HomeMy WebLinkAbout129 MAPLE AVE; ; 84-617; Permit.. z 0 ;:: .. a: :l u ..
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D I hereby affirm that I am licensed under
provisions 01 Ctiapter 9 (commencing with
Section 70CX}) of DMsion 3 of the Business
and Professions Code, and my license is 1n
full force and effect. L,r No _____ _ r.a·-1
I nereby alf,,m that am e,ernet tram :ne Contrdc tor·s License Law tor t~e fol'ow1nc, reason :Sec 7031 :
flus ness and Protess,ors Code Any c,:y or coun··,, wn,cc ·e q~,,es a permit to corstr.,ct d'er ,mpr~ve Ct"iol•s~ or repair ar,1· slructure or or to ,ts 1soJ2.nce a so ·equ,,e~ •~ea~-
01,cant lor suer ;ierm,' 10 !•le /. s,qnec sratemerT 1>-,0· "e s
:icensed pJrsuant 10 the orov,s.on, o' rne LoNraoor s L cense Law ,Cnap!er 9 commencing W'lh Se:,t,o~ 700~ o'
')1·,10101 3 ot the Bus,ress and Proless1cns Code, or rrat ,s e,
empt :herefrom and the bas,s for :he al'eqed e,ecrpr,cn A~y
,,olat,on al Section 7031 5 by an app11cant lo• a penn,t S',b
iec1s t~e aopl,canl 10 a c1v11 penalt•1 of no• more :han f,·,e h~n
crea do'la'S 1$500'
I. as owner ol t~e prope·ty, or ITT)' employeesv, •~ w1~es
as the1· sole cornoersat1cn. w,I' co t~e wor• ard :he slruc
ture 15 not intended or Olfered lor sa,e 1Sel. 704~ Business
and Pro'ess,ons Code lne Contractors L.cense Law does
no! app'y to an owner ot property who bu·las or ,11pr:i,es
•hereon and who does sue" war, ~l"'self or t0r8oqti ~1~ own ernp'oyees provided tr,at o·JCh ,mproverne~ts ore 10· ,~Iese
ed or o•tered tor sa,e It. hGwever \he building or improve-
ment IS SOid w,tn,n one year ol comp,et,on, lhe owrer-bu1ldw
w1li have the burden of proving that ~e did no: tiu,IC O' 1~
P'OVe for the purpose 01 sale,
I, as owner ol the property, am exc1us1ve1y co1'ract1ng
;i1th licensee contractors \o corstruct the pro1ecl ,.sec 7044
Business and Proless1ons COOe The Contrac'.or's License
~aw does not apply to an owner of property who 0~11ds or ,m
~roves thereon. and wno conlrdcts tor eJch pro1ec1s v,11h a
~ontrac•.or(sl 11cense p•jrsuant to •he Contractor's L1cen,;e La;i)
As a homeowner I am ,mpro·.ing my home, and :ne foi'Jw
1ng cond1t1ors ernl
1 The work ,s being Qerformec pr,o· to sa1e
2 I haw 1,ved ,n my home for twe1ve mo'1:ns p·,or to corr,p1et10'1 ui this work
1 have not c'a,med this e,emot•on dur1'1g tre
'ast •nree years
I am exempt under Sec B & PC for this reason ____________ _
D I heret,y alt,rm lhat I na,e a ce,t,1,c.ale ot ;0'1Se'1'
to sell-insure or a cen,f,cate 01 Wor~er~
Compens.a1,on Insurance or a _en,1•f'd ':op; 1'1e•eot 1sec 3800 Labor Code!
POLICY NO
COMPANY
0 Copv ,s filed w,1n the ~,1y
0 een,T,ed copy ,s hereby tu,~,sned
CERTIFICAH OF EXE::MPTION FROM WORKERS COMPENSATION INSUf>ANCf
1Th1s sec1,on need not be complf't€'d ,, ,n,. ee•r,-,,•
,~ +o, one hundred dol,ars •,$1001 ur -es~
0 I ceri,ly thal 1n trie pertormance ~• :tie "'~'~ '"' wh,c'1 th,s pennit ,s •ssued I shal: "01 erl'IJ"'' ar,
person ,n any rnanne< so 3s IC b<",·orn,. sut.,e, ' 1,
Ille Worl<ers Compe~s.;i1,on L.,11,~ ,,, Ca1,t,,r~•rt
NOTICE TO A.PPLICA'-T 11 a1~er m.i~Ina •ti,s Cer1
t1ca1e ot E,ernpl•on ;o<.. should t,,,corne ,ub1ect r
the Worl<ers Cornpensat,on pro,i~,o"S ot •he Labor
Code sou rnuS\ torin..,,,tr 0 ompl) ..,,,~. su:~
prov,s,ons or this perrn,t sh3I' Df' cJf'emp(l '"''"*e,;
0 ' hereby afl""' 1'1rt: rrere , a ,,_ Jr ~•r J, 1
1enC,n11 alJe"CI' •u 'hf' wer• ,rr,ar·,,e v' •re wy~'
wh,c'1 This pe<r1•11 ,, -,~~ed ,Se, \()<JI Co. (,o,J!'
Lenders Na"'e ___________ _
lenders A.dd<ess __________ _
USE BALL POINT PEN ONLY & PRtSS HAKU CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1~~-0 Elrr:!_. Ca~~sbad_: California 92008-1989 (619) 43~5525 _
.:oa ADDRESS
\~ J.A...,P~
AV. ST. RO. NEAREST CROSS ST . ,,_ 11·,;s ~,T~? BUSINESS LICENSE # VALUATION
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BLOCK ! SUBDIVISION L.~;~~S~AR'3 ~ 3 -/ l--, JCZ.~t~HRACTOR
I OWNER'S NAME C ----,d-
: c::::.. ~he,. a.., V' I CONTRACTOR'S ADDRESS
I DAD~SS
: I\Jo <--rn °'-"'Y' J DESIGNER
I DESCRIPTION OF WORK
--,_ ; ~ -.n g::::._\. ,=, -1",. ,.\.-
: L-~t:>-z.a~ tk ~'~-I
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DESIGNER'S ADDRESS
F,P FLA ELEV
,-L: "'□
I CENSUSTRAC0 G LANOUSE PARKl"-(,SPACE: R~SUNITS GRADINGPERMITISSUED REDEVELOP.,,,,E",JT
I AREA
r
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE i
LICENSE NO.
LICENSE,;
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD Fl RE SPP
ZONE
PLANIQ,n
STANOARO PLAN It-
PERMIT NUMBER
<s4--tol1
BLDG USE CODE
~t--DD'
BUILDING SQ. FOOT-'GE
2Db
1 ,□ fj □ -C -...□ vO "'O NorVafidUnlenMachmeCe,r,fled
SUMMARY/ACCOUNT NUMBER ' QTY PLUMBING PERMIT -ISSUE QTY MECHANICAL PERMIT -ISSUE 3 -
I f---f----------------'----,<'---=-+--+---------------+-=---f--====~----o~==cc-~--,..-,.-----,---i
1 EACH~IXTURElRAP INSTALLFURN DUCTSUPT0100000BTU BU 11-□INGPERMIT _____ 01-00-00-8220
EACH i3UlllJING SE:WER _ .__.X i OVER 100.000 BTU _ _,,_SIGN PERMIT _ 01-00-00-8221
I EACHWAlFRHEATERANu ORvEITT--/~-------_ 11 , B□1LER coMPRE~SOR uPTOJ HP ______ -------~LAN CH~~ U:_~□o~so6 ~ o_ ~
f----t---E_A_C_H GAS SYSTEM '1 TO 4 U_LJTL~1/,S _ -4-l BOILER.COMPRESSOR 3 lS HP ----------_2QTA_~LU_~_§?.JG QLQ0-00-8222
EACHGASSYS_lEMSORMOHE __ _ +· I VL~'-< ~R~PLACE ~LECTRI~ 122.=_QD-~82~ ____ j_p~~
I EACH 1Ns-1Al-AL Tln HE:PAIR~;,:,;frRF'1PE --: :i:f* ·~ ~ENT__f AN SINGLE C UCT _ _z_ ·__ MECHANICAL _o·,-o0-00:_8224-+----------S-:,~Q_
EACH VACUUM BREAKt.R ' t _ ~ECH EXHAUST HQQ[J DUCTS M0BILEH0ME 01-00-00-822:5
: WAT~~N~--------: * RtLO_CATION o~~N~ ~E_R_ MOW~~E--;;;Kw --+--
t,\r:f-r c1._.iy .~;:;,::,,,J '';>'--:,r --+-· , -~---cc;"',ec.,ccu.--.;ec"'------,---~--c-----,=--.t SOLAR 01 00-00-8'2?6_ "17 I _l_ _____ __ ~ __ __ . ---r TOH,L MECHANICAL STR0NGMUTI0N 80-92-33-0519
TU l Al PL U r,,rn INC 1 :.aC-~"~-FIRE SPRINr\LERS _____ o_·,~o~o __ 0_0_-8~2_2_7-+-----------i
~-_ _..,.-, i --P~1CFAC~sffi 32-oo-o_o-s93J
..,,-.,L rcn1v111 -100uc I A .,,,,,,,,,. 'QTY. SOLAR· ISSUE -------. L BRIDGE FEE QTY. I ELECTRICAL PERMIT -ISSUr
---------
I
. i r'H __ ___:_+ '5-_,.~:RH.Cf-.TM,~S ______ _
AMP SWT E~_P _____ --~-____ Ri_1r_1, STl_,;;\i:,:;[ _____ ------+----JL __ En~~s _
_____ "_"'_' +-----------.-01;•,'P ________ ,__ _____ JI San D1egu1'.o
ltM rn"\llhl,Ull ---_----s_ ___ t-·P:::J(,''-<f•::V~ff -----------__ L __ -I[ San-~arcos_-_
200MOPS E -... \ I
:f---+--o-,-,E-H-,-,,-o-A-M-PS________ . i' =r---------------LICEN~T~01-~0·00-8162
I 1 EMP Of:CUPANCY 30 OAYS_I ______ ---+-____1 1
___ -------------..---~FF 80·92-57-0519 ___ _
NFl'i CONST 1:.A AMP S°\';'l hKR
I PH 1 -------------FXIST \Hur; EA AMP SWT P.KR
I PH 3 p,,
l!RiM0DELAfT~ pfRc1Rl·u11 __
TEMPPOlE
C.l;•LLEc~n~:: I-SCHOOL FEE~l~TRIC} __ _
f-
-
Carlsbad 80-92·27-0519
--so-9r22-05_14 -
-8Q-J1-2J.051~ l------
80-9(-24·0519
----
--~-----------·i [ ---------+--CREDIT DEPOSIT 1
1 rnTALELtCTR1Lt..L 1_ -cn>1lso· . .:.R TOTAL FEES PAYABLE 1 \ a..·1, 1 .i ~I (;} U -
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPL!CATION ANO PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Olfic111I under !he provis,ons ofth1s
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON !NCLUOING THE Code shall expire by l!m,tat,on and become null and void If tl1e bu1ldmg Of work
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT JS authonzed by such permit ts not commenced w1th1n 180 days from tne date o! such
1 ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• ~~~~~n°~1~t'=~ ~~~1~Pte~;h:~~r:~ti~::t~~eiZe~u1~7 :er~~d•~,s~;g~nad~ Of
I STRUCTION. WHETHER SPECIFIED HERE\N OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND OWNE CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE B O -" 0
GRANTING OF THIS PERMIT JC,<,".J'.,Jf y PH Nt
* AN OSHA PERloUT IS REQUIRED~ EXCAVAHONS OVER
5· O" DEEP ANO DEMOlfTK)N OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPP.OVED B,~:5"" -., DATE
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TYPE I DATE INSPECTOR ~-~---------,t__....._L -------------
BUILDING : • . • • . fsl/ _,(A It .
FOUNDATION ' I ..., vt V FIELD INSPECTION RECORD
REINFORCED STEEL ' / 1 1 ------"-''----=-------~'-~'-1----+-===-----i[,/ REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
MASONRY 1 / tc=================~==========9 • 0. Cb? C REO IF INSPECTORS =G:.:U::,N~lc,T_,,E'-'O=Rc:G,:,R=Oc=U:.-T ______ _j_• __ ---l_l,___• -..Lt•=""""-4-.LY_..Y.Zr;,,,ec_----j I NS PE T ION CHE CK ED APPROVAL DA TE
FLOOR & CEILING SUB FRAll(1E ' / su,,s COMPC'ANCCE -
SHEATHING □ ROOF IVSHEAR , • I''/,¼.: ~ ' -PR,QR TO -i I
I ' •UUNDAT10". ,\iSe-' I
FERXTAEMREIOR LATH '. '(.r.t:1.<;,! -, srRuCLRA1ci"i::Fii"c ----1--------+---_ --,
I I .. "'}Q.. ()VER 2CCJO F'SI '
INSULATION I • PHESTRESSED ! ----7
, CONCHETE I
INTERIOR LATH & DRYWALL I Pos-T"s•uNEC. ,
--------------,'=---1===-+-----~ CONCRETE ___ -+ ___ _
PLUMBING ' C,ECI) WEL8'SG I
SEWER AND BL/CO □'PL/CO , / ,,:c;rl STRENG_H_ --~-----+----------~
UNDERGROUND □ WASTE □ "'/ATER l ·1, Q, ' 80
' TS I 1
TOP OUT □ WASTE □ WATER i-~ -~ < ,PE,_C,AL MAS>TNPY -----i ---
TUB AND SHOWER PAN ; I
GAS TEST 1 ~E_'_c~""_"_"" , + □ WATER HEATER □ SOLAR WA!ER ~----=--+-~--j ---~-=
ELECTRICAL ,
□ ELECTRIC UNDERGROUND n l!JFFER -------
ROUGH ELECTRIC , t-757-~ 'v --------~--+---~--~-
□ ELECTRIC SERVICE DTEMPOP!ARY ~ _____________________ ~--_
□ BONDING □ POOL , , _ I ----+-----------------~ f------------------------------1 -----------------+----1------M EC HAN IC AL , -------------r ,_ -------------------------,
□ DUCT & PLEM., □ REF. PIPING -___ _
HEAT -AIR COND, SYSTEMS ,
VENTILATING SYSTEMS '
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE! BEEN APPROVED.
FINAL '
PLUMBING ' ""\\..n \ . I
ELECTRICAL , ~ \ '
MECHANICAL 1 _ 1 "-_ '-\ \
GAS ; ',-... \~ .
BUILDING 1 • ~ ~"--.:N
PLAN CHECK NuMsrnfft~Z ADDRESS fa'} /Jl!p:/4 DATE /-z~k.r
7 7 ?
PLANNING:
"' ....,
3 ....,
TYPE OF STRUCTURE __ z&__:_ __ d-U_ __ ___.:' ____ _ ZONE: ------
SCHOOL FEES: SAN DIEGUITO
% COVERAGE
BUILDING HE
FENCES/WALL
A C RLSBAD
" IGHT
s
--------
1
A 17
' I
V TWO CAR GARAGE __________ _
ENCINITAS ---------
SAN MARCOS ---1--1-----
FRONT_--11----+-l-------
SIDE --+->--------
RE AR _________ _
;: ~ COMMENTS: ____________________________ _
...., <C
0: C
~ □ REDEVELOPIIENT APPROVAL REQUIRED:_...JiQ'-'---_f_~ ___________ ....:_ __
6~□ ....,_ ~ ~ ~ D LANDSCAPE PLAN COMMENTS : ____ .;._N __ ___,,-----------------
ADDITIONAL COMMENTS:...: _______________________ _
;: --.. OK ro ISSUE: if;; DATE:\Jl{I <t1 OK TO FINAL: ____ DATE: ____ _
•·· .. .. :~..:. ***********************************°***********************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED?_
0
,'-Ye:f::;;.a:_ __ A.P.N. CHECKED&
R. 0. 1-1: e-fl!;, T, •st! '
p .F .F .,_A::.....:..ld.:...A--_----PARK IN LIEU -~/4....,_./'-l-'-, ------------
' ~<?
IMPROVEMENTS:?/ §f sr,-rJc
r----is»v'T ________________ E.D.U: _.-.:::LZ:..<..:---'-'----------
SEWF.R: -=-~'-f'~/ _________________________ _
LATERAL : E?Y'-" T DRIVEWAY: &s--r':4/-< /!?:~ 4/2J-
GRADING PERMIT: -~'----'-'-A-'-----------------------....,
::> ..... ~ ;:§ DRAINAGE: _ _:_.t.....::;:::_ ________________________ _
~ □ -c □ .... ...., uo: ~::, □ "'0-0 u.J u"'
EASEMENTS: ._L..ffi.:_6_;_~_,_e_.,_,/4".'.:..c...;..~_~.:___-'T'--_ ADDITIONAL COMMENTS: _______ _
OK TO ISSUE:
* ENGINEERING IN N REQUIRED:_..L-c=.es-_.. ________________ _
PUBLIC ~'ORKS INSPECTOR: _____________________ _
FINAL OK: __________ _ DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTT'IENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)