HomeMy WebLinkAbout1731 SCHOONER WAY; ; 86-452; PermitCl) z 0 ;=
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0 I hereby affirm lhat 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.
lie No ______ Class
I hereby alf1rm thal I am exempl from lhe Con!rac· tor's license Law tor !he lollowmg reason (Sec 7031 5
Business and Professions Code Any city or county whicn r9" quires a permi1 to cons1ruc1. alter, improve demohsh, or repair any structure, poor to 11s issuance also requires !heap• phcant lor such perm,1 lo hie a signed statement that he ,s
lttensed pursuant 10 the p1ov1sioos of lhe Conlraclor s License law {Chapter 9 commencmg w11h Section 7000 of
0Mston 3 of the Busmess and ProleSSIOf1S Code) or that 1s ex· empt lherefrom and the basts tor lhe aUegeo exempuon Any
vmlal10n of SectJOn 7031. 5 by an applttant for a permit sub·
,ects the applicant to a c1v11 penally of not more lhan five hun-
dred dollars ($500).
'1 I, as owner of the property. Of my employees w1th wages
~!h1~1rn:1~~e::nos;~~~r~i't~~l~e ,r:~ 7g~~ .1~~~~~~;
and ProfessM)tl~ Code The Contractor's Lteense Law does
not appty 10 an owner of propeny who builds Of improves
!hereon and who does such work himself or through his own
employees. provided Iha! such improvements are nol mlend-
ed or o11ered lor sale If, however, 1he build mg or 1mprove-men1 1s sold w1th1n one year of com n, the owner-buclder
wm h e urden P2:!f9 t h did not build or ,m-p,.,,.. ur e ol ~ ~'-'1.-<,'V'~
O I, as owner ol the0 property, am exclus1 ly ntJacllng wllh licensed contractors to construct the pr ( 7044.
Busmess and Professions cooe. The Contr ltcense Law does not apply to an owner of property who 1lds or im-
proves thereon, and who contracts tor each prOjects with a
contractOf(s) license pursuant to the Contractor's Liunse Law)
O As a homeowner I am 1mprovmg my home, and the follow
ing cond111ons ex:1st. 1. The work 1s being per1ormed pnor to sa~
2. I have hved m my home for 1welve months prior to complet1on of this work
3. I have not claimed this exempllon dunng the
last three years
D 1amexemplull<lerSe<: ______ .B&P.C tor this reason ____________ _
0 I hereby aflum that I have a certificate of consenl to
self-insure. or a certificate of Workers' Compensation In-
surance. or a cert11ied copy thereof \Sec. 3800. Labor Code)
POLICY NO
COMPANY
C Cooy 1s hied with the city
D Certified copy is hereby lurmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This sec11on need not be compleled if the permit
is for one hundred dollars {S1C)O) Of less)
D I certtty !hat In the performance of the work for which
this permit is issued. I shall not employ any person in any
manner so as to become sub1ect to the Workers' Compen-
sation Laws ol Cahfornia.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become sub1ect to the Workers·
compensation provisions ol the Labor Code. you must
forthwith comply w1lh such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the work lor which this per•
m1t is issued (Sec. 3097. Civil 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
Carlsbad, Californ ia 92008·1989 (619) 438-5525 APPLICATION & PERMIT
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JOB ADDRESS
f 131 Sl~DO&ll:1'.. WAY Av. sT. Ro.1.SLEEs{5:;;· I ~T ... ~PPt~t~TCN I
LOT BLOCK I SUBDIVISION -I ASSESSOR PARCEL NO 'U), -3 "l-0 -l. "!._
OWNER'S NAME
Rosfit2.T E , ClJP..{l.. 'f l 1).?=~~-i4NE
OWNER"S MAILING ADDRESS
1131 5o,l-oc:wat W.r-f ~ CA
CONTRACTOR
O!J1AIE12
BUSINESS LICENSE ,, /v/uiz_
CONTRACTORS PHONE • z~
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. #
DESIGNER DESIGNER'S PHONE
PERMIT NUMBER u.
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BUILDING SO. FOOTAGE I I-
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r E~F WORK 1 hll: ,ttt?flcl,,/~ OE P~to y c.ov~ DESIGNER'S ADDRESS LICENSE NO.
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CENSUS T RACl GP L A ND USE PARK ING SPACE RES UNITSl GRADING PERMIT ISSUED
FIP F LR ELEV.
vO NO
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REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
OCC GP EDU
DCC LOAD FIRE SPR
8102/B61~4ti
oo!'\11e11· 51oe1 a,i ·r 9~~~6 8P
S~~~ ~L-
YO ND vO NO vO NO Not Valid Unless Machine Certd,ed Q.
QTY. PLUMBING PERMIT · ISSUE 7€!-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
~ --· ... -···:; PERMIT /~0---=>°V
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EA CH WATER HEATER ANO,OR VENT I D I BOILER/COMPRESSOR UP TO 3 HP I I PLAN r.··--·· --· -·-_. _. """"
'ERMlT
CHECK /:.S .33"
rn <{
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-cUMBING 3: --
RICAL
I I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL p:. . ---------
EACH GAS SYSTEM 5 DA MORE , METAL FIREPLACE ELECT
, I 2
~NICAL
___ EHOME
EACH INSTA~. ALTER, REPAIR WATER PIPE I ~ I VENT FAN SINGLE DUCT I I MECH!
EACH VACUUM BREAKER I H I MECH EXHAUST HOoo:oucTS I II MOBIL! ---.. ----
WATE R SOFTNER I II I RELOCATION OF EA FU RNACE/HEATER MOBILEHOME PARK INSP
.AR
TOT AL PLUMBING I
~ . _ MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
IQTY. ELECTRICAL PERMIT· ISSUE f'---QTY. SOLAR · ISSUE 312-810·00·00-8930
NEW CONST EA AMP 'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EX 1ST BLOG EA AMP/SWT BK R ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Diegu1l0
San Marcos
-.-~
LICENSE TAX
REMODEL ALT t:R PEA CIRCUIT PLAN CHECK FEE
TEMP PO LE 200 AMPS
OV ER 200 AMPS 001·810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 880-519·92·5 7
CREDIT DEPOSIT
TOTAL ELELTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE 3i/;~S-
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT' ANO 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON•
1 STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO t...==~~====L!!=.!::!!!-i~~!!..!!..=.~!!.!!;~~~4)1!!!.!.9£..!!~!!l!J!!l'.L--i,,,o~~"'°'"'"'-f1'-+..li--U../--if!,_ ________ ~
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All liABILITIES JUDGMENTS, COSTS ANO '.I~--DATE
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Vll.rlZ.a.A8 .LUL, ... ,__ , L-l 0/
: GRANTING OF THIS PERMIT J( Iv -rc;o
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TYPE I DATE INSPECTOR I
,or: ...... ~
BUILDING I '8&-Lf.:::.d--
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL l
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SH'EAR SOILS COMPLIANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
' INTERIOR LATH & DRYWALL I
I
I
CONCRETE
POST TENSIONED
CONCRETE ,
PLUMBING I FIELD WELDING
D SEWER AND BUCO □ PUCO HIGH STRENGTH
UNDERGROUND D WASTE D :WATER
TOP OUT D WASTE D WATER
, BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND □' UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING ( ' .. • '
HEAT -AIR COND. SYSTEMS I
I
r. -· -----
VENTILATING SYSTEMS I .
I
-1 ITEMS ABOVE HAVE BEEN APPROVED.
FINAL 0
PLUMBING
ELECTRICAL
MECHANICAL
GAS ' ',
BUILDING .
~
SPECIAL CONDITIONS
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PLAN CHECK NO. ➔ '1 · ADDRESS _l -"-7_3 ....... /_S;_~---DATE 0-).... -if-:6
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PLANNING ,~
ZONE: ___ _ TYPE OF PROJECT:
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT c»::
--------------------
CARLSBAD ~ SAN MARCOS __ ENCINITAS
SIDE REAR C:>0
DISCRETIONARY ACTIONS: _________________________ _
LANDSCAPE PLAN COt-fotENTS: _________________________ _
ENVIRONMENTAL REQUIRED . II .
I
ADDITIONAL COMMENTS: -I
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OK TO ISSUE . ~ DATE: v9'/?;,6 .
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ENGINEERING
LEGAL DESCRIPTION VERIFIED? ------APN CHECK D? -----------
P.F.F.: PARK-IN-LIEU QUADRANT: ---------_, FEE PER UNIT: ___ _
RIGHT-OF-WAY: _________ TRAFFIC IMPACT FEE PER UNIT: ________ _
EASEMENTS: -------------DRIVEWAY:
C IMPROVEMENTS: __________________ ~-------------
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FIELD CHECK DATE: ·--------------!NIT IALS:
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LATERAL: --------------WASTE PERMIT: -------
GRADING PERMIT: ------------------, 0:: > (l,l
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(l,l RI u c::: C GRADING C IMPLETION CERTIFIED: ·----------------------DRAINAGE: ______________________________ _
ADDITIONAL COMMENTS:
______ _____,r---J -----
OK TO ISSu~5~~£~~=;~~:~:==UDAA,llTE =
DPD2:DPD6:04/15/86