HomeMy WebLinkAbout2102 JANIS WAY; ; 81-334; Permit., z 0 ~ "' .. ~ [rl
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D I hereby atflrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full fOfce and effect
lie No Class
I hereby alfmn that I am e•emp! from the Con r~t;·~~~~:;:: ~; ~~~f~~~l~~lic:Je'8t~~.i~r
county which requires a permit to construct
al!er. ,mprove, demolosh. or repair any structure
pnor to 1!s issuance also requires the app11can1 for
such perm,t to tile a s,gned statement that he ,s
licensed pursuant to the p,ov,s10ns of the Con
lr,iM:lor's License Law {Chapter 9 commencmg with
Section 7000 of D1v,s1on 3 ol the Business and Pro•
fess1ons Code) or that ,s exempt therefrom and the
bas•~ for 1he alleged exemption Any v,01at1on of Section 7031 5 by an appl,can! for a permit sub1ects
me appl+cant 10 a c,v,I penalty of not more than hve hundred dollars {S50'.l)
□ I, as owner ot the property, or my employees ••ih wages as their sole compensation. will do the
wori<, and the structure ,snot ,n!ended or ottered for sale (Sec 7044. Business and Protess,ohs Code
The Contractor's L,cense Law does not app;y to an owner of property who buolds or improves thereon
and who does such worl< h,mseH or !hroug" h,s own employees. provided that such ,mprovements are not intende1 or otfered for sale If, however, the
buolding or improvement ,s sold w1th•n one year ot complet,on, the owner-builder w,II have the bu1den
a! proving that he dtd not build or ,mprove for the purpose o! sale)
D I, as owner of the property am exclus,vely contracting w,th licensed contractors to const,uct the pmJect (Sec 704A. Business and Profess,ons
Code The Contractor's L,cense Law does no1 apply to an owner of property who bu,lds or ,mpro~es thereon, and who contracts for each proJects w,th a
contractofjs) license pursuant to the Cont1;;,c10,·s
L,cense Law)
0 I am exemp1 under Sec
tor th,s reason
. 8 & PC
D I hereby a!!irm tha1 I ha,e a cert,f1cateot consent 10 sell-,nsure, or a cert1f1cate of Workers Compensat,on Insurance, or a cer11f,ed copy thereof
(Sec 3800, LaOOr Code)
POLICY NO
co0-,
1,0" Copy IS hied with the c,ty ~
D Cen,t,ed copy ,s hereby turrnshed
CERTIFICAH. OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s sect,on need not be completed d the permit Is tor one hundred dollars ($1001 or 1ess1
0 I cert,ty that ,n the performance of the worl< for which th,s perm,t ,s issued. I shall not employ any
person ,n any manner so as 10 become subJect lo the Worl<ers· Compensat,on Laws of Ca1,torn,a
NOTICE TO APPLICANT 11. after makm:;i this Cert, hcate of Exempt,on. vou should t,ecome sutJ1ect l'J !he Worl<ers Compensation prov1sIons ol the lal)or
Code. you must !orthw1!h comply with such provIsIons or this perm,t shall be deemed revoKeO
0 I r,e,eby afllfrl' ttiat tt7ere Is a co,,s1ruct,on
Iend1ng agency to, lhP performance ot the worl< tor
wh1cr-> lh,s permit Is issued ,sec "lCl'37, Ci.1I Code,
Lender~ Na,..,e ___________ _
Ler>der s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT ,r 'FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBA-BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 A .. r1L1CATION & PERMIT
J~8 A~O~t_SS ~ AV .• ST. DATE Of APPLICATION
21,;Es;_Llf 1 # /7u~ PERMIT NUMBER
,? -lO-?,' \ K•1\<;, \A-IA-Y RO. C:.-7-4=11 61-B:34-OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE # ZONf: .
D/r-I. IM!!: s-t'"~ I lh p '\)p ~ 1,, .,_T'l. \ tc:, t1 o . L/39-,.:J.·1 /...,
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. ' PLAN I.D. # BLOG USE CODE --(,,-,tq '~ . 'y\ \') I ,~ A,.. .41... ri.9qLto I 'Wko • i,,-
COT BLOCK I SUBDIVISION I Af~ilif P-EjjN\,_ • -?~ -:l:, DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE _F, ...... •1-r__. ("),,,=,n '" 6 ,, ~Oe , 0~ , a--. ~.:c,,, ~5.1:JI DESCRIPTION OF WORK .
DESIGNER'S ADDRESS DESIGNER'S PHONE
//!6r:; dr 'NODD bf;C,V
' e F LR ELEV NO ace GP EDU S/i,,/0•7., c STORIES uc.17:.c:~ .
vC r-.0 ~~/-;,-:-/
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED -, REDEVELOPMENT TYPE OCC LOAD FIRE SPR '
AREA CONST
YON □ vQ NO v□ r-.0 Not Valid Unless MJchine Certified
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 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
, --------------· ' ------•. -----· -----------: I _Lq,4~ EACH WATER HEATER AND:OR VENT 0 □ I LE A/COMPRESS~~~~-~~-~-HP PLAN CHECK
' ---------
EACH GAS SYSTEM 1 TO 4 0 UTLETS i--; BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING -·
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ---------1-------. -----·
EACH INSTAL.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL --------~-. ·-·-
EACH VACUUM BREAKER MECH EXHAUST -HOOO:OUCTS MOBILEHOME
-· -----I--------------
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
--· -------~-·-
./ =--+ E~C~R-0:: DRAiN 1:NSIDE!
SOLAR
-------·----------,so -
TOTl"..L~L STRONG MOTION
: ~ -----
TOT AL PLUMBING FIRE SPRINKLERS ·-
QTY.I ELECTRICAL PERMIT -ISSUE QTY. /soLAR · ISSUE 1 PUBLIC FACILITIES FEE
·----
' \· 00 BRIDGE FEE
·-~ ·-~---
' NEW CONST EA AMP:SWT BKR ./ COLLECTORS SCHOOL FEE -DISTRICT -------
I PH 3 PH /-STORAGE. TANKS Carlsbad
---~---1---
EXIST BLOG EA AMP.1SWT/BKR ' ROCK STORAGE Encinitas
--
1 PH 3 PH -/ ~ ~-. PUMP San D1egu1)0 --------------I--. '
' REMOOEL'ALTER PER CIRCUIT ,;_-·--r . ' ,.t ,t,LAN CHECK FEE San Marcos
----------I-----------·--
TEMP POLE 200 AMPS -6-l?---; l ·1_~l-~ -' ----------
OVER 200 AMPS
~----------V' -----------. -
TEMP OCCUPANCY !30 DAYSI ~ -' I--_ -------------· --. -/~ ---· -r -·-----------·
' TOTA~ICAL TOTAL SOLAR TOTAL FEES PAYABLE I -4-q,u
, ;$,.!b~REFULL v ,l.j,,~D THE COMPLETED ··APPL1CAT1odND PERMIT"" A D DO HEREBY Expiration. Every permit issued by the Building Official under the provisionsof'this * AN OSHA PEPMIT IS REQUIRED FOR EXCAVATK>NS OYEFI
CERT y UNDER .SE.~L.,i:'r";OF PERJURY THAT ALL 1NFORMAT10N HEREON lt~LUOING THE Code shall expire by limitation and become null and void ll the budding or work !5' O" DEEP AND OE.MOLITION OR CONSTAUCT10N OF authorized by such permit is not commenced within t80 days from the date of such DEC RATIONS ARE 1'fl!UE AND CORRECT AND! FURTHER CERTIFY AND AGREE IF A PERMIT !S permit. or If the buildi~ or work authorized by such permit is suspended or I STRUCTURES OVER 3 STOAtES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at ·anv lime a er the work is commenced for ii narjod of ,in ~-s. ~
STRUCT!ON, WHETHER SPECIFIED HEREIN OR NOT_ I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE Jf-OWNER □ CONTRACTOR~ APPROVED BY o.1-(4. f/11/~~~1~-8{ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILIT1ES, JUDGMENTS, COSTS ANO (.J // ,t,L_ ____ ,_ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -RY Pt-lONF n
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INSPECTION TYPE DATE INSPECTOR
BUILDING ,
-..... nj FOUNDATION ") I n.
REINFORCED STEEL '\ l I I •
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 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 HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ,, '
MECHANICAL
GAS A I I c..;_· .
BUILDING -, If~ II ~ I \
SPECIAL CONDITIONS , r V
CERT OF OCCUPANCY ISSUED
'
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
.
STf!UCTURAL CONCRETE
OVER 2000 PSI ------PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-HIGH STRENGTH
BOLTS i------------------------·---------· ..
SPECIAL MASONRY
PILES CAISSONS
·------·
-----------------·-
--------
,
---------
,
\ -----
·-·
'
~ INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
~1ECEIVED
DATE: ________ _
AUG O 7 1981
zo~---"'R"--___.) _____ LOT s I ZE _________ LOT WIDTH ________ _
UNI1S ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED oV PROVIDED __ oH-~1/_-'--------
% COVERAGE ALLOWED _____ u_r _______ PROVIDED ___ r _______ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED :.J_ -(J_-·iz....-PROVIDED_----1,_.o<-1-~-----o[L Q(L
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~"''-+'ALi---------------
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ......1.~~~~-'-----------------------
0K TO ISSUE:~ATE S:/11111 OK TO FINAL _______ DATE. ___ _
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT _______ EASEMENTS-,-__ --= _____ DRAINAGE. ____ _
LEGAL DESCRIPTION ;:t'de?-3 ((Yq4:1+ flt.tµJ £'-r;:.t?J;
ADDITIONAL COMMENTS ____________________________ _ J
OK TO ISSUE:.Jlt DATEie-10,81 PWI ____ OK TO FINAL ____ DATE ___ _
..
FIRE DEPARTMENT
SPRI!lKLING SYSTEM -----'--_____ FIRE PROTECTION EQUIP•--------
FIRE ALARMS EXITS. _______________ _
FIRE HYDRANTS LOCATION. _________________ _
AbDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: _____ DATE. _______ OK TO FINAL ______ DATE. ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ______ =-_DATE ______ -,-_