HomeMy WebLinkAbout1340 OAK AVE; MULTI-PERMIT FILE; 85-640; Permit0. a-
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USE BALL POINT PEN ONLY & PRESS HARD
- -
0 I hereby affirm that lam licensed under
L - o "provIsion.of Chapter 9 (commencing' with-
Section 7000) of Division 3 of the Business
,and Profeaüions Code, and my itcenseis in i
L
* full force and effect. - I
C. No. - Class
- I
hereby, aftirm that I am exempt from the Conlrac-
lor'SL,License law for.the following reason )Sec. 7031.5
- Business and Professions Code: Any city or county which re- I
quires a permit to construct, atrer. improve, demolish, or
repair any structure, prior to its issuance also requires he ap- plicant for such permit to file a signed statement that he is I
liáensed pursuant to the. provisions of the Contractor's I. License Law Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that is en-
empf therefrom and the basis for the alleged euemption. Any
violation at Suction 7031 .5.by an applicant for a permit sub'
-' jects the applicant tea civil penalty of not more than live hun'? died dollars ($500).
t, as owner of the property. or my employees with wages
'.ás their sole compensation, will do the work, and the sfruc I 'tore is not intended or offered for sale (Sec. 7044. Business F and Professions Code: The Contractor's License Law does - I . not apply to an owner of property who builds or improves I m , thereon and who does such work himself or through his own
- employees:'provided that such improvements are not intend
tEl ed or offered In, sale.. It., however, the building or improve- , I,-
Z mentis sold within one year of completion, the Owner-builder
- will have the burden 01 proving that he did not build or im-
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, -
Business andProlessians Code: The Contractor's License Law does not apply loan owner of property who builds or im-
proves thereon, and who contracts for each projects with a . I I - contractor(s) license pursuant to the Contractor's License T't Z , Law). .. 2 '-- a •-" - 0 As a homeowner lam improving my home, and the fellow' 4 - ing conditions exist:
- •: 1. 'The work is being performed prior to sale. I 2. I' have lived in my home for twelve months
- prior to completion of this work:'.'.
tot . 3. I have not claimed this exemption during the I last three years.
,
0 lam exempt under Sec. - B & P.C.
* '
- for this reason
,n • ,,,.''-
D. 1 hereby altirm that I have a certificate of consent to I
sell-insure. or a certificate of Workers Compensation In.
- nurance, era certified copy thereof (Sec. 3000. Labor Code)
u- POLICY NO, Z ---- - *- S.
0 Copy is tiled with the cily
'Zo
_, 1.
Li Certified copy is hereby ternlshedvt •
- • .n w. . - •' . .5.. - •. ,... .-
•
- - 0 CERTIFICATE OF EXEMPTION FRoM". 0 • 4 WORKERS' COMPENSATION INSURANCE
" (This section need not be completed if the permit
- - is In, one hundred dollars 01001 or less) Ui -
.thsprmil is issued. I shall net employ any person in any
maooer so as to become subject In the Workers' Cnmpen. - saline Laws of California.
- NOTICE TO APPLICANT: It, attr- making this Certificate F
a- , of Eoemptior:'ynu should become subject to the Workers'
Compensation provisions of the Labor Code, you must
be deemed revoked,. . .
IL. - •. -•- .5- -.-
- . ' .0 1,1 hereby affirm that there is a Construction tending
agency for the'perfermance of the work for which this per. Lu 0) 111 mit is issued ISec. 3097, Civil Code) ZI
toil Lender's Name
4 -'I ài
' I Lender's Address ' *
__..j..,._
APPLICANT TOFILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT- \ ./-(( -, Arri..iCA APPLICATION i 10N & -PERMIT.- -
Carlsbad, - ... ' ..• . . . California 92008-1989 (619) 438-5525'
JOB ADDRESS . ()sir. . NEAREST CROSS ST.. . - -- OATE,pP A CATION BUSINESS LICENSE# - . VALUATION ' _PERMIT NUMBER
oAc Ave-.- -14i4 L.AO
ZONE LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR /L'"/a, CONTRACTORS PHONE
OWNER'S NAME
a
OWNER'S PHONE D
T4 '° 5 - /7 (i5j CONTRACTOR'S ADDRESS . LICENSE NO. .,PLAN 10.# -. BUILDING SO. FOOTAGE
OWNERS MAILING ADDRESS
3 9 OAK__S Av DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WOR a
- DESIGNERS ADDRESS LICENSE NO dut1i3
p(KP :': ,
F/P ' FLRELEV.
•
OCCGP EDU
- •--.—:
/ . -' - - -- . YO ND
Ml - . CENSUS TRACT GP LAND USE -PARKING SPACE ':RESUNITS GRADING PERMIT ISSUED REDEVELOPMENT * TYPE 0CC LOAD FIRE SPR
AREA CONST
0 o prove for the purpose of sate). nO ND - YD, ND ' , - YO NO - - NotValid Unless Machine Certified "
QTY
* - - - - _
PLUMBING PERMIT ISSUE
- -4 - I' -; ' OTY - . .. -. MECHANICAL PERMIT ISSUE . -" 3 - - - . • - SUMMARY/ACCOUNT NUMBER
-- EACH FIXTURE TRAP • '- r , - INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT - 00181O-00'00-8220' "
EACH BUILDING SEWER OVER 100,600 BTU SIGN PERMIT 001-81 1 0 00008221
-
EACH WATER HEATER AND/OR VENT '. ' , BOILER/COMPRESSOR UP 103 HP PLAN CHECK 001-810-00-00-8806 - *
EACH GAS SYSTEM I TO 4 OUTLETS._' - BOILER/COMPRESSOR 3-15 HP " - - - • TOTAL PLUMBING - - - 001-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
-
EACH INSTAL., ALTER, REPAIR WATER PIPE ' - , -' VENT FAN SINGLE DUCT * - -- • ' -. - MECHANICAL - 001-810-00-00-8224
.' EACH VACUUM BREAKER . - - . - MECH EXHAUST - HOOD/DUCTS • - . - - MOBILEI')OME 001-810-00-00-8225
W'ATER SOFTNER , . - . RELOCATION OF EA FURNACE/HEATER - • - - MOBILEHOME PARK INSP • -
- EACH ROOF DRAIN (INSIDE) - . . ' • - - -.:' - ' SOLAR - - 001-81 -00-8226 - • - - •
- - - TOTAL MECHANICAL - -
we
=
• . -
-
STRONG MOTION -- • .88O'5i992-33. -. _- -- ' *
TOTAL PLUMBING ' *
. 1' • - ,' - FIRE SPRINKLERS 001810-0000:8227 -" .. -, •
4 -' , PUBLIC FACILITIESFEE332_810_00_00_8930 ).
0 'COt PAtY QTY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR- ISSUE - • - • c,
D.t cernily that in- the pertormunce of the work for which
p ., - -- , - ____-.'.•'' --'
NEW CONSTEAAMP/SWT/BKR *r • COLLECTORS • --.•- SCHOOL FEE _-p ______'' *•••4,_
1PH ___3P.H""•• c(STORAGETANKS -.• -'-. -CarIsbd
-
EXIST BLDG EA AMP/SWT/8KR w.ROCKSToRAGE,. ___,.. — EnClgllaS -..-
-
1PH '- 3 PH I PUMP SanDtegut(o
REMODEL,'ALTER-PERC(RCUIT _--, ' '' PLANCHECKFEE. -. __• .f f-San'MarCoS -'--,_•-rI'
-
TEMPPOLE -200 AMPS ° ' I - -•— - __'N..
- OVER 200 AMPS ' __- __- ---.-- ,, ,LICENSE TAX 0O1-810-00-00-8162
_.--._[-TEMP OCCUPANCY (30 DAYS). ..•. -' MFF 880-519-92-57
- forthwith comply with such provisions or this permit shall.. CREDIT DEPOSIT '
TOTAL ELELTRILAL
-
'TAL SOLAR OT ' ' 'TOTAL FEESPAYABLE__
I HAVE CAREFULLY EXAMINEDTHE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Eopiration.Evenypermitissuedbythe8uitdingOfficiaIunderrheprovisionsoithis - * AN OSHA P€RM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void, If the building or work 5'0" authorized by such permit is not the date of such DEEP AND DEMOLITION OR CONSTRUCTION OF commence within
ork DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildin or authorized by such :m5 suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abando rmit
nedaIanylimeaer the work is commenced for a period of180days.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPANT'S SIGNATURE) OWNEPP CONTRACToR 0 APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS
EXPENSES WHICH MAYAN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
COSTS AND
OF THE BY GRANTING OF THIS PERMIT. PHONE 0
-
I
-.2 -..
---- - -
FIELD INSPECTION RECORD
- REQUIRED SPECIAL INSPECTIONS - INSPECTORS TES
INSPECTION, REO. IF
CHECKED
INSPECTORS DATE
PRIOR TO
SOILS COMPLIANCE
FOUNDATION INSP
I
STRUCTURAL CONCRETE
OVER 2000 PSI ,e/aaA .Q_LftA_.._4'
5 ,-
_-
PRESTRESSED
CONCRETE
.
-
POST TENSIONED
CONCRETE
- -.
FIELD WELDING
.-
HIGH STRENGTH
SPECIAL MASONRY
PILES CAISSON'
- . .. '-..
--
- . •• .
CALL FOR FINAL INSPECTYON'WHEN ALL APPROPPJATE ITEMS ABOVE ARQVE HAVE REEN APPRQVED ;J J I
FINAL
PLUMBING ______ ./"•..i_
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIALCONDITIONS
TYPE . DATE INSPECTOR
BUILDING
FOUNDATION..
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEII4ING
SHEATHING . 0 ROOF 0 SHEAR
FRAME--.
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
0 SEWER AND BL/CO 0 P(/CO
UNDERGROUND 0 WASTE DWATER
TOP OUT 0 WASTE / 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND D!UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPRARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT AIR COND. SYSTEMS - - v ' A-
VENTILATING SYSTEMS
I.
•;. •.. -..-. •;.-- .•• •-
BUILDING PERMIT-APPLIC TION
City of CARLSBAD, CALIFORNIA 92008
Aoølicant to comø/ete numbered søaces on/v. Phone 729-1181 Permit No. / i
JOB ADDRESS ., . ASSESSOR'S
PARCEL NUMBER
LOT NO. BLK TRACT BOOK PAGE PAR.
LEGAL (E:JSEE ATTACHED SHEET) 1 DESCR.
OWNER
2 , •,
OI,I! ADDRESS. K
.,
ZIP
,
•" PHONE
.
CONTRACTOR MAIL ADDRESS PHONE - LICENSE NO. STATE CITY
ARCHITECT OR DESIGNER TMAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
1
8 Class of work: U.NEW U ADDITION U ALTERATION U REPAIR U MOVE / EIREMOVE
9 Describe work: ."g -
/1 ., ,-. ,; - /
,•-
10 Change of use from , " , .• , , • ,•. •I. . . ' .
Change of use to
11 Valuation of work: $ PLAN CHECK FEE $ '" f PERMIT FEE $
SPECIAL CONDITIONS: Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
0cc. Load
Fire •
Zone
Use .
Zone
Fire Sprinklers
Required U Lives No APPLICATION ACCEPTED BY. PLANS CHECKED BY - , APPROVED FOR ISSUANCE BY
LATE -. '
No. of SPA INo :
r
::Ti:::ING
DATE , Owefling Units _______
NOTICE Special Approvals Required Received Not Required
PLANNING DEPT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
HEALTH DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF
SOIL REPORT CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) MENCED.
ENGINEERING DEPT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
WATER DEPT. ALL PROVISIONS 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
PROVISIS OF ANY..OTHER STATE OR LOCAL LAW REGULATING
CONSTR-t9çTION 0.14 rHE PERFORMANCE
Ile le
OF CONSTRUCTION.
SIG'NAJURt OF TRACTOR.,OR AUTHORIZEO
L 4
AGENT (DATE)
Al
$FtNATU_OF_OWNER_'OWNER_BUILDERI rIF RE
ED ON THIS SPACE) THIS IS YOUR PERMIT
ASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR • •• -•
1 S
NSPECTION RECORD
DATE . REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL&
WEATHER PROOFING
CONCRETE SLAB
FRAMING 0
INT. LATHING OR DRYWALL
EXT._LATHING
MASONRY
FINAL
0
-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
MODEL NO.
BUILD %G PERMIT APPLIC TI@77e 500 BP
City of CARLSBAD, CALIFORNIA 92OO 79I!-
Applicant to complete numbered spaces only. Phone 729-1181 et./f - / S73'
JOB ADDR ESS ASSESSORS
LEGAL IOESCR.
LOT NO.
-
ILISEE ATTACHED SHEET)
BOOK PAGE PAR.
.0W R MAIL A ESS ZIP
2
. -_ i' 7:9
. PHONE
9
C RACTOR MAIL ADDRESS
Zz PO 13 , &-40A)
PHONE
00"
STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONt LICENSE NO.
ENGINEER MAIL ADDRESS
5
PHONE LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
6
. BRANCH
USE OF BUILDING -.
1
.
-
NO. BORMS__________ NO. BATHS__________
8 Class of work: El NEW LI ADDITION LI ALTERATION El REPAIR 0 MOVE XREMOVE
9 Describe work.
,
eii?
.
-4(á74. TO I,4i
10 Change of use from
Change of use to
/L- .
11 Valuation of work: $ . . PLAN CHECK FEE S 7 .
PERMIT FEE $5
SPECIAL CONDITIONS. Type of
COnst.
Occupancy
Group
MICRO FILM FEE
- . -
- Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
0cc. Load
H Fire
Zone
Use
Zone
Fire Sprinklers
Required Elves EINo APPL TI MACCEPTED BYh
/ I DATE I. S I
PLANS CHECKED BY
.
APPROVED FOR ISSUANCE BY
DATE
No.of
. . Dwelling Units
-
OFFSTREET PAR KING SPACES:
No No.
Covered Sq. Ft. Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
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 PROVISIONS 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
PROVISIONStOF PNY OTHER STATE OR LOCAL LAW REGULATING CONSTRU 11f?N OR I4C r ORMANCE OF CONSTRUCTION.
Special Approvals Required Received Not Required
PLANNING DEPT.
HEALTH DEPT
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNAiRE OF CONTRACTOR OR AUIOI,Z..ENT ATEI /
SIGNATURE OF OWNER _(IF _OWNER _RU_ILDERI (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA
.10
TOTAL FEES $