HomeMy WebLinkAbout1808 OAK AVE; ; 83-145; PermitII) z 0 ~ a: < ..,
()
l&I 0
C
I[
0 ()
a: l&I 0 ..,
5 i> ~ l&I z ~
z 0 ~ II) z l&I
IL :I 0
()
II) « w :,,: a: 0 3
![
0 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, end my license Is In
lull force and effect. Loe No __ Class
I hereby allirm !hat I am exempt trom the Contrac-lor's License Law for !he following reason (Sec. 7031 .5 Business and Professt0ns Code: Any city or county which re-quires a permit to conslruct, alter. improve, demohsh, or repair any structure. pnor ta its issuance also requires the ap-
plicant for such permit to file a signed statemenl !hat he Is licensed pursuanl lo the prov,soons of lhe Contractor's License Law ( Chapler 9 commencing wolh Sec11on 7000 of D1v1slon 3 of the Business and Professions Code) or that os ex-empt therefrom and the basis for !he alleged exemploon. Any voolatoon of Secfoon 7031.5 by an applicant for a perm11 sub· 1ects lhe applicanl to a c1v1I penalty ol not more than live hun-dred dollars ($500).
'"' I. as owner ol !he property, or my employees w1lh wages
as their sole compensation, will do the work, and the struc-lure is not 1n1ended or olfered for sale (Sec 7044, Business
and Professions Code: The Con1rac1or·s License Law does no! apply lo an owner ol property who builds Of improves !hereon and who does such work hlmsell or through his own employees, provided thal such ,mprovemenls are no1 lntend-ed or offered for sale. II, however, the buokhng or improve-ment is sold within one year of compleloon, the owner-builder will have the burden ol proving lhal he dod no! build or Im·
prove tor the purpose ot sale)
D I, as owner ol the property, am exclusively contracting wilh licensed contr2ctors to construct the project (Sec. 7044, Business and Prolessoons Code: The Contractor's License Law does not apply to an owner ol property who builds or im-proves thereon. and who contracts for each proiects with a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am Improving my home, and the lollow-ing conc.:htions exist
1 The work Is being pertormec prior lo sale.
2 I have lived In my home Jor twelve monlhs
3. rr:v: ~:Pc11:,3' tt~;': :.~ptlon during the
lasl three years
D I am exempt under Sec. , B & P.C. for this reason
~~~~~~~~~~~~~
0 I hereby affirm that I ha~e a cert1t,cate of consent
to sell-insure, or a cert1l1cate ot Workers Compensation Insurance, or a cen1hed copy thereof
(Sec 3800. Labor Codel
POLICY NO
COMP ... NY
0 Copy os hied wolh lhe coly
D Cen1f1ed copy ,s hereby turn,shed
CERTIFIC"Tl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed ,I the permu
1s tor one hundred dOllars (S 100) or less)
0 I certify that in the perlormance of the wor1c.. !or
which this perrmt 1s issued I shall not employ any
person in any manner so as to become subJet t to
the Workers· Compensation Laws of Cahtorma
NOTICE TO APPLICANT 11. afler makon1 this Cen,
hcate of Exemption. you should become sub1ec1 t'J
the Workers' Compensation prov,s,ons ol the Labor
Code. you must forthwith comply with such
prov1s1ons or !his permit shall be deemed ,e..,oke<l
0 I hereby athrm lhal there ,s a construction tending agency tor the performance of the wort( for
wtuch lh1s permit ,s ,ssued (Sec 3037. C1v1l COCle)
Lenders Name~~~~~~~~---~
Lender's Address ------------
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
A~i.T.ID4:,~:~
BUSINESS LICENSE # VALUATION PERMIT NUMBER
\BOf\ ~"--~v~ \0,wO ,....,,,.
OWNER'S NAME ,\.\~~=~;~; CONTRACTOR CONTRACTORS PHONE t ZONE ~-{~
L:)\L\..\~~o G\u.....e,~ r!ul A)~IL,
OWNER'S MAILING ADORES$ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0, #
BLsroi l '20€:> o~\L ~\Jt= 0 .... , ......... "'~ q-;oo~
LOT I BLOCK I sueo, v1s10N I ASSESSOR PARCEL NO DESIGNER LICENSE • STANDARD PLAN# BUILDING sa. FOOTAGE
%-3-\~ DESCRIPTION~ WORK
_ C !""'\ l "'"' l"\. n, ... "\ r_ DESIGNER'S ADDRESS DESIGNER'S PHONE
l )_ --· ·~'---F/P FLA ELEV . NO OCCGP EDU 1µ1 STORIES
vO NO ~11-itl!1 ,e.-I 105:ief I
CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA '':1"f1-I;' ·s~ -~ 7 i 3 ,-.: ~ ·mt.E AREA CONST •.. ~ #,,~ t YO N 0 vO NO vO NO Nor ·va ,~ M6c rie ~rtified u11>~
QTY. PLUMBING PERMIT · ISSUE -7.J!-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 tr/__/,., e::..F')
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00·8221 --....
7 EACH WATER HEATER ANO/OR VENT ' -~/J _hl") BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK~-4• 1'1.·~01·00·00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222 17 .. <..t./
I EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL 01-00·00·8223 //') /:JV
-, //.--~ -'"" 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 --'C.{f.) EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??f\
TOTf;l MECHANICAL STRONG MOTION
~
80-92-33-0519 ------r-I,.,;({:, TOTAL PLUMBING ' FIRE SPRINKLERS 01 ·00-00·8227
QTY. ELECTRICAL PERMIT · ISSUE .r-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT tBK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST SLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Dieguilo 80-92-23·0519 --I REMOOEL 'AL TEA PER CIRCUIT ..::::::;-.-PLAN CHECK FEE San Marcos 80-92· 24-0519 -
TEMP POLE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY (30 DAYS) ------117'1 Cf .J ~ --1----
TOTAL ELECTRICAL TOTAL SOLAR I ... n;:., ~ /l •
I(}_,-TOTAL FEES PAYABLE -v"V • l_5.l:
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY u !xplnitlOn. E.-ry permit i9aued by the Buildlng Offleial under the provitt0na ofthoa * AN 08HA PEAMfT 1$ REQUIRED F0111 EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahall expire by HmitatJon .,,d become null Ind YOi<I fl the building or work · 5' O" DEEP AND DEIIOUTIOH OR CONSTNJCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY "ND AGREE IF A PERMIT IS •uthorlZed by such permit is not commenced within ~om Ille date of such STIIUClURES OVER 3 STORIES IN HEIGHT permit, or If the bulldt:.'ff or work authoriZed by sue 11 •• •~:gended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· mblndoned It any time • .,. the work is commenced for nod of 1 , "-• . .:;:. -
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
ACLJ~~~ ~~:T::~(:')~ ~~w:El;' c:;:~::t 0
APPROVED BY O"TE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 14 -lq-~ GRANTING OF THIS PERMIT. -
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL lWIJK6 ~ . -.
I i -
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING .. -
FRAME •.
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO I
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST I
ELECTRICAL -
TEMPORARY POWER .
ELECTRIC UNDERGROUND
ROUGH ELECTRIC . 5·~~'?) ~ I
ELECTRIC SERVICE ' \\ _./ .
BONDING ! ivi1J'e> ~
G. F. I. -SMOKE DETECTOR I I
MECHANICAL •
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS ' --,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL
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 .
I
-
' --' I -
, I -~-,_ ,. ..-"
' . --
-,, ,-.. -
. . .. .. ..
~ ~ ~3-/l?~ -I'
INSPECTOR'S NOTES
DATE } -J • -&. -L.,. -
., .
r
r
' '
'· -
l . ..
;1 ,, I
: 1 '
• I
--
'
l ---
1"'"'"''~ It:~ !"l -\ I :
G-.... 1'.!l t:· i:: '~' 1 ~~ .. i::: I -: ' I ;;Jt , --~oil•'_ ,. ... .-, .__ I ~ ~ '"':''.'~!~-5i'. ~ ~
:
-
.
I
-,-l . -,
. .. i .
-
: t I ~ ,-
--------~--------__,.-
City of Carlsbad
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525
MISCELLANEOllSlf'Jft~tl/sJ RECEIPT ... ----.. _
I' Job 'I
\ f'A()~ nt\.k' ~VF MISCELLANEOUS FEE RECEIPT ~ Address SG~ -~ Owner l{) 0 GL\..__F.~ D 01-00-00-8806 I\ \,_\.... \ ~ \t,J\. . • PLAN CHECK FEE
Mailing \~~ Address o~v ~\l' c::.
.
D VALUATION / "1 J/bn
f\ ~() \ < (.°),\f-\..('\ l2~~'c 4~U-~:\-:\f\ D DEMOLITION
Contractor n l ,....,.L "\r-.J? I~\\\ .f"'lr-o D HOUSE MOVING .
Address , D PARKS AND RECREATION FEE
D City 'Zip Tel. PUBLIC FACILITIES FEE
0 SCHOOL FEE · DISTRICT State Lie. City
s. Classif. Uc. No. 0 Carlsbad
COMPLETE FOR PLAN CHECK ONLY D Encinitas
PJ:\~r-L-\ ()~
D San Diego
LEGAL DESCRIPTION D San Marcos
\)~Q('~~ ~~Q ~,~~n ~ 0 CERTIFICATE OF OCCUPANCY
/S<t,-v),--0 -D $; n .
ASSESSORS PARCEL NO. -n
DESCRIPTION OF WORK £°"t./ lJ 1J n I
~~ \ \--\~~ \) E-, ~COL n
D
D
D
?3-/ '-f _, D
PLAN ID NO. D
DESIGNER ADDRESS D
L/-~l/-S-.S-3 ?' D ·--· ,,,....,
PHONE s/;Z~ TOTAL FEE
CONTACT PERSON ~\1.....1._.\C-..,~ G. G\LL\;=-~ -
·WARNING: Pi..AN CH:cCK FEES. WHERE NO ACTION IS TAKEN BY THE . APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
COMMENTS:
:''""""'''""",\, 0n~0~/ 1ele t\
,J
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
llillED.EPARTMEN 11\L INFORMATION SHEET
,,~RIVED BUILDING DEPARTMENT DATE:
BUILDING ADDRESS: /?!If~ bf. APR _l _8_Jj_8_3 __ _
A.P.N: /,,5'{ -7,Jt) -6 .S C.T: .. ., ~
** ** * :·, *:·: :': ** * :•: *** 4:* ** * * * ~ .. * ** * * * **-* ** * ** **'<il:** *****;a *~!~w2f *'¥~f<f~i1~1P*** * •• :i:,"--IT~
.e.L8NNING DEPARTMENT
ZONE: i ~\ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS CARLSBAD ------------
UN ITS REQ' D: --------PROVIDED: ---------"i~-+t,-----
% COVERAGE ALLOWED: _________ .PROVIDED: \'
PARKING SPACES REQ'D: PROVIDED: ~ -------------
BUILDING HEIGHT REQ'D: PROVIDED: ----------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED:
PROVIDED-:--~~~-~-
INTRUSIONS: ~ ---
RE-DEVELOPMENT APPROVAL REQ' D: \-Q
LANDSCAPE & IRRIGATION PLAN CO-MJ\-1E-·N-1-'S_:_
4\,_......J~\\~·--
ENVIRONMENTAL PROTECTIO~ REQ: --------------------·
ADDITIONAL C0;-.1MENTS: ---~----------------------
~ ' '
• PUBLIC FACILITIES FEE:· -----------SEWER CONNECTION: ----
DRIVEWAY LOCATION(S) : ______________ _
GRADING PERMIT: -~-------------------------
EASEMENTS: DRAINAGE: ---------
LEGAL DESCRIPTION:
ADDITIONAL CQfllMENTS: ---------------------------
*CHECK IF ENGI NS PECTJON R[Q'D. ON FINAL: ------tJ--
• OK TO ISSUE: PW I: OK TO PINA · ·-------DATE: ---
* IF THIS ITEM IS NOT CIIECKFD, BUTLDING DEPJ\RHIENT WILL MAKE
FlNJ\L JNSPECTlON.
J
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Dear Property OWner:
~itp of ~arlsbab
TELEPHONE:
714-438-5525
An application for a building ~t has been sul:mitted in your name listing yourself
as the builder of the propert;.-i..rrprovements specified. i'or your protection you should be
aware that as "owner-builde:c" you are the responsible party of record on such a permit.
Building permits are not required to be signed by the property _owners unless they are
personally performing t.11eir own \',Ork. If your \',Ork is being perforrred by saneone other
than yourself, you 1TI.c.y protect yourself from possible liability if that person applies for
the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of california and
to have a business license from the City of Carlsbad. They are also required by law to
put their license number on all permits for which they apply.
If you plan to do your own \',Ork, with the exception of various trades that you plan to
subcontract, you should be aware of the following infornation for your benefit and pro-
tection. If you errploy or otherwise engage any persons other than your .irrmediate family,
and the work (including ma.terial and other costs) is $200 or more for the entire project,
and such persons are not licensed as contractors or subcontractors, then you may be an em-
ployer. If you are an errployer, you must register with the state and federal government
as an employer and you are subject to several obligations including state and federal
incare withholding, federal social security taxes, \',"Orkers' compensation insurance, dis-
ability insurance costs, and unerrployment contributions. There ma.y be financial risks
for you if you do not carry out these obligations, and these risks are especially serious
with respect to IDrkers' compensation insurance.
For specific infornation about your obligations under federal law, contact the Internal
Revenue Service (and, if you wish, the U. S. &na.11 Business Administration). For more
specific infornation about your obligations under state law, contact the Departrner.t of
Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors
are allowed to perform their work personally or through their own errployees, without
a licensed contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an
"owner-builder" building permit, erroneously implying that the property owner is providing
his or her own labor and ma.terial personally. Building permits are not required to be
signed by property owners unless they are performing their own vX)rk personally. Inforna-
tion about licensed contractors may be obtained by contacting the Contractors State
License Board in your corrmunity or at 1020 N Street, Sacramento, CA. 95814.
PLEASE COMPLETE AND REl'URN THE ENCLOSED OWNER-BUILDER VERIFICATION FORM SO THAT WE CAN
CONFIRM THAT YOU ARE AWARE OF THESE MA'ITERS. THE BUIIDING PERMIT WILL Nor BE ISSUED
UNTIL THE VERIFICATION IS REI'URNED.
Very truly yours,
Building Department
City of Carlsbad
A'ITENTION P:OOPERI'Y OivNER: .
An "own~-builder" building permit has been applied for in your name and bearing your
signature.
Please canplete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building permit will be issued until this verification is received.
1. I personally plan to provide the major la.bJr and materials for construction of
the proposed property improvement (yes or no) _ _...'-?l,--'e_~"""'-----
2. I _(have/have not) f\&\)C signed the application for a building permit.
3. I have contracted with the following person (firm) to provide the proposed construction.
Name Phone
Address Contractors License No.
4. I plan to. provide portions of the w::>rk, but I have hired the following person to
C(X)rdinate, supervise and provide the major w::>rk.
Name
Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons
to provide the work indicated:
Name Address Phone Type of Work
Signed: Property Otmer \ ).,:):.~\~~-~-.
'-> . ~
Social Security Number \\b "l.-'9~-]]~
Date: '::\ I \~t ~
EAC~ SUBCONTRACTOR WILL BE IN STRUCTED TO OBTAIN A CITY OF CARLSBAD
BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WO RKMAN 'S COMPENSATION
TC THE CITY OF CARLSBAD. .
l.()j~ I ni ti al s
'-...