HomeMy WebLinkAbout2111 PALOMAR AIRPORT RD; D; 85-9; Permit- - -.
USE BALI POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHINSHAED AREA AND DECLARATIONS.
/hereby affirm that .(.:mflcensedundw J 'o 4ohlalon"of-Coápter 9 (commencing with I
I Section 7000) of Division 3 of the Business
and Professions Code, and m license is in
full to and effect. - I -
( Z.-Lic. Ng. Class - —
hereby allirm that I am exempt tram the CenIrac
- tor's License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re- I quires a permit to construct, alter, improve, demolish, or -
repair any structure, prior to its issuance also requires !.She ,p-plicant tsr such permit to tile a signed statement that he is
- - licensed pursuant to the provisions 01 the Contractors License Law IChapter. 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any
violation 01 Section 70315 by an,applicant for a permit sub' •
edo the applicant to a civil penaliq 01 not more than tine hun-.. I
dyed dollars ($ 001.---- - --- -
- D I, as owner the property,
o
ormy employees with wages I as their -sole co ensation, will do the work, and the 5troc-
a I C lure is not intend or offered for sale (Sec. 7044, Business - - and Professions e: The Contractors License Law does I
-.5 •j not apply to an o er of property who builds or improves
thereon and who do such workhimsell or- through his own
- employees, provided hat such improvements are not intend-
UA
, I
-. ed or offered for sale, It, however, the building or improve- - Z "meAt is sold within on year 01 - e n, the owder-builder -
will have the burden e pr g that e did. not build or im- I .0 - prove for the purposes to).
0 I. as owner of e p perty, am exclusively contracting I
- - with licensed con clots construct the preedI (Sec. 7044.
Business and ofessions Code: "The Contractor's license - Law does not ply loan net of property who builds or im- - I
proves Ill er n, and who c ntracts for each projects with a
contractor ( license put su I to the Contractors License "
- D - As a homeowner l'am impr mg my home, and the follow- -
,, - - ing conditions exist:. . . -. ' $
1. -Thu work is being performed prior to sale. - 2: 1 - have lined in my - home for' twelve months F to completion of this work. w _ ....I have - nAt .. claimed this eoeirrptian during the
last three years.
-0 lam exempt under Sec. ___________________ , B & P.C. for this reason 4x ----C--
- 0 Ihereby affirm that I have a certificate of consent I to.self-insure, or - a - certificate of Workers • Compensation Insurance, or a certified copy thereof.
-(Sec. 38. Labor Code).
Z POLICY -. . -• .'. -.
.2'.COMPANY' •'
Copy is filed with lIve city.d • ' I
Z ------1 I&A 0 rtilied copy is hereby furnished
- ----.
.- I 4 , CERTIFICATE OF EXEMPTION FROM - WORKERS' COMPENSATION INSURANCE— x-
- - (This section need not be completed if the permit4iw I
-is foi one hundred dollars 151001 Or less) -
' 0 'f Cerlily that in the performance of the work for I -0 which this-permit is issued. I shall fbI employ any
. person in any manner so as to become subject to
the Workers' Compensation Laws of California -
- NOTICE TO APPLICANT It, after making this Certi- -.
licate of Exemption, you should become subject lo I
- the Workers' Compensation proxisioris'ol the Labor - - Code, you must forthwith comply with such - , - . provisions or this permit shalt be deemed revoked
,
El I er,affirm that
cc [v?5 nensav:eaoIe work for
construction
uj
CARLSBAD BUILDING DEPARTMENT' APPLICATION& pERMIrT.:r
1200 Elm, Carlsbad, California 92008.1989 (619) 438.5525
.108 ADDRESS AV. ST. RD. DATE ST. ,OF PPLICAT ONI BUSINESS LICENSE # VALUATION PERMIT NUMBER ~EAR~STCROSS
LOT _BLOCK _SUBDIVISION _ASSESSOR!'ARCELNO. CONTRACTOR C NTRACTORS PHONE
-__/-C7
_-
ZONE
-
OWNER'S NAME OWNER'S PHONE ___'.,Jh-J( - (I
jq t _J_ç A R SAD lESS
-
LICENSE NO PLAN I # BLDG USE CODE
OWNER'S MAILING ADDRESS
VIL
DESIGNER LICENSE STANDAR07PLAN #
. JJ I-"SL_Pe7
BUILDING SO. FOOTAGE_
DES .OFWOR, W
— — DESIGNER -. DESIGNER'S PHONE
C R —: F/P F LR ELEV. NO
/ 'J £?i577AJ _af-C.-4-- -vDND
GP J EDU
L.—+
i7
/l/85BW
— 3 127, FIRE SPR CENSUS -TRACT S GP LAND U . PARKING SPACE RES UNITS
I, GRADING PERMIT ISSUED
-
REDEVELOPMENT?
AREA _' - --'CONST
TYPE 0CC LOAD
-
-.
_E -&.)' If Y O '0 . YO NO v 0_ND Not Valid Unless Machine Certified
-
QTY.
- -1/-
PLUMBING PERMIT- ISSUE
- -
QTY.
'-S '-1 - -----------.
MECHANICAL PERMIT. ISSUE //
—'---------_--z —.--_----.- - SUMMARYIA'CCOUNT NUMBER --
EACH FIXTURE TRAP, t5 )\_-\.r--.. - - INSTALL FURN. DUCTS UPTO100.000 BTU' £,i—_ BUILDING PERMIT 01'00'00'8220 7j12_.40
— EACHBUILD,NGSEWER_ -n
- OVER 100,000 BTU --. -- - —SIGN PERMIT. ________0100008221- -- ------ —
EACH _WATERHEATERA?DIOR'VE_-_- ' BOILER/COMPRESSORUPTO3HP PLAN CHECK 01-00-00-8806 ,
-'EACH GAS SYSTEM 1-TO4_0_ETS - . BOILER/COMPRESSOR3-ISHP ' TOTALPLUMBING 01.00.00:8222 --
-- EACH GAS -SYSTEM 50_O RE- — -, METALFIREPLACE _' _-- __- _5. ••...- -_ELECTRICAL.__...,._ ----01-00-00-8223- ---_._3_.o~s."io
EACH INSTAL..A_•____, REPAIR WATER,PIPE
- -
. VENT FAN SINGLE DUCT I MECHANICAL -01-00-00-8224
EACH VA_MBREAKER MECHEXHAUST _H000/OUCTS - _r MOBILEHOME
V/_AT_SOFTNER -- , RELOCATIONOFEAFURNACE/HEATER) .__.L..... _:,_ MOBILEHOMEPARKINSP._.,......---,
CHROOFDRAIN(INSIDE) . -- _I - SOLAR 01-0-0-00-8226
• -
-
- --ij- - -'--' - . - -- - , TOTAL MECHANICAL-4- - --
-STRONG MOTION -'-8O-92-33-0519 -
- ---' -TOTAL PLUMBING - - '..- FIRE SPRINKLERS 01-00-00-8227
QTY.
j'-'.
'ELECTRICAL PERMIT - ISSUE QTY. ;SOLAR - ISSUE - -
PUBLIC FACIU1]ESFEE 320-Oo933
- BRIDGE FEE- ---
- -NEWCONSTEAAMP/SWT/BKR . "-- COLLECTORS SCHOOL FEE- DISTRICT
,l PH _-'i;D/cc ______________
STORAGE TANKS - - Carlsbad 80-92-21-0519 --
EXIST BLOC EAAMP/SWT/BKR I ' '- ROCK STORAGE - ' ' . "" -- I. - - -----Encini1as -'-------'-80-92-220519- - - — - - — -
1PH -C 3PH -. PUMP _'- - San Diegui(o 80-92-23-0519
tREMODEL.'ALTERt PER -ClRCUIT.c r'k '. PLAN CHECK FEE :'---- - San Marcos 80-92-24-0519 - - - - -
TEMPPOLE 200 AMPS __.. - - - - _--, - ------"''- _- -- - - -
UVE'R200AMPS _-"-•
-S
--- i - . LICENSE TAX 01-00-00-8162 - "2-O -
- TEMP OCCUPANCY (30DAYSI
-CREDIT DEPOSIT
-
TOTAL'ELECTRICAL ' I ' --
_
'TOTAL SOLAR ' - TOTAL FEES PAYABLE
HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytfve Building Official under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER shall expire by limitation and bec mAnull wd void. If the building or work CEATIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized such permit is not commenoc W t days from DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT (S permit, or rt
Code
the of such
5'0" DEEP AND DEMOLITOON OR CONSTRUCTION OF
1'fhe buildi or work auth i such su
180
spend STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- aban n time a - is c ced for a period of 180 do - - -
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLIC - -- 'NERD CONTRACTOR APPROVED _
,,(_- _D/ ALL LIABILITIES. KEEP HARMLESS THE CLIV OF CARLSBAD AGAINST JUDGMENTS, - ,
ACCRUE SAID CITY CONSEQ - EXPENSES WHICH MAY IN ANY AGAINST IN - 4'BY GRANTING OF THIS PERMIT.WAY PHO E 0
- ...•.... -.:•. -- .-••--
-
- •.
FIELD INSPECTION INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS DATE - -S APPROVAL
. SOILS COMPLIANCE
PRIORTO
FOUNDATION INSP .. .
.- STRUCTURAL CONCRETE
L4ER 2000 PSI -
P$ESTRESSED
dONCRETE --
I To: ENGINEERING, FIRE, PLANNING, UTILITIES
FINAL INSPECTION NOTICEi
. Date
Address G2///fr/J43ftA/Q Plan # —
POSTTENSIONED ¶CONORrE .
FIELD WELDING
HIGH STRENGTH
SPECIAL MASONRY
E PILES CAISSONS .
\c
çt t ( ,.
t -• S.
•;-.
-
' :
ç '. r ; - - •• - - . -
- -. -'
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING J ROOF 0 SHEAR
FRAME i///
EXTERIOR LATH L4Alo
INSULATION
INTERIOR LATH & DRYWALL I
PLUMBING
SEWER AND BL/CO DIPUCO
UNDERGROUND D WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WAtER
ELECTRICAL
0 ELECTRIC UNDERGROUND 0 OFFER _______ ______
ROUGH ELECTRIC
___
/.i'/
0 ELECTRIC SERVICE 0 TEMPORARY
0 BONDING\, 0 POOL
. MECHANICAL
0 DUCT & PLEM., 0 REF. PIPIN3 - •.- -
HEAT — AIR COND. SYSTEMS i/uiMi
VENTILATING SYSTEMS
• - .
PLUMBING 4 . :
ELECTRICAL
MECHANICAL
BUILDING . V
SPECIAL CONDITIONS
C
Type of Construction 7'
Ph. No. 7/3 T T Person to ContaQ 1 I' / 0
Engineering
Departm Date. Approved N
on Date {-.L - J' Approved R
anning
'-
-• Department Date Approved
Utilities
Department Date Approved
E
0
U
EH
Comments:— S L
I
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS IT WILL BE ASSUMED IT IS OKAY TO FINAL.
Tt
/
CALL FOR FINAL INSPECTION. WHEN ALL APPROPRIATE
ITEMS ABOVE HA VC BEE(4T-rAPPROVED IIJAI FINAL -
% COVERAGE
BUILDING HE
SAN MARCOS_______
UIRED SETBACKS
RONT rN
FENCES/WALL
CARLSBAD
PLAN CHECK NUMBER t7 ADDRESS
PLANNING: TYPE OF STRUCTURE
ZONE:___________
SCHOOL FEES: SAN DIEGUITO
ENCINITAS
--t--- TWO CAR GARAGE
REAR
'- LU ('rMM %Jl U . LLJ<
REDEVELOPMENT APPROVAL REQUIRED:
Lw
LJ LANDSCAPE PLAN COMMENTS:_____________________________
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_
_
_
_
_
_
_
_
_
_
_
_
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ENVIROENTAL REQUIRED:
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: \_ OK TO FINAL: DATE:_______________
ENGINEERING LEGAL DESCRIPTION VERIFIED?
• A.P.N. CHECKED?_____
P.F.F.______ PARK IN LIEU
R.O.W: IMPROVEMENTS:
E.D.U:
F SEWER:
LATERAL: DRIVEWAY:
GRADING PERMIT:
DRAINAGE:
EASEMENTS:
••
ADDITIONAL COMMENTS:
•
F- LLJ
LLJ
F1 OK TO ISSUE:
• DATE:______________________________
* ENGINEERING INSPECTION REQUIRED:
••S ••
PUBLIC WORKS INSPECTOR:
FINAL OK:
S DATE:
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAK
E
A
L
L
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N
S
P
E
C
T
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N
S
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)