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HomeMy WebLinkAbout2001 LADERA CT; ; CB891402; Permit"' z 0 ;:: " a: " J u w C a: !l 8 a: .. Q J 5 :l1 .. z 'J 0 z 0 ~ z .. .. "' 0 u "' ic .. " a: 0 'J a: .. Q z .. J r- &, hereby alllrm tl'1at I am licensed under pro¥1Sions of Chapter 9 (commencin~ with Section 7000) of Division 3 of the Business and Professions Code, and my license 1s In lull force and effect , nereOy at1,rrn that I am exempt lrorr, the Cort-ac !or's L,cense Law tor the 1011,w,ng reason 1Sec 1031 ', Business and P•ofess,ons Coae Any c,:y or c0u1ty wn,u, re Quires a perm,t IO rnnslruct airer improve derno,,s;r or re;iair any srructure pr.or to ,ts ·ssuacce also req-,,res :~e ap ;i1,can1 to, wcr permit to lile a s,~neo sta:ement that tir ,s "censed ~ur:,uant to the pro,is•on, o' lhe Lornractur c, 1,ce~se Law :Chapter 9 commenc ng w11n Ser! :in I00C :it D11",s,on 3 of the Busmess ana Proless,ons Coof, or th:it ,s e, empl therefrom and lhe basis tor t~e allegeo e,e,,.,pllG< Ar·, ,,01atI~n ol Section 7031 S by ar apol,rant lor a oerm: 'J1 1ects the appl•canr to a c,v,1 pena11·1 of nnl -~orf iha 0 fr.e r0,, d'ed aoPa·s 1$500' as owner ol rhe JraJer11. Jr m1 ,.,,:c ,,at,•.s as their sole corrpersolrcn w,I, du •~e ,,.re rs not ,rterded or ~Jtered for >a e ard Pro1ess,01s Code -he Cort·ac:o· s L,ceose I aw ~oes 001 a poly to an owner ol oroper•·1 ,,n~ nu, ds ~r :hereon and who does sue~ war> ~,-,se•f or r~rous" s :;,ir employees orov,ded that s_ch I"1prJvemen1s are nol I1'e"d ea o, 011e-ed •w sale 1 "awever the bu,I0,oa or rmoro'✓~ -e-• ,s soiC wr:h,n o~e year ot compre1,on tre ownw·CJ11dtr w,1 nave Jhe Duden of pcov ng that t,e drd nol tJU Id 1· ,- prove ior lhe Du,pose of sale, 1 as cwne' 81 lhe p'o:iert\' a<r e1C'us,ve•y c:;n!ra:t,n,; ,iI1n :,censed cortractors 10 ,:onslr·,ct t~e P'0Iec1 ,sec 7·14< Aus,ces, and P-o'ess1u~s Code !Oe Contrar.tor s L r.ens;e Law does nor app'y to an ow~er ot vo:ier:i ·;,ho burI~; G" woves thereon and whG conlra(ls for eoc~ P'O!ecls ,.,,1h :ont•acto,111 ,cense p,,r,u2n: :o lhe co,·•·dCJo,·s law·, As a homeowner I am ,mprovrnq my home, and lhe •ok;,i mg co~a,:,ons e,,st , lhe work ,s being performed prior 1G ,a e ? I have l,ved ,n my home f~r twelve ~,vnlh; :iroor to comolet,on o' th,s work 3 I have nol claimed this exemption dur,r,q the ,ast three years for 11n~: r~~~~t under Sec _____ _ El & PC "--· hereby al•irm tnat It-ave a cenrt,ca1e ot co~sert 10 ✓-ei•~sure O' a cert1l1cate of Workers Cornpensat,on In su•aoce or d cert,:,ed copy thereo• ,Sec 3800 Labor Code> POLICY NO COMPANY ~op, ,s l,ied w,tn the c,ty _ Cert1f1ed copy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE !This section need no! be compleled rf the pe•m,t ,s lor one hundrec dol:ars 1$1001 o< lessl _ I ce,tdy I hat ,n tne performance of tne "ork tor v.h·ch t>i s ~err,irt ,s rssued. I shall not employ any perscn In dry manoer so as to become sub1ect lo the Wor~ers Cori pen sat,on Laws of Cal,forn,a NOTICE TO APPLICANT. If after makrn,; this Cen,hcate o• £,emption you should become sub1ect to the Wo,1<;ers Compensat,on prov,s,ons of the Labor Code. you must forthwith comply w,tn such prov.s,ons or thrs ~ermrt shall be deemed revoked I hereby affirm that tr~,e ,s a const·~c:,cr enJ -c agency for the ~erformance of the ;,·orf. 'c• Nhli" 1r,s ,.,-. 'T,•T ,5 IS~ued iSPC 3(}97 C,·,il Coue, Ler~~r c Name ~P"<ic" S AddrPS> USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV.ST.RD THOMAS BROS NO. DATE Of'1.._V€ BUSINESS LICENSE 4 VALUATION PERMIT r,,,uMBER ~I t' LILJI£_~ er-. '7'·, -'/ /C, 'ii.~ 8fCf-1'f 02.. ,,~BLOCK Is,~:~ 1 ASzS(l z~eqpz. --i.. 1-CONTRACTOR CONTRACTORS PHONE# ZONE C: OWNf A'S NAME I ~~~;;;;r CA-'-1~ .w4 /dd~ 7 t/ '-f. ~"'·I</ Ill . J.,rr{N 1°~trd ~e /LI IJ.S CONTRACTOR'S ADDRESS STATE LICENSE NO . BUILDING SQ FOOTAGE IC. II s /<. .. ·-~ rL .Jtf'S/rt... OWNER'S MAILING ADDRESS L/J,IJ;tJL.,4-OES!GNER OESlGNE R'S PHONE ~J er. OEcSCRIPT•ON OF WORK 'Y"' ~ "'_s' /' 4 ,,-::rc,t.P DESIGNER'S ADDRESS STATE LJCENSE NO. c C FLRELEV NO ace GP EDU -.. -.-· STORIES . ., . .. -<= '-= --- I CENSUS TRACT I PAPKl'\/G ',P>,Cf-Fl F s l., N TS I GRA;)ING PERMIT ISSUED ! REDEVELOPMEr-.T TYPE ace LOAD FIRE SPF> AREA CONST ,o 'D ·C ,□ ylJ "'□ Nor Valid Unless Machine Cerrrf1ed QTY PLUMBING PERMIT -ISSUE 1"50 QTY MECHANICAL PERMIT -ISSUE ~~co SUMMARY/ACCOUNT NUMBER £:.ACH flXlURE TRAP INSTALL FURN DUCTS :.JP TO 100 000 BTU clUl~lJIN(j f-'t.R~I UU1 01 ~-0D-DIJ-8??0 /f!,O FACH flUlllllNG S!:WE.R □VE A 100 000 BTU SIGN PERMIT GO 1-8 J ,J-OCI-OCl-cli 2 ~ I E.ACHWATFR HEATER AN[) llR VE.NT !lOILER.r.UMPRE.SSOR UP TO 3 HP PLAN CHECK 001-810·00-00-8891 11 7 I EACH GAS SYSTEM I l(J40UTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 00 I -81 G-00-00-8? ?2 ,,;- EACH GAS SYSTEM :0 [JR MORF \fflA, F:REPL,\CE ELECTRICAL 001-81 C-00-00-8223 't) EACH INST AL AlTFR. REPAIR 1'.'ATER PIPE. VE.NT ~AN SINGLE DUCT MECHANICAL 001-810-00-0D-822l I EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-0G-8225 WATE.R SUFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001-81 J-DO-D0-8226 ; ,'.C:>-1 Rr·, ;e l'.>l.l!'J , ,.,_c ,~r DRYER VENT STRONG MUllON 880-]19-92-33 I TOTr..L MECHANl[AL FIRE SPR:~Jl<LERS OD 1-81-J-D0-00-8227 TU! Al Pl \J'v1BINL I ,s -PUBLIC FACILITIES FEE 320-81-J-00-00-8 ~ ~ J soc BRIDGE FEE 360·810-00-00-874S QTY ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU iAREA I Nt:W [[)NSr EA AMP SWl 1-JKR CAR PORT TIF 312-810-00-00-8835 I PH ; PH AWNING LA COSTA TIF 311-810-00-00-8835 EX1Sr l:ltlJG EA AMP svn 1-lKR GARAGI: FMF I PH 1 PH LICENSE TAX 00!-3 1·:>c,: -~rJ-S"ri? _..._ RU,1QlJEL Al T~P PFR ( R[Ull MFF 880-519-9)-5/ rt MP PO l F !UU .'.l..MP\ ovr R )[JU AMPS l [ •,i P UC CUP Ar-., CY · Jll U A Y Si CREDIT DEPOSIT <,1,"") l 1)U'1L f I l 1.1 kl!!;[ I ~c-I; I ,:; TOTAL FEES PAYABLE I --d/6 I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND f'fR•,~IT ANG DO HERHF E•p,ration Every perm,t ,ssuttd by ttie Bu1ld1n9 Officutl under !he prov1s1ons of this * AN, OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMAT•O:~ '1[>-<:'::01. !r-.JCL UDING THt:: Code shall exp,re by l,m1tai,00 and become null and ~01d If !he bu1ldmg or work 5' O" DEEP AND DEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORREC .ANJ ! FURTHER CEPTIF ( AND AGREE iF A PERM;T :'-author,zed by such pem1It Is no! commenced w1thm 180days from the date vt such STAUCTlJMS OYER 3 STORIES IN HEK3HT pe,m•t. or 1f t!)e burfdm,;; C" work authorized by such perm,! ,s suspended or ISSUED ro COM PL y WITl-l ALL C•TY COUN I y AND ST A TE LA\•',JS Gc,•;ERNiNG RLJ;LDiNG cot, abandonttd at anv t,:ne 11:IH the work 1s commenced for a oenod ot 180 devs STRUCTION \NHETHER SPECIFIED 1--llHE'N 0R NOT I At_SO AG;;!Ef' TO SA,;t: INlJfMNIH MW AP~~~~~~OWNERn CONTAACTO,rCl Ah l~V?-1 KEfP rlARMLESS THE CITY OF CAHLSBAD AGAINST A,_~ L,Adll, -I~.S clDCMfNTS COSTS ANO ~ EXPENSES WHICH MAY IN ANY WAY ACCR'JE AGAiNS: S•\·D C,Ty" c::::i,SFC)UF'-lCE OF Tt-'E BY PHONE n GRANTING OF THIS PERMIT ...... ______ © u.. > @ 0 0. E © t-- D 0 CJ C C u 0. 0. "' ~ C 0. 0 ~ m © m ' "' s .2 0 >- © u C ~ C u.. ,:: C © ~ CJ 0 u © 0. m C • I © £ ~ • TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY I ' GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEILIN~ SHEATHING □ ROOF □ SHE~R FRAME I EXTERIOR LATH I INSULATION I ' INTERIOR LATH & DRYWALL I I PLUMBING I □ SEWER AND BUCO D PUOO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE D WATER TUB AND SHOWER PAN I GAS TEST I I □ WATER HEATER D SOLAR WATER I ELECTRICAL ' I □ ELECTRIC UNDERGROUND □ Ul"FER ROUGH ELECTRIC I □ ELECTRIC SERVICE D TEMPORARY □ BONDING □ POOL I I MECHANICAL I I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL I . PLUMBING I ELECTRICAL I -'-MECHANICAL ' 'J'-. ' I GAS I ;_,..: \:· ..... BUILDING I J \",. ~~ SPECIAL CONDITIONS I '1:1 ~ - '• . --, r ·--• ,, FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . INSPECTION . REQ IF INSPECTORS DATE CHECKED APPROVAL .. SOILS COMPLIANCE PRIOR TO FOUNDATION JNSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS . -.. . . ·----------------------______________________ ,, __ _ PERMIT APPLICATION ~ V City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 1619) .,,-11,1 1. PERMIT TYPE A □ COMMERCIAL TENANT IMPROVEMENT 8 -~NDUSTRIAL □TENANT IMPROVEMENT C -RESIDENTIAL □APARTMENT □CONDO □SINGLE FAH!LY DWELLING OAD0ITI0N/ALTERATI0N DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 9925 09/J9/89 0001 01 C-PRMT O•·. • □MECHANICAL ~POOL ~A □RETAINING 'wALL □SOLAR 2. PROJECT INFORMATION PLAN CHECK No. LEGAL DESCRIPTION f"',37 1 Unit No. Phase No. BLDG. SQ~ FTG, # OF STORIES 3. CONTAC,.T PERS~ c,,...LU:lc,..,~ ~ NAME ,{) A-vl .__-, /rr . CITY I PG )s_L) . . STATE SIGNATURE ADDRESS ZIP CODE PROPOSED USE -z...,u· / ~ DAY TELEPHONE y ?3-Rv!L 4. APPI...Il;LINT NAME ,IJ~U/ 0 CITY 5.,. L) 1 _ c::;J 51,NTRACTOR s r't"'-6,,ji,._) ~HIT FOR CONTRACTOR ADDRESS QO\JNER □AGENT FOR Ow'NER /?61 t,J/'-c(-~ STATE ZIP COOE q>'t.-{"'f DAY TELEPHONE 5. PROPERTY OWNEli . -.,,,,vr1 .:,, • """''" NAME ..J iJ rt,,.> <ff'-' ( r, (IT I ,:;;,'L' I.O CITY C/}Ll.;5~~ STATE ADDRESS ZIP CODE □TENANT DAY TELEPHONE ~..3-Stt"/,.T' 6. NAMfo~p~~, F«-"-'IA f? ~ c.S ADDRESS ZIP CODE lbl'I 7. 8. CITY S/f,..>' ,-1~CQS°' STATE LIC. ,/&/QL L!CENSE CLASS CITY BUSINESS LIC. # SIGNATURE TITLE DATE DES I GNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION \ilorkers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' C~nsat ion Insurance by an actni t ted insurer, or an e11act copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Bui ldi ng Inspection Department (Section 3800, lab. C). POLICY NO. EXPIRATION DATE I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner the workers' Con-pens at ion Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that ! am e11empt from the Contractor's License Law for the following reason: 0 I as owner of the property or 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 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 CC>nl)letion, 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 e11clusively 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 property who builds or improves thereon, and contracts for such projects with contractor(s) \ i censed pursuant to the Contractor's license Law). 0 I am exempt under Section ____________ Business and Professions Code for this reason: (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, al so requires the appl i cant for such per mi t to f i le a signed statement that he is l i censed pursuant to the provi s i ans of the Cont rector's License Law ( Chapter 9, coomenc i ng wi th Section 7000 of O i vision 3 of the Business and Profess i ans Code J or that he is e11~t therefrom, and the basis for the alleged exeirption. 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 do l l ars {$500] ) • SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIOENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES □No IF ANY OF TIE ANSYERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCl NAY NOT BE ISSU:O AFTER JULY 1, 1989 UNLESS THE APPLICANT ttAS MET OR IS MEETING THE REQUIREMENTS OF THE OfFICI: OF EMIERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to corll)ly with all City ordinances and State laws relating to building construction. l hereby authorize representatives 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, JWGMENTS, COSTS ANO EXPENSES lolHJCH MAT IN ANT \i/AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PER"IT. E11piration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not conmenced within 180 days from the date of such permit or if the building or work authoriied by such permit is suspended or abandoned at any time af er the wor coornenced for a period of 180 days (Section 303(d) Uniform Building Code). □ O'wNER fzfcONTRACTOR □BY PHONE APPRO'IED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB891402 CITY OF CARLSBAD INSPECTION REQUEST FOR 05/30/91 DESCRIPTION: 650 SF POOL AND SPA INSPECTOR AREA MP PLANCK# CB891402 OCC GRP TYPE: POOL CONSTR. TYPE NEW JOB ADDRESS: 2001 LADERA CT STR: FL: STE: APPLICANT: STAPLETON, DAVID PHONE: 619 483-8212 OWNER: TAMERIUS, JOHN AND RITA PHONE: 619-~~1~ . ,I • CONTRACTOR: CALIFORNIA POOLS PHONE: 619 744-8868~ REMARKS: RS/MARK/438-0468 INSPECTOR~""'-'::;_...:....~<l-"-~.:::....;~----- SPECIAL INSTRUCT: THIS IS AN INSPECTION PER CODE ENFORCEMENT ON A POOL PERMIT THAT CONTRACTOR THOUGHT WAS FINAL TOTAL TIME: CD 59 LVL DESCRIPTION SW Final Pool ACT COMMENTS &f ____ _ ------------------ ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 013090 Fence/Pre-Plaster AP PD HOOK UP EQUIPMENT 011090 Gas/Test/Repairs AP PD 121989 Electric/Conduit/Wiring AP PD 121989 Underground Plumbing AP PD NO TEST ON GAS 121989 Excav/Steel/Bonding AP PD 121989 Fence/Pre-Plaster AP PD