HomeMy WebLinkAbout1810 OAK AVE; MULTI-PERMIT FILE; 85-140; PermitUSF BAR POINT PFN ONLY & PRFSS HARD • , APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
_J hereby affirm that am ilcesed under
(1" o provialonsotChapter9 (commencing with
¶ I 'ct!on 7000) of Division 3 of the Business
-I' I r -and Professions Code, and my license is in -
full force and effect. -
tZ LIc. No. ________________ Class
. '•8 —...'.'--. - . S,, I,hereby,alfirm that -I am exempt from the Contrac- t. - -, for's License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-
quires a permit to construct, alter, improve, demolish, or
, , 'repair any structure; prior toils issuance also requires he ap-
plicant for such permit to file a signed statement that he is
licensed pursuant. to the provisions 01 the .Cnntraclnr's -License Law (Chapter 9 commencing with Section 7000 01
Division 3 of the Business and Professions Code) or that is en, -. empt therefrom and thd basis for the alleged exemption. Any
, violation 01 Section 7031.5 by an applicant tor 'a permit sub' jects the applicant to a'civil penally of not more than live hun-
dred dol)ars')9500,).' . - ,'
'0 I. as owner 01 the -prnperly,'Or my employees with wages
, as their sole compensalion,,witf do the work.' aod the sfruc- o ': tare is not intended or offered for sale (Sec. 7044, Businoss
and Professions Code:. The Contractor's License Law does
.-, not apply to an owner 01 property who builds or improves
- 2' thereoo and who does such work himself or through his own
"employees, provided that such improvements are not intend'
lea - E ed or offered for sale. It, however, the building or improve-
- Z . ment is sold within one year of completion, the owner-builder -
- will have the burden of proving that he did notbuild or im'
0 prove for the purpose of sale). •1
v. 0 I' as owner 01 the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
rrBusiness and Professions Code: The Contractor's License,
Law does not apply loan owner 01 property who builds Or im'
- proves 'thereon, and who contracts br each projects With a., a • contractor(s) license pursuant to the Contractor's License'- - 11 Z -Law). .v. ,'-
.,.,.. 'u -
- 10 As a homeowner I am improving my home, and the tOltvw-_
cc
.1 hrg conditions exist: - .
'The work is -being pertormed prior to sale.' * .1 have-lived in .my home 'for twelve months-,
prior to completion of this work'.. nr lea. 3. I have not claimed this 000mpf ion daring the
- .9 three years,-'
.0 lam enempt under Sec. ___________________ B& P.C. ' or this reason . '. • •-r_'"- - k-
- .
-
_' ..
hereby atlir:m. that t h3 rlrh a'cecate Of consent
to 'self-insure. *or .a ,ce,rlrtrcate 01 Workers
- -u - - Compensation Insurance. Or ace'rhtled copy thereof Fit - (Sec. 3800..1-abor.Codel. ,2 . • .0'- '"-, , j 5 S ', '
,POLICY Nov.
. ICOMPANY . .'• •'.' '
,-. •,. '.., - .. •1 us 0 Copy rs filed with the CIty. at n -. . -- ._•s
'W ' 0 Cenlrled copy Is hereby furnished -
. '_.... . _. • • . - ., -
c-•'i• CERTIFICATE OF EXEMPTtO'N'FROM
'*,WORKERS' COMPENSATION INSURANCE k (This Section need not be completed of the yermrl'
hn Ssbor ohe hundred dollars ($109) or less)
' - "Dl cerri(y that in the performance of the work for
e '' • 0' . ,,which his permit Is issued. I shalt not employ any
- ,r person in any manver,so as to become subject to p - -, the 'Workers' Compensation Laws Of California
'NOTICE TO APPLICANT II. alter'makIn3 IhrS Cer'r'g
hcate 01 Euemptron.you should become subject rD V ' the Workers' Compensation provisions 01 the Labor a' • .' . Code, you must forthwith - comply' with such pbovisiorls or this permit shall be deemed revoked
'-!.) , ••. - 7- ,- -•--.-,'-•• .. 'S -
'C ' ' ' •'- ' • ' -i
D-I.(herebsa!hrm thaI there s a CovstruCliOn
lending agency !or'the performance of the work for..'
.1 I"LU 'lwrvCb this permil is issued Sec 3097, Civil Code)
- ' zN wi ,.Lender s Name
1l' .Lender's Address
-
•\v • C .-.. "', , . I
' , ..•. -___1
1
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT - - • -.- : - - 120011m, Carlsbad, California 92008.1989 (619) 438-5525
JOB ADDRESS ' ' - AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE S - ./IviALUATION PERMIT NUMBER
i'tc op,t. OV9,-- VE--j - . 4-30-9ç -
Z0 14E " ../
LOT BLOCK ' SUBDIVISION ASS OR PARCEL NO
/56-2-7,0 — 2-3
CONTRACTOR CONTRACTORS PHONE N
- hi (kIi /13( Ii, —'C//7 (/VUIJl..acS5I OV lL-L/'--6\ . _ •
.
OWNER'S NAME - OWNER'S,PHONE.
afl,J y
f
V.ts4 (j •9 J '•
4,9 3 - CONTRACTOR'S AD6RESS -' . . ' -
- - .
LICENSE NO. PLAN ib. # . -
" ...- - ''''•"'
BLDG USE CODE '
- OWNER'S MAILING ADDRESS - - -- -
DESIGNER ' - LICENSE a - STANDARD PLAN S BUILDING SO. FOOTAGE
DESCRIPT,101q,
,
WORK'
TO DESIGNER'S ADDRESS DESIGNERS PHONE
F/P' ' FLRELEV, - NO
STORIES I EDU
[CENSUSjTRACT
4-7 j41 rl) . D'ruD CP l-_R--
EIUW ñ rU
- ' ' - u. , - -- • RES UNITS - '' - GRADING PERMIT-ISSUED REDEVELOPMENT ' TYPE 0CC LOAD FIRE SPR .11,21:;L.SNOUSE JPARKINGSPAC/-1 I j, , AREA 1 -.- CONST -' - -
-: -- - YO e 0 D NO YO NO Not Valid Unless Machine Certified S
-
QTY PLUMBING PERMIT ISSUE ot ,QTY MECHANICAL PERMIT ISSUE.- SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP wo INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT kO1 00008220 ,
EACH,BUftDING SEWER , rI OVER 100,060 BTU SIGN PERMIT , 01-00-00-8221 13
EACH WATER HEATER AND/OVENT BOILER/COMPRESSOR UP To 3 HP PLAN CHECK 01-00-00-8806.. 11 - EACH GAS SYSTEM 1 104 OUTLETS 2SZ? 8OILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-06-00-8222'
EACH GAS SYSTEMS OR MORE - . - METAL FIREPLACE - - ELECTRICAL . 01 00008223
EACH INSTAL,, ALTER, REPAIR WATER PIPE - - VENT FAN SINGLE DUCT - - ' - .. MECHANICAL '. , "01-00-00'8224 - -- 7
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 00-00-8225-
WATER SOFTNEII -.._ _v
, ILRELOCATION OF EA FURNACE/HEATER a MOBILEHOME PARK INSP - -
EACH ROOF DRAIN (INSIDE)
•* I SOLAR 01-00-00-8226 a
TOTAL MECHANICAL
. - - - -
#7
-
STRONG MOTION 80-92-33-0519
-_4- TOTAL PLUMBING . - - -• __ FIRE SPRINKLERS - 01-00-00-8227 , - . •
OTY ELECTRICAL PERMIT ISSUE -OTY 'SOLAR ISSUE
—
- PUBLIC FACILITIES FEE 3200008933
17
BRIDGE FEE
NEW CONST EA AMP/SWTIBKR - COLLECTORS ' SCHOOL FEE DISTRICT
- I PH u 3 PH ' STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BK R -a ROCK STORAGE ' Encinitas 80-92-22-0519 .'s"
1 PH'- ri--r'n, • Lt \\ 3 PH .. PUMP San Dlegallo 80-92-23-0519
, REMODEL ATLR'PER CfR CUI'F5 PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
'OVER 200 AMPS LICENSE TAX 01-00-00-8162
v TEMP OCCUPANCY (30 DAYS) - -' . - - - - 1' • - '." MFF8O-92-57-0519
CREDIT DEPOSIT c(,i7L 11
' 0 TOTAL ELECTRICAL TOTAL SOLAR
- TOTAL FEES PAYABLE ii -4c
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit Issued byihe Building Oft cat under the 6rovisopns 6f this Code * AN OSHA PERIto IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE shall expire by limitation and become null and void. U the building 0r)Workauthorized by such permit is not commenced within 180 d fr In - date ofsuch, 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONSARE,TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS'i permit, or if the building or work authorized by such perrv- is suspnd,dor STRUCTURES OVER 3 STORIES IN HEIGHT
- - - - - - ISSUED: .10 COMPLY WITHALL CITY COUNTY Y AND STATE LAWS GOVERNING BUILDING CON, abandoned at any time a ter the work is commenced 10 p iod of 180 dayA
EXPENSES
HARMILESS.THE CITY.OF_CARLSBAD AGAINST ALL~ LIABILITIES, JUDGMENTS,- COSTS AND; OWN CONTR ID KEEP ~PPROVE '13Y~
WHICH MAY IN ANY
STRUCTION, WHETHER SPECIFIED HEREIN'OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ... I APPLICAN3'S SIGNAT] L*
WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / \ - GRANTING OF THIS PERMIT BY P1ONED
- • S • /
PE
- - BUILDING I
FOUNDATION,
INSPECTOR
VV2?
/ DATE
/ / - - '5-'i '-TO -
ñELD INSPECTION RECORD j - -. • .: I_____
• REINFORCED STEEL
. . 'REQUIRED SPECIAL INSPECTIONS' V V INSPECTORS NOTES _______________________________________ MASONRY
V ___________
.. INSPEOTION REQ IFJ
CHECKED
INSPECTOR'S
APPROVAL DATE - £
V - - V V • V GUNITE OR GROUT
FLOORV& CEILING SUB FRAME
PRIOR TO V
SOILS COMPLIANCE
FOUNDATION INSP
V
_______
• SHEATHING, 0 ROOF ' 0 SHAR V
V FRAME V .' V
V EXTERIOR LATH V ,Vfl
STRUCTURAL CONCRETE • -__________ V
OVER 2000 3fl
.
-
V
INSULATION , V * V - r—.- 7K PRESTRESSED--
INTERIOR LATH & DRYWALL or
CONCRETE V
POST TENSIONED
V V
V PLUMBING
SEWER AND BL/CO EIPL/CO I V
V
V
V
FIELD ,WELDING
V
HIGH STRENGTH
UNDERGROUND--IASTE 0 WATER.. V V
SPECIAL OY
BOLTS
) TOP OUT DWAS 0 WATER
TUB AND SHOWER ON
ks GAS TEST VV - _____ 5 V PILES CAISSONS
V_VV
0 WATER HEATER 0 SOLAR WAER
V V V
0 ELECTRIC UNDERGROUND 0 WFFER
ROUGH ELECTRIC -
V V V ELECTRICAL
CA
,
V( VVV ______ ______
- ØV
V •V' V' L.
V 0 ELECTRIC SERVICE EJTEMPORAY _______V _________
0 BONDING, 0 POOL
-.
V MECHANICAL
V4t
DDUCTV&PLEM., O REF. PIPING. 7
HEAT - AIR COND. SYSTEMS
V
VENTILATING SYSTEMS
V
V
CALL FOR FINAL INSPECTION WHEN V V ITEMS ABOVE HA yE BEEN APPROVED.
A V
.
VVVV V V ADLAPAdPñVIAVTE
V - VV V - V
V V V
FINAL I
PLUMBING. V V LV VVV VVVV V
ELECTRICAL V
V • V V
MECHANICAL J V
GAS •
BUILDING.*iVV*V
VV V V
V V - VV SPECIAL CONDITIONS'
V• V -
V._ V
V
-. VV V .
VVVV VVV_VV - I
V . V V
V
•VVN VVV
V
V V • _____________ ________ V -. (V VVVV V
,VVV 1 V V
V V
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V V
ESGILCORPORATION
9320 CHESAPEAKE DR.. SUITE 208
SAN DIEGO, CA92123 . ..:'
(619) 560-1468 .
DATE: 4'Z6
JURI
JURISDICTION: _is-..q., _. . PL ~KER
pITIOL)
. .
FILE COPY
PLAN CHECK NO: y- ,'o 0 DESIGNER
PROJECT ADDRESS: /8/0
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes. .
The plans transmitted -herewith will substantially comply
with the jurisdiction's buildlngco.des:, when minor deficien-
cies identified on the enclosed check list are resolved and
checked by building department staff.
0 The plans transmitted herewith have major deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
0 The check list transmitted herewith is the jurisdiction's
'copy for your information. The plans are being held at
Esgil Corp.4 unti1 corrected plans are submitted for recheck.
The applicants, copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.. -.
The applicant's copy of the check list has been sent -to:
'Esg.il staff did not advise the applicant contact person that
plan check has been completed.
0 Esgil staff did advise applicant that the plan check has
been completed. Person contacted;__________________________
Date contacted: . . . Telephone #_____________
REMARKS: /&cH-a-k'c ciry
BY:ENCL: _
.
ESGIL CORPORTION .
DEVELOPMENTAL S .. 1200 ELM AVENUE
SERVICES CARLSBAD, CALIFORNIA 92008-1989
BUILDING DEPARTMENT 1 (619) 438-5525
QCttp of (Cartstiab
Date 7-25-86
To Thomas Jones PC# R5-140 Dated 4-30-86 1810 Oak Ave. LastInspediiotY 2-18-86 Carlsbad, CA. 92008 P LEASE _CA LLFOR A FINAL INSPECTION IF WORK DONE
1810 Oak Res. Addition
Subject Building Permit Expiration
Our records indicate that your building permit will expire by limitation of
time on 8-18-86
The provisions of UBC Section 303(d) State :-(d) 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 180 days from the date 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 for a period of 180 days Before such work can be recommenced, a new
permit shall be first. obtained so, to.do, and the fee therefor.shall be one-half
the amount required for a new permit for such work, provided no changes have been
made or will be made in the original plans and specifications for such work, and
provided further that such suspension or abandonment has not exceeded one year .
Any permittee holding an unexpired permit may apply for an extension of the time
within which he-may commence work under that permit when he is unable to commence
work within the time required by this section for good and satisfactory reasons
The building official may extend the time for action by the permittee for a period
not exceeding 180 days upon written request by the permittee showing that circum-
stances beyond the control of the permittee have prevented action from being taken
No permit shall be extended more than once. In order to renew action on a permit
after expiration, the permittee shall pay a new full permit fee.
Please check below indicating your intentions and return this letter to us.
Project abandoned. New permit will be obtained prior to. commencing work.
Maximum 180-day time extension requested. NOTE: Separate letter for an
extension request and reason for such must accompany this form
If.you have any questions', please contact the Carlsbad Building Department at
438-5525.
MARTIN ORENY
Building Offici . '
A
ESGIL CORPORATION
9320 CHESAPEAKE DR.. SUITE 208
SAN DIEGO. CA92123 .. . . ,.. . . 0
(619)560-1468 '. . . .
DATE:DM?.LcANT
JURISDICTION C4s6c 0 PLAN CHECKER
FILE COPY . .
PLAN CHECK NO -''° - 0 UPS
DESIGNER
PROJECT ADDRESS:
El The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes. . . . . . . . .
El The plans transmitted herewith will substantially comply
with the jurisdiction's building codes, when minor deficien-
cies identified an the enclosed check list are resolved and
checked by building dpartment staff.
.The plans transmitted herewith have major deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for 'a complete recheck
El The check list transmitted herewith is the jurisdiction's
copy for your information. The plans.,are being held at:
Esgil 'Corp.until corrected plans are submitted for recheck.
The applicants copy' of the check list is enclosed for the
inj jurisdiction ,to retur'n' to the applicant contact person.. - -
0 . The applicant's copy of the check list has been sent -to:
Esgil staff .did not advise the applicant contact person that
plan check has been completed.
0 Esgil staff did advise applicant that the plan check has
been, completed. Person 'contacted,:
Date contacted:Telephone #_____________
REMARKS:
BY:
ESGIL. CORPORATION
Form 31584
JURISDICTION: C4/4ez0 DATE_-2 -7
Enclosures: '477c#4
SI
PROJECT ADDRESS: 17 10 04k
TO: 7P11
/.fio
Date plans received by jurisdiction_3
Date plans received by plan checker
Date initial plan check completed 32S by RCA.,
• FORWARD: PLEASE READ
Plan check is limited to technical requirements
contained in the Uniform Building Code, Uniform
Plumbing Code, Uniform Mechanica V Code, National
Electrical Code and state laws regulating energy
conservation, noise attenuation and access for
the handicapped. The plan check is based on
regulations enforced by the Building Inspection
Department. You may have other corrections
based on laws and ordinances enforced by the
Planning Department, Engineering Department - or other departments.
The items circled below need clarification,
modification or change. All circled items have
to be satisfied before the plans will be in
-conformance with the cited codes and regulations.
The approval of. the plans' does not permit the
violation of any state, county or city, law.
A. PLANS
Please make all corrections on-the original
tracings and submit two new sets of prints,
And any original plan sets that may, have
been returned to you by the jurisdiction',
to:'fcrL Cpe o PI,9At ?,pt
25&O -
To facilitate rechecking, please identify,
next to each circled item, the sheet of
the plans upon which each correction on
this sheet has been made and return this
- check sheet with the revised plans.
PLAN CHECK NO:__________
- • O.APPLICANT COPY"
0 JURISDICTION COPY •
* ' 0 PLAN CHECKER COPY
- FILE COPY .•
41784
BUILDING PORTION BUILDING AREA VALUATION
MULTIPLIER
VALUE
441 Iz' s // 97'
67c'
Air Conditioning
Commercial
Residential
Res or Comm
-Fire Sprinklers
Total Value 4/;65D
City of Carlsbad
Plan Check No 85-140
March 25, 1985
Show Existing floor p1ans in all areas of mOdification..
How are stairs accessed and what.room is being mademaller?
Show all..windows and window sizes in existing bedrooms.
WindOws to remain.as well as windows removed.
Provide a smoke detector in upper landing area. A smoke
detector will also be required in the lower hall, if none
exist.:
6.: All outlets in bathrooms must be on the GFI circuit.
7. Show shower enclosurer to be shatterproof. Door to open
outward
8 Window #1 must be tempered or, sill to be 5'0" above floor .
Show size of water heater. Is this "a •new water heater or
is it a relocation' If relocated show combustionair, vents
and. pressure and temperature reiièfline.to exterior of
building
Provide details of con iection 'of hew frminq to existing.'
Strap top plates at.lst ceiling level and provide ties.
11.' Show pitch of roof and roofing material.
12. Show wall covering and'.weather'protection.
13.. Show attic access and ventilatiOn.
S
14.' 'Provide structural design cãlc,ülàtions. S ' •'
• 1. Dutch gable framing and'girder framing.
Roof framing support over the stairwell and deck
areas, support of all hip points, and rafters
Floor framing system, how are floor joists supported
where bedroom 3 projects 2'6" off existing wall
Foundatiàn design where new roof, .wall and floor loads
come to existing footing. Justify Soil bearing.'
Beams, post and footings for deck and. building support.
Show foundation details 'to meet Chapter 29.
Provide underfloor access and cross ventilation. • ' •
Show underfloor clearance: 18" 'ea'rth to joists.
12" earth to girders
Provide stair details, show rise, run, headroom, handrails.
19 Show R-ll in upstairs walls
-
4.7
a.' , .1 •
ATTENTION PROPERTY OWNER -
An-'!owner-builder" bull-din4 permit has been applied for in your name and bearing your
signature.'
Please complete and return this infoimation in the envelope provided at your earliest
opportunity toavoidunnecessary- 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, labor, and materials for construction of
the proposed property improvement (yes or.nb) ___________• .
' --
2 I (have/have not) - signed the application for a building permit
3 I have contracted with -the' following person (firm). to pi'ovid the proposed construction.
I . N
Name . / .Phone . . . .
4' , . . /• . .
Address ---' . •-, .• : Contractors License No. .
-'
City I
.
' . •, •,
. p
4'. Ia plan to provide pot on o the work, but I'have hired the.following person to
coordinate, supervis nd pr vide the major work
Name
_
Phone
Address " / 4.o tractors License No.
City
I will provide some ofthe wrk but I h racted (hired) the following persons
to provide the work lndicated
Name
.••
- Address --
.
Phone- . 'Type of Work.
, I • • 4 - -
- . . •. '
• * - . •, .- - . -
- 4
- .-. .
-4 •_ -
EACH'SUBCONTRACTOR 'WILL •BE -INSTRUCTED TO
. OBTAIN A' CITY OF CARLSBAD -BUSINESS 'LICENSE
AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD
DEVELOPMENTAL
SERVICES
BUILDING DEPARTMENT
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008-1989
(619) 438-5525
Qt itp of Carttiab
Dear Property Owner:
An application for a building permit has been submitted In your name listing yourself
as the builder of the property improvements specified. For your protection you should be
aware that as "owner-builder" 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 their own work. If your work Is being performed by someone other
than yourself, you may 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 work, with the exception of various trades that you plan to
subcontract, you should be aware of the following information for your benefit and pro-
tection. If you employ or otherwise engage any persons other than your immediate family,
and the work (including material 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
employer. If you are an employer, you must register with the state and federal government
as an employer and you are subject to several obligations including state and federal
income withholding, federal social security taxes, workers' compensation insurance,
disability insurance costs, and unemployment contributions. There may be financial risks
for you if you donot carry out these obligations and these risks areespeclally serious
with respect'to workers' compensation insurance.
For specific information about your obligations under federal law, contact the Internal
Revenue Service (and, if you wish, the U.S. Small Business Administration). For more
specific information about your obligations under state law, contact the Department 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 employees, 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 material personally. Building permits are not required to be
signed-by property owners unless they are performing their own work personally. Informa-
tion about licensed contractors may be obtained by contacting the Contractors State
License Board in your community or at 1020 N Street, Sacramento, CA 95814.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER-BUILDER VERIFICATION FORM SO THAT WE CAN
CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED
UNTIL THE VERIFICATION IS RETURNED.
Very truly yours,
Building Department
City of Carlsbad
>-
Co
0 0.
E a, I-
' . ..-. -. - .'• '.
I
Dih.r!raflirm'that iariicenst'iiiidei '
pry)fof Chapter 9 (commencing with
tl.1 tiont7O00) ofDivioIot"3 of the Business
fuii'fce and effect.
Rd ProfisIons Code, áed my license Is In
i-I - '-. - - Z I 12 Lic. No. __________._,.,,,CIass OL
I hereby atlirm that I am exempt from the Contrac-
t_ tot's License Law for the following reann (Sec. 7031.5W.
Rosiness and Professions Code: Any ru7 or '.vonty which re- '
"r quires a, permit to construct, alter.. improve, demolish, or repair any Stiucture, prior to its issuance also requires the ap-plicant for such permit to tile a signed statement that he Is
- licensed pursuant in the f provisions ot . the Contractors License Law (Chapter, 9-commencing with Section 7000 of - Division 30t the Business and Professions Code( or that is eu-empt therefrom and the basis for the alleged exemption. Any f\I
violation of Section 7031.5 by an applicant for a permit sub-
jects the applicant to a civil penalty of not more than five hun-
- dred dollars ($500).
., .oi, a'owner.ot the pThperny, or my employees with wages as their sole compensation. ,will do the work, and the struc- a -tore is nst'intended or offered for sale (Sec. 7044, Business -
and Professions Cede: The Contractor's License Law does not apply tnlan owner of property whO builds or improves -.
. ,thereon and who dabs such work himself or thrnu'gh his own -
- I t erOpi,syees, provided that such improvements are not intend- I
W - ed orbotfered for sale. it, huwevei, the building er Improve- - 1 mentissold within one year of completion, the owner-builder
(viii have the burden of previOg that he did not build or Im-
... . prove for the purpose of sate). - -- - -- -
A - ' .xi'ff/ pe e'thl.l D't, as nwnei'of the property, am enclusively contracting with licensed contractors to Construct the project (Sec: 7044''
)Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-
E ,_,proves;thereon,. and who contracts for each projects with a - Contractor)sI (license pursuant to the Contractor's License
k f'b1Aa ii;m`6&;er'iJm itffjroving my home, and the follow- - log conditions 'exist:
a'l. The work is bein.purformed prior to sale. E dave 'lived In 'my.. home forutwelve months
- prior to completion-el this work.
i I!II LC ej- It have not claimed this exemption during the last three years.'- vd
O I am exam III under SOc." f eon "--i , B&P.C. for this reason '
1i'ifl s4(flMb'I.d h,n1( 0,' hereby affirm that I have a certificate of consent
ton,sell.insur.e. or a ,certificate 'ófWbrk'ers'
b C'Crnp'ereation Insurance. or a certified copy thereof
(Sec: 381DO, Labor Code).
flCEUCflOW1{)- z A POLICY NO.
o ,uOMP4NY,P
4..,, - Ut Doois filed,iaitb the'ciIy." Z Ui ....,......0,Corfifued copy is hereby furnished
LLEWOU 'ViH v otottAvrr
- ' CERTIFICATE' OF EXEMPTION FROM--
WORKERS' COMPENSATION INSURANCE (This section'fleed'no! be'completedif the permit
is for one hundred dollars ($l) or Iess)
0.1 certify that in the performance of the work for - 0 which this.perroif is issued. I shall'nOt émplOy'any—
person in any manner so as to become Subject to
—. —,the Workers. Compensation Laws of.California. ,_,
t- O°° •• f't",(.4i 2P0 Ls4lI.'r. NOTICE TO APPLICANT: II,' after makie3 this Certi.
-cfr fcate of Exemption.' you.'should become subject to'-'
°the Workers' Compensation provisions of the Labor
- Code..,,youmusf,,fothwifh comply. with,, Such
(4 provisions or' this permit shall be deemed rev7i1Ced.
L
lendi -fl0 F'hkr'e67')itffirm that s construction
— which this permit-is issued ISec'3O97,' Civil Code). --f- z omroiw
ng agency 'or the performance of the work for
Lu
Ui
... Lenders Address bEC1,I0bi .UbE
iir RAIl PAINT DN flNIY & PDF4t4t IIARfl APPLICANT TO FILL IN INFORMATION WITHIN'SHADED AREA AND DECLARATIONS.
.. . CARLSBAD BUILDING DEPARTMENT -' APPLICATION & PERMIT'
- , - 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS AV, ST, DATE OF APPLICATION BUSINESS LICENSE # ' VALUATION I PERMIT NUMBER
RD.
I ______
OWNER'S NAME
,
-
. -
OWNER'S PHONE CONTRACTOR
,
-
CONTRACTORS PHONE C
--- -j
ZONE
-
- -
OWNER'S MAILING ADDRESS . CONTRACTOR'S-ADDRESS LICENSE NO, PLAN I.D.-#, ' BLDG USE CODE
LOT--I BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER
•
LICENSE # STANDARD PLAN #
.
BUILDING SO. FOOTAGE
- - DESCRIPTION OF WORK , DESIGNER'S ADDRESS ' DESIGNERS PHONE
. t
: : STORIES
OCC EDU
Nfl li
'-CENSS-T RACT-'- IJ +GD'USE - 'PARKING SPACE
-
RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR
I . -. -'
AREA. j ... CONST. - - - - - . - '• -'-'--'- -- -
-- -3- - -' v 0 e 0 YO ND
— — ....--
YO NO Not Valid Unls Machine Certified
OTY. PLUMBINGPERMIT ISSUE /3 QTY.
--F- --- ---------F------.-.---.
11ECHANICAL1 PERMIT - ISSUE -'-_'-'----.------'---'--Tr',;'n°t'.-.--'—'
' - SUMMARY/ACCOUNTNUMEi 1 II • ' . 1 - f ft 1"- I • --. - a I I I . /
BUILDING PERMIT - 01'00-00-8226"
. EACH FIXTURE TRAP - - - - 'NDUCTS INSTALL FUR UP TO 100,000 BTU -
—.-EACH BUILDING SEWER.. - _,. - L .
EACH WATER HEATER AND/OR VENT -
. - , - _ _. '',.,0VER,100,000,BTU ,_. - . - SIGN PERMIT - - - 01-00-00-8221
- BOILER/COMPRESSOR UPTO 3 HP ' PLAN CHECK 01-00-00-8806
. J EACH GAS SYSTEM 1 104 OUTLETS - 1 ' BOILER/COMPRESSOR 3-15 F - - - T0TA1P1UMB1NG' 01-00-00-8222 - 7 I 1 (j
EACH GAS SYSTEM 5 OR MORE' METAL FIREPLACE L ''L — ELECTRICAL 01-00-00-8223
MECHANICAL . . 01-00-00-8224 EACH INSTAL!, ALTER, REPAIR WATER PIPE - ' - VENT FAN SINGLE DUCT I "N. -
_4 .EACH VACUUM BREAKER__ - - - '
WATER SOFTNER i, i -
- MECH EXHAUST HOOD/DUCTS ' r - - - ' 'MOBILEHOME - 'O1-00-008225 - ---
. I
. -
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
fl
' -
EACH ROOF DRAIN (INSIDE) - . - I - SOLAR 01-0 0-00,8226
—STRONG MOTION - 80-92-33-0519
.
'TOTAL MECHANICAL. --'--4 - -'----'------
I
- .
-
- ------ ----
4___T.OT.AL PLUMBING. liSt' v
. 'Li,d FIRE SPRINKLERS - ,,••,,01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8923
$ ac'- I -I
QTY. QTY.
-
SOLAR-ISSUE_,,J
-J —BRIDGE FEE -- -- ---- '- '------ ---- -
'NEW.CONSTEAAMP/SWTIBKR' kfCD 7.*E Air COLLECTORS _I . SCHOOL FEE - DISTRICT
4-1'PH— 4 --3 PHy,j, - - I
. -
STORAGE r"—i -- - Carlsbad 80-92-21-0519
-------Encinilas-------- --• ---80-92-22-0519
. -'- -- -
EXIST,LDGIA AMP/SWTThKR v •°' -- ROCK STORAGE - - . - - '4 -'_.,' - - -' -.
1 PH 4 3 PHk,',' 'c'., r's - I PUMP San Djeguito 80-92-23-0519
REMODEL/ALTER PERCIRCUIT'e y"t PLANHECR'FEE - - 1) -- - 'San Marcos - 80-24-O
. 'i '-TTEMP POLEf200'AMPS--'---"-
- 4_OVER 200 AMP.S,,_..
-.
j - TEMPOCCUPANCY(30 DAYS) '' -- . I -
—
- -• I
-- _______- --- '- - -' - - - ---- — •- --- -
1—i—,- .-_.----, ,=,___ — - --- t -- _______ —
t
____________ _____________________________________ ___________________
ILI_±OA tECA i.0 fte-t 'TOTAL SOLAR EF TOTAL FEES PAYABLE l
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - Expiration. Every permit issued by the Building Official under the provisions O/thls * AN 061-IA PERMIT IS REOUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If them ding or work
the ?eof c -50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ilttne build1 or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
BUILDING CON TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING abandoned at any tame a er the work is commenced for a period of 180 days
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE * 0 0 APPROVED BY •" • DATE OWNER CONTRACTOR ' KEEP HARMLESS THE CITY.OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE BY PHONE 0 -* GRANTING OF THIS PERMIT. . . •
- I / '
0.
IL
._.t,,-, ....
I - -
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINORCED STEEL - -
MASONRY
GUNITE OR GROUT -
FLOOR & CEILINGSUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL . .
.PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB
I
AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC .*
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR --
MECHANICAL,
DUCT& PLEM., REF. PIPING .1
HEAT - AIR COND. - SOLAR SYSTMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB _SITE _FINAL
PLUMBING'
ELECTRICAL - •. I
MECHANICAL
GAS
BUILDING,`1
,SPECLCONDITtONS_' -
CERT OFLJJANCV ISSUED
-'--4-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTORS INSP N CHECKED APPROVAL DATE
SOILS COMPLIANCE .
PRIOR TO
FOUNDATION INSP
STRUCTURAL-CONCRETE
-OVER 2000 P.SI
PRESTRESSED
CONCRETE.. . . .-. -
POST TENSIONED . . .
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES!CAISSONS
-
•' . - . . -
.
, -
......-
______________
-. ,, . 4' .-., :', II - -- • '
-
I
* - . .- ------ -
I I -t • - . - :_. . - _. --
--
-••,-'.', -•. -'.•••-,.•., -• •--.', •-•• -..•••.-- •.-•.. •••'•-
4
...
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD SE
'
ENGINEERING DEPARTMENT. 1924 . .i
438.5541
FOR APPLICANT TO FILL IN ISSUED BY
DATE ISSUED - - -
BUILDING
ADDRESS /• •
VALIDATION
OWNER
MAILING •,. ADDRESS . •
' LATERAL CHARGE COMPUTATION
CONTRACTOR . STANDARD 4" (Max. H.30'yV10) IUUvUV OVER 30' H. _____ _______FT._________________
CONTRACTOR'S ,. .7 .. OVER 10' V.-@-FT.
S
ADDRESS /' STANDARD 6" (Max. H. 30', V. 101
/ ,
-i ,. ' OVER 30' H.-@,-:- FT.
NEW BUILDING EXISTING BUILDING - OVER 10'V. ______ _______ FT.
LEGAL DESCRIPTION TOTAL. CONSTRUCTION COST
SERVICE CHARGE'(REPAVING ETC.)
TOTAL LATERAL CHARGE
REMARKS: . - • •' ______________
.4 • • .
LATERAL LOCATION
I
.
•.
LATERAL NO.
S. S •
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE -COST PER FT. _______TOTAL_______
OTHER • . • S
'CONNECTION FEE.
NO, UNITS •_COST PER UNIT ' TOTAL
PUMP STATION FEES
I NO. UNITS ______.COST PER UNIT TOTAL '
TOTAL CHARGES (LATERA L ETC.)
CITY OF CARlSBAD
BUILDING DEPARTMENT
OWNER •S, 41çlg,rJ
MAIL I ADDRESS
CITY eY4c6i9 TEL. NO.
PLUMBER 42Ø"
ADDRESS
CITY TEL. uo72/79
STATE
LICENSE NO. CARLSBAD BUSINESS' LICENSE NO.
NO. ITEM FEE
TOILET @ $1.25 6'
BATH TUB @ 1.25
1 J SHOWER @ 1.25 1.
/ WASH BASIN @ 1.25
KITCHEN SINK @ 1.25
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
WATER HEATER & VENT @ 1.50
GAS SYSTEM I TO 15 .30 EA. ADD. @ 1.50.
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.50
GARBAGE DISPOSAL @ 1.00 '- VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 5 @ 2.00
GRADING PLAN
YESD NOD
PERMIT $ 2 00
TOTAL FEE $ I
TCK&OWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND LI-CENSED AS REQUIRED BY THE CITY OF 9A.RLSBAD AND STATE OF CALIFORNIA OR.'T I AM T.EGAL OWNER OF THE ABOVE
SIGNATURE
OF PERMI
928 PLUMBING
PERMIT - APPLICATION
AM —3-66 SPAID
cc 673*******535
BUILDING
NEAREST
CROSS ST.
GROUP ZONE
Inspecfion Record
APPROVALS DATE INSPECTORS SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is awing Permit When Properly Filled Out Signed a
Permit void if work is not commenced within 60 days of date