HomeMy WebLinkAbout2021 LEE CT; ; 86-120-13; PermitIll z 0 .:: C II: C ....
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D I hereby affirm that I am licensed under
pro•l•lons of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business
and Professions Code, and my license is ;n
full lores and effect.
L1,c No _____ _
I hereby amrrn that . am exempt fr:>m tl\e Co1t·ac-
tor"s License Law tor the following reason fSec: 7031 5
Bu:NlE:Ss and Professions Code Ariy city or r.;oun!y wh1ct: re-
ouire-s a per~.1t !o conslruct al1er irl'prove de:nol!sh. or
'eoair ariy structL.re. prior to its is-su.anc.e al::;o r~uires thea;i-
pllcant f-or such. ;>ermrt m ~de a s1Qmnl sta:ement rnat 'he-,s
;1censed pursuant to 1he provisions of tl"-E Corltractor's
l 1c.ense Law ::Chapter 9 comme-ncmg wilh Sec~·on 7000 ot
D1v:s1on 3 ot 111-e Bi..;s1,.,ess and Pro-ess1ons Code; or '.ha11-s e~-
errpt therelrom and the basis for the allegec:1 exernpt1on. Any
v1olatior of Sect1or1 7031.:i by an ap;::il1cant ~or a per'l"lil suD-
1ecls the applical'lt :o a ci...,,I pena!ty of not rnore than t1ve-hur-
dred doilars ($~00).
I. as owner uf the prooer1y. or rtiy employees wit ... w,3ges
as their sole ~ol""perisat1on w111 Clo ~tie work. and ne st•i.;;:-
ture 1s nol inlended or offered for s.aie (Sec. 7~144, Aus.mess
and Profession~ C-ode: The Conlraclor's License L.~w does
'Wt ~ppry to an owner of properly wtio Ouilds. Of 1mpftves
thereon and who does sucti wmk \11nsel! or through his own em;'.l:1-0yees, prnv1dec1 thaf such improvements are not 1nlffld-
ed or offerOO tor sale. If, however. the b1J1ldmg or 1mp.-ove-
~nt is sold wifhfn one ~ar of complelion. n,e owner-bu1lcJer
will have l'l'IB burllen or !'.JrntJing that tie dtd not bu1k.1 o, in-
prove tor the purpo-se of sale).
i. .as -owner of the prtY.Jerty, am 6lC"ciusivelv contrachrig
with licensed contractors 10 c□ns.truct the pro1eci {Sec: 7044.
Business afld Proress1ons Code· The Co.r,traclor"s. License
Law does nof apoly to an owner ol properly who bu1ids or ,m-
prove-s. 1hereon, and who contracts for each prQjec:s with .a contrac:tor(s) license pursuam TO lhe Ccnlractor's license Law).
'. · As a homeowner I am improving my tiorne. and the 1ollow·
ing conditions e~1st:
1. The work ;s Deing oerformed prior to sale.
2 l nave lived i11 my home tor ~welve months pr1□r 10 camplet1cm af this work
· hav,e-na1 -claimed fh1s e,cempM~ during the last rh•e-e years.
. • I am e:,;empt u:ide~ Sec ______ _ B&PC f,or this reason ____________ _
I hereby affirm that I ti ave a c:ert1f1c:ate of consent to
sel1-in-s1,,1re,, or a ceni•icate of Workers· Compensation tn-
SJrarce. or a :::er11tied c:opy th-ereo• tS-ec. JBDO. Laba, Cm:lel
POLICY N.0.
COMPANY
Copy s filed Wllh the city
Cert1f1ed copy 1s hereby furnished
CERTW,CATE OF EXEMPTION FROM
v-10;:::iKERs· COMPENSATION INSURANCE
1Tt11s section need nof oe completed ,t the permit
is fa~ one hundred dol:ars (S100) or lessi
I certify that 1ri the pe,lormarce o• ttle work for which
1r11s. permit ,s issued. I stiall not employ a:ny pe,son ir any
manner so a.s to become sub1ec;t to the Worker-s· Com pen,
sation Laws of California.
NOTICE TO APPllCANT: If. af1er making this C,er1ifica.te
at Exemption. you sri-ould become subject to the Workers
Compensation provisions of the Labor C-ode, ')101,.1 mus!
lorthwith comply with such provisions-or this permit sl"a:I
OE! deemed revoked.
1 hereby affirm tl'la1 there is a const~1,1ction lendi11q
agency for rhe ~erformance of the -work. for whicr. thiis ~er-
m1t 1s issued (Sec. 3097. C.vil Code)
Lenoer"s Name
Lender s Addres::;
USE BALL POINT PEN ONLY & PRESS KARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB AOD~ESS -AV.ST.Ro; NEARESTCROSSST. 81.lSINESS LICENSE # VALUATION l'ERMIT NUMBER
~D2I iJoNNA JJA. /G 5 q/5
CONTRACTOR CONTRACTORS PHONE • ZONE
CONTRACTOR'S AOORESS LICENSE NO. PLAN 1-D-# BUILDING SO. FOOTAGE
OWNER'S MA0LING ADDRESS J-'7 (.j (
DESIGNER DESIGNER'S !'HONE
S·F/J d--70 0 DESIGNER'S ADDRESS .__ ______________ ....;:::::....,_---'"-"'----"';::_-;,.>::<:::.....;::.....; ______ __
OESCR,PTION OF WORK
LICENSE NO-
-----·-· -····-
FY-~ '-U FLR-EL_E_V_. ST;ES eC3, ;U ~i~
,-c-~•N•"c;•-u•,•. •T•R•A•c•-•1~1.-•G•-•-L•A•N•o-u•s_E_""" 1••A•R-K•,_•N•c•, •s_•••A•c•E""'II_R_E•s•u-N•, •T•s-1.--G-RA-D•, N•G-P•E•R•M•,•T•,s•s-u-ED--1,-R..:E=□~E..:v=E;_L_O_P_M_E_N_T_l------+-T-V_P..,•l'l---~o:::c:..c...,.L~O=-A-□---+-F-i•f_R_E_S_P_P __ -l ~ . ~ ,. 4
<·',"u AREA ___.. c_9f"IJT, ,.-y\. IY ,,o:·-:'.:i\ ,ft_
J -, / v~ D , D ~ V ,._., v O ....-Y N~ ~li1Nfnlt!ss Mas,.hfil._-..,,.,rti!1't<f
QTY_ PLUMBING PERMIT. 1ssuE . ;.y;::.-I! QTY. MECHANICAL PERMIT_ ,ssuE ~ suMMARYtA.&o~-N~~~,;:-;,, ,,·
,__./~,(--1-_E_A_C_H_F_I X_T_U_R_E_I_R_A_P __________ ~; )_7,-~·J~V~----11----+-I_N_S_T A_L_L_F_U_R_N_._□_u_c_T_S _u_P _T _O_l_Oo_o_o_o_B_T_U ___ +-___ l_f. ____ B_UI_L_DI_NG_PE_R_M_IT ____ o_o, -a, □~-□0'!¥.!) ---/c(_-:h--
-t ::~: :~\\0~~HG~~:: :Nu -□ A_V_EN_'T----~---'-;;_ /.,.,:-;"[:-_➔+. _-----+_B_O_I_LE_R_,_·c_D_M_P_R_E_SS_-□_-R_-_1}_/_/_0R_3 __ 1: __ :_,000_8T_u __ -+~--_-_-_-__ ·-·_-_-_-➔,._--:~:: ~EHRE~~ -~';::t·::~~ --~c7~--
/ EACH GAS SYS I EM I TLJ ,l _ _2_LJ_TlETS +--.')--J~l --80I LE_R.'C~M_~~ESSOR ~ 15 HP -------------TOTAL PLUMBING ___ ---j~&(s10-oo-o□-8222 q2---
--~~ACH GAS SYSTEM, (JR MOH[ 1 ____ ,__ ______ Mc_::~~.-IR~P_!_A_C_E_ ·-·· -·· --------t--~-~~=-_ .__ __ E_L_EC_T_R_IC_A_L _____ 0_0_1-_8_10_-00-00-82_23_-11-----~-~~~~·'------1
EACH INSTAL. Al I rn. REPAIR WAT EA PIPE ·----------------4 ___ vE_N~_!-ANSINGLE □un__ _ ----->---4. ____ MECHANICAL ____ g~1-a1o~og_-oo-s224 IY-
'.2...>-9 MECH EXHAUST HOOO DUCTS ~ MOBILEHOME OOH:!10-00-00-8225 EACH VACUUM BREAKER
WA1rn SDFTNER MDBILEHOME PARK INSP •~i--,-•------➔----==:-=--====-----------· -·+-------------1 RELOCATION OF EA FURNACLHEATER I--->----------------------------<-------·~ ---·--+----------------··-·· ----
001-810-00-00-8226 -----,_~-+=??~ _l'RA_ ~ ,_ 'JS_11_:~-'-----------t-l; _______ .,!:'_
TOT AL PlllMBINi.; ------0-/7~ ll
---~~--~~~~-----~-~-----------~OLA_R
TOT;.L MECHANICAL i ll-STRDNGMDT!DN 880-519-92-33
I / / -FIRE SPRINi<LERS 001-810-00-00-8227
ll&r
--·--------~-------+-------;-::----:::,--:,.----j ; i PUBLIC FACILITIES FEE 332-810-00-00-8930 ~ l[,;)..3(:, -. __
.o __ T_Y--._ t----E_L_E_C_T_R_1c_A_L_P_E_R_M_I_T_-_1s_s_u_E __ +----~s~--_-_,._Q_T_Y __ -+---_ SOLA_R_1_ss_u_E _____ --+-------1i---·-Tt__E_ _________ +--____ l_<_:c._· ,,_-__ ,
/ NlW CONST EA AMP SW! BKR /._---~--,,--~-~'--~-'-~·-_,_-_ __,·•---+--::_0_1_,_CT_:_:RS SCflOOL FEE -DIS}RICi __
1--·-+-•-P_H ___________ :i_P_H _________ L ---_ _J____-+_s_r_o_"_A_r;_f_,_·'_' '_· K_S_. ---------------+-------~f-----"G.::a_rl.:_sb:.:a::.:dc_ _____ . -. ----
--------+--------
----·----->-------------
,_ _ __,_~_x_IST 61 [][; lA AMP SWT BKA ! ' Roe,: S'(:,'!L::,F Encimtas ·-·---------+-------· --·----·
>---+-1_P_H ___________ 1_P_H ______ ____, ___________ , __ __,,_0_L_'t_/_P___ _ .. ____ -----------1----------u---S_a_n_D_ie_,,g_u_il_o
REMODEL AL HR PFR CIRCUt! ! 'I A.'•J C~'CK CFf San Marcos 1---11---------------------·------~------·-·--------------------.. __ _,_ _____ _
! . ---, ------+----------i IE~,1PPOLf 200A',·1PS r----11---------------------+---------+l---+-------------------
DVE A JOO AMPS 11--~L~1c=E=N~s=E-T A-,.,X,c------□-□-,--s,-o--o-□--0-0--8-16-2-+--------· --~·----
I lfMP OCCUPANCY '30 DAYSI 1---t-------------------------------+----------------------------. -
---· ------------------+---------111---···--------. -·.
__ M_F_F ________ s_s_o-_s1_9_·9_2·_57--+ __ / JC O _::_
1 --~; _______________ --~;--~--------+ -----+------------------+--______ -·--,f __ C_R_E_D_I_T_D_E_PO_S_IT ___________ ._ ________ ---1
I Tfi[AL f LltiRl[AI S')...-___ T0li\l SOI.AR TOTAL FEES PAYABLE I ~7 3.J-f?:-if : __________________________ i _____________ 1 ____ ..., ____________________ __. ......
I HAVE CAREFULLY EXAMINED THE COMPLETED -·APPLICATION AND PERM1r-AND DO HEREBY fxpirat,on. E•ery permit issued by the Building Oflic1af underth&ptovis,ons of this
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pire by limitation and b<!come null and vo,d. If the bwlding or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulllor,zed by such permit 15 not commenced w'th'" ,so days from the dale of sucl1 permit, or if the building or work authonzed by such permit is .suspem;:ted or
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER s· O" DEEP ANO DEMOLITION 0A CONSTRUCTION OF
STRUCT\JAES OVl:A 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time alter lhe work ,s commenced for a 11<1!iod or 180 dav•
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND _Jh.--APPROVED BY •
i:.,.K•E•E•P·H•A•R•M-L.ES•S-T•H•E•c•1•TY_O .. F•c•A•R-LS•B•A•D-A•G•A•tN•S•T-A'"L•L•L•1A•B•1•u•T"'IE•s•.•J•u'"D•G"'M"'E•N•T•s•_•c•o•s•TS-A•N•o-•A'!'.P~--_/L•1c.,.-· .. s_:_~?Z-.. N.·•"•Tu_A~_E ________ o_w_N_E_,,_.-___ . __ c_o_Na_Tv_A:A:C~T:o:R.i:::r~--------------,l,~-....JILo-1A_T_El0.!..lu.:..</, _ __, I .· EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME □ FLOOR D CEIL!ING
SHEATHING D ROOF □ SHEAR
FRAME • I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
' I
PLUMBING I
D SEWER AND BL/CO D Ppco
UNDERGROUND □ WASTE □ WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
!
ELECTRICAL I
□ ELECTRIC UNDERGROUND D,UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE 0 TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPl;NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTYON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
$)'l:, -\ :20 -\ 3
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPI_ IANCE
PRIOR TO
FOUNDATION INSP
··------STRUCTURAL CONCRFTE
OVER 2000 PSI --PRESTRESSED
CONCRETE
POST TENSIONEC
CONCRETE
FIELD WELDING
---
rllCiH STRENG TH
BOLTS
SPECIAL MASO'lRY
Pie.ES CAISSON:'. :
...-------------------··· --1.------•··----·-··---
I ----------
--
---· ----~---..•.
---·-1-------i i ----···-------!
~-~-·------, ... -------------------i
<
--
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: _____ C ____________________________ _
ADDRESS:
PROJECT NO.:
TYPE OF UNIT:
________ PHASE NO.:
------=-==-=--------NUMBER OF UNITS:
CONTACT PERSON: ____ u _____________________________ _
CONTACT TELEPHONE: _______________________________ _
INSPECTED ()~ DATE ) 1il~1 BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
•
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN : Engineering CANARY: Utll" s PINK: Plannln
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: 3
PROJECT NAME: ____ c_o ____________________________ _
ADDRESS: Ct
PROJECT NO.: -------==---.::..:.:6_ UN IT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ f_d ________ NUMBER OF UNITS:
CONTACT PERSON: ____ u_k ____________________________ _
CONTACT TELEPHONE: _______________________________ _
,
~r?>'~ DATE .:l--tz-£7 APPROVED-+ INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
~
Rev. 1/86 WHITE: Suspense BLUE: Water Dl~ANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: -3 DATE: 3·~1 -7
PROJECT NAME: ____ c_v ___________________________ _
ADDRESS: Ct
PROJECT NO.: _____ 5_-_3_6_UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____________ NUMBER OF UNITS:
CONTACT PERSON: ___ _;u==-------------------------------
CONTACT TELEPHONE: _______________________________ _
,
INSPECTED DATE 3/17/J? ~APPROVED BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-120-13 DATE: 3--7
PROJECT NAME: ____ c_o___;_ _________________________ _
ADDRESS: _____ ___;_2_0-'--"-l _Lc_e_e_C;;_:t:_ ______________ -'---------
PROJECT NO.: ----~8~5_-~36~ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: fd NUMBER OF UNITS: _=.! __________ _
CONTACT PEASON: ___ ~u=n=k _________________________ _
CONTACT TELEPHONE:, ____________________________ _
INSPECTED .~
BY: ___ __..~_,_.~~~--
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
/
APPROVED 7 DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __
eosta Real f.Xuniclpit Water blstrlcl
COMMENTS: ___ ___cE::;_n-'-'g~i,---ne:-:e::-:r_in-='g"=:-::.0,---e-=-p--=a....,_rt,...,m..---e_n_t ____ MA_R_. _1_9_19_8_7 ________ _
(61 9) 438-3367
Rev. 1/86 WHITE: Suspens -----' BLUE: Water District' G )EN: Engineering CANARY: Utilities PINK: Planning OLD: Fire