HomeMy WebLinkAbout2061 LADERA CT; ; 82-50; PermitI a: :5 0 .. C
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0 I he1 . affirm that I am ncensed under
provisions of Chapter 9 {commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
L,c No ______ Class
I hereby athrm that I am hempt lrom !he Con-
~~~'~t!~i;:: ~; ~~,~~i~~~~.r~~i~r
county which requires a permit lo construct alter, improve, demolish, or repair any structure,
pnor to its ,ssu.ance also requires the applicant for
such permil to Ille a signed stalement that he 1s licen,ed pursuant 10 the prov,s,ons of !he Con
tractor's License Law {Chapter 9 commencing with
section 70CO of O,v,s1on 3 o! the Business and Pro.
fusions Code) or that Is exempt !herefrom and the
basis tor the alleged e•empt1on. Any v1olat,on of
5ect100 7031 5 by an applicant for a perm,t sub1ects tne applicant 10 a civil penalty of not more than five
hul)lhdft)~~ ($500)
cSlllr'o1 the property, or my employees
_1ts as their sole compensation, w,II do the
won,;, and the structure Is not intended or offered !or
sale (Sec. 704(, Bus,ness and Pro!ess10M Code
The Contractor's License Lillw does not apply to an owner of property who builds or improves thereon
and who does su-ch won<. h1msell or 1hrougl'. his own
employees. provided that such Improveme;its are
not ,ntende1 or ottered tor sale If. however, the
building or improvement Is SOid w1th1n one year at
completion. the owner-builder will have the buroen
of proving that he did not build or ,mprove for the
purpose o! salel
D I, as owner ot the prope'rty, am exclusively contracting with licensed contractors to construct
the protec1 (Sec. 704(, Business and Professions Code· The Contractor's License Lillw does not apply
to an owner of property wno builds or ,mproves
thereon. and who con1racts tor each pro1ec1s with a contractortsl license pursuant to the Contr;,ctor·s
License Lillw)
□ I am exempt under sec
tor this reason _
B & PC
□ I he1eby af!,rm that I ha,e a cert1t,cate of consent
to self-insure, or a cen,f1cate of Workers Compensation Insurance, or a cert1f1ed copy thereat
(Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy ,s filed with the c•ty
0 Cert1hed copy Is hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no1 be completed ,! the perm,t
Is tor one hundred dollars ($100) or less)
0 I cert1!y that m the perfo,mance o! the worl< for
.,.hIcn th,s permit Is issued. I shall no1 employ any
pe,son ,n any manner so as to become subIect to
the Wor11ers· Compensation Laws ot Cal11orn,a
NOTICE TO APPLICANT 11. a!1er makin1 this Cert,
!1ca1e ol Exemption. you should become subIect t".l the Worl<ers· Compensation pro~•sIons of the Labor
Code. ~ou must !orthwIth comply with such
prov,s,ons or this permit shall be deemed revoked
0 I hereby atf,.m thal there ,s a conS!ruct,o~
Iend1n<J agency Jo, the performance of the work lo,
wh,ch this permit ,s ,ssued 1sec 3097_ C1v1I Code)
Lenders Name, ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ------------------1('--_A_P_~_L_IC_A_N_T_l'_o FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAI UILDING DEPARTMENT a" II • 6. I ·-
1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 l PERMIT
. ~;; ~ -~ ~ ,¼J.,,; J1/'Ti-~F0APPL~G,AT~ ~aijl,lt~ t.1~( •. # ' VALUATION
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STATE t.tCEfti(SE #
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PLAN I.O. #
STANDARD PLAN#
--_/
PERMIT NUMBER
B-i.-so
BLDG use CODE
BUILDING 80. FOOTAGE
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-•:_,._.. .,y\ .,+t,'!I' , .. 4 ,., 4 , ·i ·••· F/P FLAELEV. NO OCCGP EDU
1,,1 ;.,..·• ~ .,,•; •. ,--..-... :_.,.,.;" ':''·~.,,.~--.,-STORIES OC) l 983:J .~IC>41
JI~~ IJ ;.'9;,:) ,
4,.,'1,,t-·':..-,., ..... 1 .., • .-.::-~-w.•* YONO
CENSUS 7 HAL, 1 I ·---------------GP LANu u:.1:c PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I AEOEVELOPMENT
AREA
YO N □ vO NO
TYPE
CONST
OCC LOAD FIRE SPA
vO NO Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER -EACH FlXTURE TRAP f ~ f INSTALL FURN_ DUCTS UP TD 100,000 BTU f I BUILDING PERMIT 01-000-4220 '/ -U • ::, (.,I
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER AND/OR VENT __ l ____ BOILER/COMPRESSOR UP TO 3 HP • PL.AN CHECK 01-000-4806 / ~~ 1
EACH GAS SYSTEM 1 TO 4 OUTLETS : BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING 01-000-4222 I ' 1
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE . ELECTRICAL ____ 01-000-4223
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT . MECHANICAL 01-000-4224
-~H EXHAUST -HOOOIOUCTS . MOBILEHOME 01-000-4225
WATER SOFTNER \ RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
EACH VACUUM BREAKER
EACH ROOF DRAIN IINSIOEI I . SOLAR 01'000·4226 -r a u ·---~~ ---------TOT.l.L MECHANICAL I ~TRONG MOTION 65-640-0519 • 50
TOTAL PLUMBING I · FIRE SPRINKLERS 01-000-4227
PUBLIC FAClLITIES FEE 25-000-493l
BRIDGE FEE QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR· ISSUE
NEW CONST EA AMP,'SWT ,.BKR COLLECTORS . SCHOOL FEE -DISTRICT .--.---
1 PH 3 PH _ STORAGE TANKS Carlstl~d __ .____ 65-623-0519
1 PH 3 PH PUMP • San Dieguito 65-625-0519
EXIST BLDG EA AMPISWT/BKA ROCK STORAGE . Encinitas 65-624-0519 ~
f--+ REMODEL/ALTER PER CIRCUIT ----_j____ PLAN CHECK FEE . SaQMarcos 65-626-0519 · -.
TEMP POLE 200 AMPS
OVER 200 AMPS
·----+----+-----·-----·-----+------11-------------~----+---------7
I------+--+-------------+-------111-----------------jf--
TEMP OCCUPANCY {30 DAYS) ------
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 34. 35
J HAVE CA·IUSl'UU:· ·, y.'ix;M~~. r;~~~h. ET£!) 6A£'PJ..ICATION:'.,AND PERMIT·'. ANb bO HEREBY. + efphtion Every """'it~ bytheBu,dingOtttclal untW1heprtMsiot1aotthts * ~ ~ PEIWIT 1S 1'EOU$ED FOR ~vAflONS
CERTIFY UNDER ,pEt4j\1i QF,'. PERJURY".TH.lrr •. AU; tNFORMAtlON HEREON IN.CI..UDlNG'-"THE · ~e'i;Wft by iiit!lUII ilfld tiecomftnull and void tf lhe building ,or work ·S' Q" OEEf>'ANIJ l)EMOLITtbk OWOONSTRIJC'TION ' ,
o¢ii.AR(\i::IONSA1',(" ,>.NOCQARECT·AND ~::FQRTHEA ~ffflFY ANQAGRE,E'>F A PEflMIT ~ auth ,..rW,st1ch~ ~within taOdaysfromthet:latephuch $TflUC1'\NSO\'iA:3~flii HBGKT . "
~Et):,,TO CQMPJ-t t.tmt ClTV, COUNTV ,\NQ ~TATE LAWS GOVERNING BUILDING cpt,1.,· -,-="'~'!t.the ~. or ' 0
,
~l'RU<rrtUf.11611,. •-. . 1'to+tER.·EJN OR Nol. I AlSO'AGf\EE TO SA\/£ lNOEMN. , 1:Ft, ANG, '\loot ~i11.NT1S:'.$\GNA. ·. :ru.. ~..2!.lll!! . .Sfi<L--::c-lr-A~P~P~R~o~v,~o~B~Y~---'---!--,,---=-o••r~,--~"'·"· •-K~e:t:'"M 1,;J'ME",etl'Y_b~CAR~~ AG/!,}NST All l,.IABll.,ITIES, JUDGMiNTS, QQSTS AND r-'"""7"~'? ·· _ ,, ., ,, ~Jt EXP!:NtiS WWIGK t,,lY,itAJtiv ¥t.itY,:AC0RUE AGAINST $AID CffY IN CONS~ENCE QF,:TM~-"" 0 ':° ': .. / , .. , "' "'!i,tl~f/,,0 =PH □ · '7 ,· PRANTING qF'1'<':' ,~.,,t ' ,. .. " ' . ' ' ' . ~ "' .. . ONE .;:, ~ -
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INSPECTION TYPE L 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 $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING I,
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR _COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING /2)\
ELECTRICAL ~
MECHANICAL
GAS
BUILDING
--r14L CONDITIONS
-••!CY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI -PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
; HIGH STRENGTH
BOLTS
SPECIAL MASONRY
'
I PILES CAISSQr-,.5
--
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INSPECTOR'S NOTES
DATE dJ 1/IJ r,a,,'f'"/PH°-L~ ,Ed;< aAI ,t?~AA.IJ', ~77L .,_.. ~ .. . · "'"/~,-H rv,:;,.1c 41 w:z ;e,:,~,,yes ••
-· -·• -,.zi •·, · r · -'••,~,t,/4,(._ 61tt4t.1.,.n.._.
-= ___sn~~u;, ,..,A'l:n C/Nt:6, 41d wC ,<. --. -·
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BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE: ---------~ECEIVED
FEB 23 1982
CITY OF CARL98AD Building Department
ZONE __ ~p_(2_ ______ LOT S IZE _________ LOT WIDTH. ________ _
UNITS ALLOWED ____ / ________ UNITS PROVIDED ___ ) _________ _
PARKING SPACES REQUIRED c5I,... PROVIDED .:2_
% COVERAGE ALLOWED ______ ::½--=-i?___,_A~6:.__ ___ PROVIDED--__ -~-s:;.===0==1=<==========
BUILDING HEIGHT ALLOWED 3$'/ PROVIDED ___ 6~<~------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ~
PROVIDED __ ..,{,.L)--'-{ __ -_ oK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: __.N'--'<-~A_._ ____________ _
ENVIRONMENTAL PROTECTION REQ: ~G~~~.._.,~"PLJ~c:....>---------------
ADDITI~NAL COMMENTS: ;i.,/-;.;;~
OK TO ISSUE: M
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT ---,,,-,----
LEGAL DESCRIPTION,_,.~L4=---~LL--..l.....:.L-,t...::.~-+----------------
ADDITIONAL COMMENTS ____________________________ _
I ____ OK TO FINAL ____ DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS. _____________ _
FIRE HYDRANTS LOCATION ________________ ~
ADDITIONAL COMMENTS -------------------------------:=-----1
OK TO ISSUE:
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _______ _