HomeMy WebLinkAbout2120 LAS PALMAS DR; B; 81-507; Permit[3 I hereby eftirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, ar>d my license Is In
full force and effect.
Lie No Class
I nereby sKirm ihai I am exentpl Irom the Contractor's License Law for ibe lollowing reason (Sec.
7031 S Business and Prolessions Code Any city or
county which requires a permit to construct
alter, improve, demolish, or repair any structure,
pnor to Its issuance also requires the applicant lor
such permit to file a signed statement that he is
licensed pursuant to the provisions ot the Con
tractor's License Law (Chapter 9 commerKirtg with
Section 7000 of Division 3 ol the Busirtess and Pro
lessions Code) or that is esempi therefrom and the
basis lor itw alleged eiemption. Any violation of
Section 7031 S by an applicant for a permit subtects
ine applicant to a civii penalty of not inore than tive
hundred dollars (SSOO)
0 I, as owner ot the propertv, or my employees
With wages as their sole compensation, will do (he
work, and the structure is rioi intended or oHered lor
sale (Sec TOM, Busit>ess and Protessions Code
The Contractor's License Law does not apply to en
owriet o( property who builds or improves thereon
and who does such work himself or Ihrough his own
employees, provided that such improvemenls are
noi intended or offered lot sale. II. however, thebuilding or improvement is sold within one year ol
completion, the owner builder wilt ttave the burden
01 proving that he did not build or improve lor thepumose of salel
D 1. as owner ol tl>e property, am exclusively
contracting with licensed contractors to construct
the proieci (Sec 7044, Business and Prolessions
Code The Cwiracior's License Law does not apply
to an owner of property who builds or improves
thereon, and who contracts lor each protects with a
contractorisl license pursuant to ttie Contractor's
License Lawi
□ 1 am exempt under Sec
for this reason
Q I hereby atfirm that t ivwe a certificate of consentto selt'insure, or a certificate Of Workers'Compensation insurance.^ a certified copy ttiereof(Sec 3800. Labor ~
POLICY NO _ VI
' IS filed with the city
Certilied copy is hereby lurnished
CERTIFICATt OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not t>e completed it ihe permit
IS lor one hundred dollars iStOO) or less)
G I certify that m the performance ot Ihe work lorwrtich this permit is issued, I shall rtot employ anyperson in any manner so as lo become subieci to
the Workers' Compensation laws ol Caliltyrnia
NOTICE TO APPLICANT If, after making this Cerliiicale of Exemption, you should become subieci tothe Wortiers C^pensaiion provisiofls ot me LaborCode, you must lorthwiih compty with such
provisions or this permit shall be deemed revoked
G I hereby aUirm thai ihere is a constructionlending agency '01 Ihe pertormance ol the work (orwhich this permit >s issued (Sec 3097, Civii Codei
Lender x Nama
Lender's Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT lAlklLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBATOUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008 (714) 438-5525 ICATION & PERMIT
40B AODPIESS ■ ^ ^ ^ // //AV. ST.
FIO,
OWNER"; NAME 753 '3/58OWNER
DATE OF APPLICATION BUSINESS LICENSE A
'S PHONE
OWNER'S MAll.iNG ADDRESS
PRIME CONTRACTOR CONTRACTORS PHONE »
4SS--3^S
CONTRACTOR'S ADDRESS LICENSE NO.
L^ BL
OESCRlPT
iL.TtDi,VlSiON A^SESJiOH i-AnCFl NO
ON OF WORK
DESIGNER
3^^ Office
piJ/L STATE LICENSE P
DESIGNER'S ADDRESS yy A O^IGNE R'S PmONE
ZONE
fLAM.o. #
STANDARD PLANPLAN #
PERMIT NUMBER
I ICC 'BLDG USE CODE
BUIU>ING SCL FOOTAGEiMl
I2/I7/BI5IU7
uci .lbl07 IrJ/t7,'n
NO
STORIES OCC UP
vu nG
REDEVELOPMENT
AREA
CENSUS TRACT OP LAND USE RES UNITS TYPE
CONST
OCC LOAD FIRE SPR
vQ nD
PARKING SPACE GRADING PERMIT ISSUED
V n N □Hot Vakd Untess Machine Cam hadvD nU
SUMMARY/ACCOUNT NUMBERMEGHAN CAL PERM T • ISSUEPLUMBING PERM T - ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMITEACH FIXTURE TRAP
r
OVER 100.000 BTU SIGN PERMITEACH BUILDING SEWER
PLAN CHECKBOILER/COfMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR
BOILER/COIMPflESSOR 315 HP TOTAL PLUMBINGEACH GAS SYSTEM 1 TO 4
ELECTRICALEACH GAS S METAL FIREPLACE
B &PC MECHANICALVENT FAN SINGLE DUCTEACH INSlAL . ALT PAIR WATER PIPE
MOBILEHOMEMECH EXHAUST HOOD/DUCTSEACHAKER
MOBILEHOME PARK INSPRELOCATION OF EA FURNACE/HEATER
SOLAREACH RO(TF DRAIN (INSIDE)
TOTAL MECHANICAL STRONG MOTION
FIRE SPRINKLERSTOTAL PLUMBING
PUBLIC FACILITIES FEESOLAR - ISSUEELECTRICAL PERMIT • ISSUE BRIDGE FEE
COLLECTORS SCHOOL FEE • DISTRICTNEW CONST EA AMP/SWT/BKR
STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Enclnitas
PUMP San DiegullQ
San MarcosREMODEL/ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 2Q0AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I 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 ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of IhisCode Shalt expire by limitation and become null and void It Ihe buiidmg or workauthorized by such ^rmit is not commenced within IBO days from the date of suchparmiL or if the building or work authorized by such permit is suspended orabandoned at any hme after the worii ig commenced for a period of tSO davs
* AN 06HA PERMfT IS REQUIRED FOR EXCAVATONS OVER
5' 0 " DEEP AND DEMOtmON OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPLICANT'S SIGNATURE »WNER □ CONTRACTOR
BY PHONE □'
APPROVED BY
\
t -
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME -
EXTERIOR LATH INSULATION
INTERIOR LATH & DRVWALL
PLUMBING
S^WER 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. 1. - 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 APPROVt
JOB SITE FINAL V ^PLUMBING
ELECTRICAL /oy
MECHANICAL
GAS
BUILDING >L hUJ
SPECIAL CONDITIONS vlCERT OF OCCUPANCY ISSUED
fr\' 50^
/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE -
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY -
PILES CAISSONS
.
/
^ ' . •
,
n "■ -
• ; ■
- -•k -
. • • • \
A
INTERDEPARTMENTAL INFORMATION SHEET
^DING DEPARTMENT
.DING ADDRESS:
DATE:
c^/3 - V^O - 3y
1
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED,
PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE 6f IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
^ ADDITIONAL COMMENTS:
OK TO ISSUE:TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
DRIVEWAY LOCATIONS
EASEMENTS
OK TO ISSUE:
DRAINAGE
OK TO FINAL DATE
IFIRE DEPARTMENT
.5PRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET,DATE
A