HomeMy WebLinkAbout2111 PALOMAR AIRPORT RD; F; 85-327; Permitfx) I fwaby •llirm that I am iicanasd under
pwlslona of Chapter 9 (commer^ctng with
Sethion 7000) of Division 3 of tha Business
and Professions Code, and my license is In
full Ic^saQd e^ect.
tic Cia^s
I hereby ellirm ihai i am eiempi iiom ihe CorMrac-
tor's License Law lor the lollowing reason (Sec 7031 5
Business anO Proiessions Code Any cily v county which requires a permii to construct, alter imorove, OemoiiSh, or
reoarr any structure prior to its issuance also requires the ap
plicant lor such permit to tile a siqneo siatement tnai he is
iicensea pursuant to the provisions of the i^oniracior sLicense Law iCtiapter 9 commencing with Saciior 7000 of
[Jivision 3 ot the Business and Professions Codej ot thai is exempi therefrom and the Basis lor the aHegeo eiemptran Any
violation ot Secfron 7031 5 by an applicant lor a permit sub-lects the applicant to a civii p^ily ot not more than live tiun
deed dblars (SSOC)
I. asVrnet of Ihe property, or my employees with wages
as their S0e tompensalion. will do the woni. and the struc
ture IS not ifilended or ottered to' sale (Sec 7044. Businessand Protessii^s Code The Contract s License uaw doesnot apply to aXowner o( pioperij^hp Builds or improves
thereon and whMoes such work/nrSeit or through his own
employees. ptovioM that such improvernents are not intended or ottered tor sa>e it. howner itie building or improve
ment IS sold wiltiin ohe year o/compielion the owner-Buildsrwill have the burden 4f pro^g that he did not build or improve for Ihe purpose ^s^t
! I. as owner ot Ihe psflDeity. am exclusively contraciing
wiih licensed contractoitftoWsiruci the pioiect (Sec 7044.
Business and Protessions Code. The Cemractor s License
Law does not apply to an ownetuf property who builds or im
proves thereon, and who contracts tor each piotecis with a
caniraetor(s) licenser pursuant t\ the (Contractor's LicenseLaw)
□ As a homeownei I am improving iing condllions exist:I home, and Ihe follow
The worh Is twing pertormsd prior to saleI have lived m my home lor twelve monthsprior to compleiion ot this vvorkI have not claimed this exemption during thelast three years
□ I am exempt under Secfor this reason ..8&PC.
O > hereby aflirm mat I have a certificate ot consentto self insure, or a cenilicaie ot WorkersCompensation insurance, or a certified copy thereol
(Sec 3000. Labor Codei
POLICY NO
COMPANY
Copy is tried with tise city
□ Certified copy >s hereby lurnished
CEPTlFICATL Of EXtMPTI(3N FflOM
WORKERS' COMPENSATION iNSUFtANCEfThis section need not be completed d me pcmiiIS tor one nundred dollars (JtOOi or less!
□ I certify mat in the performance of the wotV lotwhtcn inis permii >s issued. i shall noi employ anyperson in ariy manner so as 10 become subiecl to
me Workers Compensation Laws ot California
NOTICE TO APPLICANT II, after making this Certiticale ot Exemption you should become subject tothe Workers Compensation provisions of the LaborCode, you must forthwith comply with suchprovisions or ihis permit shall be deemed revoked
□ t rik (eby affirm it there is a constructionlending ^ency tor U wrturmance of the work torwhich ihis^rmii / ,wBd tSec 3097 Cwri Codei
Lender s Name
Lertder s AdOress
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADOBfSS AV ST.RD. NEAREST CROSS ST.
SuBD VISION ASSESSOR PARCEL NO
DWNE R'S NAME_ OWNER'S PHONE
OWNE R'S MAILING ADDRESS
fidjynuCLe^ A-repoei: 1^.DESCRIPTION OF WORK ~ "i
ei^FCi'Lj^ ^(37^
CONTRACTOR
DATE OF APPLICATION BUSINESS LICENSE n
CONTRACt6r'S ADIPRESS
DESIGNER
DESiCNEfl'SADDtlES
■ □ nQ
L L r. U u 1- T r- A ■_
QTY
Zz
.1- 1_AND i^St J'A NN I N,j .,>■ A
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILUING SEWER
Ht;. r:GHACiNO PERIvtlT ISSUED
T □ N □
7yr°
•Vvfg
EACH WATER HEATER AND'OR VENT
EACH GAS SYSTEM 110 4 OUTLETS
EACH CAS SYSTEflrt 5 OH MORE
EACH INSTAL , ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH HOIJF DRAIN i iNSlDf)
•So
QTY.
REDE V£ LOPMENT
AREA
vQ nO
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TQ 100.000 BTU
OVER 100.000 BTU
BOlLERrCOMPRESSDR UP TO 3 HP
ROlLER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACErHEATEB
TOTAL PLUMBING
QTY.
2
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP SWT BKR
PH <1^ v/^r
EXIST BLOC EA AMP'SWT BKR
) PH 3 PH
REMOOEL 'ALTER PER CIRCUIT
TEMPPOIE ?OO.AMPS
OVER ?00 AMPS
TEMP0CCUPANCY(30 0AYSl
/t,^\TOTAL MECHANICAL
vl^QTY.
IHTAL ELECTRICAL &
NO
STORIES
TYPE
CONST
3
SOLAR • ISSUE
COLLECTORS
ST0RA5E TANKS
HOCK STORAGE
PUMP
PLAN CHECK FEE
totai solar
ili
CONTRACTORS PHONE »
LICENSE NO.
S(p9srfcrt.
LICENSE «
OESIGNE R'S PHONE
OCC LOAD FIRE SPR
yD nD
VALUATION
ZONE
PLAN I.O. #
STANDARD PLAN #
PERMIT NUMBER
BUILDING SO. FOOTAGE
Mot Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01.00-00-8806
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
01-00-00-8222
01-00-00-8223
01-00-00-8224
MOBtLEHOME 01-0i5-00-8225
MOBILEHOME PARK INSP
SOLAR D1-QQ-Q0-a??fi
STRONG MOTION
FIRE SPRINKLERS
80-92-33 0519
01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8930
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Encinilas 80-92-22-0519
San Dfeguito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
total fees PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT " AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT Is
ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTiON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGIVENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
GRANTING OF THIS PERMIT
Expiration Every permit issued by iheBuilOmg Olficiei under Ihe provisions of thisCode shall expire by iimiiatior^ and become nuH and void H the building or workaulhonjeO by such permit IS not commenced within 180 days from the date Of suchpermit or it the ouilOino or work auihoriied by such permit is Suspended orabandoned at arty time after the work is/commenced tor a period of 180 davs
AN OSHA PERMIT IS REQUIRED FOR EXCAVATONS OVER
5' 0 ' DEEP AND OEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN MEKjHT
APPROVFO BYOWNER U CONTRACTO
BY PHONE n
TYPE 1 DATE INSPECTOR
BUILDING
FOUNDATION i
REINFORCED STEEL 1
MASONRY '
GUNITE OR GROUT |
FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF □ SH^R
FRAME 'EXTERIOR LATH |
INSULATION •
INTERIOR LATH & DRYWALL 1
1
PLUMBING ;
SEWER AND BUCO DIPUCO '
UNDERGROUND □ WASTE □ V^ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN 1
GAS TEST '
□ WATER HEATER □ SOLAR WATER
1
ELECTRICAL 1
n ELECTRIC UNDERGROUND □ UFFER ISROUGH ELECTRIC ,
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL j
t
MECHANICAL
□ DUCT & PLEM., □ REF. PIPINGHEAT — AIR COND. SYSTEMS |
VENTILATING SYSTEMS '
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. • •. i ^
FINAL ;
PLUMBING 1 A.•
ELECTRICAL !
MECHANICAL '
GAS ; ,
BUILDING ■
SPECIAL CONDITIONS |
1
V■ '-rrr-X--• c" ' \ '
FIELD INSPECTION RECORD
REQUIRED special INSPECTIONS INSPECTOR'S NOTES
INSPECTION"REO IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOtLS compliance
PRIOR TO
FOUNDATION INSP
structural concrete
OVER 2000 PSI
phestressed
CONCRETE
POST TENSiONEDCONCRETE." '
^.I^ELD.WElD'iNO
HIGH STRENGTH
BOL fS
SPECIAL MaSoN^^'» •
PILES CAISSONS pK5>0 S6&
K30 pe^wvT •;
c * ^. . ^
' ■
v,_
• ^ » \'
1 -.v'". _ ! •
.u - . .. •1 ; ■ v"- '
•<V'
1 . '1
;. . ~'V "■ ,■ . . r- ^ ■ ■- ' ■
• » -1 • . * 'i
-•
' —44
CHECK ADDRESS^^^
PLANNING: TYPE OF STRUCTURE
date 'V3/y^4
/
ZONE:
SCHOOL FEES; SAN DIEGUITO
CARLSBAD
% COVERAGE
ENCINITAS
SAN MARCOS
BUILDING HEIGHT
FENCES/WALLS
TWO CAR GARAGE
REQUIRED SETBACKS,
FRONT
SIDE
REAR
COfWENTS:
<OS o
i 0 REDEVELOPMENT APPROVAL REQUIRED;
nUJ I I
cx ro
I I LANDSCAPE PLAN COMMENTS:
ENVIRC.■';^;EMTAL REQUIRED:
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: fo_3j9^0K TO FINAL:DATE:
********* «****,
ENGINEERING
1
LEGAL DESCRIPTIDN VERIFIED?,
, PARK IN LIEU O KP.F.F. /JIA-
/
R.O.W: IMPROVEMENTS: E^XiSX
..a.p.n. checked?
W3
X) —
SEWER:
E.O.U:
LATERAL:DRIVEWAY: ,0/-
GRADING PERMIT:
UJ
2 DRAINAGE:
EASEMENTS: a/A ADDITIONAL COMMENTS:
—' OK TO ISSUE:DATEriH
* ENGINEERING INSPECTION REQUIRED:
PUBLIC WORKS INSPECTOR:
I —
FINAL OK:DATE:
IF this ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
ipRIVEWAYS, CURB CUT, DRAINAGE, ETC.)