HomeMy WebLinkAbout1985 PALOMAR OAKS WAY; ; 82-478; Permit□ I hereby affirm that I am Hcanaed underprovlilons of Chapter 9 (commenctng with
Section 7000) of Division 3 of the Businessand Profeaalons Code, and my license Is In
full force and effect.
be No Class •
I heretjy affirm that I am exempt from the Contractor's Lteanw Law for the following reoon (Sec. 703UBuelneo and Professions Code Arrycfty or county wtuch requires a permit to conatruct, after, Improve, demobh, orrepair any structire, prior to ite Issutnce atso repufres tin applicant lor such permit to file a signed statement that he bfceneed pureuant tto tfw provisiDns of-the Confriclor'sbcenee Law (Chapter 9 commencing with Section 7COO ofDtvislonSof the Business and Prcteseons Code) or that is exempt therefrom and the bass for the ane^exemptuo. Ajiyvioation of Section 7031,5 by an applicant for a permQ sub-tects theappbcant toe civil penalty n not more than fm^n-'dred (Wlar8-($500).
□ I, u owner ot the property, or my emptoyees wfth wagesas their sole compensation, will do to wor1(, and ttte structure Is not imended or ottered for sate (Sec. 7044, Busross.'
and Professkni Code- The Contractor's Ltcenee Law doesnot apply to an owner ot property who buitds or anpromthereon and wtra does such worlr hlmsetf or through hii ownemptoyees, provided that such improvements are not fotend-ed or otfer^ for sale. If. however.-the building or Improvement IS sold within one year ot completion, the owner-balderwiP have the burden ot proving that he did not bulU or Improve for the purpose ot sale).
□ I, as owner of the property, am axclusivety contractwgwith Dcensed contractors to construct the project (Sec. 7044,Buslnese and Proteeaxms Code- The Contractor's LicenseLaw does not apply to an owner ot property who builds x improves thereon, and who contracts fx each pn^ects with a^ont^actor(s) license pursuant to the Contractor's Uceoie
□ Asahomeownerlamvnprovlngmyhome, andthetottow-B^ cordtnne exist: •.1. . The work's being performed prior to tale.^ 2. I have lived In my home fx twefve months- pitor to completion of ths work3.. 1 have not ctafrned this eKsmpOon during thelast three years.
□ I am exempt under Sec..
Jx tha reasoQ.. B&P.C.
POUCY NO.
^n^opy ta filed with tfte cit^
• Certified copy it heretjy fumtehed
Lerxler's Address .
USE BALL POINT PEN ONLY & PRESS HARD
D I hereby affirrh that I have a certificate of consentto seil-inture, or a certificate of Workers'^ ComperYsetion Insurance, or a certified copy tttoreoffS«c 3600. Labor Code)
CERTIFICATE OF EXEMPTtON FROMWORKERS'COMPENSATION INSURANCE(This section need not be completed if the permitIS for orw hundred doiiars ($100) or less)
Q I certify that in the performance ol-the work forwhich this permit is leeued, I shall not employ any
person in any manner ao as to become eubfect tothe Workers' Compensalioo Laws of California
NOTICE TO APPLCANT" If. after m^ing this Certificate of Exemption, you shouid become subtect tothe Workers' Comper«ation provrsoos of the LaborCode, you must forthwith . comply with suchprovisions or this permit shall be deemed revoked
0.1 hereby . affirm that there is a constructionlerxJir^ a()ency for the performance of the work forwhich" thrs permit is issued (Sec 3097, Civil Code)
Lender's Namfl
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTIMENT
1200 Elm. Carlsbad, California 92008-1989 (714) 438-5525 APPLICATION & PERMIT
JOB ADDRESS v.. ^ ^ ^
?2.TCN/J^ ^Ar.Li=rir,
OWNERS NAME
AV. ST.
RD.
OWNER'S PHONE
i7/<-
OWNtHt:) MAILINCi AOUMbS»t>.y^
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. '
DESCRtPTlON OF WORK
CENSUS TRACT
QTY.
QP 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 INSTALV, ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER--
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
DATE OF APPLICATION
/yh/B
A
CONTRACTOfT'S ADDRESS
BUSINESS LICEf^E # | - VALUATION
ZONE VCONTRACTORS PHONE »
UCENSt NO.
DESIONER'S ADDRESS'
F/P FLR ELEV.
yD nD
GRADING PERMfT ISSUED
Y □ N □
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT/BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR.
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30.OAYS)
TOTAL ELECTRICAL
QTY.
REDEVELOPMENT
AREA
vn no
STORIES
TYPE
CONST
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 315 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY.SOUIR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE z
z
y4/'7e&v
LICENSE #
DESIGNER'S PHONE
EDU
FIRE SPR
Y0 N0
PLAN !.□. #
STANDARD
PERMIT NUMBER
llB
BLDG USE CODE
ifiaglNG SQ. FOOTA^jg
17-3;
Not Vttd
SUMMARY/AO
BUILDING PERMIT
SIGN PERMIT -
PLAN CHECK
TOTAL PLI
Utodune Ctrtiritd
NUMBER
01-00-00-8220
01-00-00-8221
01-00-00-8806
01-00-00-8222
ICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
TOTAL SOLAR'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMff" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND GORftECT AND I FURTHER'CERTIFY AND AGREE IF A PERMIT ISISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPEaPIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
GRANTING OF THIS PERMIT.
SOLAR m-no-no-flppfi
STRONG MOTION'80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILmES FEE 32-00-00-8923
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Enclnltas 80-92-22-0519
San DleguRo 80-92-23-0519
San Marcos 80-92-24-0519
W3S
Tonsil
TOTAL FEES PAYABLE
Explrattorj. Every permit lasoed by the BofkHryg Ofhctel under the provfaions ofthitCode ahaJi expire by limitation end become null and void If the building or workauthorized by auch permit ia not commenced within 100 daya from the date of auchpermit, or ff the building or work authorized by-auch penmt It auapended orabandoned at any thne after the work is commertced for a penod of 186 dava
APPLIC.CONTFIACTOB
BY PHONE □
* AN 08HA PERMIT IS REQUIRED FOR EXCAVATIONS OVHI■5' 0" DffiP AND OEMOUTION OR CONSTRICTION OF
STRUCTURK OVER 3 STOMES-IN HEIGHT '
APPROVED BY
Mi ' -
INSPECTION TYPE DATE INSPECTOR
BUILDING 1
FOUNDATION n '
REINFORCED STEEL 1
MASONRY 1
GUNITE OR GROUT ' !
FLOOR & CEILING SUB FRAME i
SHEATHING !
FRAME
EXTERIOR LATH INSULATION l •
INTERIOR LATH & DRYWALL 1
PLUMBING i
SEWER AND BL/CO
PLUMBING UNDERGROUND ,
PLUMBING TOP OUT i
TUB AND §HOWER PAN
GAS TEST 1
ELECTRICAL
TEMPORARY POWER i
ELECTRIC UNDERGROUND i
ROUGH ELECTRIC !
ELECTRIC SERVICE
BONDING :
G. F. 1. - SMOKE DETECTOR '
MECHANICAL
DUCT & PLEM., REF. PIPING n V « r ^
HEAT — AIR COND. — SOLAR SYSTEMS,.'
VENTILATING SYSTEMS 1
CALL FOR FINAL INSPECTION \NHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL n I
PLUMBING A '
electrical a '
MECI-lAf5lCAiA \ j
GAS' X ecoM! -
^UlLpiNG / \ '{ •1 i
SPECIAL PCnDITIONSX
cert .OF ecCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
n
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
n HIGH STRENGTH
BOLTS
SPECIAL MASONRY
• nn
'
PILES'CAISSONS
.
j , n
1 - - -
-
— - - \ -
'
- .• •
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