HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; ; 81-395; PermitAl I h«r»by affirm that I am llcensad under^wislons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full forCB and effect.•aLie No 54'Class _•3
I riersOy stiiim ihai I am exempi from Ihe Con
Iractor's License Law for Ihe foliowirtc reason (Sec
7031 S Business and Professions Coos Any city or
county wtiich requires a permit to construct
alter, improve, demolish, or repair any structure,
prior 10 Its issuance also requires the applrcani lor
such permit lo file a signed staiemeni that he is
licensed pursuani to me provisions of Itte Con-
(rector's License Law (Ctiapter 9 commertcing wills
Section 7000 of Division 3 Of the Business and Pro
fessions Code) or mat is exempt therefrom and tlte
basis for the alleged exemption Any violation of
Section 7031 S by an applicant lor a twrmit subiects
ine applicant to a civii penally of r>ot more iftan five
hundred dollars (SSOO)
Q I. as owrser of lf>e property, or my employees
wiih weges as Iheir sole compensauon. will do ir>e
worti. arid the structure is not intended or offered for
sale (Sec 7044, Business and Professions Code
The Contractor's License Law does not apply lo an
owner of property who builds or improves thereon
and who does such worS himself or through hts own
employees, provided mat such improvemenis are
noi intended or offered for sale, if, however, the
building or improvement is sold wilhin one year of
completion, trie owner-Cuiider will have ifte burden
of proving mat he did noi build or improve lor tite
purpose of sale)
□ I. as owner of the property, am exclusivelycontracting with licensed contractors to constructthe proieci (Sec 7044. Business »iy} ProfessionsCode The Contractor's License Law does noi applyto an owner of properly who builds or improves
ittereon. artd who contracts tor each projects with aconiraciortsi license pursuant to this extractor's
License Law)
□ I am exempt under Sec
forihis reason
.B &PC
jjD I hereby affirm ihai I nave a certificate of consent^o\self insure, or a certificate of Workers'Compensation Insurance, or a certified copy Ihereot
(Sec 3800. Labor Code)
POLICY NO
COMPANY^I^Copy IS iiied with the cily jS^r^
D Certified copy ■» hereby furmsfted
C€BTIFICATt OF EX€MPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed ii the permitIS lor one hundred dollars (StOOl or less)
Q I certify that m trie performance of the work forwhich this permit is issued. i shall not employ anyperson in any manner so as lo become subiect to
the Workers Compensation Laws of California
NOTICE TO APPLICANT If, after making this (Xificate of Exemption, you should become subject totrie Workers Compensation provisions of me LaborCode. yOu must lorthwith comply with suchprovisions or this permit shall be deemed revtAad
O I riereby aflirm thai mere is a constructionlending agency tor me performance of ir>e work totwhich this permit is issued tSec 3037. Qivit Code)
Lender s Name.
L:Lender's Address HOti'L
USE BALL POINT PEN ONLY & PRESS HARD \^i APPLICANT INFILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
carlsbaiTbuilding department
1200 Elm. Carlsbad, California 92008 (714) 438-5525 ICATION & PERMIT
JOB ADDRESS
OWN£ R'S NAME OWNE R'S PHONt
y- ^V.ST. DATE OF APPLICATION BUSINESS LICENSE Jf
PRIME CONTRACTOR / CONTRACTORS PHONE •
OWNER'S MAILING ADDRESS CONTRACTOR S A(30RESS
LKJt Subdivision rMnwctASSESSOR PARCEL NO.
DESCRIPTION OF WORK . —
CENSUS TRACT PARKING SPACEGP LAND USE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/
EACH GAS SYSTEM 1 OUTLETS
EACH GAS SYST 5 OR MORE
EACH INSTXT. ALTER. REPAIR WATER PIPE
ACUUM BREAKER
ATERSOFTNEH
EACH ROOF DRAIN (INSIDE)
RES UNITS
>47ta), g-T)
DESIGNER'S ADDRESS
F/P FLRELEV.
yQ nQ
GRADING PERMIT ISSUED
T □ N □
TOTAL PLUMBING
QTY.
z
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT/6KR
1 PH 3PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
REDEVELOPMENT
AREA
yQ n'
QTY.
z
MECHANICAL PERMIT • ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER >00.000 BTU
BOIlEfl/CDMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 IS HP
METAL FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOOO/OUCTS
RELOCATION OF EA FURNACEyHEATER
TOTAL MECHANICAL
lES
Wim
f!
LICENSE NO.
STATE LICENSE a
DESIGNER'S PHONE
OCC LOAD FIRE SPR
VALUATION
ZONE
STANDARD PLAN #9/c.':3/ei5i3r
L'i.- J 1302^7 ir
PERMIT NUMBER
BLDG USE CODE
BUILDING SO. FOOTAGE
! ? (4 H . I!.
Hot Valid Unless machine CerlUied
QTY.SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAS
PUMP
PLAN CHECK FS
TOTAL SOLAR
2
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOMEPARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinllas
San Oiegullo
San Marcos
r
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND OO KERESY
CERTIFY 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 AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Ofliclat under the provisions of thisCoda sTiall axpira by limitation end become null and void If the building or work■wdMsnzad by such parmrt s not commenced withm 180 days from the date of suchpormiL o( rf Via building or work authorized by such permit is suspended orM>eniioned et any lime after ttte jsisS ii iiisumenced for a period of 180 days.
CONTRACTOR
8^ PHONE □
* AN OSKA PERMIT tS REQUIRED RDR EXCAVATIONS (3VER5- 0 DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVED BY
S-]' S9S
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
FfclNFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH iNSULATiem
INTERIOR LATH & ^RYWAlJ.
PLUM^tNe-^
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ^LECTRIp
ELECTRIC SERVICE
I*f \ '
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 APPROVED.
JOB SITE FINAL 1] /
PLUMBING
ELECTRICAL i
MECHANICAL
GAS If [ A
BUILDING nSPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED 1 b'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REG IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCR£TE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY
-
PILES'CAISSONS
.
INTERDEPARTMENTAL INf'ORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE:received
SEP 1 7 1981—
CARLSBADBuilding
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
Z COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED.
PROVIDED
PROVIDED
SIDE SETBACK:REAR SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE:OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION /3 (2 T ^9
ADDITIONAL COMMENTS
OK TO ISSUE 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 DATE
^MTER DEPARTMENT
:quirements of appropriate districts met