HomeMy WebLinkAbout2002 LEE CT; ; 86-120-16; Permit"' z 0 ~ <( er <( ....
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0 \ hereby affirm 1~at I am licensed under
pro11istons of CMaptBr 9 (commencing w,th
Section 7000) of Division 3 o! tne Business
and Professions Code, and my license 1s i"l
ful I force and effec I.
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I he·eoy atf1rm 11-i,:1· ·n~
7:ir ~ l1cerse Law tor
Bus•rie-s.s. one v~c,e~;:: re-
-:ixes ;i :ierm1t ·c
re~a1r any suuc:~r~
~ IC~lll 1or SUC"'I
1 c:ensed purs_,ant '.C tr"e 1:nc...,1smns. ::it s
'~1u:·nse .d .... ·C:ha:rw ~ comrne'IC.1ng w1'h 11 ,_.
D1·,1~, :JI 1.JI the l::l,JS:nes~ c!nd Pr::ite~SI0'1S ~Or!':', ry tn~, s e,-
emc,1 t-·e·efr□1 and ire Ja51s re· the a :r.m~c CX':''ii)'.1cn A-:,y
vi,~ at1;in of S£c'. r;n 703 1 ~ 8'i <'!.n aopl,cant for a oerrr,1! s,1~1-
e,:·s '."e apoIIca":I 10 c1 cI'.'I. ~e,-1,:1I1~ -:ii no1 r'Or!:.> th,r '1v~ ru~
d•ec rjcl ars 1$':tCC-1
I c:s awner ,_:I !'"le or my.:! .... ';:; □'Jl.;t'"S •H1'.", 11,:.qes
as th-e1· sol,e ~omperisat1c, w co •!t-1e t'""'F. r;.tr1.::
!•;r-e 1s "<Jt 11!endec {H :21r1'3TeG f::ir sa1-e:, Sec 8us111ess 1na P·a:ess1o·;s Coee ... ~1e Cor.t,·ac!o• 5 L,e,,en.se La"' does
r'-01 .:!pp i '0 an owner of Jroperty w!lo 01~ 1 itE or improves
lh8reo·1 d' d w.,o does -s...:rJ·• wo;k ~1~se:r or 1hr1Jugh his own
employees. 0·0.,-1(11:{j :hat su::.h 1'T',Dr-o..-e...,..en1s are not 1r,lend
ec or olfe-red 'or s.a1e If, h::.w-evtir t~~ bu .ld1 ng or 1iTlpro\'e-
-e11Is. sold w1tr1,1 on.e ~ea.r of compleMn trie o ... ner-i::,uilder
·Nd hG.ve trie ~u'd~1 of :JrovIng that he d·d mI1 tJu1Ict or :rr,-
p·o..-e for tre ::iurpost JJ s;:ile)
·. <Vi-owner o1 1'1£' prc~erty. am exc11Js1vel·1" C:Jnfr(lc'.119
w1Th 11(,e"lsed c0n1ra.ct:1i<; ·c nmstruct r:r-ie pruIei:1ISec 7U44.
Business a10 Prof-e~c;1ry·s Code· The Cc-,;·,:ic!o· c; L1cens13
L.:iw -d0es r~t aoply 10 an owner oi propf!rty wt'.o t)l,11~5 or i•n
pro·~es 1hereor,. and who contracts for ea.ch proJec1s with a CD~lr.actor(s) 1cer1se:-O'Jrsuant to the C□'W.:ic:cfc; I 1cen~e
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As a ho.,,,eow11er I am in1prc-v1ng my horne .:ind 1t e 1ol1Dw Ing co~d1t10:-is exist
1 The WG'k •S be1,1g pe•formeli priw !O Sdl~
2 _t-,ave h'ed in my h:J!;le for 1,,1elv-1: rr1unt1,;
prior ro cam o,let1on 01 thi::, work
i have nc1 claimed th1-s e;,;emo1 1on ,::unn,:;; '.1e 1;:is' lh~ee yea rs
I arn e~empt •Jnde· SeL ~------B & D.C.
for t:-iis ·eason -------------
I he•eb}· atrirr"P trial f'lave a CE'"t1F1c.~tB ol car,"SB'll ta
Sl:'i' i·tSJt€-, or a cerld1ca:e o~ VVo•'<.e's Corn~en"Sal1on In
-=.u·.J,ce or.:, :::f''l1'1ea :::cpy irum>of \Sec 3800. Labor Code)
POLICY r-,.o
COt/PANY
Copy s riled ~..,1th ~he cily
_ _ Cert1f1ed ccp\ s "1,e-reb1 furnished
CERTIFICATE OF EXEMPTION FROM
wo;::;,:t<ERS' COMPENSATION INSURANCE
1Th,s section neec rot be completed 1' rhe pe,mrt
1s 'or one hu:tdred dollars i$,100) or less\
I c:B:tity that 1n ttie per!oirmance of the ·..-.·m~ for which
111Is pe'm1t 1s issued, I sh.all not employ any person 1"1 any
manner so as to becorne subject to the War~ers· Compen-
sation Laws o1 California
NOTICE TO APPLICANT: II. after making lh1s Ce-rl1i1cate
of bempt1or, you should become subJeCI to tl"re \l\'orkers·
Compe11sal1on provisions of the Labor Code you m..rst L torthVl'llh comp,y w11h such pro111sions or tr11s perm,! st>a'I
be deerned revoked
~ ( tiereby affirm ma1 the-re 1s a cor'l:stru.cl on enc1ng
ageric11 for !lie performance of the wor~ for which this per
m1t 1s. issued (Sec 3097, C1v,1 Code)
Lef1der s Name
Lenders Addr.;:ss
' USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT 7 jQB ADDRESS AV. ST, RD. NEAREST CROSS ST. BUSINESS LICENSE# VALUATION PERMIT NUMBER
OWNE.R'S l\iAME. .
Cr /) ON' A,,/ A-I ASSESSOR PARCEL NO. 4 3 av ;tor-.< ~ .. -~I<-
OWNER'S PHONE
CONoRACTOR
V1,,t/CcJ4t f-
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ZONE Sc;--i~<_"';
JJ (cJf-Lo,hur"-f JG
/Jr ,V(-IJM f-/) (:UC:LoflMvif {~V CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. If BUILDING sa FOOTAGE
OWNER'S MAILING ADDRESS
DESCR1f>T10N OF WORK <;r-=/J -/7oa 12..
~-----. -.,_ -·-..
CE'-SUS TRAC1 I C,P LAND U~E
DESIGNER
DES I GN £R'S ADDRESS
F-P FLA ELEV .
GRADING PERMl1 ,ssurn
1
~E.lJE:VfLOP~Er,,.T
AR'E: A ·~□ '~ ,ty"
~D
STORIES
I
TYPE"
CONST V ,.A.I
QTY! PLUMBl~W PERMIT -ISSUE
I
I 50 7--QTY. MECHANICAL PERMIT -ISSUE 'J
!
QTY. ELECTRICAL PERMIT -ISSUE i ';
---+-------·--. ii
"'EW CONST EA AMP SW! ~KH
5-
,'2) ~
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f------+--1 _P_H __________ :,_: _PH ______ L_ __ . ii
EXISTHLUGfAAMPSWT8~:R I I
--
QTY.
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Roe, s~oRAGE
;--71/3
DESIGNER'S PHONE
LICENSE NO.
'~
OCC GP EDU
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OCC LOAD FlAE $PP
vO '~ Not Valid Unless Machine Certli1ed
SUMMARY/ACCOUNT NUMBER
Ca1lsbad
Enc111,1as
0-00-00-8220
-----f------------. ..
l----1-~-:-:-u-n_E_l_A_l_:-l--fl--;-ll_r_P-,-/-uP_I_~--------+---------+----+-:-~-:·.: C~L_C_K_l'-EE_-_-_-_-_-_-_-_-_-_-_===============·~:====~--------,,~ __ ::~-~:~--:~:=~-~-0==~-----I _______ _, ___ _
--------+-------------
l---+--TE-~lP POLl mu AMPS -··· -· -· ---------·----I ~ -----------------+-----------
>----,---------------------+--------+1-----~------------ovrn 200 AMPS I LICENSE TAX 001-810-00-00·8162
------------
-------------------+------------... ------~-----------+-----------!
---+-T_t:_-,_~P_l_1r_:r_-u_r_A_N_c_v_,J_o_u_A_Y_s1_ .. _ MFF L/l t..v✓-J ____ a_ao_-_s1_9_.g_2-_s_1-+--~/_3~~, -__ ;
I I CREDIT DEPOSIT
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I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT"' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
C,RANTING OF THIS PERMIT
TOTAL FEES PAY AB LE I
Exp1rat1on. Every permit 1ss.ued by theButlding Ott1ctal under the pro"w1s,oos ofth1s
Code shall &~pire by hmftat1on and become nun and void. Uthe building 0( work
auth~nz-e-d by such permit 1s not commenced within 180 days from t-he date o! such
:~~ln~ 1~t t:~v ~~!:'~~e~~h=~~r:~!hc°i~~de~fe~uf~~ ~~~id•~t~:b~~~~d or -
* AN OSHA PERMIT IS REQUIRED Fmt EXCAVATIONS OVER
5· o·· DEEP ANO DEMOLITION Off CONSTRUCTION OF
STRUCTimES OVER J STOAIES IN HEIGI-H
APPcr~:.~~:'•.::tT~E 'f-OWNER CONTRACTORU APPROVED BY ', / -; / :4 or;,
. /
./'T'-V~~ 8YPHONE0 Iv 1/Y/1/~lo
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT i
SUB FRAME □ FLOOR D CEl~ING
SHEATHING D ROOF □ SHEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BUCO □ Pl;.ICO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE D TEMP()RARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECfJON WHEN ALL APPROPRIATE
ITEMS ABOVE HA lE BEEN APPROVED,
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMP!_ ,,\N CE
PRIOR TO
FOUNDATIOr--1~-,,,F
STRUCTURAi CC', :RETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POS,T TENSIONED
REQ IF INSPECTORS
CHECKED APPROVAL DATE
CONCRETE
FlfLD WELDl"JCi
-~-----··------+--------+-------i
INSPECTORS NOTES
,___ ________ ,_ ________ -·--·-----------------; ,-------------------------------------;
Hl(;H ST i1ENGTµ
flOL "is
f--------------,------!-----
------------1----___,__------+--------i
P1L_Es CAISSON'-I
---------------+-----·r-----
----L----t---
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f-----------~--------+------------~~
e---------------+----·----~--------+-------<
--+-------------------I
i I
I I
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---~c ____ __J
FINAL BUILDING INSPECTION
l
PLAN CHECK NUMBER: DATE: -1 -7
PROJECT NAME: ____ C _____________________________ _
ADDRESS:
PROJECT NO.: ________ PHASE NO.:
TYPE OF UNIT:
CONTACT PERSON: ________________________________ _
CONTACT TELEPHONE: _______________________________ _
INSPECTED ae. DATE 3),/n ~ BY: INSPECTED: , APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
C
Rev. 1186 WHITE: Suspense BLUE: Water Di strict GREEN: Engineering CANARY: Utllltle
i FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-1 16 DATE: -16-87
PROJECT NAME: ____ C _____________________________ _
PROJECT NO.: ------==---.::.3.::.6_ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ____ ....:...:..::::.=... _______ NUMBER OF UNITS: l
un CONTACT PERSO'N: ---------------------------------
CONTACT TELEPHONE: _______________________________ _
J
~Ny~PEC~~
INSPECTED BY: __________ _
INSPECTED BY: __________ _
DATE ~ Ol'J 1,Y"
INSPECTED: J -/1-L~ APPROVED ~
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: ----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water Dlstrl CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: -6-87
._, PR6JECT NAME: ____ c.cc.o.;.....c.. ___________________________ _
ADDRESS: Ct
PROJECT NO.: ----~5~--3_6~ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____________ NUMBER OF UNITS:
', u CONTACT PERSON: ________________________________ _
CONTACT TELEPHONE: _______________________________ _
INSPECTED
~AsTiEcTED: d //7 /g 7 APPROVED ~ BY: ' DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-120-16 DATE: 3-16-87
PROJECT NAME: ____ C_O_V_E _________________________ _
ADDRESS: ______ 20_0~2~1_. _.e~C~t ______________________ _
PROJECT NO.: ____ ..c..R_";-_1--'f,-'--UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: ------'~------NUMBER OF UNITS:
CONTACT PERSON:. ______________________________ _
CONTACT TELEPHONE: ____________________________ _
11 cl t
INSPECTED /Sc5nc, ~NASTiE~TED: ..:J/!9/f'~•• BY: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED
COMMENTS;tosta J!real Municipal Water District HAR. 1 9 1987
Engineering Department
(619) 438·3367
Rev. 1/86
7 DISAPPROVED
DISAPPROVED
DISAPPROVED