HomeMy WebLinkAbout1331 Knowles Ave; ; 86-556_misc; Permit"' z 0 ~ a: :l " .. Q
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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 Professions Code, and my license is in
full force and effect.
L,c No Cla>s
I hereby amrm that I am exempt lrom the Contrac-
tor's License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-quires a permit to construct, alter. Imwove, demolish, or repair any structure prior to its issuance also requires me ap·
pl1cant for such permit to file a signed statement that he ,s
licensed pursuant to the provIsIons of the Contractor's
License Law 1Chapter 9 commenc,ng w,tt, Section 7000 of
D1v1s1on 3 of the Business and Professions COlJe) or that Is e~-empt therefrom and the bas,s !or the alleged exemption. /\ny
v1olat1on of 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)
;--I, as owner ol the property, or my employees witll wages as their sole compensation, will do the work. and the struc·
ture Is not intended or oflered !or sale (Sec 7044. Business
and Professions Code The Contractor's License law does
not apply lo an owner ol property who builds or improves
tllereon and who does such work h1msel1 or through hrs own employees. provided that such improvements are not intend·
ed or offered for sale 11, however. the building or improve·
men! Is sold within one year ol completion, the owner-builder
will have the burden ol proving 1hat he d;d not build or im-
prove tor the purpose ol sale)
LJ I. as owner of the property. am exclusively contracting
with licensed contr~ctors to construct the project (Sec. 7044,
Business and Professions Code: The Contractor·s License
Law does not apply to an owner of property who builOs or im-proves thereon, and who contracts 1or each proIects with a
con1ractor(s) license pursuant to the Contractor·s License
Law).
□ As a homeowner I am improving my home. and the follow-
ing condI1ions exist
1 The work is being performed prior to sale
2 I have lived In my home !or twelve months
prior to comple\1on ol this work
I have not claimed this exemptmn during the
last three years
C lamexemptunderSec ______ ,B&P.C. 1or this reason ____________ _
□ I hereby af!<rm that I ha,e acer11t1cate of consent to self-insure, or a cert,T,cate of Workers
Compensa!ion Insurance, or a cert,f,ed copy thereof
{Sec 3!!00. Labor Code)
POLICY NO
COMPANY
□ Copy IS hied with the c,!y
0 Cer11l1ed copy ,s hereby !um,shed
CERTIFICATE:. OF EXEMPTION FROM
WORK:ERS-COMPENSATION INSURANCE
(Th,s sect,on need no1 be completed 1! the perm,I
,s for one hundred dollars Is100I or less)
0 1 cert,ty that ,., the performance ot the worl< lor
wh,ch th,s perm,, ,s ,ssued. I shall not employ any
person ,n any manner so as to become subJeCT to
the Worl<e,s· COmpensatmn Laws ol CaI,1om,a
NOTICE TO APPLICANT If. after makin~ t11Is Cert,
l>cate ot Exempt,on. you should become subIec1 1')
lhe Workers· COmpensat,on prov,s,ons o! lhe Labo<
Code. you mus! for1hw,th comply woth such
p,ov,s,ons or 1h,s perm,! shall be deemed re,01<eo
0 I he,eby alflfm lhat there 15 a construr:II0<'
1endm<,i a<,iency !or the performance ol the wor1< lor
wh,ch this permn ,s •ssued !Sec 3097 Ci.,I Code,
Lenders Name ___________ _
lenOer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB AOOR1:SS
13 31 kn~w 1£.«
OWNER'S NAME
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
AV.,ST,·I DA-TE.·OF APPLICATION RD,' · · ,• <>+"_ ··; , A:!-.1.i-'cq ...
1'USINE$S LICENSE #
119'17
CQt{r,MCJ()RS PHONE#
7~
VALUATION
ZONE
PERMIT NUMBER
i&660 17td_~ev;f.,£tL
OWNER'S MAILING AOOAi,SA CONTRACTOR'S ADDRESS --,--LICENSE NO. I PLAN 1.0. # I BLOG USE COPE
I $JI -
0;~;•~";;,U/ufh;i/i. P/uMb~a
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LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESIGNER'S ADDRESS DESIGNER'S PHONE
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F/P FLA ELEV. NO
STORIES
OCC GP ijfil5 ~01 lfii22/56~RMT -) a Ii :f< I
crnsus TRAC, I c, cAND use I '"""""";.l'ce:f-r-:."r;TS I
QTY.I PLUMBING PERMIT -ISSUE 7-so
EACH FIXTURE TRAP
vO NO
GRADING ~EAMIT ISSUED ·r REDEVELOPMENT AREA
YO ND vO NO
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS VP TO 100,000 BTU
TYPE
CONST
3✓0d
OCC LOAD FIRE SPR
vO NO Nor Valid Unless lbchine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00·00·8220
-----
OVtH IU0,000 BTU . SIGN PERMIT 01-00·00·8221 EACH BUILDING SEWER
EACH WATER HEATER AND;DR VENT --L----. -~ J sOiLER1cO-MPREssoR uP TO 3 HP • PLAN CHECK 01-00-00-8806 1 +-~•-5e,-~ ~-S~_ILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 __ EACH GAS SYSTEM 1 TU 4 OUTLETS
1-----1---E_AC_H GAS SYSTEM 5 OR MORE METAL FIREPLACE . ELECTRICAL 01·00·00-8223 --·· ---------t---
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
I
! EACH VACUUM BREAKER -------+ ------+--~ECHlXHAUS.T -HOODlDUCTS _ . MOBILEHOME _ 01-00·00·8225
'-· _ _,:_wcc_ATER SOFTNER RELOCATION _o~_ EA FURNACE/HEATER _MOBILEHOME PARK INSP
_i EACH ROOF DRAIN (INSIDE)
-1
1 1 • SOLAR 01 ·00-00-8225 I . ---
__ , __ ·.--TOTAL MECHANICAL I __ STRONG MOTION 80·92·33·0519 -----/ c,, OC\ _ . F1RE SPRINKLERS 01·00·00·8227 TOTAL PLUMBING
QTYl ·I I
..--PUBLIC FACILITIES FEE 32-00·00·8923
ELECTRICAL PERMIT -ISSUE _5 ,,c)(J QTY. SOLAR -ISSUE ~BRIDGE FEE
-------------------+ --I---------• I NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT •----------
1 1 PH ]PH STORAGE TANKS Carlsbad ----~80-92-21-0519
EXIST BLOG EA AMPISWT"BKR ROCK STORAGE Encinitas 80·92-22-0519 ---3 PH
---
--
--
11 PUMP San Dieguito 80-92-23-0519
PLAN CHECK FEE _--:·------__ ____ __ S~~-~rco~-80-92-24-0_5_19_t=-+-----------J
1 PH
REMOOELALTER PER CIRCUIT
+---
TEMPPOLE 200AMPS
~ OVE_~-~~-~M~S _
' TEMP OCCUPANCY 130 DAYSI
----t<----+-
----+--------tf-3Iz= -------+-
--
,--
-----ii----+-
TOTAL ELECTRICAL TOT AL SOLAR TOTAL FEES PAYABLE r jt),O{)
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'" ANO 00 HEREBY
CERTIFY UNDER PENAL TY OF PERJURY JHAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY ANO AGREE lF A PERMIT IS
* AN 0SKA PEFNfT IS REQUIRED FOfl EXCAVATIONS OYER
·5' O" DEEP ANO DEMOLITION OR CONSTRUCTION Of"
STRUCTURES OVER 3 STORIES IN HEIGHT
Expiration .. Every perm. it i.saued t,ythe 9ti.1tding omc1a1 undfH'tne provisions of this I ·Code shall expire by limitation and become null and void. II the building or work
authorized by such permit Is not commenced within 180 days from the dale of such
permit. or rf the building Of wortr. authorited by such permit is suspended or
1SSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L!•~-~do!?;)ued~!"~·~•!l..!•~·m~•~·~··~·~'lthe!!!.W!!!!!O"'~'~•£C02ffl'?!J!menced!!!!£!!Uf~o,!_!.l~n~·ode,!.201L1ll80!QJ "'!n•~·-.::f'::~::,::~~:------------:::-::------,
STRUCTION, WHETHER SPECIFIED HEREIN OR NO. T. I AL.SO AGREE TO SAVE INDEMNIFY ANO ~ .... ~'.M . ~I T E Jf, . ~□ CONTRACT00 .4il-APPROVED BY -· UATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND~ ~ "'"t '<
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH , _,,, __, • _ .-11 BY PHONE 0
t:l~dJJTll<lt:l nJ: TMIC:: PJ:Rt.JIIT . ~ ..,,,,..__ .,.,,,
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DATE INSPECTOR . rsr,,, -5Sw INSPECTION TYPE -, BUILDING -FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE MASONRY CHECKED APPROVAL --
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE -
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING -
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
ELECTRICAL
TEMPORARY POWER -
ELECTRIC UNDERGROUND i ' I --
ROUGH ELECTRIC '
ELECTRIC SERVICE I I
BONDING -------
G. F. I. -SMOKE DETECTOR -~n MECHANICAL
'I ~~P..~ .... DUCT & PLEM., REF. PIPING r
-() G\~~~ r·.''.:~ -~ ·.· .. .. ~ . -HEAT -AIR COND. -SOLAR SYSTEMS -
VENTILATING SYSTEMS \)\jl ---a.&1111 .-_ .... -' ? -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE J..-•• ~ ...-
----ITEMS ABOVE HAVE BEEN APPROVED. ~•-
JOB SITE FINAL -· · -· -----~ ' PLUMBING 'I.'~
ELECTRICAL . ' ..J -
MECHANICAL -N"'\ C ~ ' --------
GAS N ' . -BUILDING -, \"\
SPECIAL CONDITIONS ~
, __
CERT OF OCCUPANCY ISSUED -
\
...
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOI AOOA E$S
ll P PMONl
MAIL AOORCSS
( 0
PHON[
--=1.-t 9-//7Y STATE LIC, NO.
MA.IL A00RCS5 PNONI. LICENSE NO,
4
MAIL ADOIU.SS PHOHC LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL AODIIICSS IIIU,NCH
6
use o, AUILOINC
7
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
SPECIAL CONDITIONS·
APPLICATION ACC£PTE~,8V,/ PLANS CH£Cl<EO BY APPROVED •OR ISSUANCE BY
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,
ALL PROVISIO NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR tHE PERFORMANCE OF CONSTRUCTION.
~/J
'·----· -,:-.,. / .<... \.. t ,, .
SIGNATU"E q,. CONTfLACTOR OR .a.ii'THbRl?EO AGENT
{{, /~
(DAT[)
SIC.N.t..T "" o, OWNER (I,. OWN£" 9UILOCR) DATE)
No.
.
I .
.
PERMIT FEES
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP SINK
GAS SYSTEMS. NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
-
CITY LIC. NO.
//317
Fee
$
.. ,
$ / J
CASH
REQUEST FOR
INSPECTION TIME ____ _
• Inspector ~.:.. -liiiifi10! o :;·::?-tt'lt l:Jg-, 2
· ;>
7
Lot Number
B'JILOING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. D .................................. D ............................... D Plenum & Ducts ....... D
Drywall .................... D Gas .......................... D Pool Bo · g .......... D Porch ........................ D
Fdn. Forms .............. D Water Heater ............ D ole .............. D Patio ........................ D
Steel ........................ D Sewer ................... D Driveway .................. D
Sheathing ................ 0 Undergrnd. Plbg ....... 0 Underground .......... 0 Sign .......................... 0
Lath .......................... D Undergrnd. Water .... D Ceil Heat .............. D Wall .......................... D
Frame ...................... D Rough ...................... D Rough .... ................ D Fence ...................... D
Final ........................ D Final ....................... I ...................... D Grading ..........•......... D
Ready for Inspection --Mon.. Tues.. Thurs., Fri. ---
. tdl 6 (L l, 8J/,:;t/ 1. I
f~Jr7~
·---~--~-----
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1 181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCR IPTION
REMARKS:
EXISTING BUILDING
' I
LATERAL LOCATION
ST.
I? I
LATERAL NQ. _______ INSTALLATION DATE---------t1
BUILDING DEPT.
ISSUED BY _________________ _
DATE ISSUED _...,~.._ ... __ 2 ..... 3_,_7__.?'-----------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') __________ _
OVER 30' H. ___ @.,.,_ ___ FT. _________ --;
OVER10'V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @ ____ FT·----------:
OVER 10' V. @ FT.---------"""
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTALLATERAL CHARGE---'--'--"',c_ __ -c
LINE COST DATA
ASSESSMENT DIST. NO.----------------'
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER--------------------,
CONNECTION FEE
NO. UNITS--,--COST PER UNIT---TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL---
! /d D'c) TOTAL CHARGES (LATERAL ETC.) __ __,&2_,__'"'~"---"I~----