HomeMy WebLinkAbout1856 PENTAS CT; ; 83-44; PermitCl) z 0 ~ a: C _,
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A I hereby affirm that I am licensed under ~ lalona of Chapter 9 (commencing with
.,. [ tlon 7000) of Division 3 of the Business ~ and Professions Code, and my license Is In
~ lull forf, ~').d..f~t. 12_ z Lie No '9 l-"\J· J~ Class o ~ __L_ _
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I hefeby allirm thal I am exempt lrom lhe Contrac·
tor's License uw lor lhe lollow1r111 reason (Sec. 7031.5 Business and Professions Code: Any c,ty Of county which re· qurres a permit 10 construct. aI1er. H'llpfove demolish, or repair any slr\lcture. poor to i1s ISSUanct aiso requites the ap.
plicanl lor su<h penM to t,te a Signed statement that he ,s hcense<I pursuant to Ille Pf"'islOOS ol the Contract«' s License uw (Cllapter 9 commencing with Section 7000 of OMsoon 3 of ti•• Business and Professions Code) 0< Iha! 1s ex-~\:~•~.:,~:~,~ ':'n'~:=,:~~t:, s~l jects the applicant to a civil penalty ol not ffl0fe than hve hun-dre<I dollars ($500)
O I, as owner ol tile prope,1y, or my employees w,th wages
as their sofe compensation, wm do the work, and the struc-ture Is not inlende<I Of offered tor sate (Sec. 7044. Business
and Prolessoons Code: The Contractor's License uw does
not apply to an owner ol ptoperty wt10 builds "' lmpr"'°' thereon and who does such w0!1< h,msen 0< through h,s own employees, provide<! that such lmpr"'8menls are not Intend· ed or ollere<I for sate. II, however. the building"' improw-
ment is sold within one year ol complet,on, the owner-buildef will have lhe burden ol prCMng !hat he dld not bu,ld or Im-
prove for the purpose ol sale).
D I. as owner ol lhe property, am exclusively contracting with ltcensed contrzctors to conslruct the prqec1 (Sec. 7044, Busmess and Professions Code: The Contracto,' s License Law does not apply to an owner ol prope,1y who builds or im-
prMs thereon, and who contracts for each projects with a contractor(s) license pursuant to the Conlract«·s i.Jcense UW).
D As a homeowner I am imprOVing my hO<ne, and the follow· ing conditions exist: t rt~ori:!i ~~ ,:i: r..'°' ~months
poor to completion of this w"'1<. 3. I have not claimed this exemption during the last three years
0 I am exempt under Sec ______ , B & P.C
for this reason
br, hereby affirm tha11 ha'./e a cert,hcate ot consen1
~self-insure. or a cer11f1c11e ol Worke,s· COmpensation Insurance or a c:en,11~ coc:>y thereof
(Sec JSOO Labor Cooei 1 .... ,....
POLICYNOrfi.:.. ~, ~
COMPAN~'(:.s:;.c.J\\()Jf
~Copy ,shied w,th the c,ty
0 Cert1hed CoPY 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm11 ,s to, one hundred dollaB (S 100) Of iess)
0 I certify that 1n the performance ot the wo~ IOf
whteh this perm11 •s issued. I shall not employ any person in any manner so as to beCOme sut>Ject 10
the Workers Compens.attOn U ws of Cahlom1a
NOTICE TO APPLICANT It. after makm1 this Cert,
hcate of Exempt,on. you should become sub1ec1 ,.,
the Workers· Compen~hon Pf'OV1st0ns ol the labof Code. you must forthwith comply with such
Pf0v1st00s or this permn shall be deemed revoked
0 I hereby atfum lhat there 1s a construc11on lending ilQency tor the ~ounance ol the wOOl IOf
wtucn this perm11 ,s issued {Sec XS7 C1v1I Code,
Lenders Name ___________ _
Lenders Adaress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
• CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
A~;T., 7TE ~F,5~~~,
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VALUATION PERMIT NUMBER
I '&5l..D? e.1. ra.~ c-r . c~t-r_/?#J .,
!t,73()0
OWNER'S NAME I I l-t!,'3w•~iH?f CONTRACTOR CONTRACTORS PHONE • ZONE ~~-44-~ \v\ \ \.)012. f.t)U;.1~ ~"'fl~ ~cwcnCJ.J 11'1-'-193-~7/
OWNER'S MAIL NG ADDRESS CONTRACTOR'S ADDRESS ~/~ LICENSE NO. PLAN 1.0. # BLOG USE CODE
~E= 2u-to\ v,A.CAL.Jfo~ ~~rn 4I931'L-
LOT I BLOCK I SUBDIVISION I ASSE~f s'A?~ 1\0 0 '-f' 00 DESIGNER I LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
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oES~~-r.Kiut).){, \,JJ\.1 l _ ,-r----
I e,i..~ o'"\Z. DESIGNER'S AODRESS DESIGNER'S PHONE
I I
~--~ -~ ---F/P FLR ELEV. NO CCC GP EDU
STORIES
vO NO 2/1611:. .. -1 ,. ' i --' :
CENSUS TRACT I I PARKING SPACE I RES UNITS I _,r-.,. •• -GP LANO USE GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPR ., 7
AREA CONST , -,
y O N 0 vO NO vO NO Not Valid Unlt!ss M4chine Certifitd
QTY. PLUMBING PERMIT· ISSUE 7 [!!,-QTY. MECHANICAL PERMIT· ISSUE 3 -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TO 100,000 BTU BUILOING PERMIT 01 ·00·00·8220 /~ £ 4,/')
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 ·-
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHEC~ -1..• IA~·00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 /h. t1D ---EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR OHJO-M..A??~
TOT.C.L MECHANICAL STRONG MOTION 80·92·33-0519 .!::JO ---~-, ~--.:..__
TOTAL PLUMBING FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE s:-QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWTtBKR COLLECTORS SCHOOL FEE · OISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT1BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Dieguito 80·92·23·0519 ----I REMODEL ALTER PER CIRCUIT .,s. -PLAN CHECK FEE San Marcos 80·92·24·0519 , -----·-TEMP POLE 200 AMPS ~ ,. -·-~ -
OVER 200 AMPS -0 ------.. TEMP OCCUPANCY (30 DAYS) . ... ' ... , ', . . • .. -------.. -
..
7 ---
TOTAL ELECTRICAL TOTAL SOLAR -_, I I D.--TOTAL FEES PAYABLE ,3--<;. ,,.,
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" ANO DO HEREBY Exp1ret1on. Every perm,t ,aaued by the Buildtng Offietel under the prov11,ons of this * AN OSHA P£MIIT IS lllOUIAE0 FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code thell Hl)lre by hmitellon and become null end vo,d If the build,ng or work ~-O" DEEP ANO DEM0UTlON Ofl CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT tS authorized by IUCh perm,t ,s not commencad w1t111n 1110 dey1 from the date of such STIIUCTUIIES OV£A 3 STONES IN HEIGHT I permit. or ii 1 ~ buold•:JI or won eutlloroud by auch permtt 11 auapended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ebandoned et bme • er tM worlt ,s com-«:ed tor• -,od of tllil "-• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPllr!J/1;; •
OWNER□ CC.N(~ACT~ APPROVED BY DATE • KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO -~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE av PHONE D , .. I 2·· I~, a:, GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION "' REINFORCED STEEL .1.-.a<-~ Md/I "
MASONRY A
' •--U.~ 1' GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING .
SEWER AND Bl/CO ..
PLUMBING UNDERGROUND
PLUMBING TOP OUT --TUB AND ~HOWER PAN
GAS TEST -
.
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND '
ROUGH ELECTRIC .
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS j
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL ..
PLUMBING I\
ELECTRICAL J
MECHANICAL I J.. j •
GAS ( ,..-~ ,15/1"'
BUILDING I I
SPECIAL CONDITIONS -
CERT OF OCCUPANCY ISSUED
~
FIELD INSPECTION RECORD
. REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVA._
SOILS COMPLIANCE
PRIOR TO
~OUN DA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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. INSPECTOR'S NOTES
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DATE -·----s-1~ IIA&l<e~"-.. ~ 4 11 AUIA .
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INTERDEPARTMENIAL INFORMATION SHEET lECEIVED
BUILDING DEPARTMENT DAT~t a 1.4198J
BUILPING ADDREss = !850 Pef\tCA? c :r; BAD
A. P. N: --c. T: · ~ OF CARLS e ~
llll.DiJiJ· *******ii** ii************ Ii******** li * i· ***** li *** u7~ :.e:==
£LANNING DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS ----------------
ENCINITAS CARLSBAD -------
·UNITS REQ'D: PROVIDED: ------------------------% COVERAGE ALLOWED: . PROVIDED: -----------PARKING SPACES REQ'D: PROVIDED: ___________ _
BUILDING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: _____ _
PROVIDED: -------
INTRUSIONS: ------
RE-DEVELOPMENT APPROVAL REQ'D: ---------LANDSCAPE & IRRIGATION PLAN COMMENTS: _______________ _
ENVIRONMENTAL PROTECTION REQ: --------------------
ADDITIONAL COMMENTS: ------------------------
OK TO OK TO FINAL: ____ DATE: ___ _
._ "* * f *·§mt***~--h· * -k ¼ * * ·:: t * t * * * * ¼ i; ¼****¼*it;***.!. t * t t * * * ½ * * ¼ * :k * * * * X :§ X * ¼ * * * ¼ * iJC£Il
ENGINEERING DEPARTMENT
R.O.W: -------IMPROVEMENTS-'-: _________________ _
PUBLIC FACILITIES FEE: SEWER CONNECTION: ----------------
DRIVEWAY LOCATION(S) =-----------~-----_
GRADING PERMIT: --------------------------EASEMENTS: __________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: ________________________ _
ADDITIONAL COMMENTS: ------------------------
*CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: -----------0 K TO ISSUE: ___ DATE: ____ PWI: ____ OK TO FINAL: ____ _
DATE: ___ _
1a£.:Ja * ** •'i * * * * * * ,m¼ * ** * * *m* * ~-* * * * * ~J: * * * * mD* * * * -J:..m.m.mnj; £ITT
* IF TIIIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE
PINAL INSPECTION.