HomeMy WebLinkAbout1851 Outrigger Ln; ; 85-698; Permit"' z 0 ;::
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..u'(" 1 hAreby affirm tha1 I am licensed under
~s of Chap1er 9 (commencing with
S.CUon 7000) of Division 3 of the Business
and Profeealons Code, and my license Is in
full force and "J!f§· ,-_ ~ ,3
Lie Nn¼.'Jl 1 Class '-
I hereby affirm that I am exemp1 from the Contrac:·
1<,,·s License Law lor the lollow,ng ieason (Sec 7031 5 Business and Profess1ons COde Any CJty or county wh&eh re-
auires a perm11 to construct alter. improve, demohsh. or reoair any structure. pnor to its issual'\Ce also requires !heap·
pficant 1or such perm11 to 111e a si9ned state.menl thal he 1s licensed pursua11t to the ptovlSJons ol the Con1ractor s
L1tense Law (Cnapter 9 commencmo w11h Secnon 7000 or Otvis1on 3 ot the Business and Protessmns COOfJ) IX that 1s ex-
empt therelrom and the basis lor the allegoo e,emption Any
vjolallon of Seclio_n 7031.5 by an applicant !or a permil sub-
Jecls the applicant 10 a CMI penalty of nol more than 1we hun·
dred dollars ($500).
n I, as owner of lhe prnpeny, or my employees w11h wages
as thetr sole compensation. will do lhe work. and rhe struc• ture is not 1n1ended or ol!ereo for ~le (Sec 7044 Business
and Professions Code· The Conuact01 • s license Law does
not apply to an owner of property who builds or improves thereon and who does such work hunsell or lhrough his owri
employees. provided that such Improveme,us are nol lnlend•
ed or offered tor sale If, however, lhe building or improve-
ment is sold within one year of completion, the owner-builder
will have the burden ol p1oving that he did no! build or Im-prove for the purpose of sale)
D I. as owner of tne property. am excIusI,.,e!y contracting
with licensed conlraotors to construct !he pro,ect (Sec 704◄.
Business and Professions Code The ContractOf's license Law does not apply to an owner of properly wno bwlds or im·
proves thereon. and who contracts lor each projects with a
conlractor(s) license pursuant to the Contractor"s license Law).
D As a homeowner I am improvrng my home, and the lo!low
ing conditions exist:
1. The wmk 1s being performed prior to sale. 2. I have f1ved in my Mme lor twelve mon1hs prior to complet10n of lhIs work.
3. I have not claimed this exemption durmg lhe
last three years.
f; fh~: r~~e;;;~• under Sec. ______ , B & p c
,~ I hereby artum that I have a certificate of consent to
~nsure. or a certificate of Workers' Compensation In-
surance. or a certified copy thereof (Sec. 3800. Labor Codel
POLICY NO. l C.). ~ la "':)o (,
COMPANY f-C...\,t"' .,.,._"6V\-<
~opy ls filed with lhe city
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This seclion need not be completed if the permil
is for one hundred dollars (S 100) or less)
0 I certify lhal tn the performance of the work !or which
ibis permit is issued. I shall not employ any person ln any
manner so as to become subject 10 the Workers· Campen·
sation Laws of California
NOTICE TO APPLICANT: II, after making this Certificate
of Exemption. you should become subject to u,e W01kers·
Compensation provisions of the Labor Code. you mus1
tonhwith comply wrth such provisions or this permit shall
be deemed revo~ed.
D I hereby atlirm Ihat there is a construcllon lending
agency tor the performance of t/'le work for which this per-
mit is issued (Sec. 3097. Civil Code)
Lende,·s Name __ \._j_,_f _,1f_!-1.'L 1-------
Lender's Address __ jC~_,,-_ _.CT_"-''-·-----/
USE BALL POINT PEN ONLY & PRESS HARD At't'LIL;AN I I u t'ILL IN 1rtrvnm"'11v1• "', nu-. ~nru.1c.u "'"1;." 1"11•1.1 ...,~,_, .. ,...,.,.. • ,,_, ... __
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT l tS\ Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
C){,;-ff-~O\ ~:;:·RD'£;::::= l0
i~lc~TRT?I
BUSINESS LICENSE ,: c1;;,uzo;--o PERMIT NUMBER ,~ ' 6Bc?1 t"T --LOT BLOCK t-rl'.;~tl J).-(c:,FJ'e)SOR PARCEL NO CONTRACTOR \ CONTRACTORS PHONt: • ZONE B'.S--~yg
~~Olr:l'< Ir-Po-ol .s 1.f s1-t. s)..B OWNER'S NAME I q4/:NnS':>~~:t N~'t\.\l-e S:u ·II'. D--ev -Cc>, CONTRACTO~'S ... DDRESS LICENSE NO. PLAN 1.0. # BUILDING SO. FOOT AGE
2.0os-So, Psco,-..,tJ... ~ l-/3/ C('17 r:&-~98 OWNER'S MAILING ADDRESS 3 \J ,~~
.. _
\lO !?56:::)t\l Dt~O A\..)E DESIGNER ~--DESIGNER'S PHONE Sc..1\'te {O ct )c8J ~ r n,1a5e3&1
O£SCRl't!l'\I OF WORK IDSD '¥' /),.._~ ,,l,4q /~-n qo□~~~a~ re1.~r,? 85 24/J~ .-.---~--DESIGN le R'S ADORE./ Ll~NO . a1J1.1; ,
-1:LtJL!,)dT'(t.A./er GvAJ,r:s-:f~ 4~~ -F/P FLA ELEV NO OCC GP EDU
~6°~ "S"b STORIES
,/'lkL,tJllf'Jt>..~ -vO NO ---
CENSUS TRACT I GP LA.ND USE I PAR KING SPA CE. RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE. OCC LOAD FIRE SPR AREA CONST
YO N D vO NO vO NO Not Valid Un/err Machine Certified
QTY. PLUMBING PERMIT · ISSUE /50 QTY. MECHANICAL PERMIT -ISSUE 3,-, SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP INS TALL FURN. DUCTS UPTO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220 / 'Si JI. _c;-cl)
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
z EACH WATER HEATER ANO OR VE~ ?~ t2__ ~.~ -BO ILER/CO MPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 /dl~· s~-,, EACH GAS SYSTEM 1 TO 4 OUTLET~ ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 1-810·00-00·8222 ?1'),(X)
EACH GAS SYSTEM 5 OR MOR E METAL FIREPLACE -ELECTRICAL 001-810-00-00-8223 di~~
EACH INSTA~. ALTER. REPAIR WAT ER PIPE .,. VENT FAN SINGLE OUC_!~~ 1t11Ytd0l:ll ,S\I MECHANICAL 001 -810-00-00-8224
I EACH VACUUM BREAKER (B1' n---_,~ MECH fit'l~ 911.\\lJ: --■ft (~I!) MOBILEHOME 001-810-00-00-8225 --WATER SOFTNER RELDCATIO"' -:_ ,_ ,.._,,,,'M'A,.E R MOBILEHOME PARK INSP -EACH ROOF DRAIN ti SIDE! , • l\f'\ r SOLAR 001-810-00-00-8226 ~
TQTi;L MECHAl~O\ \.) ~ m -STRONG MOTION -880-519-92-33 .2.,CV
TOTAL PLU !BI NG I zo .-,.... FIRE SPRINKLERS 001-810-00-00-8227
5-SOLAR(l~)l\1 '~ 1 ""' PUBLIC FACILITIES FEE 332-810-00-00·8930 " QTY/ ELECTRICAL PERMIT -ISSUE QTY. -4 NEW CONST EA AMP 'SW(,iiKRY~ ~~ _.Pl) ,--COLLECTORS SCHOOL FEE -DISTRICT
I 3 PH -STORAGE TANKS I PH Carlsbad
EXIST BLO G EA AMP1SWT BKR ROCK STORAGE Encinilas
I PH 3 PH PUMP San Dieguito
REMO OE L 'AL Tl: R PER CI RCUIT PLA CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001-810-00-00-8162
TEMP OCCUPANCY (30 OAYSI MFF 880-519-92-5 7 ,,. ....
CREDIT DEPOSIT {/1 3 ,?5 ]
TO TAL ELECTRICAL I ~-gp TOTAL SOLAR TOTA L FEES PAYABLE I ~2~,'30
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT" AND 00 HEREBY Expiration Every permit issued by tne8u11d1ng Off1c19I under the provtsions ot th,s * AN OSHA PEFMIT IS REQUIRED FOR EXCAVATIONS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code st,atl expire by 11m,1atton and become null and void If the bU1ld1ng or work 5· 0 .. DEEP ANO 0£MOUTION OR C~STRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such pe,mit 1s nor commenced w,thin 180 days from the date of such STRUCTUR£S OVER 3 STORIES IN HEIGHT permit, or . 11 the building or work authonzed by such permit ,s suspenOed or ISSUED TO COMPLY WlTH .ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILOlNG CON• abandoned 11 any lime after the work 1s commenced for a oenod of 180 da11s
STRUCTION. WHETHER SPEGJFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO
APPal~ OWNER □ CONTRACTr
;\~V~DABV
,:\')~~ A-
OATE KEEP HI\RMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
t 1 ~/,er ff~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ., ~ BY PHON GRANTING OF THIS PERMIT -· .
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TYPE
BUILDING
OUNDATION _F
R EINFORCED STEEL .
_M ASONRY
UNITE OR GROUT
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s_
s_
F_
UB FRAME □ FLOOR □ CEl~ING
HEATHING D ROOF D SH~AR
RAME I
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
' I ' PLUMBING I ..
□ SEWER AND BUCO □ Plt../CO
UNDERGRO~ND D WASTE D ~ATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
DATE INSPECTOR
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTORS INSPECJIC?N .. CHECKED APPROVAL
SOILS COMPLIA CE
PRIOR TO
FOU DATION I SP
STRUCT URAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
.. ~ _/JELD WE NG•
HIGH STRE GTH (f'/(f BOLTS "' .:# !
SPECIAL rJ _s.9 RY -. • I !
'l'Uc/J..l.i.::-~;'~ PILES CAISSONS )•J -' ·' -•pw.
--~ ---.. . .. ..... CJt1,t•' De;,
I ">,. .. . :, -.... _~ -.
D ELECTRIC UNDERGROUND 0 1 UE:EER .... ', l': ~ r:-,... ~-
ROUGH ELECTRIC ... .. . . I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., □ REF. PIPING --. . -, --~ HEAT -AIR CONO. SYSTEMS I ,._ ·> • ...-..,._ -~ ' -I -to...:, ·-'\ It-,, J . "' ·\ VENTILATING SYSTEMS \ • fir, -... ~.-·'-.. 1 I -·-·.
I .
\. .... -.. ,, .. I'-;_ ..... --~ :.~, -._".\. --" .
CALL FOR FINAL INSPEC~ON WHEN ALL APPROPRTAT~ ~
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I '
ELECTRICAL I -(
MECHANICAL I I J , I
I II /J GAS r -
' I 1~--I 'K "!) U./11.-l BUILDING I
SPECIAL CONDITIONS I I -V
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INSPECTOR"S NOTES . , \. •· ~ .
DATE .. ~"' . ' '. \ ' -J
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PLAN CHECK IIUMB~Ri:(-l ?/ ADDRESS /.f.S/~
PLANNING: ' ~VPE OF STRUCTURE /~ ~
¼ DATE ,3-ff~
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~//~ ZONE: -----
SCHOOL FEES: SAN DIEGUITO_______ ENCINITAS _______ _
CARLSBAD --------SAN MARCOS -~-------% COVERAGE ___________ _ REQUlREO SETBACKS ____ _
BUILDING HEIGHT
FENCES/WALLS ------~-------
THO CAR GARAGE __ z _________ _
FRONT ---------
SIDE ----------
REAR ---------
COr'iMENTS: ------------------------
ENV rner:f-iENTAL REQU I
P,DDITIO NAL COMi'1ENTS: -----------------------
OK TO ISS UE ~ OATE:\~'lib•/ OK TO FINAL: ___ DATE: ___ _
·••* ::-~~, :!.-~** * 1t«t: -.~-;':,f,,';!:-::-:: **-!i'!:''!!.-i::?:-:':-·: .. -.~·~,::'.':~::~****** -:::-.~ -:. .. ~, .. * *** •••• *"-~"'.,, ..... *• "'. ···•*•• •••••• I
EMGINEEnING LEGAL DESCRIPTION VERIFIED? ____ A.P .N . CHECKED?_
P.F.F. _______ PARK IN LIEU _______________ _
R.0.1~: IMPROVEMENTS: _______________ _
_______________ E.D.U: ____________ _
SEWER :
LATERAL: DRIVEWAY :
GRADING PERMIT:
DRAINAGE:
EASEMENTS: ADDITIONAL COMMENTS:
..
OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _________________
1
PUBLIC \o!ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)