HomeMy WebLinkAbout2015 CORDOBA PL; ; 80-673; Permit/
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—CONSTRUCTION LENDING AGENCY^\I~' "-"* •Trirrt^1"=s°oM^?f _OF THE GRANTING OF THIS PERMIT | APPLICANT S SIGNATURE * OWNE^R^f CONTRACTORQ^^~^^^^^^_^^ U AGENT D BYPHONEQ^^•x.1
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fcV which th s permit is issued 1 shall not employ a yperson any manne so as to become subject tothe Workers Compensation Laws of Cal formaNOTICE TO APPLICANT It afte mak ng this Certif cate of Exemption you should Become subjectto the Workers Compensation pr isions of theLabor Code you m st forthwith comHy w th 6ucnprovisions ot this permit shall be deem,, teTO^6d1 HAVE CAREFULLY EXAMINED THE COMPLETHEREBY CERTIFY THAT ALL INFORMATION HFURTHER CERTIFY AND AGREE IF A PERMITCOUNTY AND STATE LAWS GOVERNING BUILCSPECIFIED HEREIN OR NOT 1 ALSO A.GREE TCLESS THE CITY OF CARLSBAD AGAINST ALLillfil^PLICATION AND PIS TRUE AND COFD TO COMPLY WlINSTRUCTION Wl-(NOEMNIFY ANDTIES JUDGMENTSi w j> r >
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D DO AN OSHA PERMIT IS REQUIRED FOR1 5 0 DEEP AND DEMOLITION OR COY STRUCTURES OVER 3 STORIES IN HEy$z*>t^A^**/?EXCAVATIONS OVNSTRUCTION OF.IGHTCPLflTlAoLjrDLKJ? t-fth*» CT^ rn
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^CONTRACTOR / **"CERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed f the permit is for one hundred dollars ($100) or less)-{
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JLl£»*+*oWORKERS COMPENSATION DECLARATION1 hereby affirm that 1 ha e a certificate of consent to self nsu e or a certif cate of WorkersCompensat o Insurance or a certified copythereof (Sec 3800 Labor Code)POI If-.Y NOREMODEL/ALTER PER CIRCUIT•n
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SIGN PERMITWATER SOFTNERRELOCATION OF EA~FURNACE/HEATERBUILDING PERMIT '1EACH LAWN SPRINKLER SYSTEMMECH EXHAUST /HOOD/DUCTS\EACHINSTAL ALTER REPAIR WATER PIPE{VENT FAN SINGLE DJjfl«EACH GAS SYSTEM 5 OR MOREBOILER/COMPRESSOR \6Jitf\PEACH GAS SYSTEM 1 TO 4 OUTLETSJ
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BOILER/COMPRESSOR UP TO 3 HP ^^EACH BUILDING SEWERo<m
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\STATE LICENSE1LICENSED CONTRACTOR S DECLARATION1 hereby affirm that 1 am licensed under pro isions of Chapte 9 (commencing with Section7000) of Division 3 of the Business and Professions Code and my 1 cense s n full force and effeet^ z
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UJ 3 ^^B CITY OF CARUSBAD-BUIUDING D^^ APPLICATION & PERMUSE BALL POINT PEN ONLY 1200 E|_M AVENUEEPARTMENT ^HT ^F APP(714)438-5525 MA11
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1 INSPECTION '| WOOD FLOORUl
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i FOUNDATION FORMS SET BACKUNDER FLOOR PLUMBING| UNDER FLOOR HEATING| OK TO INSTALL SUB FLOOR|SLAB FLOOR| UNDER SLAB PLUMBINGUJj
FOOTING FORMS SETBACK TO\ OK TO POUR CONCRETEFRAME| ROUGH ELECTRICAL| ROUGH PLUMBINGROUGH HEATING/VENTILATING| FRAME OK PLACE INSULATIONaora
\ INSULATION OK PLACE WALLBO/i
WALLBOARD OK PLACE TAPE§| EXTERIOR LATH OK PLACE STUi
FIREPLACE| DAMPER & STEEL| PLATE TIES/HEIGHT OF CHIMNEY1
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^| FINAL INSP BY BLDG DEPT^
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'1 CERT OF OCCUPANCY ISSUED
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS
D RECEIVED
JUl $
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
/ COVER\GE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK
ALLOWED
PROVIDED
SIDE SETBACK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
PROVIDED_
_PROVIDED
PROVIDED
REAR SETBACK
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMMENT
ENGINEERING DEPARTMENT /stftt
ROW INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
-K.K $
OK TO ISSUE DATE X7" ? $) PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
_FIRE PROTECTION EQJIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE
Attention Property Owner
An owner-auilder bi-ilding permit has been applied for in your name and bearing your
signature
Please complete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delaj in processing and issuing your building permit
No buildang permit will be issued unt_l this verification is received
1 I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
I (have/have not/ _ L-^&~7*-£_.^' ______ signed an application for a building permit
for the proposed work
I nave cu itracted v.-t1- tbe following oernon (? irm) to provide the proposed con-
struction
Name
Address
City
Phone
Contractors License No
4 I plan to provide; portions of the work but I have hired the following person to
x*t5oorciJnate, supervisej&nd provide the major work
Contractors License No
5 I w_ll provide some of the work but I have contracted (hired) the following per
sons to provide the work indicated
Name Address _ Phone Type of Tsork __
ignod
Ly Owner
Gecurity Nvimbor e.-^<c>.3 — *?£.£j^ -3