HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; ; 81-275; PermitQ I heraOy affirm that I am llcanaad under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is in
full force and effect.
lie No Ci«s _
I hereby afi'rm thai ( am exempt irom the Con
tractor's Licsr\se Law tor the loHowirta reason {Sec
7031 S Busirwss and Professions Code Ar>y city or
county wtiich requires a permit to construct
alter, improve, demolish, or repair any structure,
prior to Its issuence also requires the applicant lor
such permit to file a signed statement trial he islicensed pursuant to the provisions ot the Con
tractor s License Law iCtiapter 9 commencing with
Section 7000 oi Division 3 o< the Business and Pro
fessions Code) or itiai is exempt therefrom and theoasis tor the alleged exemption Any violation of
Section 7031 S by an applicant tor a permit subtects
trie applicant to a evil penalty of not more tfian five
hundred dollars (S500)
Q I. as owner o' trie property, or my employees
• iih wages as their sole compensation, will do ttie
woili. and the siruciure is not intended or ottered tor
sale (Sec 70*4. Business and Professions Code
The Contractor's License Law does not apply to an
owner ot property who builds or improves thereon
and who does such work himself or through his own
employees, provided thai such improvemenis are
not intended or offered lor sale if, however, tfie
building or improvement is sold wilhm one year ol
completion, (he owner builder will have Itie burden
ol proving thai he did not build or improve lor the
purpose ol sale).
Q I. as owner ot the property, am exclusively
conlracimg with licensed contractors to construct
the project iSec 7044. Business and Professions
Code The C>}ritracior s License Law does nol apply
to an owner ot property who builds or improves
thereon, and who contracts tor each projects wiih a
coniractons) license pursuant lo ihe Contraciot's
License Law)
n I amexempi underSec
tor this reason
.B &PC
O 1 fiereby affirm that' have a certificate ol consentto self-insure, or a certilicaie ol Workers'
Compensation insurance, or a certified copy tfiereof
(Sec 3800. Labor Code)
POLICY^ .
.
U^CopY IS filed with the city
Q Certified copy is hereby furnished
CEHTIFICATi OF EXEMPTION FflOM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed il the permit
■s for one hundred dollars lS>OOl or less)
□ I certify that m the performance of the work lorwhich this permit is issued. I shall not employ any
person in any manner so as 10 become sub)ecl toIhe Workers Compensation Laws ol California
NOTICE TO APPLICANT II. alter making ihis Cemiicate ol Exemption, you should become sobjecl tothe Workers Compensation provisions ol the LaborCode, you must forthwitti comply with suchprovisions or this permit shall be deemed revoked
Q I tibieby affirm ihai there is a consiruchonlending agency for fhe performance of ihe work torwhich this permit is issued (Sec 3097. Crvii Code)
Lendew Name.
Lender s Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT
JOB ADDRESS
CARLSBACTBUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 436-5525 iILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
OlTj ownVr'S pmJWNER'S NAMf. '
AV. ST-
RO,
ONE I PRUvIE CONTRACTOR
DATE OS APPiytCATION BUSINESS LICENSE ff
OWNER'S MAI i INIS ADDRESS
Z/2f
BLOCK A^.S.rSSOR t'ARCE_.NU -zj s /s
* "OklCRlPTiON OF WORK ■ , "»
^12-^ ^e.0
CONTRACTOR'S ADDRESS
mil),
DESIGNER
DESIGNER'S ADDRESS
CONTRACTORS PHQNE •
LICENSE NO.
3(.9srCZ
STATE LICENSE a
VALUATION
ZONE
PLAN I.O. #
STANDARD PLAN »
PERMIT NUMBER
Ff'^7^
BLDG USE CODE
BUILDING SO. EOOTAQE
7/3P/8 I bib 13 99b,3"000I5M3 7/?r7BI ?9b.3'YU nO
CENSUS TRACT CP LAND USE RES UNITS REDEVELOPMENT
AREA
TYPE
CONST
OCC LOAD FIRE SPRPARKING SPACE GRADING PERMIT ISSUED
Y □ fl □Not Valid Unless UMachint CortifiodvM N vn N
SUMMARY/ACCOUNT NUMBERMECHANICAL PERMIT • ISSUEPLUMBING PERMIT • SSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERfrinEACH FIXTURE TRAP
OVER 100.000 BTU SIGN PERMITEACH BUILDING SEWER
PLAN CHECKBOILER/COMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR VENT
TOTAL PLUMBINGBOILER/COMPRESSOR 3 16 HPEACH GAS SYSTEM 1 TO 4 OUTLETS
ELECTRICALMETAL FIREPLACEEACH GAS SYSTEM 6 OR MOR
MECHANICALVENT FAN SINGLE DUCTEACH INSTAL . ALTER WATER PIPE
MOBILEHOMEMECH EXHAUST HOOD/OUCTSEACHVACUUEAKER
MOBILEHOME PARK INSPRELOCATION OF EA FURNACE/HEATERWATETNER
SOLARROOF DRAIN (INSIDE)
TOTAL MECHANICAL STRONG MOTION
FIRE SPRINKLERSTOTAL PLUMBING
PUBLIC FACILITIES FEESOLAR - ISSUEELECTR GAL PERM T - ISSUE BRIDGE FEE
COLLECTORS SCHOOL FEE • DISTRICTNEW CONST EA AMP/SWT/BKR
STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas
PUMP San Oieguilo
San MarcosREMOOEL/ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
1 HAVE CAREFULLY EXAMINED THE COMPLETED -APPLlCATfON 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
tSSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, 1 ALSO AGREE TO SAVE INDEMNIFY AND _
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILiTIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Exprrafron. Every permit i&sued by me Burldmg QHicrai under the provisions of thisCoOe shall expire by limitation and become null and void If the building or workauthorized by such ^rmit is not commenced wiimn 180 days from the date of suchpermit or if the building or wo^ ■urniaieu^jby sucri permit is suspended orabandoned at any time aner the york is commShced for a period of 180 daysanooneo at any
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' 0' DEEP AND OEMOCfTION OR (XJNSTRUCTtON Of
STRUCTURES OVER 3 STORIES IN HEIGHT
NATU SnErO CONTRACTOf^
BY PHONE Q
flPPHOVED BY
' BUILDING
FOUNDATION
REINFORCED STEEL
JWASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME ''Ma/
EXTERIOR LATH INSULATION
/ l/tf
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
G. F. 1. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
JhEAT — AIR COND. — SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
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
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
REG IF
CHECKED
INSPECTOR S
APPROVAL DATE
INSPECTOR'S NOTES
City of Carlsbad
1200 ELM, CARLSBAD, OA 92008 • TEL. (714) 438-5525
MISCELLANEOUS
RECEIPT
Address P / ^ £j)MISCELLANEOUS FEE RECEIPT ^
Owner ^ />—-
n • Pi AN CHECK FEE
Mailing /) jAddress D □ VALUATION
Tel.n nFMOi ITION
c jr\CL\i^rM/
Contractor /\ls/\D/ .UT ^ v.. C~Ti?. V-'TLKa I TT >-n HOUSE MOVING
//nr.;k: A/r >'/)n PARK.S AND RFCRFATION FFF
Tel..5-^ -2^//
Slate Lie. ,,s. Class,.. /f-/City . ,
Lie NO
COMPLETE FOR PLAN CHECK ONLY
LEGAL DESCRIPTION /
n Fnrrlni1a«s
1 1 San Marr.rts
n
1
□
DESCRIPTION OF WORK '/?^Aa 1T
□
n
(Qzc6 n
n
n
PLAN ID NO.
n
n
DESIGNER ADDRESS / ^^<5^ fi^) £fC% .n
□rnwi'.c 1 t^/^f /7L_y .-ii/iio alifi ff
V, /O N TOTAL FEE $
CON 1 AC 1 PbHSfctN !J Afdjy^P tcm// 'WARNING: PUN CHECK FEES. WHERE NO ACTION IS TAKEN BY THEAPPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEE ARE
FORFEITED TO THE CITY.
COMMFNT.S-
X-C-f^cfc:
J
White — Applicant Yellow — File Pink — (1) Finance (2) Data Process Gold — Assessor
BUILDING DEPARTMENT RECEIVED
INTERDEPARTMENTAL INTORMATION SHEET
V
BltlLDING ADDRESS:
s
JUL 8 1981
f^frU
CITY OF CARLSBAD
Building Department-
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:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ
ADDITIONAL COMME
OK TO ISSUE:DATE OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE: DATE_^MI PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
DATE