BLOCK SUBDI VISION
OWNE R'S NAME OWNER'S PHONE
OWNER'S MAILING AODRESS
DESCRIPTION OF WORK
CENSUS TRACT GP LAND USE PARK I^JG .-t^ACE RES UNITS
DATE OF APJ>L1CAT10N BUSINESS LICENSE «
CONTRACTOR
CONTRACTOR'S ADDRESS
DESIGNER'S ADDRESS
F/P F LB ELEV.
YD NQ
GRADING PERMIT ISSUED
Y • N •
REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
I HAVE CAHEFULLt EXAMWEO THE COMPLETEO "APPUCATION ANO PERMIT" AND DO HEREBY
CERTIFY* 0NOER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOING THE
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE tF A PERMiT IS
ISSUED' TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS SOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAO AQAINST ALL LIAStUTlES, ilUOQMENTS, COSTS AM&
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING ORTMIS PERMIT.
CONTRACTORS PHONE »
LICENSE NO.
BESIGNEH'S PHONE
EDU
FIRE SPR
YQ NQ
VALUATION
ZONE 7
PLAN I D. «
STANDARD PLAN #
PERMIT NUMBER
BLOG USE CODE
OQOI'ics I 8/*so/«3 Tg^.erj
Not Valid Unless Machine Certitied
OTY PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT - ISSUE 3--SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDINGPERMIT 01-00-00-8220
EACH BUILOING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
/ EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK l^-.^.,-;?.*; ^I^^K^fg
/ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 16 HP TOTAL PLUMBING 01-00-00-8222
f EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 TOr 00
T EACH INSTAI. . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 r
T EACH VACUUM BREAKER MECH EXHAUST HOOD'OUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY. QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. bLbUIHIUAL KbHMI 1 - IbbUb QTY. SOLAR - ISSUE
BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • OISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21 -0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
/ REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
I TEMP POLE ?00 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS!
CREDIT DEPOSIT
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE 10(0.10
Expiration Every permit issued by the Building Official under tfiR provisions of this
»fihBll expire by limitation and become null and void If the building 01 work
ized by such permit is nc^ eorrimenced withm 18O days tiom me dateof ^uch
or If the Auilding or iftirk authorized by such permit is suspended or
L*t aru yme after tijf |i»orK is commenced tor a period of laO davs
OWNER a CON TR ACTOR •
BY PHONE 0
* AN OSHA PtnwtT IS REQUIRED FOR EXCAVATIONS OVER
5 0 DtEP ANO DEMOLITON OR CONSTRUCTION OF
SrRUCTURES IWER 3 STORtES IN HEIGHT
APPaOVEO BY DATE
TYPE DATE INSPECTOR
BUILDINQ
FOUNDATION
REINFORCED STEEL ,
MASONRY
GUNITE OR GROUT
FLOOR & CEIUNG SUB FRAME
SHEATHING • ROOF • SHE/ KR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
j
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND • WASTE • WKTER
TOP OUT • WASTE • WAfTER
TUB AND SHOWER PAN |
GAS TEST
• WATER HEATER • SOLAR WAT ER
ELECTRICAL
T^ELECTRiC UNDERGROUND • U FFER
'ROUGH ELECTRIC
• ELECTRIC SERVICE • TEMPOR fiiRY
4 BONDING -^POOL
•1 ^ . n
MECHANICAL
• DUCT & PLEM., • REF. PIPINQ j
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOfl FINAL INSPECTIC
ITEMS ABOVE HAVE
V WHEN ALL APPROPRIATE
BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL t
MECHANICAL </\vl
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELO WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
_• - , . 1 ' • J
GRADING CUBIC YARDS RUNNER NOTIFIED
INTERDEPARTF'.ErirAL INFORMATION SHEET
BUILDING DFPARTMT
BUILDING ADDRESS:
A.P.N: ^^//- V^:2 - Co C.T:
"DECEIVE
AilR2 4 1SS3
* * * A- -A A A A -A * A A A A A A A A A A ft A A A A A A •;: A A A * A A A A A -A- j: A A A * A A
CiTY OF CARLSBAD
PLANNING DEPARTMENT Cuildin:! Department
ZONE:
ENCINITAS
SCHOOL FEES: SAN DIEGUITO_
CARLSBAD
SAN MARCOS
•UNITS REQ'D: PROVIDED;
COVERAGE ALLOWED: .PROVIDED:
PARKING SPACES REQ'D:_
BUILDING HEIGHT REQ'D:
FRONT SETBACK
PROVIDED
PROVIDED:
SIDE SETBACK '
PROVIDED:
INTRUSIONS
RE-DEVELOPMENT APPROVAL REQ'D:
LANDSCAPE ^ IRRIGATION PLAN COMMENTS c^
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ: SS^(y\pJ
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE:^. \:^S?^ 1 OK TO FINAL: DATE:
•^AAAAAAAAAAAA A AAAAAAAAA iyK~r^^. A A A/; A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A
ENGINEERING DEPARTMENT
R.O.W: (Vj_ A IM*4oVEMA!TSj__JVj[_|^
PUBLIC FACILITIES FEE: SEWER CONNECTION
DRIVEWAY LOCATION(S): J^_^
GRADING PERMIT: O,^.
EASEMENTS: ^fKL.
LEGAL DESCRIPTION:
DRAINAGE: ^^pOL t^OlOnFf' <^A05T DRAIM
ADDITIONAL COMMENTS;
*CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL:
OK TO ISSUE: P. ^. DATE :_g-_2£43PWI: OK TO FINAL
DATE:
•j? -A-V; k A A A- i: -k A A k k h k -k A k j: A k -k A A k'ix 'k k i:-k -k }: k k -k -k A h k.-^< A k A" A k -A h-k ^ A ^^-kh A A'A- A -k-k-k-k A A. A.A.:
* IF THIS TTEM IS NOT CHECKED, BUILDING DEPARTMENT WTLL MAKE
FINAL INSPECTION.
BUILDING
03/21/94 16:06
Page 1 of 1
Job Address: 1029 IRIS CT
Permit Type: PLUMBING
Parcel No: 214-402-10-00
Valuation: 0
Construction Type: NEW
Occupancy Group:
Description: GAS LINE REPAIR
PERMIT
Suite:
Lot#:
Permit No: CB940315
Project No: A9400441
Development No:
Reference*: Status: ISSUED
Applied: 03/21/94
Apr/Issue;
Entered By
03/21/94
MDP
Appl/Ownr LUKE, MICHAEL
102 9 IRIS COURT
CARLSBAD, CA. 92009
*** Fees Required ***
Fees: 27.00
Adjustments: ,00
Total Fees: 27.00
Fee description
***
619 929-0142
Fees Collected & Credits * A *
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
. 00
. 00
27 . 00
Ext fee Data
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
7. 00
20.00 Y
7 , 00
27 . 00
CLEARANCE "^-"^—^
LL APPROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMn'lYPE
From List 1 (see back) give code of Permit-Type:
For Residential Proiects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units _
PLAN CHECK NO. ^ ^
EST. VAL
PLAN CK DEPOSTT.
VALID. BY ~_
DATE —I -f *•
2. PROJECTINFORMATION FOR OPmCE USE ONLY
Address i c ij^ X"
Nearest Cross Street
Buiiding or Suite No.
Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW It' ijUBMl'lTtb:
• 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope
ASSESSOR'S PARCKT
DESCRIFnON OF WORK G> I I
SQ. FT.
EXISTING USF. PROPOSFD USR
# OF STORIES # OF BEDROOMS # OF BATHROOMS
3. CUNTAL'l PtHSUN (il ditterent Irom applicant)
NAME (last name firsO
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPUCANT DCON'l'RAqi'OU—U ACENT KOR CONTRAd'OR—HOWNER—U AGENT EOR UWNER
NAME (last name firsO V_w)V<_ ntdJ-A-i-H ADDRESS {e>^'\. Ilr'l C-t-
CITY C/w>-
5. PROPERTV Tjiii^R STATE (Ui. ZIPCODE ^ XOC>'^ DAY TELEPHONE 'I J-'^I ^rh~
NAME (last name first)
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
NAME (last name firsO i^^\e<— ^.c^U^^
CITY STATE
STATE UC. #_
UESIGN EK NAME (last name tirst) ~
ADDRESS 10 >-1 XTf^S. i-^
ZIP CODE -1 ^<^'^ 1 DAY TELEPHONE 6t1 - 'I it < Ho)_
UCENSE CLASS CITY BUSINESS UC #
AUUREiiy
CITY
7. WORKERS'tJOMPENSATON
STATE ZIP CODE DAY TELEPHONE STATE uc. #
Workers' Compensation Declaration: 1 tiereby attirm that 1 have a certiticate ot consent to selt-insure issued by the Director ot Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by ttie Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Certificate ot Exemption: 1 certity that in the pertormance ot the work tor which this permit is issued, 1 shall not employ any person in any manner
so as to become subj^t to the ^torkers' Compensation, Laws of Califomia.
SIGNATUI
fl. OWNER
ATE
lUEDER Dl
uwner-Buiider iclaration: 1 hereby attirm that l am exempt rrom the contractor's License Law tor the tollowing reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
• I, as owner of the property, am exclusively contracfing with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense Law).
• I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any Cityor County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Ucense Law (Chapter 9, commencing with Secfion 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exempfion. Any violafion of Section 7031.5 by any applicant for a permit
subjects the applicant to a era! penalt^rf njif more than five hundred dollars [$500]). ,
sicHATum^^^^^Sy^^jZ^^^y^ '^^^ ^C^fS^y
COMPLEX TOIS SECTION F^^Ktf^^ESIDERlTAL BUILDING PERMITS ONLV: — —
Is the applicant or future buiJmng occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Secfions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
• YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollufion control district or air quality management district?
• YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
• YES • NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTinCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFHCE OF EMERGENCY SERVICES ANP THE AIR POLLUTION OONTROL DISTRICT.
9. OONymULTlON LENUINO AGENCV
I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(1) Cmi Code).
LENDER'S NAME
10. APPLICAN r CERTIEICATIUN
LENDER'S ADDRESS
1 certity that I have read the application and state that the above intormatlon is correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the atwve mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMFF.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCANTS SIGNATURE DATE:
WHITE: File YELLOW: ./pplicant PINK: Fmance
PERMIT* CB940315
DESCRIPTION; GAS LINE REPAIR
TYPE: PLUM
JOB ADDRESS: 1029 IRIS CT
APPLICANT: LUKE, MICHAEL
CONTRACTOR:
OWNER:
REMARKS: MH/
SPECIAL INSTRUCT:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/10/94 INSPECTOR AREA PD
PLANCK# CB940315
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 929-0142
PHONE:
PHONE:
INSPECT
TOTAL TIME:
CD LVL DESCRIPTION
23 PL Gas/Test/Repairs
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
050494 Gas/Test/Repairs
ACT INSP
AP PD
COMMENTS
NOT FINALED
1(1^ • r
BUILDIN G P E R il I T Permit No'^ CB98243.!
07/3 1,--98 15 = 17 Project No = fi9803209
Page 1 of .1 Deue 1 oprnent No"
,:)oh Address s 1029 IRIS CT Suite:
Permit Type= MISCELLfiNEOUS
I'ctr eel No= 2 I 4-40Z-1 0 -00 Lotit:
Ma 1uati ont 8.480 Construct ion Tvpe* NEU
Occuoancy Group". Reference*' 9«19 07/3fe'ffe ieftO^: 5 ;332E 1)
Description* REROOF 3200 SF STfiNDARD TILE flppi feBUfT07/3J.i7»»800
s ICBO 24081 fipr/Issues 07/31/9B
E111 e i" e i:! By" J ii
Rppl/Ownr s BETYAR CONSRUCTION 760 967-B988
226 5 UIEW STi^EET
OCEANSIDE Cfi 92054
MX-X- Fees Requ i re? d «*» Fees Collected S< Credits
Fees! I 74.00
I--I d j u s t m e n t s = .00 Total Credits' . 00
T ota 1 F ees' 174.00 Total Paymentss ,0o
Ba1ance Due' 174,0 0
i ee description Units Fee/Unit Ext fee Data
IVIiscellaneous Fee #1 > 174.00 174,00 PERMIT FEf
» I'll S CELL ANEOUS TOTAL 174,00
FINAL APPROVAL
INSP.^JL^DATE
CiTY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I
City Of Cartsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: l'^^^ I^ <SJ^
2. TYPE OF BUILDING: RESIDENTIAL \C COMMERCIAL
3. ROOFSLOPE: RISE_lI_inches in 12 Inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (T^ 3
5. TYPE OF EXISTING ROOF COVERING ^"^^^ SHEATHING ,
*6. NEW ROOF MATERIAL TTLg CLASS A WEIGHT PER SQUARE
7. NUMBER OF SQUARES i
MANUFACTURER ^^o£C 8. TRADE NAME ^^v^^ MANUFACTURER
9. ROOF SYSTEM LISTING ULNo. ICBO No. ^^^/
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOFT/^^^/ST^ NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature S /^S V '^^^ ^ ' Date
Contractor X" Owner Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECTINFORMATION \.
FOR OFFICE USE O
PLAN CHECK NO
EST. VAL.
Plan Ck. Deposit
Validated By,
Date
Address (Include BIdg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
i Parcel # i,. ^ Existing Use
Description of '^°'^'\T{^^^^^£?SP(^ SQ. FT.
Proposed Use
#of Stories
CONTACT PERSON Of (flffarant fromuppilcant)
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone # Fax #
APPUCiWT yWiSort^ ^
Name
4. PROPERTYOWNER
Address
io>^ iei< cr-
City State/Zip Telephone #
/jh M>G^R (J(S) ^:>q ' c/y
State/zip Telephone #
2-
Name Address City
sr conrnw^
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged
exemotion. Any violation of Section 7031.5 by any applicant for a permit subjects th;a applicant to a civil penalty of not more than five hur)
/^rrvAig, CJt>^^*^r^^mSS S^-^L< (//^ <^ <D^ep^ Name ,
State License tt
Address
License Class
oAoiiipi iiioioiiuiii, ai)u (lie uaaia lui iim aiieyQU
Df not more than five hundred dollars [$5001).
Statto'p, Tdephone #
City Stat^/ZIp Te'lephon'e #
City Business Ucense # [ ^-^^p^ fe^
Address City State/Zip Telephone Designer Name
State License tt
6, WORKERSrCOMPENSATION^^^^^^^„ : :
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is issued.
1^., I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
issued. My worker's compensation Insurappe carrier and policy number are: / /
Insurance Company fOP(P Policy No. /'^'^'^ ^^^-^ ^"7 Expiration Date ^// /f9
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS («100l OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallura to secure workart' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10Q,00p), In iddDipn the cost of compensation, damages as provided for in Section 3706 of tha Labpr co()«, interest and attomey's fees.
DATE
Labpr code, inti
SIGNATURE
7. OWNER-BUlLIM^ECtARAT
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or Improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with eontractorls) licensed
pursuant to the Contractor's License Law).
O I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name / address / phone
number / contractors license number): ^
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type
of work):
DATE PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR/iraM£S«n^^
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES • NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
ISi AIVUCANT CERTIFICATION
I certify that I have read the application and state that the above Information is correct and that the information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hersby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is,riot commenced within 365 days from the date of such permit or If the building or work authorized by such permit Is suspended
or abandoned at any time after the wark I& comme^cS)lfor,dperiod of 180 days (Section 106.4.4 Uniform Building Code) / /
/y^^~^ DATE 7C
WHITE: File YELLOW: Applicant PINK: Finance
APPLICANT'S SIGNATURE
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB982431 FOR 08/24/98 INSPECTOR AREA RB
DESCRIPTION: REROOF 3200 SF STANDARD TILE PLANCK# CB982431
ICBO 2 4 081 OCC GRP
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 1029 IRIS CT STE: LOT:
APPLICANT: BETYAR CONSRUCTION PHONE: 760 967-5988
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: C/BAYLA/967-5988
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME;
CD LVL DESCRIPTION
19 ST Final Structural
ACT COMMENTS
DATE DESCRIPTION
081498 Roof/Reroof
081398 Roof/Reroof
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
AP RB
NR RB