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HomeMy WebLinkAbout1985 PALOMAR OAKS WAY; ; 82-180-C; Permit! 8 d 3 S o o UJ o o t- s .Q U I c UJ Q Z Q] I hereby affirm that I vn lloenaad under provltlona of Chapter 9 ,(commendr>o with Section 7000) of Divlilon 3 of the Business and Profeeak>na Code, and my lloefTM ie In full force and effect be No CJiK T -.1. hereby ifffm thit I am ewmpt Irtm the Contrec- tor's bcanse Law for the tolowing reason (Sec. 7031.5 Business and Profossfona Code: Any crty or coonty svtach re quires a permit to construct, alter, Improve, demolsti, or repair any structore, prKr to its Issuance also requires thet for such pe^ to his a signsd statoment that he s Bd pursuant to the provworts of the Contractor's Ucensa Law (Chapter 9 commendng wtth Section 7000 ofDivision 3 of the Business and Protessons Code) or that !i exempt therefrom and the basis tor the aieged exempbon. AnyvfoUtfon of Section 7031.5 by an applicant for a permt sub jects the appbcant to a cnrri penalty o( not more tban'hve hun dred doitars (S500). □ I, as owner of the property, or my emptoyees wtth wiQesas their sole compensation, will do the worti, and the structure is not mtendsd or ottered for sale (Sec. 7044, Businessand Protessions Code; The Contractor's.bcense Law doesnot apply to an owner of property who builds or improvesthereon and who does such work himself or through hts ownemployees,'provided that such tmprovements are not intend--od or offered for sale II, however, the bulding or improvement Is sold withm one ymr of completion, the owner-builderwm have the burden of proving that he cU not buld or Improve for the purpose of sale) □ I, 88 owner of the property, am axdustvely contracbngwith Icented contractors to construct the project (Sec 7044,Business and Professions Code The Contractor's UcsnseLaw does not apply to an wmsr of property who builds or Improves thereon, and who contracts for etch projects wtth a^OTtn>ctor(s) bcense pursuant to ths Contractor'i License □ As a homeownar I am Improvtng my home, and the following condmons exist:1 The work a being performed c■ - 2 1 have lived in my-prtor to compleltan of this work.3. [.have not claimed this exemption during thelast three years □ I m exempt under Sec,—; ^ ;B&P.C. for this reason rto sale. twelve months Leobef's Address . USE BALL POINT PEN Ol □ I t>«feby affirm that I have a certificate of consentto s^lfHnsure, or a carlificate of Workers'Compensation lns0rance,'Of a certified copy thereof(Sec. 3600, Labor Code) POUCYNO COMPANY : □ Copy IS filed with the city . □ 'Certified copy is hereby fumish^ CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE(Thts section need not tie completed il the permit13 for one hundred dollars (JlOO) or less) □ I certify mat in the peflormaoce of me work forwhich this permit is issued, I shall not employ anyperson in any manner so as to tjecome subiect tothe Workers' Compensation Laws of California NOTICE TO APPUCANT If. alter making this Certificate of Exemption, you should become subject tothe Workers' Comper\sation provisions ol the LaborCode, you must forthwith comply with suchprovisions or this permit shall be deemed revoked □ I hereby affirm that there is a constructionlending apency lor the performance of the work lorwhich this permit is issued (Sec 3097. Civrl Code) Lender's PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANDDECLARATIONS.NDDE# OWNERS ADDRE LOT BLOCK CARLSBAD BUILDING DEPARTMENT 1200 Qm, Carlsbad, California 92008-1989 (714) 438-5525 APPLICA PERMIT JOB.VVp^ESS OWNtl^'S WAME • I .-T fvdtoi: ' U/a OATEjbF APPLJCATIONmB OWNER' SUBDIVISION ASSESSOR PARCEL NO. fSwipN OF WORK Z" CENSUS TRACT QTY. ■ GP LAND USE PARKING SPACE PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP- EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAI., ALTER; REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING CONTRAiNTRACTOR CONTRACTOR'S ADDH BUSI CONTRACTORS PHONE « DESIGNER DESIGNER'S ADDRESS F/P FLR^LEV. yD nD ■ RES UNITSe GRADING PERMIT ISSUED Y □ . N □ QTY.ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT/B'B 1 PH \i.c>o KR ' EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) \cfOO TOTAL ELECTRICAL QTY. REDEVELOPMENT AREA yD N 'MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CTY. STORIES TYPE SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOUR I HAVE CAREFULLY-EXAMINED THE COMPLETEP."APPLICATION AND.PERlvtIT" AND DO HEREB.YCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDIN6 THEDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT ISISSUED; TO COMPLY WTTH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIRED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAiD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. \ . CENSE NO. DESIGNER'S PHONE ) L EDU FIRE SPR nd VALUATION PLAN I.D. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUILDINQ 8Q. RX)TAQE ■ l.i/DP/DS7;.7r: 7- Not VtSd Unkss Nbchino Ctrtifhd SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERMIT.01-00-00-8221 PUN CHECK 01-00r00-8806,- TOTAL PLUMBING 01-00-00-8222 ELECTRICAL O1-OOT)0-B223 MECHANICAL 01-00-00-8224 'MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOUR 01-00-00-8225 STRONG MOTION 80-92-33-0519 RRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE-32-00-00-B923 BRIDGE FEE SCHOOL FEE - DISTBICT CarlstMd-80-.g2-21-0519 Enclnltas 80-92-22-0519 San Dlegulto -80-92-23-0519 8aii Marcos -. ;- "80-92-74-0519 (U-n- TOTAL FEES PAYABLE ^Bt I.I ' Explnitlon. EvorypermH taauedbythe^flcflng OftfdarunderthepfiiivWorwofthie' Code ahall expire )jy Hmrtalloo end become noil and vokJ. If the buiWina or workauthorized by such permit opnpt commenced wtthin IBOdayafromthe dais of suchp^mlt, the buUdlQ^3r|work authorized by such permit ta euaoended or work'ts commenced for a period of ISO davi CONTRACTOR □ BY PHONE □ APPLICXNT-S SI 7i??7.7JT *-M osHA PERMfTis REOuiRQ) R3R Excavations OVER 5-0" DEEP AND DEMOUnON OR CONSTRUCTION or - STRUCTURES 0VS1 3 STORES IN HEIGHT J INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION \ ' REINFORCED STEEL ^1 ' / Gli.NITE OR GROUT / F^' OR & CEILING SUB FRAME \ A (ITrame r r ' FYTFRIOR 1 ATM >Wfllll ATION INTERIOR LATH & DRYWALL t 1 PLUMBING ! SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT Dt TUB AND §HOWER PAN ' i GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC 1 ELECTRIC SERVICE BONDING 1 4 1 G. F. 1. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING 1 HEAT — AIR COND. — SOLAR SYSTEMS .K ' J' VENTILATING SYSTEMS 1 i • •\ CALL FOR FINAL INSPECTION WHENrALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITjlFINAL PLUMBING ELECTRICAL ■MeGHANfCAL 'ST^-r c. BUILDING , r-f SPECIAL CONDITION^ '- CERT OF OCCUPANCY ISSUED | FIELD INSPECTION RECORD . . REQUIRED SPECIAL INSPECTIONS ' INSPECTOR'S NOTES * INSPECTION ■' REQ. IF CHECKED INSPECTOR'S APPROVAL DATE /"-//"fs^ ' SOILS COMPLIANCE PRIOR TO . FOUNDATION INSP .ciAj ^ STRUCToVtAL CONCRETE OVER 2000 PSI /-/2.-R3 At^^udJ ^ PRESTRESSED CONCRETE POST TENSIONED. . CONCRETE &-> 3, y/J2, FIELD WELDING V /to ^ /- ^3?- ^ HIGH STRENGTH BOLTS SPECIAL MASONhV" ' " 1 '■ PILES^CAISSONS ^ , ■■ ■ -'. • T •&UT//OKA^Kfr AcpVP yo /BS? 77«W) JE> - . ' <tDfAr^K, ^ 1 <-»— ^ ■ A - • 4 ■ ■ I " , f. ( i£>/^ ^T>o ■ 'O TIP / /yip^ - • A-. * / 7''' X . ^ , .V ■ ' '''■ t -■ (I "■ v~ . * , i 1969 PALOMAR OAKS WAY FOR MORE INFO ON 82-180