HomeMy WebLinkAbout1816 OAK AVE; MULTI-PERMIT FILE; CB111064; Permit1816 OAK AV CBAD
MISC Subtype: REROOF
1562203000 Lot #: 0
$4,914.72
CONSTANTION: 3600 SF COMP TO
COMP RE ROOF
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Status: ISSUED
Applied: 05/20/2011
Entered By: JMA
Plan Approved: 05/20/2011
Issued:. 05/20/2011
Inspect Area:
\ 1952
FEE
Applicant:
ROOFING UNLIMITED INC
STE 1-K
2707 CONGRESS ST 92110
619 295-1811
$12'.O0
$0.00
\ \_\ $12100
To Date f_-.,.J $121100 Balanc flii'---' /
-'p
\ /
INCORPORATED /
COSTANTINO DICK&DIANA L
.(18
1~
OVE
7
(AK
ARLSaAQcA92oo8
Miscelaneous Fee #1 / PERMI
Miscelàneous Fee #2
Additional Fees / /1
TOTAL PERMIT FEES /
Total Fees: I $1.00 1Total Payme
City of Carlsbad
1635 FaradayAv Carlsbad, CA 92008
051,202011 Miscellaneous Permit Permit No: CB111064
Building Inspection Request Line (760) 602-2725 ¼
$0.00
FINAL APPROVAL
Inspector: £.,&44,ç Date: oGj o4/J Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'imposition of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set icilh in Government Code Section 66020(a), and tile the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. .
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service lees in connection with this project. NOR DOES IT APPLY to any
CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No. C I \
Est.'Value
Plan'Ck. Deposit
Date
JOB ADDRESS . .......... ........... . . U)U0 Oc\= WA -
SUITES/SPACES/UNITS ......APN I - - CT/PROJECTS LOT # PHASES SOP UNFES S BEDROOMS S BATHROOMS. TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
ô O Si -f-o cvvip
EXISTING USI POSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
kt'v.
]PRO
YES #[3. NOD YES [:]NO YESDNOD
( .
. APPLICANT NAME
ADDRESS . .. . . . . .. .. . . . .. . ... . . . ADDRESS . . .
CITY CITY . . .. STATE .. ZIP . . CITY ... STATE ZIP
PHONE. FAX ... PHONE FAX
EMAIL . . .. . . . ... . . . . . . .. . EMAIL ., .
PROPERTY OWNER NAME
.
. CONTRACTOR BUS. NAME '
LkN L&4 tA
ADDRESS . . . . . . ADDRESS .. . .. ..... . . .
CITY . STATE ZIP CITY . ST4IF ZIP
PHONE FAX
. : .. .. .
PHOM,~ FA
EMAIL . . . .. ... . . . . ... .. EMAIL .. .. . . . . .. .....
ARCH/DESIGNER NAME & ADDRESS STATE LIC. S STATE LIC.# CLASS CITY BUS. LIC.S
(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 fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, the basis for the Any Section 7031.5 for and alleged exemption. violation of by any applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: (hereby affirm under penally of perjury one of the following declarations: VI
e and will maintain a certifIcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
e and will maintain workers' compensation as required by Section 3700 of the
A.
Labor ode, for the performance of the worMjr which this permit is issued. My workers' compensation in4rancearrier and policy
number are: Insurance Co .'('ci tATY. 1i'i6 .17t.A 14 of Policy No. f() 5 2. Y• 2Of..O . Expiration Dale
This section need not be completed if the permit is for one hundred dollars ($100) or less.
[]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 u lawful, and shall subject an employer to criminal penalties and civil fines up to one hu red thouspnd dollars (&100,000), In
addition to the cost of com atlon, dam as as provided f In Se ' bor code, interest and attorney's fees. .
CONTRACTO SIGNATURE VJ '> []AGENT DATE "2-o (
(hereby affirm that lam empt from tractors License Law for the folio Saxon:
[J I, as owner of the prope 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 Contracto(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).
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 to an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. EYes [:]NO
I (have! 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! contractors' license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address phone! contractors' ticense 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 , ' , AGENT DATE
Is the applicant or future building occupant required to submit a business Ian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
FlresIeyTanner Hazardous Subytance Account Act'? Yes No - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air uality management district? I:IYes []No Is the facility to be constructed within 1000 feet of the outer boundary of a schoot site? [—] ,000
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.
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).
Lender's Name . . ' Lenders Address . . . .
':
. +
. ..
I certi'that I have read the application and state thatthe above Information is correct and thatttre Information on the plans Is accurate. I agreeto complywith all City ordinances and State laws retatingfo buitdingconstructlon.
I hereby authorize representative 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 CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 50' 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 shaD ppire bylirrdtation and become null and void if the building or work 4uthonzed by such permit is not commenced .kithin
180 days from the date of such permit or if building rwork autho' by such - is sus ed orabandoned at any time after the work is commenced fora dod of 1 days (Section 106.4.4 Uniform Building Code).
..APPLICANT'S SIGNAr .'7' \Ai
. - DATE ~' T't)
City of Carlsbad Bldg Inspection Request
For: 06/02/2011
Permit# C6111064. . Inspector Assignment: MC
Title: CONSTANTION: 3600 SF COMP TO
Description: COMP RE ROOF
Type: MISC Sub Type: REROOF
Phone: 6197091811 '>
Job Address: 1816 OAK AV . .
Suite: . Lot: 0
Location: •55 .
Inspector:
OWNER COSTANTINO DICK&DIANA L '.
Owner: COSTANTINO DICK&DIANA L .
Remarks: .
Total Time: . Requested By: LUIS
Entered By: BINSPECT
CD Description Act Comments
.., . . 19 Final Structural . . ..
.
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History .
Date Description . • Act Insp comments
05/24/2011 15 Roof/Reroof PA MC MINOR DEtçA1X REPAIR OK TO DRY IN & COVER
B-10
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
1 JOB ADDRESS I P
2 TYPE OF BUILDING RESIDENTIAL COMMERCIAL_______
3 ROOF SLOPE RISE______ INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE 2 3
5. TYPE OF EXISTING ROOF COVERING (1)0frt'— SHEATHING_______
*6. NEW ROOF MATERIAL_ '-°" CLASS' V\ WEIGHT PER SQ.-)
T NUMBER OF SQUARES___________
8 TRADE NAME '-'-)MANUFACTURER 0
ROOF SYSTEM LISTING:
UL NO. I.C.C.E.Z. Report#___________
ASTM_______ /
IS THE EXISTING STRUCTURAL D SUFFICIENT TO SUSTAIN THE WEIGHT:
OF THE PROPOSED ROOF? YES .NO
All roof coverings are required to beCLASS A. Cämbustible roof coverings of any type or
classification are prohibited
I understand the following inspections are required: . .
- 1. Tear Off/Pre-Inspection prior to install new roof covering
V Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Snatu Date /
Contractor'L OwneL..Ctractor - -
Name
*6 Rolled Roofing, Standard/Lite Tile, AspIáI fiberglass', Up, Other
Page ,5 of 5 Rev. 03/09
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
e09-024003 Plumbing Permit Permit No: CB032412
Building Inspection Request Line (760) 602-2725.
Job Address: 1816 OAK AV CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: 1562203000 Lot #: 0 ' Applied: 09/02/2003
Construction Type: NEW Entered By: MDP
Reference #: Plan Approved: 09/02/2003
Issued: 09/02/2003
Project Title: COSTANTINO RESIDENCE, . , Inspect Area:
GAS & ELECTRIC FOR BBQ
Applicant: ..—Owner: '--
COSTANTINO DICK&DIANA L -' COSTANTINO DICK&DIANA L
1816 OAK AVE 1816 OAK AVE -
CARLSBAD CA 92008 / - CARLSBAD'CA 92008 1.
/ \ . -I < (-'\ \•.
Plumbing Issue Fee
Fixture or Trap - 'N,, \..}.. --" $0.00
Building Sewer / - - \ /' o/- \ -_\'O'$0.00
Roof Drain / - 7 0 '/ 7, \ \'j $0.00
Install/Repair Water Line / / 0 ' V Water Heater and/or ,Vent 7 0 -. --.--.-_-., $0.00
Gas Piping System I - \ $7.00
Vacuum Breaker Other Plumbing Fees /7 '$20.0
Master Drainage Fe $oóo'
Sewer Fee '. A ,/ - $0.00 / Additional Fees
TOTAL PERMIT FEES
j: t( $:::: /
Total Fees: $47.00 Total Payments To Date RATE1$0.09,,/"Balance Due: $47.00
LI]
3121 09/02/03 0002 01 02
cep 47-00
/4 7' FINAL APP
'-'
VA).
lnsnector: -' 6' Date: ..' Clearance:
NOTICE: Please take NOTICE that approval of your project includes the"Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Casbad Muhicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. '
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
411
FOR OFFICE USE, ONLY.
PERMIT APPLICATION . PLA CHECK NO
CITY'O dARLSBAbBUILDING? DEPARTMENT ,'.
ET:VAl' ..:
1635 Faraday Ave, Carlsbad, CA 92008 P an eposit
Validated By_________________________
- . Date___________________
-
'.4 . '. •:'. .' "
~ddlegs (include Bldg/Suite #) - Business Name (at this address)
Legal Description '-' Lot No Subdivision Name/Number . Unit No Phase No Total # of units
Assessor !s Parcel # Existing Use ,. Proposed Use
';• ';¼ •-,
Descrition of Work . SQ FT ' 46f Stories , # of Bedrooms # of Bathrooms
gx
-.
'
-
Name Address City State/Zip Telephone # Fax #
LIC D rjDfJ jY Agj9
J1,Namepc tJii Address ) c- City aQp tate/ZiP TeiePhone 7(
Every permi i th provisions of this Code shall i;;Zpi~; irn is
EtPIRATION: t by I itation', nd come null and void if the.building or work -
thori zed by suc.h.permit is ot 18 i rom't'- date -permit or if the'buildingor work authorized by such permi4is suspended or abandoned
". .
Name Address city r .State/Zip Telephone #
.i
(Sec 7031 5 Business and Professions Code An City or County which requires a permit to Construct alter improve demolish or repair any structure prior to its
1issuance also requires the applicant for such ;p,ermit to file a signed statement that he is;llcensed pursuant to the provisions of the Contractors 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 penalty of not more than five hundred dollars ($5001)
Name .. . " ' ,. -. Address ' ,.r. '. .. City .
V
- State/Zip- Telephone # -
V'e '.'' •,.., . . . -
State License # - License Class . City Business License #
Designer Name ' ' '' Address S . ' City .,, State/Zip, Telephone ,
-S. ,. .'-. . 'V.-,. '''• .
'5- 1,.
.State License #,..'.'..
JTIOj
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations ,
0 I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
0 I have and will maintain workers compensation as required by Section 3700 of the Labor Code ,-for the perfo'rmance4of the work for which this permit is
issued My worker s compensation insurance carrierand policy number re
Insurance Company Policy No Expiration Date__________________
±(THIS SECTION NEED NOT BE COMPLETED IF THE PERMITI FOR ONE HUNDRED DOLLARS'l$1001 OR LESS) :-.. '' • 4
C] CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person ri 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 ($100,060j, in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney's teas
DATE
,\J 71jWIv]Th ATION,.. JV / J\.j herey..affirrn that I am eempt from the Contractor s License Law for the following reason
Qi' as owner of the propertor my employees with wages as their sole conpensation will do the work and the structure is not inteied or, offered for sale
'' j (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)
0 I as owner of the property am exclusively contracting with licensed contractors to construct th4è project (Sec 7044 Business and Professions Code The
Contractor s License Law , does not apply to an owner of property who builds or improves theron and contracts for such',projects with contra'tor(s) licensed
pursuant to the Contractors License Law)
0 I am exempt under Section Business and Professions Cod for this reason / 1
- V , •.• - . .i_
,• ,.' -t( - ' i/'
' ,1. I personally planto provide the major labor andinaterialsior construction of the proposed property improveriient. "YES' DNO
V .. V V. •, - ,. V'
2 I (have./ have not) signed an application for a building permit for the proposed work - ,.•
3. I have contracted with the'following parson' (firm) to provide the proposed construction'lincluda ramê /;address / phone number / coiit(acfors license number):
' V •' . V " •' -; ' ', V , '• '5-i V • .1;' . , . C 't,j ' V - -
4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone
umber / contractors license number)
I will provide sore of thwcrk, but I have contracted (hired) the foIlowingpsons t prvide the vork indicated (inckde name'7addr'eCs / phone number / type I
work): V , .' - - ' - -. '. • , ' 4'/ - V - -
PROPERTY OWNER SIGNATURE (ftJ44_i.) DATE '
Is the applicant or future building occupa quired to submit a business plan acutel Izardous materials registrationform cit risk management and prevention
program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? 0 YES NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES— 0 NO
Is the facility to e constructed.within 1,000 feet of the outer boundary Of a school site? 0 .YES- D NO..
IF'ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OFIOCCUPANC'I 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 '.
WGMC i' _ ''- i
I hereby affirm that there is a construction lending agency for 'tb performance of the work for which this permit su d (Sec 3097(i) Civil Code) 1
-'•, , ' '-. . ..-- S
•
4' , .',
LENDER S NAME i .. LENDER S ADESS
NE
_______________________________________________________
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating uildirtg construction I hereby authorize representatives'of the Cit, of Carlsbad to enter upon the above mentioned
property for inspection purposes. ' ', LS AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 'THE.CITV OF CARLSBAD-,AGAINST ALL LIABILITIES, -
JUDGMENTS, COSTS AND EXPEN S-WH H'MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. -
OSHA: An OSHA permit is requir dfor a cavationso r 0 deep a 'denolitio'n & construction -of -structures vètt3 stories -in height: •, - , '
PPLICA*JT'S SIGNATURE 4 DATE
WHITE File YELLOW AlpIicant PINK Finance -f
4 4
It CV4 * 4- 1 i
City of Carlsbad Bldg Inspection Request
For: 04/02/2004
Permit# CB032412 • Inspector Assignment
Title: COSTANTINO RESIDENCE
Description: GAS & ELECTRIC FOR BBQ '• ' ,
I
Type: PLUM. Sub T'pe: .
Phone: 7609312076
Job Address:, 1816 OAK AV'
Suite: Lot .0 -
Location: , . ,. . Inspecto .
APPLICANT COSTANTINO DICK&DiANA L - •
Owner: COSTANTINODICK&DIANA L •. ' - .
Remarks: OR 434-9920 RING EIL
P c5 Total Time: 0
Ente?ed By: 0
CD Description Act Comment
23 Gas/Test/Repairs/U,67E- r
31 Underground/Conduit-Wiring"
•'•
00 " '
-• -
' Associated PCRs/CVs
0
inspection History
0 0
-
. • 0 , '
• Date Description Act insp Comments-
0
0 •
•
0 ? ''0 0 • •0 -
.• - 0 '•'
0 •j,.,•0 -. • • '
0
•
, ••
. • -
•0'••' •
J 0
1 • • • 0 & ,0 -
0 • •• 0
— 'USE BALLPOINT'P(N ONLY&'PR[SSHARD". APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
i' 'CARLSBAD BUILDING DEPARTMENT . I ' 'APPLICiTION . . ERMIT .jç--.-- -!. 2075 Las Palmas Dr. Carlsbad, CA 92009-1915(619)-438-1161'----"- ,-'--' . .. -, ' •.• -
JOB
.'
' AV, ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
-
LOT BLOCK ASSESSOR PARCEL NO,' CONTRACTOR , CONTRACTORS PHONE 0 SUBDIVISION
,
4Woa-L-r-ç . ' --- •--•.- -'-.,- . - OWNER'S NAME OWNER'S PHONE
CONTRACTOR'S ADDRESS
P e 'ck (
STATE LICENSE NO.
ZONE ........'
r
BUILDING SO. FOOTAGE
' jJtJO7 fli-ii I i-i 39'bc
OWNER'S MAILING ADDRESS -
DESIGNER , DESIGNER'S PHONE - -
0;f3 io'-i ?1
DESCRIPTION OF WORK
'
(,v4-// £./5L 5531 03/20/89 0001 01 02
' • BldPmt... .-. .135. 0
DESIGNER'S ADDRESS
. .
STATE LICENSE NO.
(
'"" " " ' ' . -.;••,.,---. F/P 'FLRELEV.
STORIES OCCGP
' '
EDO
- ' a • . ' YO NO
FI'RE'SPR' CENSUS TRACT PARKING SPACE'- RES UNITS ' GRADING PERMIT'ISSUED REDEVELOPMENT 'TYPE "" 0CC LOAD I AREA CONST
eD ND . vD NO ' , - YO _N0 - Not Valid Un/esMachine Certified_
OTY PLUMBING PERMIT ISSUE- 7 150 QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
'EACH FIXTURE'TRAP ' ' ' ' , INSTALL FURN. DUCTS UP TO 100,000 BTU ' , BUILDING PERMIT 001'810-00'00'8220
- - EACH BUILDING-SEWER "- -' , ' ' r OVER 100,000 BTU , SIGN PERMIT 001'810'00'00'8221
EACH WATER HEATER AND,OR VENT. - ' ' - ' ' ' BOILER/COMPRESSOR UP TO 3 HP __.-__-._ - . .-PLAN CHECK. -' O01'81000'00'8891
-
EACH GAS SYSTEM 1 TO 4 OUTLETS . — BOILER/COMPRESSOR 3-15 HP , TOTAL PLUMBING 001-810'00'00'8222
EACH GAS SYSTEMS OR MORE ,.' " METAL FIREPLACE .' ' , -ELECTRICAL 001-810'00-00'8223
,W EACH INSTAL.. ALTER, REPAIR WATER PIPE • , , ,. VENT FAN SINGLE DUCT .• . - _.-. . .MECHAN(CAL. - 00.1 m810-00-00-8224 .. '......- . *
EACH VACUUM BREAKER ' - , ,,r' , -
MECH EXHAUST . H000!OUCTS - ' MOBILEHOME ' 001-810-00'00'8225 -
WATERS FTNER -' '4 ,
- a RELOCATION OF EA FURNACE/HEATER . , SOLAR ' ' - 001-810-00-00-8226 - -
-EACH-ROOF DRAIN (INSIDE) - - •,_. , r DRYER VENT STRONG MOTION.. , , 880-519-92-33 . I
- ' — TOTAL MECHANICAL
'' ' ' ' - ' , , - ' ""'''
FIRE SPRINKLERS.' 001-810-00-00-8227
.1 TOtAL PLUMBING - 1 - ' - . PUBLICFACiLITIESFEE320'810'O0-OO-8740
'1 . BRIDGE FEE 360-810-00-00-8740
OTY - - ELECTRICAL-PERMIT ISSUE OTY MOBILE HOME SETUP I
PARK_IN_LIEU(AREA
' NEW CONSI EA AMP SWT IJKR f'' 4 CAR PORT - " ' " TIF __"-'---'-'312_810_00008835 - —' '- - -
PH * 3 PH - AWNING LA COSTA TIF 3111-810-00-00-8835
- EXIST BLDG EA'AMP,SWT-:BK-R GARAGE FMF
- ..,,. '. - - 3.1`H. --1 - . ,,- .. . • ' -• L. - , , . LICENSE TAX — - - '-001-810-00-00-81-62 — - —i-s--'- - --
4,REMODEI _ALTIRPERCIRCUIT _r,. c .ul MIFF 8805199257
— TEMPPOLE200AMPS
OVER 200 AMPS -- _., __•: . - .-- -- - -
p - TEMP OCCUPANCY (30 DAYS) ' •' -
.' - -• '. ' - . . -- -
4 CREDIT DEPOSIT
ELELIRICAL__- _
- ___--
TOTAL
- , _jOi - — .,—,. TOTAL FEES PAYABLE.I 1__/#rl -w
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY - Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PE:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATlONHEREON INCLUDING THE Code Shall
suchire bYOrmit 8tion and becorn nu an
is not commenced within 1Xda ys lI:h00 d
the 0
ing or iO
1 50" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or it the building or work authorized by Such permit is suspended or - STRUCTURES OVER 3 STORIES IN HEIGHT -
GOVERNING BUILDING CON ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS abandoned at any time after the work is commenced for a period 01180days.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , - APPRO BY
KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT SSIGN1AI,LRE * - OWNER 0 CONTRACTOR DATE,
-EXPENSES WHICH MAY.IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT
-.
gI— 2jj.hereby affirm that I am licensed under
U. ..,provisions of Chapter 9,(commencing with.
I ". Section 7000) of Division 3 of the Business
-
snd Professions Code, and my. license is
L2','fuii.torceand effect.
- ..,... ., hereby',attirm that I am exempt from the Contrac
or's License' Law for the following reason (Sec. 7031.5
Btisiness and Professions Code: Any city or county which re
,t ,) 'qaires a',permlt to construct, alter, improve: demolish, or
. repair any structure, prior to its issuance also requires he up' -
plicant for Such permit to tile a signed statement that he is
licensed pursuant to the provisions of the Contractors
- License Law (Chapter 9 commencing withSeclinn 7000 of
0ivision 301 the Business and Professions Code) or that is en'. '
- xmpt theretrom and the basis for the alleged evemplion,Any'
- violation 01 Section 7031.5 by an applicant for a perniit sub,
: jects the applicant to 'a civil penalty of not more than line hun-
dred dollars $5001. -
- 'lli I, as:ownnr of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-
ture is not intended or offered for sale (Sec. 7044. Business
'and Professions Code: -The Contractors License Law does
5 ' 7 not apply to an owner of properly who, builds or improves
m thoreon and who does such work himself or through his own :9 .employees. 'provided that such.im'provements are not intend-
UI ed or offered for safe. 'II., however, the building or improve- Z ment is sold within one year of completion. the Owner-builder
3 "will have the burden of proving that he did not build or im-'
prove for the purpose of sale).
- .i t L'asowner of the property, am exclusively contracting
- , with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code: .,.Tho Contractor's License
Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts (or each projects with a
en cOotrtnr(5)licen5e pursuant to the Contractor's License Z. Law(.- -' - 9
l'Th As a homeowner lam imprnvin9 my home, and the follow'( 4 .,..O9 Conditions exist:
The work is being pertormed prior to sale.
2. I have lived in rmy home for twelve months
' ••'----- prior to completion of this work......... W 3. !
.
have not claimed this exemption doting the 0 .last three yours....... '
D'lSr exempt 'Under Sec. ° . B&P.C.
or this reason ' •" -
,
6.
0 e°eby aft a m that I ha e c:t t care 01consent to
-' self-insure. or a certiticate Or Workers'CnmyensaliOn to- • 1'
suraflCe.or a certified copy thereod (Sec..3800. Labor Code)
POLICY NO.
OMPANY" "' •l•,•
0 Copy is riled wits
0 Certified copy is hereby furnished-
'
-. -,--CERTIFICATE OF EXEMPTION FROM -.
0 "x' -WOAKERS' COMPENSATION INSURANCE
Y) (TIris.section need not be completed if the permit
. is for one hundred dollars StOOl or less)
UI ',j. 0 I certify that in.the performance 01 ttre.work for which
19
"I this permit is issued. I shall not employ any person in any
3 manner so as to become subject to the Workers' Compen.
tion ,u- .- •
..,...,NOTICE TO APPLICANT: It, after making this Certificate
got Exemption, you should become subject to the Workers'.
Compensation provisions of the Labor Code, you must'
IortIrwiIh comply.with such provisions or this permit shall
4 b deemed-rxvoked,'S'i '1 ' 0.
.-
FE. 0 I hereby affirm that there is a construction lending
'agenCy for the performance of the work for which this per.
01 mit is issd (Sec, 3097. Civil- Codel " •'' - 'x
ZI lxi I - Lender's Name
-'I '
L Lender's Address x
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT -
SUB FRAME Li FLOOR Li CEILING
SHEATHING Li ROOF Li SHEAR
FRAME
EXTERIOR LATH
INSULATION - - -
INTERIOR LATH & DRYWALL
PLUMBING
Li SEWER AND BL/CO Li PL/CO
UNDERGROUND Li WASTE Li WATER
TOP OUT Li WASTE Li WATER.- -•
TUB AND SHOWER PAN -
GAS TEST- -
Li WATER HEATER Li SOLAR WATER
-
-.
ELECTRICAL.
Li ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
Li ELECTRIC SERVICE r Li TEMPORARY-
Li BONDING Li POOL
MECHANICAL
Li DUCT & PLEM., Li REF. PIPING
HEAT-AIR COND. SYSTEMS. -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL7 APPROPRIATE :
ITEMS AROVF HA VF BEEN APPROVED
FINAL
PLUMBING.
ELECTRICAL
MECHANICAL7
GAS
BUILDING .. - . T
SPECIAL CONDITIONS
I •-. . - 7
FIELD INSPECTION RECORD 5
REQUIRED SPECIAL INSPECTIONS I INSPECTORS NOTES
• INSPECTION REQ. IF DATE INSPECTOR'S
- CHECKED APPROVAL - - - 4
SOILS COMPLIANCE._
PRIOR TO
FOUNDATION INSP
STRIICTIIRAI C.ONCRFTF
OVER2000 PSI
PRESTRESSED ..-. .. -
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGHSTRENGTH
BOL11S
SPECiAL MASONRY - -. - -
--
PILES CAISSONS
I ,. . ______ ____ \._-.• .5
- 7
O\R COCI T
- •.- :- -
7
.7 -'-7