HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; ; 84-556; Permito
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I hereby affirm that I am llcenaed under
provlaJona of Chapter 9 (commencing with
Section 7000) of tXvislon 3 of the Business
and Profeaslons Cocfe, and my license is in
full force and effect.
Lie No CUss
I hereby aftirm lhal I un exempt from the Contric-lor'i Lfcense Law for the IcHlowtg re»cn (Sec 7031.5
Business and Professfoos Code Any city or county wti^h re-
qiives a pemt (o construct, alter, improve, demobsh. or
repair any structure, pnor to tls issuance also reQurres the applicant lor such permd to We a Signed statement thai he is
kansed pursuant to the provisicms crt the Contractor's
Ucerse Law (Chapter 9 commenang with Section 7000 o(
OrvtsKKi 3 of ttie Business and Professions Code) or that a exempt ttierefrom and the bass for the alleged exemptnn. Anywoation of Secbon 7031.5 by an applicant for a permrt sub
jects the applicant to a crvil penalty of not more ttan frve hun
dred dcQars (S500)
□ I, 88 owner of the property, or my empJoyees with wagesas their sole compensation, wHI do the work, and the structure is not intended or offered for sale (Sec. 7044, Businessand Professions Code: The Contractor's Ljcense Law doesnol appfy to an owner of property wtto bufds or mprovesthereon and wfx) does such work himself or through his ownemployees, provided that such improvements are not Intend--ed or offered for sale If, hwrever, the buittng or improve-■ment is soW wrthm one year of compJePoo, the owner-buWervfll have the burden of provrng that he cfid not build or improve for the purpose of sale)
□ I, as owner of the property, am exdusrvely contracting. with bcensed contractofs to construct the project (Sec. 7044Business and Professions Code The Contractor's LicenseLaw does ruS ippty to an owner of properly who builds or im-prwes thereon, and who contracts for each projwrti with agrrtractor(s) license pursuant to the Contractor's License
□ As a homecwmer i am mprovrng my home, and the foilow-'ing condmons exist:1 The work ts being performed pnor to sale.2 I have lived in rny home for twelve monthspnor to completion of tha work.3. I have nol claimed this exemption during thelast three years
□ I am exempt under Sec .,lor this reason 3&PC
□ I hereby affirm that I have a certificate of consentto self-insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec 3800, Labor (Code)
FOUCY NO
COMPANY
D (Copy IS filed with the city
□ (Certified copy is tiereby furnished
CERTlFKCATt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE(This section r>eed r>ot be completed if tt>e permit
IS for one hundred dollars (JlOOl or less)
□ I certify ttial in the performance of tt>e work forwhich this permit is issued, I shall rxil employ any
person in any manrw so as to become subject tothe Workers' (Comperisation Laws of (Caiifornia
'NOTICE TO APPLICANT If, after making this (Certificate of Exemption, you should twcome subject tothe Workers' (CompensetKm provisions of ttie LaborCode, you must lorthwilh comply with suchprovisions or this permit stiall be deemed revoked
O I hereby affirm thal_ there is a constructionlendirig agency for tt* performance, of the work forwhKih this permit is issued (Sec 3097, Civri (Code)
Lender s Name
Lender s Address .
USE BALL POINT PEN ONLY & PRESS HARD
SUBOI VIS(ONBLOCK
EB S NAME
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT-1200 Elm, Carlsbad, California 92008-1989 (619) 436-5525 APPLICATION & PERMIT
JOB ADDRESS ^ AV. ST.RD. MEREST CROSS ST.
ASSESSOR PARCEL NO.
OWNER'S PHONE
iWNfcR-S MAILING ADORESS ^
6>f S'ST'C/9>r\ f
DESCRIPTION OF WORK
CENSUS TRACT
QTY.
CP LAND USE
CONTRACTOR
CONTRACTOR'S ADDRESS
DESIGNER'S ADDRESS
FLH ELEV
yD nO
PARKING SPACE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
GRADING PERMIT ISSUED
Y □ N □
too
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT'BKR
PH 3 PH
EXIST BLOG EA AMPYSWT/BKR
PH 3 PH
REMODEL,'ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
total ELECTRICAL
CTY.
REDEVELOPMENT
AREA
yD nD
MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100,000 RTU
OVER 100,000 RTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
CTY,
NO
STORIES
TYPE
CONST
BUSINESS LtCEj^SE it
CX:>NTftACTORS PH(3Ne #
UCENSE NO.
DESIGNER'S PHONE
EDU
FIRE SPR
yD nD
ZONE
PLAN I.D. #
STANDARD PLAN #
0/u^d/m
PERMIT NUMBER
BLDG USE CODE
BUILDING SO, FTXTTAQE
43 6L) 1 •
uuuIHODU IU/OCI BU
Not VaUd Unless Mtdiine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
PUN CHECK 01-00-00-8806
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION 'AND PERMIT" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLA,RATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE UYYVS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-OQ-8225
MOBILEHOME PARK INSP
SQIAR 01-00-00-8226
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8930
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Ejicmltas 80-92-22-0519
San DIegulto 80-92-23-0519
San Marcos 1-92-24-0519
LICENSE TAX 01-004)CH8162
MFF 80-92-57-0519
CREDIT DEFHDSIT
TOTAL FEES PAYABLE
7^
7^
Expiratk)n Every permit issued by the Buiiding^Ofticial under the provisions'of thisCode shall expire by limitation and become null and vokJ. If the building or workauthorized by such permit it not commenced within 1 SO days from tha date of suchpermit, or if the buildtno or work authorized by such permit ts suspended orabandoned at any time after the work is commericed tor a peyd of ISO davt
APPU^^NT'S SIGNATURE OWNEI CONTRACTOR □
BY PHONE □
•k AN OSKA PERMfT tS REQUIRED FOR EXCAVATIONS OVER
5* 0 ' DEEP AND DEMOUTION (DR CONSTRUCTION OFSTRUCTURES OVER 3 STORIES IN HEIGHT
APPRfCVEoveT^y"
1
TYPE 'DATE INSPECTOR
BUILDING i
FOUNDATION !
REINFORCED STEEL i
MASONRY !
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME 1
SHEATHING □ ROOF □ SHEAR
FRAME I
EXTERIOR LATH I
INSULATION ;
INTERIOR LATH & DRYWALL i
1
PLUMBING 1
SEWER AND BUCO DIPUCO J
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W|TER
TUB AND SHOWER PAN i
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
1
1
ELECTRICAL '
□ ELECTRIC UNDERGROUND □ iJfFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPOFjlARY
□ BONDING □ POOL i
1
i
MECHANICAL <□ DUCT & PLEM., □ REF. PIPINjS , ,
heat — AIR COND. SYSTEMS i i *
? i-
VENTILATING SYSTEMS !■ •
1
ITEMS ABOVE HA^ BEEN APPROVEP.FINAL ^ I •
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
t, V V > 1
1 '■■■ \
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL DATE
—■ j.. \ ,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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