HomeMy WebLinkAbout1230 HOOVER ST; ; 82-48; PermitCl) z 0 ~ a: j u ~
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'! I hereby al,, .. n that I am licensed under
talons of Chapter 9 (commencing with
tlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full!~ ~
Lie l~ n 9 Class c
I hereby affirm that I am exempt from the Con· ~:c:r&~!~:'sS: ~w ~t~r:~~c!l.~~i~
coonty which requires a permit to construct
atter, 1mpro¥e, demolish. or repair any structure. pnor to its issuance also requires the applicant for
such pe<mtt to file a signed statement that he 1s
licensed pu~t to the provIs1ons of the Con· tracto<'s License Uw (Chapter 9 commencing with
Section 7CXlO of 01Y1st00 3 of the Business and Pro-
fess,ons Code) or that ,s exempt therefrom and the
basts for the alleged exemptt<>n. Any violation of
Sectt00 7031 5 by an ~lie.ant for a pennit subjects tne applicant to a civil penalty of not more than five hundred dollars ($500).
0 I, as owner of the property, Of my employees
w.,th wages as their sole compensation, will do the work, and the structure 1s not intended Of ottered tor
sale (Sec. 7044, Business and Professions Code. The Contractor's License Law does not apply to an
owner of Pfopef'ty who builds or improves thereon
and who does such~ himself Of through his own
employees, prOYided thal such improvements are
not mtende1 or offered for sale. If, howe¥er. the bu1khng Of 1mpr0\'ement Is sold wtthm one year of
comptehon, the owner-builder wlll h3't'e the burden
of prcw1ng that he did not build or improve tor the
purpose of saleJ.
□ I, as owner ot the property, am exclus1¥ely
contractmQ with lteensed contr~tors to construct
the proteet (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 contracts tor each proJects with a
contractOf'(s) license pursuant to the Contractor's
License law).
0 I am exempt under Sec ___ ,B &PC
torth1s reason ___________ _
□ I hereby affirm that I haw"e a cert1hcate ot consent
to sell-insure. or a cert1f1cate of Workers·
Compensation Insurance. or a cert1fted copy thereof
(Sec :MK>O. Labof Code)
POLICY Nol..(.{,3 jg 2-Ta ~<f~
COMPANY ~AU& lE_&~
rf/(Cof)y IS hied w,th the city f'IU
□ Certified copy IS hereby furnished rr
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit ,s for one hundred OOllars ($100) or less)
0 I certify that m the performance of the work fOf
which this pemut Is issued. I shall not employ any
person m any manner so as to become subJect lo
the Workers· Compensa11on Laws of Galifornia
NOTICE TO APPLICANT If. after makmJ this Cen1
hcate of Exemphon, you should become subIect t-:>
the WCH1ters· Compensation pro"Is1ons of the Labor Code, you must forthwith comply with such
pr0'11sIons or this permn shall t:,e deemed revoked
0 I hereby aftum that there is a cons1ructIon lending agency lor the performance ot the work for
which this permI1 1s issued (Sec 3097, C1v1I Code)
Lender's Name ___________ _
Lender's Address _:_:::,_ ________ _
USE BALL POINT PEN ~ & PRESS HARD r I CARLSBAD BUILDING DEPARTMENT :
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A(.-_.,ECLARATIONS.
APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525
Joet"3.R30 HoolJZS~ sr. :lo{,:, l ::::.c)0700
AV. ST., DATE OF APPLICATION' RO. ~-~?,-&3
OW~h~~i D ,er~JGft ] -7:109N~;;;~ PRIME CONTRACTOR
Rnli#otJ v tbo Ls
OWNEfl'S MAI UNG AOORESS
,:i~o }-\ob u E-~ ST. CAIQL~ba.c-1
CONTRAt'roR·s AdORESS
,51>01 fAl~t'tWrJr
L,S;IJ' I BLOCK
"~
~IT.A-Qt) I d'A ASSESSOR PARCEL NO.
~D
DESIGNER I OESCRIPTION OF WORK p' rt:. Po Q L * $ pA . .:, 00 1/J I DESIGNER'S ADDRESS
BUSINESS LICENSE # VALUATION PERMIT NUMBER
:21/_.2-'2. 3 ,,?£.S--0 1;;;,s~iZ' ZONE f~-lf
LICENSE NO. PLAN 1.0. # BLOG USE CODE
STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESIGNER'S~
--F/P
vO NO
F LR ELEV. NO
STORIES OCCGP EDU ;/2:3 /82!3161
~oojf1f1. ~2"?2~1 ea
ii~ 11
238~/JCj
TYPE
CONST
OCC LOAD FIRE SPR CENSUS TRACT I GP LANO USE I PARKING SPACE I RES U~ITS I GRAOING ~ERMIT ISSUED
v □ ND I-REDEVELOPMENT
AREA
vO NO vO NO Not Valid Un/ffs Machine Certified
QTY. PLUMBING PE'RMIT · ISSUE 17~ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
-#t!"7)
7 J_
✓
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUI LO ING SEWER /0 I I OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
~ I I BOILER/COMPRESSOR UP TO 3 HP
"2,/~ I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MORE
EACH INSTAl .. ALTER, REPAIR WATER PIPE
--I ¥~ I METAL FIREPLACE
VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS ------~-------"-----'---l'>wATER SOFTNER REL O CA Tl ON OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE) A
' /'T✓ TOTI.L MECHANICAL
~"" TOTAL PLUMBING I /? ~
QTY. ELECTRICAL PERMIT · ISSUE ~ QTY. I SOLAR · ISSUE
/ NEW CONST EA AMP/SWT /BK R r COLLECTORS
/ 1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODE L/AL TEA PER CIRCUIT PLAN CHECK FEE
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCYJ30 DAYSI
TOTAL ELECTRICAL I / 'V TOTAL SOLAR
BUILDING PERMIT 01:.Q!l.0·4220
SIGN PERMIT ,Af I 01·000-4221
_7--"Y-=--
PLAN CHECK ~1/"µ 01·000-4806
TOTAL PLUMBING 01·000-4222
:z _,.
/.r",_;-
ELECTRICAL 01 -000-4223
MECHANICAL 01 ·000-4224
-7-~
MOBILEHOME 01-000-4225
MOBILEHOME PARK INSP
SOLAR 01 ·000-4226
STRONG MOTION 65-640-0519 ,&f
FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000·4933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad ' 65-623-0519
Encinitas 65·624-0519
San Dieguito 65·625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE I 77.£---
--~ -, -----.-,..,.~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration E"81)' permit issued bytheBuildtng Off1c1al undertheprov1s1ons ofth11 * AN OSHA P£AMIT IS AECIUIIEI) FOf1 EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by lim,tation and beeome null and void If l"8 bu,lding or work S' O" 0E£P AHO DEMOU110ti1 OR CONSTRUCTION~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulho"zed by such perm,t 19 not commenced wilhin 180 days from the date of such STRUCTUIIES OVER 3 STORIES IN HEIGHT
1SSUED TO COM Pl Y WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON :~,;;::,,,:, 1~ •:~ -::,,;::1J8~ u:C:r:':!":~~e:Je~~~~ .:-i::::,i'~f•~~ded or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A p KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE ~• OWNER O CONTRACTO.piiii, p ROVED BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \,11_,....,. _ _.., _ _...J_ B O O
GRANTING OF THIS PERMIT /' ICA/l~ ., y PH NE
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INSPECTION TYPE i DATE INSPECTOR 8d ... qt I ' . BUILDING
;FOUNDATION ..,,<":, d)..-, fi: FIELD INSPECTION RECORD ..... '-'-
~ ~~---REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL INSPECTOR'S NOTES
MASONRY INSPECTION REQ. IF INSPECTOR'S DATE -U ~•• a /~Hr<. .._ /?,,..>-I &/2 ~-"~i:u~rc btcl CHECKED APPROVAL
GUNITE OR GROUT I -~,A,~1 ~"'" /..1,1.1 rJ L \ o n JPu ~ , .::-, A, ,r~J ( .
I SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO
~-,} ~iH1( b;.:hA,\: .. __ ,..,.,.,rl-~ ~VA I FOUNDATION INSP
SHEATHING I
! STRUCTURAL CONCRETE
rt"-,,. ( /'J " I -L \,-,'\ e:,I ,./ r ,,. !,.. <:2... ,i.:-n>< FRAME OVER 2000 PSI """ -
EXTERIOR LATH lNSULATION • PRES TRESSED
~'M') \ /" /t.~ I \1 ~_A .: h,,M A.i''. -/1, ~L, CONCRETE ~ 1 ... I POST TENSIONED
,.., 6 b. :' -\ \ -INTERIOR LATH & DRYWALL f CONCRETE
PLUMBING I
c::-....... -:: k -,.. . ..-.f\-1. . FIELD WELDING
SEWER AND BL/CO i HIGH STRENGTH ( V l
I ... &>-.,z, '~ ~ BOLTS PLUMBING UNDERGROUND I
PLUMBING TOP OUT I ,, ,. SPECIAL MASONRY I ' ... <
TUB AND ~HOWER PAN ' . ... I
GAS TEST l ~ ~~ So__., ~r PILES CAISSONS
ELECTRICAL j
I
TEMPORARY POWER i ' -• I ELECTRIC UNDERGROUND I -· I -~
ROUGH ELECTRIC -\.. .... •· I
ELECTRIC SERVICE i ' '
A ' r,·::S '~ -~ ~,.., ) -
BONDING I
G. F. I. -SMOKE DETECTOR I I '
MECHANICAL I -
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS I
< .. -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED. ----
.-JOB SITE FINAL , .., -
PLUMBING l}V ~
ELECTRICAL I ./ ~· ---. .
~ ' . _4("' ... I ',1 MECHANICAL ! ~ /
GAS --, -'\\,I......,.-: U"1 / "' -~-,. ..
,: ' Pl / _/ '"' u ,__ -'l" ' -· BUILDING ~ T
SPECIAL CONDITIONS b ~·.
CERT OF OCCUP./ ·•cv ISSUED ' l J .. ...
INTERDEPARTMENTAL INFORMATION SHEET
~UI LDING DEPARTMENT
UILDING ADDRESS:
PLANNING DEPARTMENT
DATE:
1 ECEIVED
f:EB 22 1982
CITY OF CARLSBAD
Building Depa, t111eot
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED ----------------------
_____________ PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED __________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
~DDITIONAL c~s,=Jlfi
__ DATEd-¥7SJK TO I
ENGINEERING DEPARTMENT ~
R.O.W. INDUSTRIAL WASTE
FINAL DATE -------------
IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
EASEMENTS DRAINAGE -----"-----------------GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMEN_T_S_~----~~.---&~~~-,.S---------------
OK TO ISSUE:Jdt(L DATE2-2Z ·8t--PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. -------------------
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ----------------------------
ADD IT ION AL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE ----------------------
,./ATER DEPARTMENT
'REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE -----------------
.. . • ..
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Citp of ~arl~bab
TELEPHONE,
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, .Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at /;2,Jo !loo jle(f_ 6-t... •
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover..
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Date: c2-lf-Y2,
Date:yizhz
7 /2v£.