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HomeMy WebLinkAbout2015 LINDA LN; ; 81-466; Permit., z 0 :; "' .. -' ~ C "' i[ l "' '" C -' 5 ~ '" z ~ z 0 ;:: ~ z '" .. " 0 " .. "' '" "' "' i ::i[ ~-'" -' 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 V !'! LL >-;. 0 0. E m f- l _Q 0 CJ C "' ,, •o. ·o. "' I ~ C i:[ 0 "' ., m "' "' "' I ~ _Q ai >- <n "' m " 0 a: "' 1ii C) ~ m " C "' C LL C :E i3 0 u m 0. "' C !'! .c ;: 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 ____ .,_ ___ _