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HomeMy WebLinkAbout1809 OAK AVE; MULTI-PERMIT FILE; CB154276; PermitCity of Carlsbad .. 1635 FaradayAv Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-07-2015 . Permit No: CB154276 Building lnsection Request Line (760) 602-2725. I S Job Address: 18O9 OAK AVCBAD Permit Type: PME - . Status: ISSUED Parcel No: 2050808000 Lot #: 0 Applied: 12/07/2015 - Entered By: SLE Reference #: - . Plan Approved: 12/07/2015 PC #: ' Issued: 12/07/2015 Inspect Area: Project Title: SNIDER: REPLACE.HVAC & DUCTING Applicant: Owner: HOME COMFORT USA SNIDER FAMILY TRUST 01-16-02, - 3162 E LA PALMA AV 18O9 OAK AVE ANAHEIM CA 92806 - CARL:SBAD CA 92008 714 632-8789 . -. - 4 .- . ,• -. Plumbing Fees . - . $0;00 Electrical Fees $0.00 Mechanical Fees $163.00 Other PME Fees . •$0.00 TOTAL PERMIT FEES $163.00 Total Feé: $163.00 total Payments To Date: $163.00 Balance Due: $0.00 EXPIPRED"WER"MIT ;- PERMIT HAS EXPIRED IN ACCORDANCE W1H C.B.C. SECTION 106.4.4-AS AMENDED BY C.M.C.18.04.030 . I DATE SIGNATURE . . - •'•• FINAL APPROVAL Inspector:_ Date: • . Clearance: NOTICE Ree take NOTICE that app-mal of your piqed includes the "lnition" cffess, drdcaticr, rbser atiorvs, or of1es eoctions hereafter cdlrdivdy referred to eon" Ycij have 90 days from the date this permt es isstied to protest i rrposition of these fees'ercna If you protest therrt ycu nlLSt fdlow the protest procedures set forth in GrTe1t Cede Sercsi 620(a), and file the protest and any other required infofnea, wth the City rgeè for processing in axonlaxe with Carlsbad Minicipal Cede Seriiczi 3.32030. Failure toy fdloNthet procedure will bar any suhealuelt li action to attack reeN, set aside, void, or arni thr irrition. You are hereby FtJUHER NUll RED that ycur right to protest the SjflI f~esleocticns DOES NOT APPLY to veter and seer cxaTesiia1 fees and capacity dens, ru planning, mnincj gacling or other nilar application processing or sarce fees in axhertiai wth this project. NOR DOES IT NY to any feestex3chom of vAch you have raely been qven a NOTICE sinilar to this, or to vhch the statute of limtatics-rs has mekviously rderwse eqrerL C - • - .- -• [THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [--]PLANNING [!]ENGINEERING EBUILDING [—]FIRE EHEALTH DHAZMATIAPCD I Building Permit Application Plan Check No. 5 427(p City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 C.Ecrisbad email: building@carlsbadca.gov Plan Ck. Deposit - www.carisbadca.gov Date (t"1 swpp JOB ADDRESS 1. .•, - -- . . — . ,.. -. SUIIE#/SPACE#/UNIT# . J APN - CT/PROJECT # LOT F P1-lASER F OF UNITS # BEDROOMS F BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) HA S rrr,v\ ' t 66D - raI EXISTING USE PROPOSED USE ( GARAGE (SF) PATIOS (S DECKS (SF) FIREPLACE AIR CONDITIONING— lRE SPRINKLERS . . ' .- I - -: . . . . YES# - NOE YES ENO c:i I YES E NOII APPLICANT. NAME PROPERTY OWNER c It 't ADDRESS ADDRESS CITY STATE ZIP • CI3 STATE ZIP PHONE)g. FAX Aq PHONE J • 24z.' ' .- EMAIL . - . EMAIL DESIGN PROFESSIONAL . . . CONTRACTOR BUS. NAME ADDRESS - .:.................................................--. ADDRESS .. . . :... .' 3 ( . •c CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE . FAX -7 -. .,: :- . •i:, EMAIL . . . . EMAIL - - STATE LIC F ST ICR C CITY BUS. LIC.# . (Sec. 7031.5 Business and Professions Code: Any City Or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil oenaltv of not more than five hundred dollars l$50011. E)OQO° ®Q)QflØ(J Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: II t e and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, fothe performance of the work for which this pernhl is issued. I have and will maintain workers' compensation, as required bySlion 3700 of the Labor Code for the performance of the work for which this perrjt is issue d.My workers' compensation insurance carrier and policy number are: Insurance Co. _(1X •.U -./'ti2__•. •.-ç;:..policyNo k . :..i.::.. '7 Expiration Date ... 7 Ir' (• This section need not be completed tithe permit is for one hundred dollars ($100) or less. (I Certificate of Exemption: I certify that 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 subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provide d for in 3706 of the Labor code, interest and attorney's fees, CONTRACTOR SIGNATURE . DATE / 7 ®OOOaOOODG QGQ&)&?O®D I hereby affirm that lam exempt from Contractor's License Law for the following reason: 0I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 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 property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). - - - ' - - [J I am exempt under Section:. Business and Professions Code for this reason: - - 1. I personally Ian to provide the major labor and materials for construction of the proposed property improvement. IIYes ENo I (have I have not) signed an application for a building permit for the proposed work. • I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name/address! phone /contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .PROPERTY OWNER SIGNATURE - - - ' - DAGENT DATE - uwoO ucwxJ DwU(Øo Poi'o cxw Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? LYes L,No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes D No - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? (jYes -No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - 3øxiaeai oioox oocci I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). - Name - -,'e ,'- '"sr t .,'"i" Lr's Lender's Address ende - - +, .' .'. - ..................,.. P0GD' 3UDOC7() - -- I certifythatl have read the applicabon and state that the above information is coned and that the information on the plans isaccurate. I agree to comply wtthall Cttyordinances and State laws relating to buildingcorrstrijclion. - I hereby authorize rpresentaIive of the City of Carlsbad to enter upon the above mentioned properly for inspection pu'rposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSSAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.- OSHA M OSHA permit is required for excavations over 5'It deep and demolition or construction of structures over 3 stories is height. - - EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tithe building or work authorized by such permit is not commenced within l8o days from the date of such permit orif the building or work authorized by such permit is suspended orabandoned at any time after the work is commenced bra period of 180 days (Section 1064.4 Unihrm Building Code). ..APPLICANTS SIGNATURE DATE )a /r/ •- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. 'Complete the following ONLY if a Certificate f Occupancy will be requested at final inspection. CE RTIFICATE OF O CC UP A NCY (Co mmerc i a l.O nlyl Fax (760) 602-8560, Email buildinct(ä).CarlsbadCa.pOv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. - CO#: (Office Use Only) - CONTACT NAME ' ..... OCCUPANT NAME ADDRESS - "'.". BUILDING ADDRESS .......'a., ' . . -.. ., CITY -- -, ';-- STATE ZIP ;, CITY '; STATE ZIP - Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. .-. . DELIVERY OPTiONS PICK UP: ' CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. i) ASSOCIATEDCB#-' - MAIL TO: U CONTACT (LIsted above) OCCUPANT (Listed above) -- '' - CONTRACTOR (On Pg. 1) - - - NO CHANGE IN USE/ NO CONSTRUCTION :MAIL/ FAX ToOTHER: ?'" -'.' - •'? "Y ?'" iv CHANGE OF USE /NOCONSTRUCTION - --... I r"-'- ZAPPLICANT'S SIGNATURE : P - DATE -- ,-' •- -' - , - - - :, - - .t ,' -'--t$ - - - ('City of Carlsbad April 28, 2016 Permit Number:LCBJ4276' Issue Date: December 7, 2015 SNIDER FAMILY TRUST 01-16-02 1809 OAK AVE CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: PLUMB/MECH/ELECT PERMIT HOME COMFORT USA 3162 E LA PALMA AV. ANAHEIM CA 92806 ADDRESS: ÔAKAVJ PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on June 4, 2016 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the building 'or work authorized by such permit is stopped at any time after the work is commenced fora period of one hundred eighty calendar days, or if the building or work authOrized by such permit exceeds three calendar years'from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official Within each one hundred eighty day period upon the initial'commencement of work authorized by such permit.' Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided futther that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable' to commence work within the time period required by this section for good and satisfactory reasons. . Please check below indicating your intentions and return this letter to us: Project abandoned. A new permit-will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. , If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Maria Emery Senior Office Specialist ' Community & Economic Development Building Division 11635 Faraday Avenue Carlsbad, CA 92008-7314 760-602-2700 1760-602-.8560 f wwwcarlsbadca.gov 1 2 J3U I L DI N G P E R N IT Permit. No CB370O 04/08/97 09 48 Project No A9701051 Page 1 of 1 Dvelopment No . Job Addres 1809 OAK AVr - Suite HI Permit Type PLUNBING Y Parcel No 205-080-80-00 Lot# Valuation Construction Type NEW Qccupancy Group .,Re erence# Status:-, ISSUED Description WATER HEATER REPLACEMENT Applied 04/08/97" Apr/Issue 04/08/97 Entered By JM Appl/Ownr THOMPSON, BRUCE 6f9.,4-4342577 04/09/9? 0001 01 0121809 OAK AVENUE CARLSBAD, CA 92008 C-PRMT 27 OC **.*:FeesRequ.ied *¼* CoJlected& Credits ---------------- F. Ente "Y for Plumbir r/ e/e > 20-00, 1 Each Water Heater, an'A/ 7 00 * PLUMBING TOTAL 27 00 A INCORPORATED - 1952 FINAL APPROVAL CLE ±1 CITY OF CARLSBAD 2075 Las Pa1masDr, Carlsbad CA 92009 (619) 438 1161 5- FROM AJFDSTER INC FAX 461'5443 PHONE NO. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 . Apr. 07 1997 03:09PM P2 FOR OFFICE USE PLAN CHECK NO.._ EST. VAL. Plan Ck. Deposit - Validated By Date 1809 Oak Ave. Address (Include Bldg/Suite SI , flUalneit Nsme let this address) Legal Description - Lot No, Subdivision Nome/Number Unit No, Phase No, - Tótel So? units' SFR Aesessor's Pascal S Existing Use . Proposed U, Description of Work SQ. FT. #0? Stories . . S of Bedrooms * of Bathrooms WATER HEATER REPLACEMENT S CONYACTt'EIQN Thompson, Bruce iO3 OaK ve. Name Address City Stale/Va Telephone S Fax S Name Address City . 5taleZ1p Telephone S Thompson. Rruce 19..Q9 Oak Ave. . CPtRLSBAD C. 92008 . 434-4255 - Name . Address City StetWZIp Telephone S (See. 7031.5 Business and Professions Code; Any City or County which requtrea • permit to conetruot, alter, improve, demolish or repair any etructure, prior to lIe issuance, also requires the epftctnt for such permit to fits e signed statement thin he IS licensed pursuant to the provisions of the Contractor's Uconse Lew IChepter 9, commending with Section 7000 of Division S of the Business and Professions Ccdel or that he is exempt therefrom, and the bests for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit Subjects the applicant toe civil peneity of not move then five hundred dollars 155001). A & . FOS'VFR Pfl]MBING 13706—B HWY 8 BUS. EL CAJON CA. 92021 390-4477 Name Address City Stole/Zip 57tephone # State UvsnseD 630120 UceneeClss C36 ,Clty9usinoasUcena# 12003 Designer Name Address City State!Zip Telephone State License I - 4/A S l WORKEJSLCOMP NSATIO AI Workr' Comgønstiion' Declaration-. I hereby effirm under penalty of perjury one of the following declaration,; 0 I have and will maintain a certiflcete of consent to self-Insure for workers compensation as provided by Section 3700 of the Labor Cad., for th e p e r f o r m a n c e of the work for which this permit Is issued. S yD I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the parformence of the work for which this permit le issued. My worker's compensation insurance carrier and potty number erer InSUrenC, Conapeny FARMER INSURANCE Potty No.N200756-51 ExpirationOat~-1-97 - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 11111 (1011 On LESS) 0 CERTIFICATE OF EXEMPTION; I certify that in the performance 01 the work for which this permit is Issued, I sl,&1 not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING; FaIlure to escwe'wovkera compensation coverage Is unlawful, and shall subject on employer to criminal penalties and civil firms up to one hundred thousand dollars IS 100,0001, In addition to the cost of compensation, damages as prOvided for In Sactlun 3700 of the Lebqr code, interest end attorney's fees. SIGNATURE . DATE_,, 7 OWNER-BUILOER DECLARATION 4 I hereby affirm that I em exempt (tOm the Contractor's license Law for the following reason.* . C) i, as owner of the property or my employee, with wegee as their sole compensation, will do the work and the Structure is not intended or offered for sate (Sec. 7044, Business and Professions Code; The COntisctur's License Low does not apply to an owner of property who builds or Improves thereon, and who does Such work himself or through his ewttemptoyeea, provided that such Improvements are not Intended or offered for eel,. IF, however, the building or Improvementle sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of eats). o i as owner of the property, Sm exclusively contracting with licensed contractor, to construct' the project (Sec. 7044, Business and Profeas l o n a C o d e : T h e Contractor's License Law does not apply to an owner of property who builds or Improves thereon; and contracts fur such project, with contractor(s) licensed pursuant to the Contractor's License Lawl. S S S CJ I am exempt under Section ______________ Business and Professions Code fr this reasons 1 - I personally pin to provide the major labor and m,te,lsl, for construction of the proposed property improvement. 0 YES ONO I (have (have not) signed an application for e building permit for the proposed work: I have contracted with the following person lfirml to provide the proposed construction (include name / address1 phone number I contractors license number): I plan to provide portions of the work, but I have hived the following person to coordinate, 5UprvISa and provide the major Work (Include name,' address I phone number / contractors license number): S S 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include flame! address phone number / type of work), S S rROPEPTY OWNER SIGNATURE S DATE t0MlLRT3wS SECTIONS FOR WDN.4llEWJENJ74j lLU;Na PEt& Is the ipplicent or future building oceupsnt required to submit a business plan, acutely hiterdou, materials registration form or risk management and prevention program under Sections 25505, 25533 or 29934 of the Presley-Tinner Hesardous Substance Account Act? 0 YES 0 NO Is the applicant or futuri building occupant required to obtain a permit front the air pollution control district aral, quality msn.goment district? U YES (3 NO Is the utility to be constructed within 1,000 feet of the outer boundary of a ethoot site? 0 YES 0 NO IT ANY OF 1145 ANSWERR ARE YES. A FiNAl. CERTIFICATE OF OCCUPANCY MAY NOT CIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. Sr CONSTRUCTION LENDING AGENCY' thereby affirm that there It a construction fending agency for the performance of tire work for whIch this permit is iO.ud (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S AbOnESS._______________________________________________________ APPUCAJYSCERTIFIC 4X I comity that I have read the application and state that the above Information Ii correct and that the lnformellort on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes, I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP. HARMLESS THE CITY OF CARLSSAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING UP THIS PERMIT. OSHA: Art OSHA permit Is required for exeevetiona over 5'T deep and demolitIon or construction of Structures over 3 Stories In height. S EXPIRATION- Every permit issued by the Building Official under the provialorta of this Code shall expire by limitation and become null and void It the building or work authorized by such permit is not commenced within 305 days from the dare of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced rote pir(odäf 100 days ISection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE S DATE WHITE: file YELLOW; Applicant PINK; Finance 9 : Ii 4. B U I LD I N G -P E,RM I, T Permit-No CB962110 11/01t9612 45 Pr9ject No A96,02993 Pag 1 of l Development No Job Address 1809 OAK.7AV 'Suite p Permit aype PLUMBING, 0715 11/01/96 0001 01 02 Parcel No: 20S-d8Ô'80--00 Z. .. )CPRMT . 2?00 Valuation 0 ConstructinTyp NEW Occupancy Group • Refererice# 2 Status ISSUED Description REPAIR GAS LINE ' Applied 11/01/96 . Ar/Issue 11/01/96 Entered By RMA Appl/Ownr BEST SERVICE CO / 619 38-3989. - I - I - -' - - - CARLSBAD CA 92008 •'- -' - -- *'• Fees qiéd ** ** eiièceá& Credts, : --------------------- ----------Fee Adjustments 00 Tota (e s 00 27. lancl Fede:cription -: E1ct fee Data -:' - : IN CORP ATED. 1952 PR CLEARMCE ;k - .•' - . , : , - / CITY OF CARLSBAD I 4 207: Las Palmas Di Car1sbad CA 92009 (6.19) 438' 1161 - __I - - - -i- I. • __1_ __i_ ' ___j PERMIT APPLICATION City of Cai'tSbad Building Department 2075 Las Palms Dr., CarLsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: PLAN CHECK NO. F. VAL PLAN CK DEPOSIT_______________ VALID. BY DATE For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMA11ON FOR OFFICE USE ONLY Address . Building or Suite No. - Nearest Cross Street LEGAL DESCRIPTION Lot No. I Subdivision Name/Number Unit No. Phase No. CHECK BEWW IF SUBMifltD: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS J. WNIACI putjri (ii ciiflerent from applicant) - NAME. (last name first) ADDRESS CITY ,..- STATE ZIP CODE DAY TELEPHONE APPLICANT Vn UNIKAUIUK U AGENT FOR CONTRALTOH DOWNER DAGEN FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER . . NAME (last name first) "-'p ADDRESS. CITY STATE ZIP CODE DAY TELEPHONE 9-3'--- 0. WNl KASJIUK NAME (lasme fl ADDRESS 5340 .A1 t CITY : STATE ZIP CODE T 2 8 DAY TELEPHONE STATE LIC. #4-45W-2-LICENSE CLASS c— - CITY BUSINESS LIC. # 7 (_ DESIGNER NAME (last name tirst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. INSURANCE POLICY NO. EXPIRATION DATE so as to becom bject to thZWor ers' Compensation Laws of California. SIGN ATURE ///i / OW?,JVi1R1 , ~s rEAP A P4 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 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 property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion; the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 1 am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school sire? - DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTIUCF. WNSTRUCTIUN LENDING AGENCY I hereby affirm that there is a construction lending agency [or the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTI.F1CATION I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE it) SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (X)STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by. such permit is suspended or abndoned at any rime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS S1GNA1BE J., . . .- DATE:. CITY OF CARLSBAD INSPECTION REQUEST 4 PERN]T# CB962110 FOR 11/04/96 INSPECTOR AREA DESCRIPTION REPAIR GAS LINER PLANCK# CB962110 OCCGRP TYPE PLUM CONSTR. TYPE NEW JOB ADDRESS 1809 OAK AV STE LOT APPLICANT BEST SERVICE CO PHONE 619 438-3989 CONTRACTOR PHONE OWNER PHONE REMARKS RS/WAYNE/438-3989 INSPECTOR SPECIAL INSTRUCT p. TOTAL TIME --RELATED PERMITS-- PERNIT# TYPE STATUS CB891107 RETAIN EXPIRED CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs **** INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS, I - 4. t - - NSED CONTRACTORS DECLARATION Iier .eby affirm that I am licensed under provi I "CITY OF CARLSBAD- BUILDING DEPARTMENT , - , APPLICATION & PERMIT USE BALLPOINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR-, MATION 'WITHIN RED LINES. slons of Chapter 9 (commencing with Section 7000) of DivisIon 3 of the Business and Profes- sions Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION Dl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031 .5,Business and Professions Code), Any city orcounty which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor'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 ex- emption. Any violation of Section 7031.5 by anap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Dl, as owner of the property, or my employees with wages. as their sole compensation, will do the work, and the structure Isnot Intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does' not apply to an owner of properly who bulldspr - improves thereon and who, does such work himself or through his own employees, provided that such Improvements. are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sàle) Dl, as owner of the properly, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of. property I.ho builds or im- proves thereon, and who cOntracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). - - I am exempt under Sec._. , B. & P.C. for this 'reason______________________________ Date ____________ 'Owner . - WORKERS' COMPENSATION DECLATIM. I hereby affirm that .1 have a certificat of sent to self-Insure, or a' certificate of ork , Compensation ,,Insurance,' or a cerVfie C py thereof (Sec. 3800, Labor Code) POLICY NO._' ' COMPANY OCopy Is filed with the city. i:i Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' (This section need not be completed if the per- mit Is for one hundred dollars ($100) or less). I certify that 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 subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject' to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). NO. . ' ' . , ' JOB ADDRESS , ' - AV. ST. RD 1 ';oi DATE OF APPL CATION BUS. LICENSE • PERMIT NUMBER i I I I I I I I I I I I I I I I I ' OWNER - '.' - OWNER'S PHONE 'PRtME. CONTRACTOR ' . STATE LICENSE - \ (m OWNER'S MAILING ADDRESS ' . ' . . ' ' . ___________ CONTRACTOR'S ADDRESS , , CONTRACTOR'S I PHONES ' ,_ ' •' ,• - LOT BLOCK SUBDIVISION. . , ASSESSOR'S PARCEL 'DESIGNER ' ' ' ' ' ' ,'' STATE LICENSE 4. I I I I /29~,801 197 I OQOI IlL!/80 DESCRTIoNOF WORK c%2ç. DESIGNER'S ADDRESS * DESIGNERS PHONE -' CENSUS TRACT GP LAND USE ZONING '4 -'. RES UNITS PARKING SPACE S f NUMBER OF STORIES * ' Not Valid Un/era Machine Certified BLDG SQ. FT. , BLDG USE '. 0CC. GP STANDARD PLAN A PLAN ID A ' TYPE CONST - , ,' 0CC. LOAD 'S 'S 1. 17, UTY PLUMBING PERMIT AMT.'QTY MECHANICALPERMIT "-AMT tt ) INSTALL FURN DUCTS UP 10,100,'000 BTU OVER 100 000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3.15 HP * BOILER/COMPRESSOR 1630 HP "p VENT FAN SINGLE DUCT I VAL A' IN MECH EXHAUST — HOOO/OUCTS.-' — EACH FIXTURE TRAP " — EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT 7 ( — EACH GAS SYSTEM 1 Tb 4 OUTLETS "- - EACH GAS SYSTEM 5 OR MORE - EACH INSTAL.,ALTER REPAIR WATER PIPE - EACH LAWN SPRINKLER SYSTEM .- - — WATER SOFTNER ____ — RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I — Issue 3 O( — Issue 3-:00'1 SIGNPERMIT I I I I TOTAL PLUMBING . — — TOTAL MECHANICAL - - PLAN CHECK ALL INCLUSIVE PERMIT CONTRACTOR cDC - CONTRACTOR AMT.TOTALPLUM:ING CPO QTY ELECTRICAL PERMIT AMT QTY MOBILE HOME PERMiT NEW CONST EA AMP/SWT/BKR AWNING . MECHANICAL- I I I I — 1 PH 25 3 PH PORCH MOBILE HOME I — EXIST BLDG EA AMP/SWT/BKR SET-UP .. 4 2' SOLAR - 1 PH 25 3 PH RAMADA CABANA — " " I I I — REMODEL/ALTER PER CIRCUIT FENCE OVER 6 — TEMP POLE, 200 AMPS .. TOTAL MOBILE HOME - MICO FILM — OVER 200AMPS TEMP OCCUPANCY (30 DAYS)' 'S . - ' . " - . ' ' -' ' - ' ' STRONG MOTION: - Issue 2.00 — I I I TOTAL ELECTRI CAL. TOTAL FEES PAYABLE -. CONTRACTOR - - -. SCHOOL FEES II ' AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ,i4./7f/vJ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO ALL-INFORMATION HEREON IS TRUE AND CORRECT AND I 5-0" DEEP AND DEMOLITION OR CONSTRUCTION OF . V — HEREBY CERTIFY-THAT FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, ' STRUCTURES OVER 3 STORIES IN HE COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION WHETHER HEREIN OR NOT 1. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM.. A . ... - j. .). -, SPECIFIED LESS THE CITY-OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - 4 OF THE GRANTING OF THIS PERMIT.. " , , .' ' EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE APPLICANT'S SI NATURE' -..- — OWNERD CONTRACTOR[]- J APPROVED BY - - , DATE AGENT ' BY PHONE D - • .43 1 1 SITE -ADDRESS: . . - OWNER: . - PERMIT NO: - FIELD INSPEC1IÔNECORL . INSPECTION .. - DATE INSPECTOR ' . / INSPECTOR S NOTES & - WOOD FLOOR .4 FOUNDATION • FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING ; - .-. .•.. -• -; - UNDER FLOOR HEATING - . - :--- - -.------ '-• . ----- . . . . . . OKTOINSTALLSUB-FLOOR'. - - -.5 SLAB FLOOR S - - --.5 ..........................- UNDER SLAB PLUMBING- FOOTING.FORMS.SETBACK.TOILET OK TO POUR CONCRETE - - - - --.-.- - ....................... FRAME ROUGH ELECTRICAL . -. . _i -------5 :-------"- ---:- -' ROUGH PLUMBING S ROUGH HEATING/VENTILATING S. .4 FRAME OK..PLACEINSULATION . -.5 5.4 --. -- 5_•__ -. -. •.. . . - - - --5 .5 5- .- .5 - -- - • INSULATION OK PLACE WALLBOARD WALLBOARD OK • PLACE TAPE -. EXTERIOR LATH OK • PLACE STUCCO .. . . . -. - -• - - -. S - - - - . FIREPLACE 77 q- DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER POWER (POLE) SEWER GASTEST - ,,•" '. - 59.. . . . -. - . S SWIM POOL • STEEL BONDING PREDECK __. - -- . - • FENCE P'RPLASTER ....... . ________5.- .-.._.•--_-- ___________________5., ___._.5..•. SHOWN . • FRAME- - PAN FINAL INSP BY BLDG DEPT OTHER DEPT S REQ COMPLETED .. ELEC METER -PERM-TEMP GAS-MET ER--PERM-TEMP - -- - s--.- - . .• - . - . - . - - C€RTOFOCCLJPANCYSISSUED. ____- - - - - - -S - -.