HomeMy WebLinkAbout2065 Linda Ln; ; 81-324; Permit"' z 0 : :5
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O 1 _,eby I that I am llcensed under
provl,:,,u11s of L,r1apter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
_ c No Class
I hereby ,1.tt1rm Iha! I am exempt horn the Con
~t;·~~~~i~S: !:;' ~~t~~~,1i~1tC~er6t~~~1\~r
county which ,equ,res a perrmt lo construct
alter. ,mprove. demolish, or rep.air any structure
pnor to ,ts issuance also requires the applicant 10,
such permit to f,le a s,gned statemen1 that he ,s
licensed pursuant to the prov1s1ons of the Con-
trac1ors License Law (Chapter 9 commencmg w,th Section 700J of D,v,s,on 3 of the Busmess and Pro-
fess,o~s Code! or ttia1 ,s exempt therefrom and The-
baS•l> fo, the alleged exemption Any v1olat,on of
Section 7031 5 by an .pphcant for a perm,! subJects
tne applican! to a cIvII penalty of not more than five
hundred dolla~ ($500]
~ I. as owner o! the property or my employees
G.th wages as the,r sole compensat,on, will do the
w0!1<, and the struc1ure Is not mtended or offered for
sale {Sec 7044, Business and f>fofess,or.s Code
The Contractor·s License Law does no1 apply to an
owner of property who builds or improves thereon
and who does such won. himself or through his own
employees. provided !ha! such ,mproveme~ts are
not mtende1 01 ollered !or sale. If. however. !he
building or ,mprovement Is sold wIth1n one year of
comple!mn. the owner-bu,lder will have the burden
ol proving tha1 he did not build or improve tor the
purpose of sale)
D I. as owner ot the property, am exclusively
contractmg w,th licensed contractors to construct !he proJect (Sec 7044. Busmess and Proless,ons cooe-The Contractor's l•cense Law does no! apply
to an owner of property who buolds or improves thereon. and who contracts for each pro1ects w11h a
COfl!raclOf1S) license pursuan1 to !he Contr.,c1or's
License Law)
0 I am exempt under Sec
tor th,s reason
. B & PC
0 I hereby affirm that l have a certificate of consent
to selt-,nsure, or a cert1f1cate of Workers
Compensa!mn Insurance. or a cert1f1ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
0 Copy IS filed W>!h the City
0 Cert,hed copy ,s hereby !urnoshed
CERTIFICAH. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed ,t me permn
Is for one hundred dollars ($1001 or less)
of I certify that In the performance of the worl< for
hh,ch !his perm,t ,s ,ssued. t shall no1 employ any
person m any manner so as to become subIect to
1he wono.ers· Compensation Laws of CaI,torn,a
NOTICE TO APPLICANT 11, alter makm;i this Ce11,
hcate of Exemp1,on. you should become 5ubIect t'J
1he Won<.ers· Compensation prov,s,ons o1 the Lal.Xlr
Code. you mus! toflhw1!h comply w,!h sucti
pro~,s,ons or th,s permit shall be deerned revoked
0 I he,eby a!!,rm 1ha1 there Is a Lonstruct,on
•er>d•ng agency lor the peflo,mance of the worl< tor
wh,ch th,s perm,I ,s ,ssued ISec 3097 Civil Code1
Lende, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD , ' APPLICAN'• l FILL IN INFORMATION WITHIN SHADED AREA M' "ECLARATIONS
CARLSB •. .J BUILDING DEPARTMENT kr'PLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JO~OG.5 AV. ST.,OATE OF APPL:~;;;1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
/_;~ 1/¥1/ RD. -6foD6 J.._ A .?/. 6(-32--4 OWNER'S NAME 17..i. ;ER;:;;; PRIME CONTRACTOR , CONTRACTORS PHONE # ZONE :r.,_,t; r-r/-€ a 5t7JV ..-.111••--
OWNER'S MAILING ADDRESS CONTRACTOR·s ADDRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
2.or;,s 1--·'~ /-IV' Pool..-
LOT BLOCK I SUBDIVISION ,~~..:r0<:>0.:...-fe --co DESIGNER STATE LICENSE# STANDAf PJ~")''t}~ ~' ~-'= BUIL.DING SQ. F;T~_af
DESCRIPTION OF WORK -,· ... ,::: ·r; .,ft?48 .
OESIGNEl't'S ADDRESS DESIGNER'S PHONE
I IJC.::. ,:"A/ -'-4-"'T IO "'1 nc:: V ltJY L f'oc>I '" FLA ELEV. NO OCC GP EDU te'~3c,' STORIES
vD NO --
CENSUS TRACT I GP LAND use I PARKING SPACE I RESUN"5 I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST
YO N □ vO r-.0 v □ NO Not Valid Unless ~chine Certified
QTY. PLUMBING PERMIT· ISSUE 7,<ii QTY, MECHANICAL PERMIT· ISSUE -:=s I (l () SUMMARY/ACCOUNT NUMBER .
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT ""'f,... • .....,,J ----------
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT
1 --------------------'J:. t, -EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK . , ..... ----~--· _____ .:._ -----
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING JfJ,00 ----
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL "1 nn -----------------------~-• EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL ---------------------------------I EACH VACUUM BREAKER // .--.r MECH EXHAUST -HOOD/DUCTS MOBILEHOME
-----------------·-
• j__WAT~R SOFTNER ____ RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ---,_ T EACH ROOF DRAIN (INSIDE) SOLAR
-------
I TOT.li.L MECHANICAL STRONG MOTION
, __ --------1 ltl --
TOTAL PLUMBING , &!JI" FIRE SPRINKLERS
2 ()0
PUBLIC FACILITIES FEE
QTY, ELECTRICAL PERMIT, ISSUE QTY. SOLAR -ISSUE . ,
BRIDGE FEE _,_
NEW CONST EA AMP,'SWT,BKR COLLECTORS SCHOOL FEE -DISTRICT ---
I PH 3 PH STORAGE TANKS Carlsbad -~.---• -----
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE E11c1nitas -----------------~·--· ---·-I PH 3 PH PUMP . San D1eguIto ----------------------I REMODEL 'AL TEA PER CIRCUIT _ _f:?_:_CK:-PLAN CHECK FEE Sa11 Marcos ---------------------. ---------f-------------~·
TEMP POLE 200 AMPS
~ --------------1--· ---------,_ ------, ---,---·-
OVER 200 AMPS
~,----------_,, -------_, ,,_ --------,_ ----
TEMP OCCUPANCY 130 DAYSI
-----------------------------~· -,_ -
___l, ·--· ,,_ -_, ---------· -----------___ ,_ ----
lOTAL ELECTRICAL I t ,00 TOTAL SOLAR TOTAL FEES PAYABLE I I I O,lc:; i
I HA.VE-CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expifation. Every permit inued by the Buitding Official u ldeftheproviSiOna-Of'this * AN OSHA PEFIMrT IS RE0UtRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,tpire by limitation and become null and voi _ If the building or work 5' O" DEEP AND DEMol.mON OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 d lys from the date of such STAUClVRES OVER 3 STORtES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON• permit or, if the .btlildi~r work authorized by such :8~!i ~~~-~ or abandoned at anv ti~ a the work is commenced for
STAUCTtON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPL\C~SSIGNA~, QWNERl!i!' CONTRACTOR 0. APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGA1NST ALL LIABILITIES, JUDGMENTS, COSTS AND L NA/ 'Un., ,,.,. 1 1l!t-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,,,..,,. z .u BY PHONE 0 17-?i-9/ GRANTING OF THIS PERMIT. -~ ~ ·1./
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BUILDING -I /)
-IK/ (o ('yr\-, 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
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
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL . !l!,,\JDITIONS I I
CERT OF O 'UPI -''-'IS'-'S'-'Uc.=Ec,cD _____ ~_ ---~-_
FIELD INSPECTION RECORD
~ REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS C:JMP_ :Ar-...'.":E
PRIOR TO
FOUNDATION INSF
REQ IF I INSPECTORS
CHECKED APPROVAL
STRUCTL;RAL CCNCRE'E+· ..---.----.+-------
OVER 2000 PSI l------------+-----+------------PRESTRESSED
CONCRETE
POST TENS1ONED
COr-.CRETE
FIELD VVELDING
--1--
HIGH STRENGTH . ---·1
BOLTS
-· ---
SPECIAL MASONRY
-1-----+----
PILES CAISSON~-
DATE
--
-----4------~------l---------+------4
f----------J----+-----+---
e J ~ 3d--::f
~-~_J_Q._~--
~
INSP.ECTOR'~ NOTES ---:::_,. r ___ -~
,..../L_ /1
.J~
~~,~~~7-~~
L~ ---Yfr¥# --------------
e--------
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----------------------------------,
--------------------
f-------------------------
-~----------l
--·--
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,
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING
-BUILDING
DEPARTMENT ~ _/ ~lCEIVED
ADDRESS: c2ots A~ .i.. ...
cltJS-/(,o-fJ .nn 311981
PLANNING DEPARTMENT
CIT¥ OF OARLSBAt> Bulldlng Department
ZONE _________ LOT SIZE. _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED __________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
OK TO ISSUE:
ENGINEERING DEPARTMENTP~
REAR SETBACK:
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEMENT~/ LJ DRAINAGE. ____ _
LEGAL DESCRIPTION ;;;?Fr z; UM~ ~,, £a lvr:e---.,
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE;flz
1
DATE1,Bi/O PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONA,L COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _