HomeMy WebLinkAbout1330 OAK AVE; ; 84-531; PermitfJ) z
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O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Proleaalons Code, and my license is In lull force and effect. Ltc No ____ _ Class
I hereby alfirm thal I am exempt from the Contrac· 1or's license Law tor the lollow,ng reason (Sec. 7031.5
Business and Prolessions COde Any city or county whtch re· Quires a permit 10 cons1ruc1. aller. improve. demolish. or
repair any struc1ure, prior to 11s ,ssuance also requires !heap· phcant lor such permit 10 hie a s1Qned sta1ement lhat he Is
llcensed pursuant to !he prov1st0ns ol the tontrac1or's License Law (Chapter 9 commenc1n9 with Section 7000 ol
01v1s1on 3 of lhe Business and Professions Code) or that 1s ex· empt lherelrom and lhe basis for the allegeo exemp11on. Any
v1olat1on ol Section 7031 5 by an appHcant for a permit sub· 1ects the applicanl to a c1vll penalty of no1 more than live hun· dre<I dollars ($500).
l I. as owner ol the properly. or my employees with wages
as lhelr sole compensa11on. wm do the work and rhe struc·
ture Is no! intended or offered lor sale (Sec 7044. Business and Proless1on~ Code The Contractor's license Law does nol apply 10 an owner of property who builds or improves thereon and who does such work h1msell or through his own
employees. provided that such 1mprovemen1s are not intend· ed or offered lor sale II, however, the bu1td1ng or improve· menl 1s sold w1lh1n one year ol completion. the owner-bu1!der
will have the burden ol proving that he did not bulld or Im· prove tor the purpose ol sale)
n I, as owner ol lhe property. am exclusively contracting
with licensed contractors 10 construe! lhe proJecl {Sec 7044, Business and ProlessJons COde 'Tt1e Conlractor"s License
Law does nol apply 10 an owner of property who builds or im-proves !hereon. and who conlracts for each pro,ecls with a
con1ractor(s) llcense pursuanl to lhe Contraclor's license Law).
[J As a homeowner I am improving my home. and lhe follow mg condrllons exist
1 The work Is being perlorme<I pno, to sale 2 I have llved in my home for twelve months
r'~!v~ ~~ip~r~i1~~g' 11~i; ~~!~pllOn durrng !he las1 three years
~r :h~~ ,:~~~~t under Sec -------B&PC
CJ I hereby affirm thal I hat. a cert1f1cate of consent 10 self insure. or a ri11tca1e ol Workers
Compensa11on Insurance. r a cen.hed copy thereol
(Sec 3800 Laber Codel
POLICY NO
COMPANY
0 Copy ts ftled w~the cl
0 Cer11f1ed copy h eby lurn,
CEATIFICAT EXtMPTI WORKERS' COMPENSATION (This sec11on need no! De co plet
1~ tor one hundreo dolla
0 I cen,ty !hat 1n !he perform c o\ iM work tor
which th,s pemut •S issued I s nol employ any
person 1n any manner was to come subrect 1t1
the Workers Compensat,on Laws I Ca11torn1a
NOTICE TO APPLICANT ii. aller mak,nJ th,s Ce~,
l1ca1e ot Exemptmn you shoulO become sub1ec1 I'>
tne Workers Compensation provisions o! the Labar
COde, you musl tor1h1A-1th comply w1lh such prov1s1ons or this perm11 shall be deemed re"'oked
O I hereby affirm lhat there 1s a cons1rut11on
1end1nQ aQency ro, !he per1ormance ol the wor'-101
which lhtS pe,m,1 ,s issued (Sec 3097 C1v11 COdei
Lenders Name~-----------
Lenders Address ------------
USE BALL POINT PEN ONLY & PHtsll """u CARLSBAD BUILDING DEPARTMENT . . --------"'· . ·--1200 Elm, Carlsbad, California 92008·1989 (619) 438·5525 ~---~--JOBAOOAES/330 ().I}/(. ~:;·RO. NEAR22~;4L4,vn nR 17~;;;N1 B~NSE;~~AL;T;~ PERMITNUMbc~
LOT BLOCK . ' I ~uaor.1/ls,~r,j • J A7R :.7. ,;::_ .33 . CONTRA:TOR • , , . CON1'RAC:RS PHONE:.-ZONE n _ ~ i '-" ~ 3 I
OWNER'S NAME • \. ... OWNER'S PHONE ft,1Ufl.PA1/ M I .A-Mr0•'i'Co , 2d1 -3,s~ t'( · I
M'J.MPI .T. C tJu fl> /0.L)~r coNTRACToR·s AOOREss u~N~No. PLAN ,.o. # BLDG usE CODE
o wNER,.SMAILINGAooREss _. 1'-1/L/ f.loAJQ,f,(... 6-r-I&· I ~o1.<fl't
. DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOO;;z:.
DESCRIPTION OF WORK })A,../ M,/;-c /.t.,t.L../__ J:!.. t; 7 1---------------------------------4 D'ESIGNER'S ADDRESS DESIGNER'S PHONE
_.t..!-=.Cc:J.P CONJTl?lite7i1'1 fiJ,971,l/?tJt>fi.? .,p FLAELEV No occGP Eou f 1/ultbti/'.u:1 ••
.J-/J~.JJ ao/1/77~u ra nu~/J."iu. vO NO ST/IES l<-...3 LULi/Liu~ ,fl/Oll[]u ~/'.·j:
CENSUS TAACl I GP LANO USE I PARKING SPACE RES UNITS I GRAOING PERMIT ISSUED ·I REDEVELOPMENT TYPE occ LOAD FIRE SPA
I --YON~, AREA ,o NV/ c~N II.ff vO N(Vv NotValidUnless MachmeCerldied
QTY PLUMBING PERMIT-ISSUE '2J"'o QTY. MECHANICAL PERMIT · ISSUE J,'1fl SUMMARY/ACCOUNT NUMF~ .'
EACH FIXTURE TRAP ii,. //!J' AO INSTALL FURN DUCTS UP TD 100.000 BTU BUILDING PERMIT 01-00-00-8220 V l5 b _'5 (./
EACH BUI LO ING SEWER " OVER 100 .000 BTU SIGN PERMIT 01-00·00·8221 -
-EACHWATERHEATERANO•ORVENT -,----BOILER/COMPRESSORUPTOJHP --·-e-PLANCHECK 01-00-:0o-:asos ,___~}[~ ~
EACH GAS SYSTEM I TO 4 OUTLETS _ _ _ t-.. _ ·---,--__ B~IL~/~MPRESSOR 3 15 HP_ TOTAL ~MBI~--01·00-00-8222 _
EACH GAS SYSTEM 5 0 R MOR( METAL FIREPLACE _ ,3 . OfJ ELECTRICAL 01-00-00·8223
1-_----,1-,._-E-AC-H INSTAl ALTER. REPAIR WATER PIPE -_ >-_ -VENT FANSINGLE ~CT -----z ~E.. .{)Q MECHANICAL ____ 0--l_·0'-'0--0'-'0--·8c.c2cc24_1----------.J
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01·00-00·8225
WATER SOfTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIO[i _ ~·" _SOLAR 01-00·00-1!226 _
---~~-.... TOTM MECHANICAL --70-: 0 STRONG MOTION 80-92-33-0519 -~ -:'/ L -
TOI Al PLUMBING 17 I 7 ,y(} 0 , CJ. FIRESPRINKLERS 01-00-00-8227 ____ _:..:...:..::...::.::...::.:c:.:..-4-________ -l
PUBLIC FACILITIES FEE 32-00·00·893:J QTY. ELECTRICAL PERMIT -ISSUE /'' ,_ QTY. SOLAR -ISSUE ----~"---<----
'\ '"" BRI--DG;..:;E:_F_E.:..E ___________ --+----------l
NEW CONST EA AMP SWl BKR COLLECTORS { ~I~ ..... A K I~ I J SCHOOL FEE. DISTRICT -------------
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21...c·0:.:5..c..19;__----------l
EXtSr BlDG EA AMP,SWT BKR ROCK STORAGE 11 11 I) il'IIN Enctntlas 80·92-22_-0_5_1_9--+-----·--
I PH 3 PH PUMP -'"'._ •• I 'w W San D1egu1lo 80-92·23-0519 ---
1 __ ..,__R_E_MODEL ALHR PER CIRCUIT 7<iO PLAN CHECK FEE City-of -a••• •AD-~-_ San Marcos 80·92·24·0519
TEMPPOLE 200AMPS · _.,-••••
OVER 200 AMPS BEYELOPMfNT PROCESS, IIU )tlCVS. ~ LICENSE TAX 01·00·00·8162 -
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 --1r-----------------,1--------CREDIT DEPOSIT
lOTAL ELELlRICAL I ~~I~ 5""0 TOTAL SOLAR TOTAL FEES PAYABL~ 1-I I/? fl~ .
t HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" ANO DO HEREBY Expiration. Every per.mit issued by the Building Ollic,at under the prov,s,onsolthis * AN 06HA PERMff Iii REQUIFIED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmllahon and become null and void If the building or work 5· O" DEEP AND DEMOLITION 0A CONSTRUCTION OF ' authorized by such perm,t ,a not commenced within 180 days from the date or such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 11 the building or work authorized by such permit is suspende<Mlr STRUCTUAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at any lime after the work 1s commenced for 8 oenod ol 180 ... ;..-"
~.~=~~=~=~~:~=~~=~~~b~L~,c~A=N~T~~~~~G~N~A:T~U~~~~~~~~~~~O~W~N~E~R~D~~C~-O~N~T~Ra~~~;-~~-A·P·P·R·o·~·o-B·v-----~-----·o·A·T·E-----~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE rL/.~ A. d A -. Bv"PHON{ c_j /7. ,I I / (,, /r
GRANTING oF TH,s PERMIT ,v ...,-, tf"Y u 'rJ..~c.__./" m1. /Vl ~r'4-
'-I I , .
---------·-------y----·---. .---. --------• -· ----~-------
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TYPE I DATE
BUILDING i
FOUNDATION I 1--.2. 1-,P
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF 0 SHEiAR
FRAME I
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
. PLUMBING I
SEWER AND BUCO OIPL/CO I
I----
/-/;'v:.i UNDERGROUND D WASTE D WATER
TOP OUT D WASTE WATER -
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAif"ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
0 ELECTRIC SERVICE 0 TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINP
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I '
I
ITEMS ABOVE HAVE, BEEN_APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
INSPECTOR
--r 7'y' ) ! ~
-
V"
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INS PE.CT ION REO IF I INSPECTORS
CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATl~.·~SP_ '."i -~_j ___ or/\llOJ.i.t··::···· --T
STRUCTURAL coNCRfn. I en
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TE'N$,ONE0
CONCRETE
FIE~D WELOl"IG
,11(",H STRENG Tf.<
BOLTS
SPECIAL MASONRY
PILES CAISS0i'.S
('·t·"'· ..•
i -+·---~
tf<-1 ,. 5" 3 I
INSPECTOR'S NOTES •
~
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, ..
City of Carlsbad
1200 ELM , CARLSBAD, CA 92008 • TEL. (619) 438-5525
'Job
Address ......: ~ 4 f .. ,..~ ",f
Owner _,; C, ' Jt!..l'Jof P -Mailing
E. Address (
City ~b I Zip oA Tel. ,-51, ~ 2.
Contractor L ..... '1z..1t" I'/ M >
Address ,
/JnNt.\~L
....
City l2t I~ Tel. ,-'s.3'3/
State Lie. City S Class,I 1-IIC"I Lie. No.
COMPLETE FOR PLAN CHECK ONLY
LEGAL DESCRIPTION
ASSESSORS PARCEL NO ISb-n-33
DESCRIPTION OF WORK ~bl) ti€:r1 f;;)(Ttwb
t,bAm 9.tJ ~I> .
PLAN ID NO. P #-~3/
DESIGNER ADDRESS
PHONE
"' /A_,v-r,,tt. CONTACT PERSON ,rt'l!, L'. ~
2 ti-5 33 I
,· ~
'jl ti.Al? t ~ Sig,,ature of Applicant Date 1111/kl uv
\..
MISCELLANEOUS
RECEIPT
MISCELLANEOUS FEE RECEIPT
D • PLAN CHECK FEE 01-00-00-8806
D VALUATION If/} '111 , I •
D DEMOLITION
D HOUSE MOVING
D PARKS AND RECREATION FEE
D PUBLIC FACILITIES FEE
D SCHOOL FEE · DISTRICT
D Carlsbad
D Encinitas
D San Diego
D San Marcos
D CERTIFICATE OF OCCUPANCY
n
D
D
D
D
D
D
D
D
D
D
TOTAL FEE
,,-"
?~
-~
/
A;/},;
$ l1b ..
*WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
COMMENTS:
~ . ... ~
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process·.. Gold -Assessor
------------~-------------~---~~~~{'.! ,,
I
•
PLAN CHEC K NuMaER Flf--s]J AD DR Ess /'3 s~ t:!3d M. .. DATE ~.I)"
PLANNING: TYPE OF STRUCTURE ~-~ ZONE:
SCHOOL FEES: SAN DIEGUITO --------ENCINITAS
CARLSBAD SAN MARCOS ----------------
REQUIRED SETBACKS ------
FRONT ---..J~--4--,1---..C---
FENCES/WALLS -----"<:""+-_..._ ___ _
-TWO CAR GARAGE
a:: u.J 3 u.J
------------
;: ~ COMMENTS: __________________ .....,:_!...!::.....,;~::..._------
u..1 c:i: a:: Cl
~ D ~80 ua:: u.J .....
a::~ D a:: O" 0 u.J ua::
RED EV ELOPr1ENT APPROVAL REQUIRED: _....J~...._~ _____________ ..:.,.._ __
LANDSCAPE PLAN COMMENTS :_--\J'--~"------------·------
ENV IRONMENTAL REQUIREQ_: __ ~~H~----------~------~
ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE: ~ DATE: M'\,o.. DK TD FINAL : ___ D/\TE: ____ _
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ~ A .. P. I~. CHECKED?b
P.F.F. ~k PARK IN LIEU ~
.s=::-l~r 1J / R.O.W: ~-IMPROVEMENTS: ~---"---------'-----------------
-------------E.D.U: ~
SHIER: e£..r'77~G
LATERAL: ~_r77~C, DR IVEWAY: ~
~ u..1 GRADING PERMIT:~~------~---------~---~
~ ~ DRAINAGE: _:rKL:::.L-=-------------------
~ D
-c:i D t-u.J u a:: u..1-
0:: ~ D a:: O" 0 u.J u a::
EASEMENTS : ~b~e-.h,'/'~r ADDITIONAL COMMENTS:
OK TO ISSUE: --~~=------DATE:_~..L,,l-~+--,,c.....;;.__,__ ______ _
* ENGINEERING INSP CT -~~~-~~~J-~~-~~~~~-------PUBLIC WORKS INSPECTOR: ~
FINAL OK: ------------DATE : ______________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)