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Home My WebLink About168 MAPLE AVE; ; VARIOUS; Permit" ELECTRIC^^ City of CARLSBAD, CAUFORNIA 920d#> « Applicant to comiHete numbered spaces only. PhOUe 729-1181 Permit No. 7^ ' JOB ADDRESS .LE6AL IDESCR. LOT NO. (•SEE ATTACHED SHEET) 2 ^r/^^ /•/' D0t*^r)^t MAIL ADDRESS CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. MAIL ADDRESS LICENSE NO. COMPENSATION INS CARRIER MAIL ADORESS USE OF BUILDING 8 Clan of work; • MEW •ADDITION I^ALTERATIGN • REPAIR 9 Datcriba work: J ^ 5 . //f,^ ^ , ^erui C C-. SPECIAL CONDITIONS: PERMIT FEES SWIMMING POOL WIRING, NO INCREASE IN SERVICE No. Each Fee AfTLICATION ACCefED tV PLANS CHECKEQ BY: APPROVEO FOR ISSUANCE BY NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 0AYS,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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ^ =^A|»g^ WHEN FRI (DATE) ,/ ISSUANCE FEE TOTAUFEiS 5 LY VAilOATED (IN THIS yi«!E) THIS IS YOUR WHMlT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALiOATtON CK. M.O. CASH INSPECTOR REQUEST FOR INSPECTION IMRPFHTDR / \ 4_ PERMIT N0._ OWNER TIME: DATE ADDRESS. BUILDING • FOUNDATION • REINFORCING STEEL • MASONRY • GROUT-GUNITE • FLOOR AND CEILING FRAME • SHEATHING • FRAME • EXTERIOR LATH • INSULATION • INTERIOR LATH OR DRYWALL • FINAL ELECTRICAL • TEMPORARY SERVICE • ELECTBJa-tJKfDERGROUND gi-RtJUGH ELECTRIC • POOL BONDING • ELECTRIC SERVICE • CEILING HEAT • G.F.I. n SMOKE DETECTOR • FINAL PLUMBING • UNDERGROUND PLUMBING • UNDERGROUND WATER • ROUGH PLUMBING • TOP OUT PLUMBING • SEWER AND PL/CO • TUB OR SHOWER PAN • GAS TEST • WATER HEATER • FINAL MISCELLANEOUS • PLENUM AND DUCTS • COMBUSTION AIR • PATIO • SIGN • GRADING • DRIVEWAY • CONDITIONED AIR SYSTEMS • REFER PIPING • FINAL READY FOR INSPECTION: • MONDAY • TUESDAY • WEDNESDAY • THURSDAY IDAY • A.M. • P.M/ < •WEDNESDAY •THURSDA QJIUJ> CXM^ y^^^^-SPECIAL INSTRUCTIONS REQUESTED BY. .PHONE Klo.. PERSON TAKING REP0RT<1 Z o t-< cc < o Ul a [~] I hereby afflrnn that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is in full force and effect. Lie No Class I tiereby affirm tha! I am exempt trom the Contrac- tor s License Law tor the following reason (Sec. 7031 5 Business and Professions Code: Any cily or counly wtiicn re- quires a permit to construct, alter, improve, demolisti. or repair any struciure, prior to its issuance also requires the ap- plicant for sucfi permit lo file a signed statemenl that he is licensed pursuant to lhe provisions of the (Jontracior s License Law (Chapter 9 commencing with Section 7000 of Division 3 of lhe Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption Any violation of Section 7031,5 by an applicant for a permit sub- jects Ihe applicanl to a civil penalty of not more than five hun- dred dollars ($500). M I. as owner ot the property, or my employees with wages as theif sole compensation, will do Ihe work, and Ifie struc- ture is not intended or ottered for sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who tiuilds or improves thereon and who does such work liimself or through his own employees, provided that such improvements are not intend- ed or offered lor sale. If. however, the building or improve- ment IS sold within one year of completion, Ihe owner-builder will have the burden ot proving Ihat he did not build or im- prove tor the purpose ot sale). C I, as owner of the property, am exclusively contracting with licensed contradors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each projects with a contraclor(s) license pursuant lo the Contracior's License Law). n As a homeowner I am improving my home, and the follow ing conditions exist: 1. The work is being performed prior to sale. 2. 1 have lived in my home lor twelve months prior to completion of this work. 3. 1 have nol claimed this exemption durtng the last three years. • I am exempi under Sec. for Ihis reason C O 1 hereby affirm that 1 have a certificate of consent to self insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 3800. Lalxir Code) POLICY NO COMPANY • Copy IS filed with the city Q Certified copy is hereby furnished CERTIFICATt OF EXEMPTION FROM WORKEflS COMPENSATION INSURANCE (This M943i'i\ffeed nol be completed if the permit isHpr^ne hundred dollars ($100) or less) • I cemty that in the pertormance ot the worV tor which this permit is issued, I shall not emptoy any person in any manner so as to become subject to the WorVers Compensation Laws of California NOTICE TO APPLICANT tf. after making this Cerli iicate ol Exemption, you should become subiect to the Workers' Compensation provisions ot the Latxir Code, you must forthwith comply wilh such provisions or this permit shall be deemed revoked Q I hereby affirm lhal there is a cori^iruclion lending agency 'or lhe periormance of the work fof which this permit is issued iSec »97 Civii Codei Lender s Name Lender s Address , USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619)438-5525 APPLICATION & PERMIT JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. LOT JO. eLOcK SSbSrfJoi^ ASSESSOR PABCgt NO! r £ OWN€ HIS NAME OWNER'S PHONE CONTBAVTOH'S ADDRESS OWNER'S MAtUNG ADORESS 1IPJION OF WORK ,' f . ••' / _ , T ' „ /f CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS DATE OF APPLICATION CONTRACTOR DESIGNER - C>FSIGN(R-S ADORFStS F/P FLR ELEV. GRADING PERMIT ISSUED Y • N • REDEVELOPMENT AREA NO STORIES TYPE CONST BUSINESS LICENSE # 7^ 0^ I CONTRACTORS PHONE # LICENSENO. DESIGNER'S PHONE 7 z.9-3osL OCC LOAD EDU FIRE SPP YG NQ VALUATION ZONE PLAN l.D. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUILDING SQ FOOTAGE Not Valid Unless Machine Certilied OTY. PLUMBING PERMIT - ISSUE 7^ QTY. MECHANICAL PERMIT - ISSU 3^ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU \ SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP 1 PLANCHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS - - - '— BOILER/COMPRESSOR 3 15 HP 1 TOTAL PLUMBING 01-00-00-8222 ... EACH GAS SYSTEM b OR MORE - - - '— METAL FIREPLACE ELECTRICAL 01-00-00-8223 ... EACH INSTAl. , ALTER, REPAIR WATER PIPE 1 ^— VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER 1 ^— MECH EXHAUST HOOO'OUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226 TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 - - TOTAL PLUMBIMG TOTAL MECHANICAL FlRESPRINKLERS 01-00-00-8227 - - QTY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE BRIDGE FEE NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP.'SWT'BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS) • CREDIT DEPOSIT TOTAL ELECTRICAL ! TOTAL SOLAR TOTAL FEES PAYABLE /p"^ f ^ ^ 1 HAVE.CAREFULLY EXAMINED THE COMPLEtED "APPLICATION ANO PERMIT" AND DO HEREBY CERTWY UNDER PENALTY OF PERJURY THAT. ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AAEI I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY V(/ITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILOING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP rtARMLESS THE OITY OF CARLSBAD AGAINST ALL L«BH ints. JUDGMENTS COSIS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANtiNS OFTHIS PERMIT. Expirtttion. Every permit issued by the Building Official underthe provisions of this Code Shalt expire by limitation and become null and void. If the building or worK authorized by such permit tS'^ot commenced within 180 days from the date of such permit, or if the building or worit authorized by such permit is suspended or abandoned at any iiitie efter the work is commenced lor a period of 180 days .GNATUR8 :rM^° CONTRACTOR BY PHONE • * AN OSHA PEBMIT IS REQUIRED FOR EXCAVATIONS OVER 5 O- 'fiEE^ ANO DEMOtrriON CSR CONSTRUCTION Of STRUCTXWfS OVER 3 STtWIES IN HEIGHT APPROVED BY DATE I TYPE j DATE INSPECTOR BUILDING ! FOUNDATION • REINFORCED STEEL I MASONRY ! GUNITE OR GROUT ' FLOOR & CEILING SUB FRAME \ SHEATHING • ROOF • SH^R FRAME 1 EXTERIOR LATH j INSULATION j INTERIOR LATH & DRYWALL i PLUMBING 1 SEWER AND BUCO DIPUCO i UNDERGROUND • WASTE • Vj/ATER TOP OUT • WASTE • W|TER TUB AND SHOWER PAN i GAS TEST J • WATER HEATER • SOLAR WATER 1 1 ELECTRICAL ! • ELECTRIC UNDERGROUND • lUFFER ROUGH ELECTRIC i • ELECTRIC SERVICE • TEMPOl|lARY • BONDING • POOL ' 1 1 MECHANICAL \ • DUCT & PLEM., • REF. PIPING HEAT —AIR COND. SYSTEMS ! VENTILATING SYSTEMS I 1 CALL FOR FINAL INSPECTI ITEMS ABOVE HA ri0N VEB WHEN ALL APPROPRIATE BEEN APPROVED. FINAL 1 PLUMBING 1 ELECTRICAL 1 MECHANICAL [ I GAS BUILDING SPECIAL CONDITIONS ^ [ 1 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COfVIPLIANCE PRIOR TO FOUNDATION INSP SOILS COfVIPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS UJ o o z o < OC < (J UJ o I hereby affirm that I am Iicensed under laions of Chapter 9 (commencing with Sectton 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lc [(q^'^/^ I hereby affirm that 1 am exempt from the Contrac- tor's License Law tor the following reason (Sec. 7031 5 Business and Professions Code Any cily or county whicn re- quires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance also requires !he ap- plicant tor such permit to tile a signed statement that he is Iicensed pursuant to the provisions of the Uoniractor s License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by an applicant lor a permit sub- lecls the applicant to a civil penalty of nol more than five hun- dred dollars |$500), I, as owner of Ihe property, or my employees with wages as their sole compensation, will do Ihe work, and the struc- ture IS not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend- ed or oflered for sale. If, however, Ihe building or improve- ment is sold within one year of completion, the owner-builder will have the burden ot proving that he did not build or im- prove for the purpose of sale). • I, as owner of the properly, am exclusively contracting with Iicensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or im- proves Ihereon, and who contracts for each projecls wilh a contraclor(s) license pursuant to the Contractor's License Law). [ J As a homeowner I am improving my home, and the follow- ing conditions exist' 1, The work is being performed prior to sale. 2, I have lived in my home tor twelve months prior to completion of this work, 3, I have not claimed Ihis exemption during lhe last three years. • 1 am exempt under Sec,, for this reason O CJ V) o iPC, n I hereby affirm that I have a ceriidcate of consent to self-insure, or a cerlificale of Workers Compensation Insurance, or a certified copy thereof (Sec 3800, Labor Code) O z POLICY NO COMPANY n Copy IS filed with the city Q Cenified copy is hereby furnished CERTIFICATt OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need nol be completed d the pef'mit IS for one hundred dollars iJlOO) or less) p( I certify that in the performance ot lhe *orV for Xvhrth this permit is issued. I shall not employ any ' person m any manner so as lo l^ecome subiect to the Woriters' Compensation Laws of California NOTICE TO APPLICANT If, after making this Cerli ticate of Exemption, you should tjecome subject to Ihe Workers' Compensation provisions of the LabO' Code you must forthAdh comply with suct^ provisions or this permit sriaii l3e deemed revoked n I hereby atfirm that there 'S a corisiruciior^ lending agency 'or the periormance of the woi^ tor which this permd is issued (Ser "1097 Civr Code:' Lender s Name _ Lender s Address . USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADOftESS A V. ST. R D. NEAREST CROSS ST. y LOT J BLOetC i-Swail VISION f ASSESSOR PARCEL NO. OWNER'S NAME OWNEWS MAILING ADDMSSS OWNER'S PHONE LNSUS TRACT GP*1AND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED DATE OF APPLICATION BUSINESS LICENSE # •73G/ CONTRACTOH CONTRACTOB'S ADOflESS '"^ CONTHACTOBS PHONE » .UNI KACIUH S» AUUHt:>:> DESIGNER CBI^IoTToF WORK !* ~~ f "^[^ ~. ~77 J-?- iiA. _l -CY"^ ^^^^^ / _t. --^ / C >» ' ' ..JtV^^/jm- STORIES r • N • REDE VE LOPMENT AREA TYPE CONST LICENSE NO; LICENSE » DESIGNER'S PMONE occ GP OCC LOAO EDU FIRE SPR ZONE PLAN I.O. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUILDING SO FOOTAGE Not Valid Unless Machine Certilied I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER GERTIFY AND AGREE fF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CAfiLSSAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHimMAY IN ANY WAY ACCRUE AGAINST SAID CITY I NOON SEQUENCE OF THE GRANTING OF THIS PERMIT. EkfMN^dri. Every permtt isSiied by the 6uMdir>9 Official urtder the provisions of this Code shall expire by Nmtti^dn and t>ecome nut) and void If tt>e budding or worl< authorized by such permit is oot commeneed within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any lime after ttie worli is commenced for a period of 180 days CONTRACTORJ^ BY PHONE O AN OSMA PERMIT IS REQUIRED TOB EXCAVATIONS OVER 5' 0" DEEP ANO DEMOLITION OR CONSTRUCTION Of STRUCTURES OVER 3 STORIES IN HEIGHT QTY. PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT - ISSU E 5-1 SUMMARY/ACCOUNT NUMBER sor EACH FIXTURE TRAP / INSTALL FURN, DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 0) EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 / < EACH WATER HEATER Ar»0'OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 iu4^ 1 EACHGASSYSTEM1 T040UTLETS BOILER/COMPRESSOR 3 16 HP TOTAL PLUMBING 01-00-00-8222 g EACH GAS SYSTEM b OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 lo -o 0) EACH INSTAl, , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 >- EACH VACUUM BREAKER MECH EXHAUST - HOOD'DUCTS MOBILEHOME 01-00-00-8225 WATER SOFTNER RELOCATION GF EA FURNACE/HEATER MOBILEHOME PARK INSP (/) to EACH ROOF DRAIN (INSIOEl SOLAR 01-00-00-8226_ O o TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 QI TOlAl PLUMBING FlRESPRINKLERS 01-00-00-8227 03 TO QTY. SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 Q QTY. ELECTRICAL PERMIT - ISSUE QTY. SOLAR - ISSUE BRIDGE FEE s NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE - DISTRICT O c IPH 3PH STORAGE TANKS Carlsbad 80-92-21 •0519 ra c EXIST BLDG EA AMP,'SWT'BKR ROCK STORAGE Encinitas 80-92-22-0519 LL IPH 3 PH PUMP San Dieguito 80-92-23-0519 1 REIVIODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 1 c TEMP POLE 200 AMPS ree OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT o TDTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE Inspec ; TYPE 1 DATE INSPECTOR BUILDING ; FOUNDATION i REINFORCED STEEL \ MASONRY ! GUNITE OR GROUT • FLOOR & CEILING SUB FRAf^E ; SHEATHING • ROOF • SH^AR FRAME ' EXTERIOR LATH ! • INSULATION [ INTERIOR LATH & DRYWALL l i PLUMBING [ SEWER AND BL/CO DIPUCO i UNDERGROUND • WASTE • jWATER TOP OUT • WASTE • WATER TUB AND SHOWER PAN i GAS TEST ; • WATER HEATER • SOLAR WATER —— T 1 ELECTRICAL \ • ELECTRIC UNDERGROUND DIUFFER 1 ROUGH ELECTRIC I • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL | —.—_ 1 1 MECHANICAL ] • DUCT & PLEM., • REF. PIPING HEAT — AIR COND. SYSTEMS \ VENTILATING SYSTEMS 1 1 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAME BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSl PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOL fs SPECIAL MASONRY PILES CAISSONS. < o o flC Ui a 3 UJ z o ri 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 anjteffecL y) / Lie No Pr'^'y /^ ^ Class _C„ I hereby attirm that I am exempt Irom the Contrac- tor's License Law tor the following reason (Sec. 7031,5 Business and Professions Code: Any city or county which re- quires a permtt to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permil to tile a signed statement that he is Iicensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commencing with Section 700D of Division 3 of the Business and Professions Code} or ttiat is ex- empt therefrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by an applicant for a permit sub- jects lhe applicant to a civil penalty of not more than five hun- dred dollars ($500). n I, as owner of the property, or my employees with wages as ttieir sole compensation, will do the work, and the struc- ture is not intended or ottered for sale (Sec, 7044, Business and Professions Code: The Conlraclor's License Law does not apply to an owner of property who builds or improves Itiereon and who does such work tiimself or through his own employees, provided that such improvemenls are not intend- ed or offered for sale. If. however, the building or improve- menl is sold wilhin one year of completion, the owner>builder will have the burden of proving Ihat he did not build or im- prove for the purpose of sale). • I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracior's License Law does not apply lo an owner of properly who builds or im- proves thereon, and who contracis for each projects with a conlraclor(s) license pursuant to the Contractor's License Law). • As a homeowner I am improving my home, and the follow-ing conditions exist: 1, The work is being perlormed prior to sate. 2, I have lived in my home for twelve months prior to completion of this work 3, I have not claimed this exemption during the ^st three years. • 1 am exempt under Sec,, tor this reason Z o o , B&P,C. • I hereby affirm thai I have a certificate of consent to self-insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY Q Copy IS filed with the city • Certified copy is hereby furnished CERTIFICATt OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not tie completed if the pefmit IS for one hundred dollars ($100) or less) FM certify that in the performance of the worV tor Iniich this permit ts issued, t shall not employ any •person m any manner so as to become subject to the WorVers Compensation Laws ot California 5-NOTICE TO APPLICANT If, after making this Cerli ficate of Exemption, you should t)ecome subiect to ^Ihe Workers' Compensation provisions of the Labor Code, /you must forthwith comply with such 'provisions or this permit shall be deemed revoked z Q I hereby affirm that mere is a conslruction lending agency tor the performance of the work for which this permit is issued (Sec 3097, C'vii Codei Lender s Name_ Lender s Address . USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, Calitornia 92008-1989 (619) 438-5525 APPLICATION & PERMIT i(]B ADORtSS AV.ST.RD. MMflEBT pROSS ST. LOCK I SUfloTviSIQN A-...r-.Mjn PARCEL NO OWNER'S NAUt owhien'SPHONe OWIMEH'S MAILINCi ADQRFSS DESCRIPTION Of WORK CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS DATE OF APPLICATION <r- //- "fy CClNTRACTOR nCSHiNFI- nrs'ijNtR s «:)nF>i P F LR ELEV. GRADING PERMIT ISSUED V • N O REDEVELOPMENT AREA NO STORIES TVPE CONST I HAVE CAREI-ULI.^ i -bMIM.!) fMk UjMPLGlfca "APPUCAUCIM *l|fljiKHjl«tr:jMID. CERIIFY UNDER PENALTY OF PERJURY THAT- ALL INFQrtrtWlMfHWEyff'lf . , [ibCLARATiONS ARE -"HUE AND raHRECTAND I FURTHELR CERTIFY AKD AGREE IF A PERMIT (& ISSUED- TO COMPLY WlfH All CITY COUNTY ANO STATE LAWS QOVERNING BUILOING CON- srnucTiON WHETIII •• SI'i ',i>-ii i> >ii RtiN \M |«3T I ALSO UtVUh'Vb SAVE JODEMMF-Y ANO Kl-tP HARMLESS IHI < -t ri| I '.Hi illAD AKAINST ALL LIABILiri^ JIJOaMLNTS, COSTS AND tXPENSES WHiCH MAY IN ANY WAY ACCRUE AtJAINST SAIO CITY ffl CONSEQUENCE OF THE (jaANTING OF'HIS PERMIT - — - - '..i-™-^^ BUSINESS LICENSE A CONTRACTORS PHONE • LICENSE NO DESIGNER'S PHONE FIRE SPR VALUATION ZONE PLAN l.D. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUILOING SQ. FOOTAGE A,!/ ,'-v i :t^ef0/ QTY. PLUMBING PERMIT • ISSUE QTY, MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER /' EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILOING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 / EACH WATER HEATER AND/OR VENT >^ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 EACH INSTAl, , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 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 (INSIDE) SOLAR 01-00-00-8226 TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 TOTAL PLUMBING //SO FlRESPRINKLERS 01-00-00-8227 QTY. QTY, SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELtCIHICAL PbHMir - ISSUE QTY, SOLAR - ISSUE BRIDGE FEE NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE - DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01.00-00-8162 TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT TOTAL ELECTRICAL | TOTAL SOLAR TOTAL FEES PAYABLE | EjUMiauaii tWr permitmiiadbril*BuildingOlhoalnnla'ltapi-n imrirtniis -CM* MMll M|»r« bv niniiuwn •n« iwcaBW nun anil nam il inr'buiidiiig O' word •ulhormd by auch parmit la nol comimnced mnlliin 180 days Irom tho aale ol mch parmit. or it ttw building or work auinoruEad by auch permit is suspended or abandoned at any lime after itie work is commenced tor a period ul I80 davs ^ APPIIMNT-S SIGNATURE * ()WMFR!> "< INIUAI->.1R£^ * AN OBHA PERMIT IS REOUmED FOR EXCAVATIONS OVERA 5 0' DEEP ANO OEMOIITION OR CONSTRUCTION OF STRUCTURES OVf R ) STORIES IN HEIGHT ONTRACTOR* BY PHONE £1 APPROVED BY TYPE [ DATE INSPECTOR BUILDING ; FOUNDATION i REINFORCED STEEL \ MASONRY ! GUNITE OR GROUT i FLOOR & CEILING SUB FRAME \ SHEATHING • ROOF • SHE^R FRAME 1 EXTERIOR LATH INSULATION J INTERIOR LATH & DRYWALL i PLUMBING SEWER AND BUCO DIPUCO i UNDERGROUND • WASTE • V/ATER TOP OUT • WASTE • WATER TUB AND SHOWER PAN i GAS TEST ; • WATER HEATER • SOLAR WATER 1 1 ELECTRICAL ! • ELECTRIC UNDERGROUND • IjJFFER ROUGH ELECTRIC 1 • ELECTRIC SERVICE • TEMPOljlARY • BONDING • POOL ! • 1 1 MECHANICAL ' • DUCT & PLEM., • REF. PIPING HEAT — AIR COND. SYSTEMS 1 VENTILATING SYSTEMS 1 1 CALL FOR FINAL INSPECTIi ITEMS ABOVE HA TlbN VEB WHEN ALL APPROPRIATE BEEN APPROVED. FINAL ; PLUMBING 1 ELECTRICAL \ ^ MECHANICAL ! {VV GAS . VP^^ BUILDING vl SPECIAL CONDITIONS [ 1 FIELD INSPECTION RECORD REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES *• INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP i SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS DATE: APRIL 28, 1978 TO: PLANNING DIRECTOR BUILDING DIRECTOR FROM: Assistant City Manager SUBJECT: APPEAL TO CITY COUNCIL - WAIVER OF SEWER CONNECTION FEE - John H. Downey Attached is infonnation pertinent to the subject item. As you recall, the City Manager asked that you research the Code to see if he is correct in his assumptions as set forth in his memo to the City Council dated April 12, 1978. WILLIAM C. BALDWIN Assistant City Manager WCB:ldg Atts. Memo to Council from City Manager Memo to City Manager from City Engineer (Lit., CJt^./L. John H. Downey Ullt Hutchison Vista, California 92083 April 17, 1978 Carlsbad City Council 12D0 Elm Street Carlsbad, California 92008 BentlemBn: After a review of the existing situation regarding the qppeal for relief of seuer hook-up fees at 168 Maple Street, we wish to withdraw the appeal brought before the council on April 1978. Thank you for your consideration in this matter. Sincere DATE: APRIL 12, 1978 TO: CITY COUNCIL FROM: City Manager SUBJECT: SEWER CONNECTION FEE APPEAL John H. Downey As a result of the Council discussion regarding the appeal to a sewer connection fee by John H. Downey, the staff has reviewed the subject further in hope of clarifying the matter. There are three code sections which appear to apply. They are: 21.04.120 Dwelling unit. "Dwelling unit" means one or more rooms in a dwelling or apartment house and designed for occupancy by one family for living or sleeping purposes, and having only one kitchen. (Ord. 9060 S223). 21.04.200 Kitchen. "Kitchen" means any room or portion of a room used or intended or designed to be used for cooking or the preparation of food. (Ord. 9060 8239). 21.04.165 Guest house or accessory living quarters. "Guest house" or "accessory living quarters" means living quarters within an accessory building for the sole use of persons employed on the premises, or for temporary use by guests of the occupants of the premises. Such quarters* shall have no kitchen facilities and shall not be rented or otherwise used as a separate dwelling unit. (Ord. 9060 S232). In administering the sewer connection permit system, commercial and industrial property is rated based on an equivalent dwelling unit basis and, although we have recognized the problems inherent in this, rest rooms have been used as a measure of equivalency^ Residential housing, however, is measured by counting each dwelling unit as one sewer connection. In residential housing, the criteria for defining a housing unit is whether it has a kitchen or not. Since the property in question is in an R-3 zone, the zoning would allow the addition of a kitchen, making it a legal residence. Any such addition creating a legal residence would, however, fall under the sewer moratorium because it would require a sewer connection permit as a new dwelling unit. Page 2 Subject: Sewer Connection Fee Appeal - John H. Downey April 12, 1978 The staff conclusions reached from this additional review are that: 1. The guest house is being illegally rented. 2. A sewer connection permit is required because the addition of a kitchen would create a new dwelling unit. 3. The request for remodeling falls under the sewer moratorium. OLH PAUL D. BUSSEY City Manager PDB:vm MEMORANDUM - April 6, 1978 TO: City Manager FROM: City Engineer SUBJECT: Appeal to City Council - Waiver of Sewer Connection Fee (Agenda Bill No. 5403 - John H. Downey, 166-168 Maple) I understand that this item was referred back to staff for further infor- mation. In reviewing the Agenda Bill and staff report, as well as some of the comments at the meeting, it appears there is some confusion re- garding my memorandum dated March 14, 1978. In clarification, the $500 sewer connection fee determination is not for the existing connection of the single family unit with guest house. The $500 connection fee relates to the conversion of the guest house into a fully equipped (kitchen added) rental unit. The addition of kitchen facilities will result in an increase in the sewage flow to the treatment plant. The garbage disposal and cooking facilities will be an increase over the domestic sewage generated by the existing shower, sink, and toilet. Because of this increase in flow by change of the use of the building, I still believe that the application for building permit to construct a 6'8" X 11'6" kitchen addition is not exempt from the sewer moratorium. However, if this application is determined to be exempt from the sewer moratorium, the buildinq permit will require a sewer connection permit at the current rate of $500. Tim Flanagan City Engineer TCF:ms MEMORANDUM - March 14, 1978 '' ''^-^•'y^^ TO: City Manager FROM: City Engineer SUBJECT: Building Permit 78-58 - 168 Maple Avenue Mr. John H. Downey has recently purchased the above property. There are two existing structures on the lot which is zoned R-3. the front building is a residential dwelling. The rear building is a one-car garage and attached studio with a bathroom. Both structures are connected to the public sewer, but neither structure has paid sewer connection fees or monthly service charges. Since the rear structure does not have kitchen facilities, it is an accessory building or guest house, as defined by the zoning ordinance. As such, a separate sewer connection permit is not required for the rear structure. If the property is reviewed with current ordinances and policies in mind,the present use requires one equivalent dwelling unit connection. Mr. Downey has applied for a building permit to add a kitchen to the rear structure. With this addition, the rear building will become a second dwelling unit and, as such, will require a sewer connection permit of one EDU. For this reason, it is my determination that the proposed addition is subject tb the current building permit moratorium. The existing use is essentially the same as renting a bedroom within an existing dwelling unit. I am sure there are a number of single dwelling units throughout Carlsbad which are currently renting out rooms. If we issue this building permit, I believe any multiple bedroom structure in a multiple family zone could be argued to have as many existing sewer connections as existing bedrooms (or bath- rooms). If we are authorized to process this building permit, I believe we should require a connection fee at the normal rate of $500 for the rear unit. In addition, we should also collect the $2.00 per month service charge for the last two years for one unit, resulting in a back charge of $48.00. In addition to the sewer moratorium question, it is unclear whether the proposed use meets the offstreet parking requirements of the zoning ordinance. Depending upon the number of bedrooms in the front building, three or four offstreet park- ing spaces will be required. Tim Flanagan City Engineer TCF:FNL:ms c: Mr. Downey