HomeMy WebLinkAbout1264 Oak Ave; ; 86-281; PermitII) z 0 ;:: < cc < ..J 0 1M 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license ,s in
lull force and effect.
t,c No Clat>
hereoy all•m 11\il I am e,emp1 from tile Contrac
!Of' s License Uw for the toUow•ng reason (Sec 7031 ~
Business and Pro1essions Code Any c11y or county wh1c.r, re quires a ptrm11 to conslruct auer 1mpr0\le, (jemolish, or
1eo,1r •"Y structure. poor 10 ,Is LSSuanu a1so reQu~es :tie ao· pl1tant lor such perm,_! 10 111~ a s•Qried ita1ernen1 1n.a1 he tS
licensed pur$uan1 to lhe prov1st00s cit the c;onuac1or s
License Law (Chapter 9 commencing with Section 7000 of
OMst0n 3 ol lhe Business and Profes1t0ns COde) or that 1s e• empt thefelrom and tt'e basis lor 1ne lllegeo e•empti0n Any
violatoon ol Sec1,or, 7031 5 by an aPl)locant lor a perm,1 sub·
1ects the apptcant to a crv,I pena11y ot !'IOI more than live nun
dred dollars ($500)
I. as ov.1er ot 11>e property or my employees .. nh wages
as lhe1r 501e compensal1on. will do the work_ and the ~~:uc ture 1s not intended or ollered tor Sdle (Sec. 7044, Business
and Prolession!t Code The Conlratlor's License la-w does
not ai,pty 10 an rwner ot property "'"° bui!dS or omproves 1ne,eon and wllO does such work homse!I or through his own employees_ prov.Oed lhat such improvements are no1 intend ed or offered lor saie II, however, the bu1ld1nq or improve-,
~!'It is sotd within one year ot comptet,on_ ttte owner·bu1lder
w~I have lhfl burden ot proving that he chd t¥Jt bu1~ or lffl· pro,e lor 11,e purpose 01 saleJ
t1 I, as owr'ler 01 lhe propeny am e11:clusl·oel~ contracting
w1th licensed cor:1ractors to construct the protect (Sec. 7044 Bus,ress a'ld PJ1>1essi0ns Cooe The Contractor· s Lttense Law does no1 appty to 1n owner ot oruperty wl'IO buitds °' ,m~ proves thereon. and wtto contracls lo, each proiects w·:n a
contractor1s) ticense pursuant to trn'! Contrac10,·s license UWI
As a IIOrneowner I am jmpr,ring my home, and 11,e lollow mg cond1t1ons ex,sl t . The work ,s bt1ng pertormed proor to sale
2 I have fi'ltd in my NJme !Of rwetve months pnor 10 cornp!et,on <>I th,s -• 3. have no1 Claimed m,s r,empl,on dur•ng ltte laSI lhreeyeatS
I am e•f!fflPI u~ Sec -------B&PC 111,s ruson ____________ _
1. J 1 hereby aflum that I have a cer11hca1e of consent to
1elf insure. or a cert1ltCa1e ol Workers· Compensation In·
St.iranc;e. or a cert1f1ed COOy thereol lSec 3800, Labor Cooe>
POLICY NO
COMPANY
Copy •• hied .,. •ti\ lhe c,ty
Cen1hed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(Th,s section need not be completed 1f the permit
1s for one hundred dollars ,iS100, OJ lessl
I certify thal In the peflormance ol the work tor wh,ch
th,s perm,t ,s ,ssued. I shall not employ any person in any
manner so as to become sub1ect to the WOfkers· Compen-
sat,on Laws of Ca1iforn1a
NOTICE TO APPLICANT; If, after making this Cert1f1ca1e
of Exemption. you shOuld become sub1ect to the Workers
Compensa1 ion P<ov1s1ons of the Labor Code. you must
forthwith comply w11h such provisions or this perrn1t shall
be deemed revoked
0 I hereby affirm !hat there is a construction iendmg
agency lor the performance of lhe work lorwh,ch this per
m,1 is issued tSec. 3097. Civil COde)
Lender"s Narne __ L-. ··-_.
Lender"s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARA I ION~.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
me AOD73 t,.,c..j {'"jj k ~ ~;!.,,M.Ro NEARESTP.~T. ?it'"~ loA;;J &/;:ON' eus,NESS LICENSE. ;:..;;;;N PERMIT NUMBER
LOT BLOCK I suao,v,s,0111 I ASSESSOR PARCEL NO CONTRACTOR \ CONTRACTORS PHONE• ZONE 8(o-'Z..B \
0\/\/Nf R'S NAME • 1 I I OWNER"S PHONf -,errv 'ftV-f1t'J{\ 7:J°I-~,,..:; CONTRACTOR'SAOORESS -\ \ LICENSENO PLAN I O• BUILOINGSOFOOTAGE
0\/\/NER~MA•LING~OR~S ~~~~LJ/~A~~~~~~r~.~L-4~~~~\,~~~-~ \~~~~l,~~a•-------4---------~--------~ I .::J...j,,., 4 {Xj_ 1-.... Ave OES•GN(R • OESIGNE R'S PHONE
Of<;CRIPT•ON OF WORM: ~ff a.I UJt-k:, (\ 1ai-t 71~
O(S1GNE R'S AOOR!f;S LICENSE NO --U-1:----d«-ltect_·_ie,_(_t_>1_cl_05,_u_rt... _____ --t1 '!!.~ 4. ~~ Av-e_ NO occ GP EDU
STORIES 6/28 /f36l470 s~o
•D "O --0001 TLJ !Jn ,:;/~~'l ti r. ,:j r0
CtNsus TRACl I GP l AND usF I PARM:1NG SPACE I RES uN1Ts I GRADING PERMIT ISSUED I REDEVELOPM ENT TYPE occ LOAD FIRE SPP · · .J• l AREA CONST
, O ~ O v O ,O vO r,;O Not Valid Unk n Machine Cer11/1ed
QTY. PLUMBING PERMIT -ISSUE /] '5l> QTY. MECHANICAL PERMIT -ISSUE '2 ,,,.. SUMMARY/ACC.OUNT Nl..lMB~R, / , ?71 , ,q·,-u· u1 r;;,, :;..i,
EACH FIXTURE TRAP INSTALL FURN DUCTSuP TO 100.000 BTU BUILOINGPERMIT 001810-00·00·8220 ---l.0 ~
EACH BUI LUING SEWER OV ER 100.000 BTU SIGN PERMIT 001810-00-00-8221
-EACH WATER HEATERANU,-(NT I ---BDILERICOMPRESSOR UP TO 3 HP -e---PLAN CHECK 001 -810-00-00-8806--+------
-EACH GAS SYSTEM I TO~ OUTLETS ---J ___ . ----BOILER iCOMPRESSOR 3 15 HP -TOTAL PLUMBING -~----001•810--00·00·8222
EACH GAS SYSTE M 5 OR MORE I . ME'AL HREPLACE ELECTRICAL 001·810·00-00-8223
>---+--EACH INSTAL. ALT ER REPAIR WATER PIPE T :-----VEN T FAN SINGLE DUCT . -MECHANICAL OONll0·00-00-8224
1-----~ --- ----·+ --·--. -----------------~-----t---------
E ACH VACUUM BREAKE R I MECH EXHAUST HODD DUCTS MOBILEHOME 001·810-00-00-8225
WATE R SOHNER RELOCATION OF EA FURNACE•HEATER MOBILEHOME PARK INSP
_ -:-±-l ACH ROOF DP~.r. 1_·;<;10£1 = = _,___ ··--· --SOLAR 001-810·00·00·8226
TOTt;L MECHANICAL STRONG MOTION 880-519-92-33
I • • --T01AL PLU\IB1NL ~-·---T FIRE SPRINKLERS 001-810-00-00-8227 - --
PUBLIC FACILITIES FEE 332·810·00·00-8930 : QTY. ELECTRICAL PERM IT. ISSUE cf>-QTY SOLAR · ISSUE r ··_·_-_ ---~ ~ -~ ----· --
I NEW CONST EA AMP SWI BKR COLLEv:JRS SCHOOL FEE. DISTRICT I -~ -
1 I PH 3 PH STORAGE TANKS c_a_r_l_sb_a_d ___________ ------------
I f XIST BLDG EA AMP SWT BKR I ROCk STORAGE Enc,n,las
I -r---. . ~---------~--;
1 1 PH 3 PH PUMP _ _ _ SanD-"1e.,_gu'-11'-o--------------1------------1
I RE MODEL AL TtR PER CIRCUIT PLAr, C~ECK FEE San Marcos
t TOOPO LE700~ --L ··---------
1 --ft----,e7:::,;,-=-::--=-:-::-----:-:----,--,-,----+------------1
1 OVE A 200 AMPS LICENSE TAX 001·810·00-00-8162
I l [MP OCC UPANCY 130 OAYSl MFF 880·519-92-57
: -~EDIT DEPOSIT 7 ,.., oo>
: lOTAl fLECTRICAL I I T01AI SOLAR TOTAL FEES PAYABLE I -3 ... 0
1.-------------------------------------------.... --..ii-----------P------------------------------------.... -----------"!"------------------------------------""""--~ I I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT ANO 00 HEREBY E•p,r1t,on Every perm,t issued l>ytt,e Butld,ngOfllc,al under the prov,s,onsoftl,05 * AN OSHA P£AIIIT IS AEOUlflEO FOR EXCAVATIONS OYER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•pore l>y ltm,iatoon and become null and void If the Du•ld,ng or work S' 0" DEEP ANO DEMOLITION OR CONSTRUCTION OF au1hor,zed by such permit 1s nol commenced wtthm 180 days from the date of such I DECLARATlONS ARE TRUE Arm CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit, or ,I the t>uildtng or work authorozed l>y such perm,I ,s suspended or STRUCT\JAES OYER 3 STORIES IN HEIGHT
I IBWEO WCOM~Y~THALLQnCOONlY~D~AfEUWSG~ffiNINGBWLrn~CON ~·=~~n=~=ned~1~t~•~~~h-=~~~e~r~1~~~*~~~k~~~c~o~m~m~e~n~c~~~~~r~•u-=n~~~~~1~~=d~-·~-~~~~~-~~---------------~ STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO pp C . [1 [J APPROO~ED y . . DATE
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUT1ES. JUDGMENTS. COSTS ANO A LI ANTS SIGNATURE • OWNER CONTRACTOR I
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE '] -I I 7-'.< n
I GRANTING OF THIS PERMIT ' /) r, J,,.-, (Q -L.J-rJ,..
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TYPE I DATE UAlt: INSPECTOR
BUILDING I ~~ ,-;;i..&1
FOUNDATION ! FIELD INSPECTION RECORD I I
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
MASONRY I
I INSPECTION REO IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL
SUB FRAME D FLOOR D CEIL)NG I
SOILS COMPLIANCE I
SHEATHING D ROOF D SHEAR PRIOR TO i
FOUNDATION INSP FRAME I ----->-----
EXTERIOR LATH I STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION ' PRESTRESSEO I
CONCRETE I INTERIOR LATH & DRYWALL I POST TENSIONED I
I CONCRETE I
PLUMBING I FIELD WELDING
D SEWER AND BL/CO D P~/CO HIGH STRENGTH
--
BOLTS ' UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN ' I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
' I -->---
ELECTRICAL I
D ELECTRIC UNDERGROUND Ot UFFER
"' ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPGRARY
" D BONDING D POOL I ~-:-.
~ ..... ' '
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING ..
!
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I I i CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE -
ITEMS ABOVE HAVE BEEN APPROVED. :
FINAL I
PLUMBING I
ELECTRICAL I r'"\ I
MECHANICAL I I I
GAS I I II .J7 ..... ,,,,, '\.
BUILDING I ~,,-/j,1' I '/....-~ I
SPECIAL CONDITIONS I i/ / I
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PLANNING
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ZONE: ----TYPE or PROJECT =--u,..l ...... la.-.c ..... L .... r.____,~,........_,. ___ i_.;./ ___ {;"'""", 12""""'~ ...... la......__.s_e_~ ___ _
SCHOOL DISTRICT:
SETBACKS: FRONT
SAN DIEGUITO
L/"'
DISCRETIONARY ACTIONS:
ENCINITAS CARLSBAD SAN ~RCOS
SIDE REAR
-------------------------
REDEVELOPMENT PERMIT REQUIRED: --------------------~
LANDSCAPE PLAN CO~ENTS=-----------------------~
ENVIRONMENTAL REQUIRED=------------------------
ADDITIONAL COMMENTS: ------------------------~
OK TO ISSUE:_w&..., ....... .-____ _ DATE: le,-L -gl::,.
ENGINEERING
LEGAL DESCRIPTION VERI FIED? ------APN CHEC KED? / 16 ~ -/ '10 -2. ']
P.F.F.: ________ PARK-IN-LIEU QUADRANT: ___ , FEE PER UNIT: ___ _
RIGHT-OF-WAY: TRAFFIC IMPACT FEE PER UNIT: -~--~--~-
EASEMENTS: DRIVEWAY: -~----~------
INITIALS:
E.D.U.:
LATERAL: INDUSTRIAL WASTE PERMIT: -----------------·--
GRADING PERMIT:
~~~-----~------~--GRADING COMPLETION CERTIFIED:
OK TO ISSUE: ,~ =
DPD2:DPD6:04/15/86
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