HomeMy WebLinkAbout2015 LINDA LN; ; 81-466; Permit., z 0 :;
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
L,c No __ Cla11
I hereby att,rm \hilt I am exempt from the Con ~~°.;"~~~;;;;: ~;" ~7~1~:~,~~~~er9:,;y~,\~r
county wh,ch requires a perrmt !O construct alter, improve, demolish, o, repa,1 any structure,
pnor to rts issuance also requires the applicant for such perm,1 to hie a s,gned staiement that he ,s
licensed pursuant to tne prov1s,ons ol the Con
Tractor·s License Law (Chapte, 9 commenc,ng with Section 7000 of D,v,s1on 3 of the Busmess and Pro
!ess,ons Code) or tnat ,s exempt therefrom and the
t)as1s for the alleged exempt,on Any ,1olat,on of
Sect,on 7031 5 by an ...ppl,cant for a permit sub1ects
tne apphcar,t to a CIVIi penalty of not more 1han five
hundred dolla~ {$5CO)
D I, as owner of the property, or my employees
•1th wages as their sole compensation. w,II do the
won<. and the structure 1s not intended or of1ered for
sale (Sec 70«, Business and Prott'ss,ons Code
The Contractofs License Law does not apply to an owne, ot property who builds or improves thereor,
and who does such won< h,mself or througt, his own employees, provided that such 1mproveme~ts are
not 1ntende-:I or altered tor sale If. howeve, the
building o, 1mprovemen1 ,s sold w1th1n one year of complet,on, the owner-builder w1II have the burden
ot proving that he did no1 build or improve lor the
purpase of sale)
D I, as owner of the prope,iy, am exclusively
contracting with licensed cont,actors to construct
the protect (Sec 7044. Business and Pro!ess1ons Code· The Contractor's License Law does not appl~
to an owner of property who bu,lds or improves thereon, and who contracts for each proJecls with a
contractortsl license pursuant to the Contractor's
License Law)
0 I am exempt under Sec
!or this reason
B & PC
D I hereby alflrm that I have a cert,t.cate ol consent
to self-insure. or a cert1t,ca1e of Workers
Compensation Insurance. or a cert,t1ed copy thereof
ISec 3800. Labor Code)
POLICY NO
COMPANY X Copy Is /,led with the crty qt
D Cer11hed copy 1s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need not be completed if the perm,t
,s tor one hundred dollars ($1001 or Iess1
0 I cert,ty that in the performance ot the work tor
which this perm11 ,s ,ssued, I shall not employ any
person in any manner so as to become sub1ect to
the Won<ers· Compensa11on Laws ot Cai<forn,a
NOTICE TO APPLICANT 11, after makin;i th,s Ce,i1
1,ca1e of E•empt1on. you should t>e<:ome sub1ect 10
the Won<ers· Compensation provisions of me Labor
Code. you must fo,ihw,1h comply with such
pro~Is,ons or this permit shall be deemed revo~ed
D I hereby atfirrT' lhal !here ,s a cons1ructIor
Iend1ng agency for the pertormance c,1 the work lor
which this perm,1 Is issued 1Sec 3097 C•v1" Codel
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD _____________________ ::.A::.P::.P::.Ll:.::C::A~NT T-, FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBk_ BUILDING DEPARTMENT At-f>LICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
'1 ...n l t:5' L.tt-JDA I " • ,~
AV. ST.j DATE Of APPLICATION
RO. ll-'1-0 I
BUSINESS LICfNSE #
?-31f!
VALUATION
I i7fr, -
OWNER'S NAME
\oH"-1 'PD'"-'~
OWNER'S MAI Li NG ADDRESS
~E
LOT 1 BLOCK l SUBDI VIS!ON
l-i1-:i:s154
I ~~f~0D -53~1/)()
DESCRIPTION OF WORK
PRIME CONTRACTOR
/_ . .:C Klf6ic L*~l't(Xl.S
CONTRACTOR'S ADDRESS
I B'OS ~ -"u:.oE: ;::,-\-· C;J5;:-oc
DESIGNER
l_..J. K
CONTRACTORS PHONE#
?2.-t DSIS
LICENSE NO.
~~t:flfl
STATE LICENSE#
3,8';; Si I
ZONE
PLAN 1.0. #
STANDARD PLAN#
PERMIT NUMBER
6l-4"0ti
BLDG USE CODE
fA--r~o
BUILDING SQ. FOOT A.GE
~0$ LJA 1 ~~~'-~\lo $J:£. ";\~C,1\l~ J DE~=~DDRESS j ~ .-. c.-I V F,P FLA ELEV I I W"\ ---I
·□ ,o
OE.SIGNER'S PHONE
"v I ()CC GP I EDU
STORIES 12--~
GRADING ~ERMIT ISSUED TYPE OCC LOAD FIRE SPA
CONST CENSUS TRAC. [CANO USE I 'ARK,NG SCACE RES UN,TS l
YO ~ □ 1 REDEVELOPMENT
AREA
,□ .... o -·•'-ID <0 N I Not Valid Un/en Machine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER --
EACH FIXTURE TRAP
I EACH BUILDING SEWER
__,___ INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT
PLAN CHECK ii----
UVtM lUU,000 BTU SIGN PERMIT
____,_ 'l-Q. ':::> 0
'--EACH WATER HEATER ANO·OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
1
l---
1
---------+
BOILER/COMPRESSOR UP TO 3 HP
BOILERiCOM~RESSOR 3 15 HP
METAL FIREPLACE
TOT AL PLUMB-IN_G _____ / 173.s=
"----i------!------'-------'--
-+---------I I EACH G_AS SY_S!_EM_J_~_R MORE
EACH INSTA~, ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
___ +--+VENT FAN SING L~E~~-----------l----'----ll ---cc._= 7""--------
MECH EXHAUST HOOD/DUCTS MOBILEH
----+--------
-1----------ll--
WATER SOFTNER ~~H RO: ORAi~ !INSIDE) -----
TOTAL PLUMBING
RHOCATlON OF EA FURNACE1HEATER ~EP~RKINSP
R ./f STRONG MOTION
FIRE SPRINKLERS
---i--------TOU.l MECHANICAL
PUBLIC FACILITIES FEE
QTY. BRIDGE FEE -ELECTRICAL~P~E~R~M~l~T~-~IS~S~U~E~ 1~ _ Q~; -SOLAR -ISSUE
NEW C~NST EA AMP SWT BKR COLLECTORS '.\-'l>'--".1----c,Lc--+--I '-'"1
"
crun□L FEE · DISTRICT
Carlsbad f--+-I_P_H ______ JP_H_ --ll-S_TO_RA~~TA_N_KS ~..--"-~~L-f'-'\},
EXIST BL□G._~A_AMPiSWT.'BKR _.,_ -+----ll----l.ROCK STORAGE
I PH
REMOOEL'ALTER
J CH
PER CIRCUIT -f----PLAN CHECK FEE I-----------
TEMP POLE 200 AMPS -+--------
PUMP----~--~=-Fl
.1 f---t-0-~~~2_00 AM~? ___ _ ------
TEMP OCCUPANCY 130 DAYS) -----+---, ___ , __ ---------------+------+---
Encinitas
San 01egu1to
San Marcos
--·-
,.-irJ
------
-
---
-
TOTAL ELECTRICAL -T TOTAL SOLAR TOTAL FEES PAYABLE I 34,3£
'
' Expiration. Every permit issued by the Building Official under the provisions of this
Code shall exptre by limitation and become null and void. If the buI!d1ng or work
author12ed by such permit is not commenced within 180 days Ii m the date of such
* A.N OSHA PERMIT 1$ RE0UtRED FOfl EXCAVATIONS OYER 5' o~ DEEP ANO DE:MOUTION 0A CONSTRUCTION OF
STRUCTIJRES OVER 3 STORIES 1H HEIGHT
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 ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH All CITY, COUNT" AND STATE LAWS GOVERNING BUILDtNG CON·
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE ClfY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
permit, the buildi or worlr. authorized by such it is suspended or
aban an e er the work 1s commence i(iSod,J.,o~f_:1~8012, "'!!>>•~"lcfi~~~~~~~-------~------------'1
CONTRACTOR ~rOVEDBY , AJ_ UATE
BY PHONE O -ft~ 111-13-81
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING /1
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF ocr.uPANCY ISSUED
g 1-l/ (;(,L,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ·--------
SOILS COMP!_IANCE
PRIOR TO
FOUNDATION INSP
-STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
--POST TENSIONED
CONCRETE
FIELD WELDING
-----~---HIGH STRENGTH
SOL TS -----------
SPECIAL MASONPY
--·
! PILES CAISSON~
I
i
I
i
i
-~ ---··
-----------
------
-.
-
----·----
. -
REQUEST FOR
OWNER _______ __,_~O_VV'--~-----"'::_--,,----------------"'
ADDREss------~--"-_o_l_':).._.....:\.-c;..__;_1 ""--"-4--=,.___La.,,--""=,,._g=-------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D AL)
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY
OA,M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
~
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
~Fl~
□TUESDAY □WEDNESDAY □THURSDAYS
~
SPECIAL INSTRUCTIONS _______ __,::Q::n;.....,:,_,,_ __ Q-'--'a40::..::;..-"-'=,0 ::_-=~=~=-,._ ____ _
REQUESTED BY
B-3
(\~.Q Lt't'\.12 ~ PHONE NO. ·J-;;t/-051,
\\,ERSON TAKING REPORT ____ ...,,-'l,,,l<f'---
·--•--·. ··-·--·---··----
INTERDEPARTMENTAL INFORMATIO.N SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE:1~ECEIVED
NOV 09 '981
CITY OF CARLSBAD Bullcllng 9eDathtilnt
ZONE (2..-I LOT s IZE LOT WIDTH -~---~------------------------
UNITS ALLOWED ___________ UNITS PROVIDED ____ ....., _______ _
PARKING SPACES REQUIRED /\~ PROVIDED __ 4-o~l1--L ______ _
% COVERAGE ALLOWED _____ U___.E'--______ PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ---e-1 ...... ---PROVI DED L INTRUSIO_N_S_-+-➔'F<='----
LANDSCAPE & IRRIGATION PLAN COMMENTS: --l~~~P~-------------
f'v~ .. ,. n~I ENVIRONMENTAL PROTECTION REQ: _-hk.l!..l!L.
ADDITIONAL COMMENTS: -=-~+\A:_:__ _____________________ _
OK TO ISSUE:~yvt,D:TE 11/1~~1 OK TO FINAL ______ DATE. ___ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS __ ~-----
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ___ ,,,__ ___ .EAJ,:MENTS:,.-________ DRAINAGE ____ _
LEGAL DESCRIPTION ;(Hf / ,1?:t;'« ~ ~2.-,
ADDITIONAL COMMENTS ________ ~--------------------
OK TO "'"'J0ti om Jr½ 120 t., ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION. _________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ____ .,_ ___ _