HomeMy WebLinkAbout2081 LEE CT; ; 87-107; PermitII) z 0 ~ a: • .... u w C
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C ~ ... 3 I w z :l 0
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O thereby affirm that I am llcansad under ,
provisions or Chaptotr 9 (commencing with 1
Section 7000) of Division 3 of the Business I
and Proleaalons Coda. and my license is in
full force and effect. I
I ri.ereby af1;rm 1hat I arri exempt from 1he Conlroc
tor ·s L1ce-nse L~w !or lhe •011ov,i1ng reason (Sec. 7031 .J Bus1l'less am:I Protess.1011-s Code Any cI:y or ccunty •w;1 (,' re-
qu1re-s .:t p-er'l',11 10 construct, alter. 1~pr□'le. Gemol1sh. :::r
rep.air anr scruc.t,.;re. prior 10 11s issuance ts0 reau1res :~e arr
pl1cant ror S-ll"Ch ~erm11 to f!le a s1Qnec.J s.ta:emeM :hat h,~ :S
l1ce:,..,.sed p-ursua11t to rhe provisions of the :~or,'.raci:,ir's License Law (C"1apter 9 commem:ing w11h Ser.Mn !(,CO of
01v;51on 3 cf the 8u-s:111ess and Proles~1cns CMf',1 or th21t 1s ex·
emp1 ffler-efrnm and n,e basis to:r the a leyeo el(e~i:;fIon Any
v1olabon ol Secl!On 7031,5' Dy an appl,can! for a permi1 sub-
Jet.ts the app11ca111 to a civi• penalty of nor mo·e lhat 1rve "'"Jr-
dred doll.a.rs (SSC-0)
I, as owner o! the propefty. or my e!'Tlployees with ·1Jages
as their sole c:ompensalmn. llifill do the wora:. air.d 1h~ st1uc-
ture is not mten(ted or oflered !~ sale fSec 7044 Bus1re-ss
.anct Protes-srons. Ciode: The Contracto1 s License Law coos no, a~ply to an ow11er or prO(lertv who builds o .. irnpro·,es
thereon ancr who does such worll: h1msell or thro1,1gh his own
employees, provided that sucti improvements are rloi 1r:te,r,i:1-
ed or offered 1or :s.ale. II. ho~ever. the bu1ld1ng or •mpro'l!e-,
ment Is sold wi1hin one year of c:omple11on. !he owner-bu1lc:ler
will have the burden ,of proving thdt he did not build ar Im-
oro11e ,or the purpose 01 sale).
, I, as owner ol the property, .am exclus.i11ely contracting
wilh lic-ense-d con!l'actors 10 construct the pro-Ie-c1 {Sec. 7{14-d.
Susmess and Prote:ss,ons Code: The Contractor's Lic-e-nse
law ctoes n-ot ap_piy to an owner of propertv who builds or im-proves 1hereon_ and who contracts for each oroJects w11h a c□n.tr.act.oqs) liceflse pursuant to the Cootractor"s License Law).
: . As a l'lorneowner I am itnprov1n,g m~ !:lame. and the follow-ing conc:litions exist:
1. The ~orl< ,s being performed prior to sale.
2. I ti-ave lrved in my heme for lwe\\le mon! hs
prior lo completiori cl this work
I have-not claimed this exel'lption C:urin~ lhe I.a.st ,hree years.
B & P.C
' . . I I hereby affirm that I l'l,ave a cert1f1Cale of con"Sent ro ·
5e;f.1nsure. or a cer1ificate of Workers· Corn pensahon In-
surance. or a-certified copy the~eof [Sec:. 3800. LaborC□dei
POLlCY NO.
COMPANY
, Copy 1s. filed w1t'1 the city
Cen1t1ed copy Is hereby furnished
I certify 1ha1 in the pertormal'!ce of u,e wod,:. lor which I
this ;::ierrr. it is issued, I sh.all not employ a;;i-y per~on in an)' i
manner so as to bec;ome sUbJec11o the Workers Compen·
sation Laws of Califomia. l
NOTICE TO AFl'F'LICANT: If. after malcin.g this Cert1hcale 1
of Exemption. yo~ sho1.1rd become subJeC::t to the Workers· I
CompeMahon pro-visions of the Labor 0;,t;ie, ym,1 musl f
forthwith comply with such provisions; or this permil shall
be deemed re~oll.ed. I
I hereby at!1rm tha.1 ther-e is a construc.t1cn ler:d•ng '
agency 'or 1he perforrnance of tile 'I\IOrk !or which this per-I
mil is i$sued (Sec. 3097. C1-v1I Code)
Lender"s Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATIOl'J,WITHIN SHADED AREA AND DECLARATIONS.
LOT
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
AV, ST.RO. NEAREST CROSS ST.
2...(!)8/ L€E-· CcJv~r .a>N..vA 'l)~/1/c
81-0CK I sueo, v,s,°"' CONTRACTOR
13~o,::'.J'
CONTRACTOR"S ADDRESS
APPLICATION ~AMIT
BUSl"lE,ENSE #
CONTRAeTORS PHONE •
STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNE"S MA,LiNG ADDRESS ?, 0. bo~ /04-1 1 C!.A,(t..s8AI> 13 . / ~987"4 lv,.5"
F, p FLA CL[V. NO OCC GP EDU STORIES 0030 02/18 0101 02BldPllt 84-5(
YC -..[J ---
I
I PARKl .... (j SPAC> I RtS UNITS I GRADING PERM>T ISSUED l REDEVEL-OP~E-..T TVPE OCC LOAD Ff RE SPP
A REA CONST
<J "□ vO NO Not Valid Un~s fb,:hjn• Certified
QTY. PLUMBING PERMIT -ISSUE 1.50 I QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURf TRAP INSTAL l FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT oo--s: o-oo-oo-a220 ---+----·
·---_;______ ->------~BOILER;COMPRESS.DR-U~-~~ :~::p~::~: ~~~:::~:~~:~~::~~; d---cr,_-
----. --------1----------H---i----------"7"""'-----------·--+---------a ---------
EACH GAS SYSTEM 1 TO 4 ' LFTS : B0ILER:C0MPRESS 15 HP TO"'."AL PLUMBING 001-810-00-00-8222
EACH BUILDING SEWER
EACH WATER HEATER ANll llR
. ------------
EACH GAS SYSTEM~ ---M□-1i"i. • -... ~ -r MDL F-REP---=-------------~N-----EL_E_C-TR_!_CA_c_,_, 001-810-00-00-82a'l / 0 ---~:~: l:ri~l~: :-::AIR WA l ER PIPE : -. .. ----f. --t ::_c_~ E:::~~~l-E ~~~: DUCT s .. --------=· =-~=--=----~~-,-~=~=:A=t=HIO=~~=~:_-_---j; ... ~ -■-.. ~ .. ~----~-~-·:--::-:~-,:-:o,..--... ~=-~.::,;~=,c-~'---;--+--·_-_-_-·--__ -_-_ .... _-_~_ ~_ -_-_-~-I
>---
---------------it----+--------
WA¢° SOF TNER RELOCATION OF EA FUANACE:HEATEA SOLAR :-o:ii;l-a,o-trio~·226
1----+-e(c-__ ~c--~--R00° :JR;\ 1 t·. 1 : '·. s cF , _·~---_-_-_-_-_-_-_-_-_-_-_-_-....... _-_-_-_-_-_-_-_-_-_-_-_-_-,._--I_-_--~D_-R_Y_E_R.,.V""E""N--=T""'"-_,,-,,.-::::::::::::::::::::::::::~_---_ .. _·-:::_-_-_ -_ -_: _s;_;-1:...:Rc...G_N_G_M_o ___ 1 1_o_N_,,,_.,-._,..-----=.~-~,'--"--'-8-'-80-i;ri.l.r-:, ;i,:..;·-: .. _2'-'_'-"3-3--+--_-_ --_-_-_ -__ -. -~-=-==::-l
-·--··--· j ro1;.;.L MECHANICAL I FIRE SPR\~LERS -. 00·-a1o-ifi:i!ifa221
_T_D_T A-l-P-L LJMlll~G ---· ! ! _P_U_BL_1_c_F_Ac-1-L1-TiE-. -H~---1EE---,s~2~0-.s-1,,,,,ilL,o~-;-.""-_~8-74-0----1---------------+-----------
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP BRIDGE FEE '-: ,""360-81.ll.-00.:..~-8740
,o_,J,_ 0 ... _P_A_R_K_-I_IJ_-L_I E_U_-F--~"...,..E" ___ -_ 1 i"
: T;F U 13~-~-00-8835
---o------·-·--------------~-----------.,_---+----····--
CAR PORT
-.. --------------+----------.
NEW CONS l E:A AMP SW! ~KR
1----+-1-P_H __________ J_P►i--:~----+------_-_-!;---_ ---t-+--A=W='IJ=•N=G_--_-_-_-_· _-_-_-_·--_-_-_-_ ==========--~-=---=~ ____ .....,_ __ L_A_C_O_S_T_A_TIF 13:cJo§-o~--8835~~~ =-=--=------· _-_-__,
DIST HLDG EA AMP SW I ~R-------+---·-... ____ ,.__;1-~,_G_A_R_A_G_E ___________ . ---------+--·--·-.. ____ FMF __________ __.iS....,_ ___ --+-
1 PH J PH LICENSE TAX ~01-aeo~-OC-8162 -------------+--------,i------,1---~--' ----------------+-----·" .. .,, __ , ----------------ii-------·-------
REMOllf.L Al HR PFR c,ricu1T MFF ------------------+--------It----+------------· -------·-
H MP PO t E ?OU ,\MPS I -----------
DVE: A lOU AMPS ! ii -------------------->-------4'----+-
. !1 TEMP O(CUPAr<l(Y ;30 DAYSI
----------+-------------
1------,,r---------------· ---. ---·---. ------. --· ----------·-·---·---·.
1
----•----+--+--------__ ., .. -·-·----+-----. . . I CREDIT DEPOSIT
______ T_il_T A_l_E_l_f _Ll_H_l[-J-,;-----~--~-/-0--·--........ i: ----:-.. ---------10-1-AI_-------+--I·--· ----11---T-O_T_A_L_F_E_E_S_P_A_Y_A_B_L_E __ ..,, __ .__ ___ 25_4-:-~~ffli,.,,
i "IAVE CAREFULLY EXAM•NED THE COMPl.ETED ··APFLICATION AND PERMIT" i•ND DO HEREB\' Expiration. Everyperm,t issued bytheBw1ding 011,cial unde,the prov.s,ons Ollh,-;-,
CERTiFY UNDER PENALTY OF PERJURY THAT Al..L INFORMATIOl'-1 HEPEON INCLUDING THE Code shall expire by 1,mitalion ancl b<>corne null and void If 111e bulld,ng or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMlT If> authonzed by such permit is not commenced w<lh'" IBO days !romlhe dateol suet, . , .. ,, • ,._. permit. or if the bJ .. Hldmg or work aulhoozed by such i:;ierm1t 1s 5usp&nded or !SSUED: TO COMPLY WITH ALL CITY. COUN1Y ,-,ND STATE LAhS GOi/ERNING BUILDING CO,,-abandon<!dat any,(,me after the wor~ ,s comrnenc~1or a penod ol 180davs
~i~~c:1~~L~;:~~~RcT:VEg~~fR~~:~~ A°c.:1%~~ A'Lt~~f:ii:i~~-~~.~~~~~~~E~i~~r :~g ~PZPLI NfjiNATURE If, 4-ft;ER □~NTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V BY PHONE 0
GRANTING OF THIS PERMIT ✓ __,,__J y_, • ~ ~ -. ., "L,G,,,-1 7--.,.. ~A
' I :;
~ AN OSHA PEAM:T lS REQUfflED FOR EXCAVATIONS OVER
5' O" DEEP ANO DEMOllTION OR CONSTRUCTION OF
STRUCTURES OVER l STORIES IN HEIGHT
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TYPE I DATE INSPECTOR
BUILDING -FOUNDATION l "' _, 6-/,/ _ __,,;;; I
REINFORCED STEEL j I -~l,. '0) ,...,,,, ---J/ l <ti
MASONRY I I
GUNITE OR GROUT I
' SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D StilEAR
FRAME I J-..--~, 11\,\c.e
EXTERIOR LATH I >-12.A] /'\,.('--e-
INSULATION J s--,, ~i 7 /\.,./c..e.. !
INTERIOR LATH & DRYWALL I \;(2,--1] Hu~
I
PLUMBING I
[j SEWER AND BUCO C PL/CO
UNDERGROUND □ WASTE oi WATER
TOP OUT D WASTE D 'NATER
TUB AND SHOWER PAN l
I
GAS TEST l
□ WATER HEATER □ SOLAR ~ATER
!
ELECTRICAL I
□ ELECTRIC UNDERGROUND Q UFFER
ROUGH ELECTRIC ! .5~4~ ..,._.,_"lc.e. I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ' !
I ;
MECHANICAL I
D DUCT & PLEM., □ REF. PIFllNG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS !
I . ·-·· ' -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
------------------------
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
S01LS COMP:_ ANCE
PRIOR TO
FOUNDA nor-. INSP
REO. IF INSPECTORS
CHECKED APPROVAL DATE
----------·-------------------
STRuCTuRAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENS!ONE.fl
CONCRETE
f-lEc_D WELDING
t-----------------. f--------------,;,GH STRENGTf--l
BO,.-fs
~PfCIAl MASGNFIY
_________ 13~-1~--iu '1_ _____ _
INSPECTOR'S ffl'>TES"
..
·_{ .. i r-----------~--------------+-------+------j I----------------'-'----------------,
Pll fS CAISSONS
r------~-----·------+-------+------
----1--------l----------
1-----------l---+--·------·----
-----------~ -----------------------+------<
-f-------jf---------~ -----
.----------,---------------------1
0010 03\TS OH>T 03BJQblllf
,_ ..... ·.,} , .. --:-.-
-~-
• PLAN CHECK ~-111L. ADDRESS _c17c__a_-~_1/_/4_-c<::_---~--DATE#
.. .:,: u cu .c u
C s Q.
en
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PLANNING
ZONE1 ----TYPE OF PROJECT AND USE: l:~A cQt1/c "f-(_ ~ ' .
SCHOOL DISTRICT, :~~' D~EGUITO ~ ENCINITAS -CARLSBAD X SAN ~RCOS -
SETBACKS, rRDNT :-. ·-----SIDE _____ REAR
DISCRETIONARY ACTIONS1 -----------------------REDEVELOPMENT PERMIT REQUIRED: --------------------
LANDSCAPE PLAN COMMENTS: _________ ~,...-~-~-___ rJo1,. ----_-=--______ --------ENVIRONHENTAl,. REQUIREDz . ~-_ COASTAL ·PERMIT REQUIRE0_1_Y_E_S ______ Nni_.,....,,..,..._ ___________ _
ADDITIONAL COMt£NTS1 _____ _.._7...,._lj,""_ -·-;..,·---.... ·_·7_; __ . ___ . -----_._. ____________ _
r~Z_ -
11• ,. ...... ,-.-r~,.-., r'i ("-,.-.. -.. t". ft .... ,., n~r"'I" r-,,-.::,,' ,-... ·1~
OK TO ISSUE~ .£ii ; ',·,
I ' I
-0 ...... -,_ ......... T ~ • • = ~ ~-~ ~ ~ T ~ -~ "1 f, t ·• r, r'1 ~ r I" "'-r, r, r ,:.., .-1~ .-" ,., ., ,,. ~ ,. t I l"I • r ' I" ri7 ,.-· R'M'r' r:,..,.r-,..:--1"'-~: ;;--;:.-:;-"f~ r ,·,r-'" ;~. r -r-"""M....,"' l"I
.. ..,.__..... ................. -... •---.• ........ _.._,..._ ... _._ _._' L • .....,._.,_ ~ -.................. --................. -..,, ....... ~ ~ . .. ' .,,,. . "' ~ .. , " ~ ~...... ' .. ~ ~ ' ~-.-. ............
ENGINEERING
LEGAL REQUI~EHEN\S
LEGAL DESCRIPTION VERIFIED? -----APN CHECKED? ----------EASEMENTS: RIGHT -OF -WAY: ----------------------
EDU' S: ----------------DRAINAGE: -----------
PERMITS REQUIRED
·tnON CERTIFIED: ------
DRIVEWAY:
fEES REQUIRED
PARK-IN-LIEU QUADRANT: ____ , FEE PER UNIT:_-___ TOTAL FEE: _____ _
P.f.F.: ____ TRJV:fIC IMPACT ,fEt PER UNIT: ____ TOTAL FEE: _______ _
BRIDGE & THOROUGHFARE FEE: --------------
5 ~WE R LATERAL: D □-FACILITIES MGMT. FEE:
SEWER FEE (CONNECTION): 1V ·-... ·2 ADDITIONAL COMMENTS: ' .. -
Ill Ill f 1 e cu -a. a.
C ! s -u "' Q OK TO ISSUE:
DPD2aDPD6:10/24/86
G" CARLSBAD UNIFIED SCHOOL DISTRICT
~□ CARLSBAD HIGH SCHOOL RECEIPT NO.
12133 □ VALLEY JUNIOR HI SCHOOL
RECEIVED FROM I...)'('<\_ · ~ ,t" &\a&\ Cooit-\-
FOR: l ~ ,oclt ~ll _ ~ ~\~u1'"
usE oF~cH~rl~'c~Ji:1Es/RENTALs $ ____ _
USE OF SCHOOL BUS $ ____ _
DAMAGE TO SCHOOL PROPERTY $ ____ _
DAMAGED OR LOST BOOKS $ ____ _
SALE OF SURPLUS $ -----
INCOME 0°' ABATEMENT 0
ACCOUNT NO. ~ -<?Mi -----
ACCOUNT NO. -----
ACCOUNT NO. ------
REIMBUrSE/)ltENTS
!ioe-'noo 1-c,eS
$ IO I ·
INSURANCE $ ____ _
TELEPHONE COMMISSIONS $-,_-----
TOTAL $ I() l-s?S:
¼ .l\ ll}
RECEIVED CASH □ CHECK B'
RECEIVED BY \II O""itCSGi\\i>-a ~
\
SCHOOL FEE COMPLIANCE CERTIFICATION
(Government Code Section 53080(b))
This form shall be used to determine the amount of school fees for a project and
to verify that the project applicant has complied with the school fee requirements.
No building permits for the projects shall be issued until the certification is signed
by the School District and returned to the Building Department of the City of Carlsbad.
PROJECT INFORMATION (To be completed by the applicant)
Project Address:
Project Applicant:
Project Type: hesidential/No. of Dwellings Commercial Industrial
-Phased Project: _Yes --x.._No.
Building Permits are for entire project ~es
Square feet of covered or enclosed space 6Z .S-~
No.
Plan check or Building Permit No. -c#= /07 0 ff icial checking farm Y. J{,,-,e _______ D_a_t_e--✓-;--,.-_-8_7 ____ _
INFOR..'-1ATION VERIFICATION (To be completed by the project applicant)
r, {!11/)&e-s A . &ciu4ff . declare under penalty of perjury under
the Laws of the State of California that I am the project applicant for the project
listed above and that the foregoing information is true and corres;.
Executed this /7 day of lr:f4L.vi?;€~ · ~ l 9az_, at C::..A!f L5'lfA.D
California.
FEE CERTIFICATION (To be completed by the School District)
Applicant has complied with fee requirement under Government Code 53080.
Project is subject to an existing fee agreement.
Project exempt from Government Code 53080.
Final Map approval and construction started before Septe~ber l, 1986.
(other school fees paid)
Other
School District Official:
( j
SIGNATURE
NA...'1E ( PRINT) PHONE NO.