HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 104; 82-211; Permit'-
UF RAIL P01.111 PEN ONlY & PRESS HARD - APPI I('ANT TO 111-I IN INFflPMATION WITIIIPJ QWAflrn AA APJfl fli"I ADATIMKIC
- Z1h. that I am licensed under
provisions of Chapter 9 (commencing with
SectIon 7000) of Division '3 of the Business
and Professions Code, and my license is in
IC full forçepneftt. - - -
lic. NaMt,2 Class 0[
U -- - - I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason (Sec. 7031 S Business and Professions Code: Any city or
County which requires a permit to construct
alter. improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
Such permit to tile a Signed statement that he is
ticensed pursuant to the provisions of the Con- - I tractor's License Law (Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-
fessions Code) or that is exempt therefrom and the
basis for the alleged exemption. Any violation of -.
Section 7031.5 by an applicant for a permit subjects me applicant to a civil penalty of not more than five - hundred dollars ($500). -
C I, as owner of 1he properly, or my employees
. with wages as their sole compensation, will do the
, work, and the structure is not intended or offered for
sale (Sec. 7044, Business and Professiohs Code:
- tat The Contractor's License Law does not apply to an Z owner of property who builds or improves thereon and who does Such work himself or through his own - employees,- provided that Such improvements are
not intended or offered for, sate, It, however, the building or improvement is sold within one year of - completion, the owner-builder will have the burden of proving that he did not build or improve for the
purpose of sale),
Q I, as owner of the property, am exclusively
contracting with licensed contractors to construct .1 the project (Sec. 704.4 Business 'and Professions
Code: The Contractor's License Law does not apply to an owner of properly who builds or improves ' thereon, and who contracts for each projects with a
contractor(s) license purduant to the Contractor's
,
License Law)
* C tam exempt under Sec. _ , B. & P.C.
for this reason '
t It
,_ .d?" T
C I hereby aftirm that I have a certifi ate of consent 'to self-insure, or a, certificate of 'Workers'
Compensation Insurance, or a certified copy thereof
(Sec. 3800, LabOr, Code).
POLIcYNO._2_ILY I
COMPANY'f1A
is filed with the city. - 'I LAA 0 Certified copy is hereby furnished. 911.
;.• .',• ''I CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit cc is for one hundred dollars ($100) or less) -
cc 0 I certify that in the performance of the work for
- which this permit is issued. I shall not employ any
person in any manner so as to become subject 10 I'
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cent.
I icale of Exemption, you should become subject to the Workers' Compensation provisions of the Labor-
Code, 'you must forthwith comply with such provisions or this permit shall be deeml revoked.
I hereby affirm there" a lion
lending agency for the performance of the w rlr for uj which this permit is issued lSec 3097, C)ril Codel.
QJ t.render's Name
L Lender's Address' '
CARLSBAD WILDINGDEPARTMENT .
1200 PERMIT' Elm, Carlsbad, Califomia 92M (714) 438-5525 ___APATI&
B ADDRESS . , - - , - . AV, ST, DATE OF APPLICATION . BU L ENSE # VAL TION '•. 'PERMIT NUMBER
) i_&ie, _i'pt _'1rr r _
Z NE OWNER'S NAME OWNER'S ONE PRIME CONTRACT CONTRACTORS PHONE N
f r_-_ZL esr &JT_•_— /S3<c i&i 'r 1 c -zii _c ' _
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO, PLAN I.D. # .BLDG USE CODE zi ai_,eq/o,4x,4,e ,'9,,4r_Z' ??_l/eA_,7 3rn jZci7 -.
L T BLOCK SUBDIVISfO ASSESSOR PARCEL NO. , DESI&hrFFI7
4
STATE LICENSE # STANDARD PLAN #. , BUILDIN FOOTAGE
00 055CR I PTIO 9ORK
ZL -S
DESIGNER'S ADDRESS DESIGNER'S PHONE
' F/PFLAELEV,
STORIES
pigia=If1€.-'-ft5t'SJZ4jl2_JT7_ES YO NO __'
- .
nn7'j' ,'ct, 7 Vim, '
. ! ' 1 82 CENSUS TRACT GP LAND USE PARKING SPACE' 'ASS UNITS GRADING PERMIT ISSUED' REDEVELOPMENT .
AREA ,
'
' -
TYPE
CONST-
0CC LOAD
.•
FIRE SPA
- ' 5 0 N 0 YO NO ' 'YO NO Not Valid Unless Machine Certified '
QTY PLUMBING PERMIT ISSUE [ 7' QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
EACHFIXTURETRAP - _
- INSTALL FURN, DUCTS UPTO100,000BTU W. BUILDING PERMIT '.01-000-4220• -g 4
EACH BUILDING SEWER. • . ,jOVER 100,000 BTU - , . ' SIGN PERMI_1-000-4221 .'-
EACH WATER HEATERAND/ORVENT7't , BOILER/COMPRESSORUPTO3HP , ,.• PLAN CHECI(/..4t 'i1-000-48o6
EACH GAS SYSTEM 1.104OUTL" I '. BOILER/COMPRESSOR 3-15 HP' , TOTAL PLUM_(NO -01-000-4222
- EACH GAS SYSTEM 5ORM,R'{' METAL FIREPLACE -,,.' - ELECTRICAL -01-000-4223
EACH INSTAL,. ALTER, i 'IR WATER PIPE . VENT FAN SINGLE DUCT ., MECHANICAL -01-000-4224 .•_7_-
EACH VACUUM,{AKER _,.• • 'MECH EXHAUST -HOOD/DUCTS '- MOBILEHOME .--01-000-4225
- WATER
,-
., - RELOCATION OFEA FURNACE/HEATER •' - , MOBILEHOMEPARKINSP --, ,
EACH ROOF DRAIN (INSIDE) . , , SOLAR ,-,-01'000-4226
-
'• TOTAL MECHANICAL -- '
, '
.
7.
STRONG MOTION -, - 65-640-0519 - --
TOTAL PLUMBING •- FIRE SPRINKLERS 01-000-4227
•
QTY,
- . . •
- ELECTRICAL PER ISSUE ' . OTY.
' ,
-SOLAR- ISSUE PUBLICFACILITIESFEE _25-000-4933
-- - BRIDGE FEE -
NEW.CONST EAAMP/SWT/BKR
'
COLLECTORS - ' ' • SCHOOL FEE - DISTRICT .-
1PH _• '3_PH _• . - ' • STORAGE TANKS , , - ' Carlsbad _-65-623-0519
EXIST BLDG EA AMP/SWT/BKR . ' ROCK STORAGE ' , - Encinitas '--65-624-0519 - -
1 P1-I __'3 PH ,' PUMP - _' '•. SanOiegu)to _.65-625-0519
• - REMODEL/ALTERPER"CIRCUIT ' - . PLAN CHECK FEE -,.• . 'San Marcos --65-626:0519 - -
TEMPPOLE 200 AMPS ' , ' -
- ,i• , .
-
- OVER 200 AMPS • _'- .. - . ' ' - , .
- TEMP OCCUPANCY (30DAYS) . , - '.' ."• -.-' . -
TOTAL ELELTRICAL___(a7 - TOTAL SOLAR TOTAL FEESPAYABLE __
—
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" "AND DO HEREBY Expiration. Every permit issued bytheBuilding Official underthe provisionsoithis * AN OSHA PERMIT Is REQUIRED FOR EXCAVATIONS OVER Code CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE sh:lI expire by limitation and become null and void. if the building or work .5'0" DEEP AND D€MOIJTION OR CONSTRUCTiON OF aut h permit is not commenced within 180 days from the date DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS prn or i1 buUdina or work authorized by such permit is suspended STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- ed abandonat any time slier the work is commenced for a period of 180days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND , PPROVE V - -. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND, APPLICANTS SIGNATURE - OWNER 0 CONTRACTOR .' ..
• 0 TE
AGAINST SAID CITY NCONSEQUENCEOF THE -7'BY GRANTING OF THIS PERMmWAYACCRUE
PHONE 0
JF
P, LftlLrodrolkNEQUA DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
-,
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
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 A
G. F. I. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING -
HEAT - AIR COND. - SOLAR SYSTE,MS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VEl BEEN APPROVED..
JOB SITE FINAL
PLUMBING
ELECTRICAL
/1141 ,7 MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL D ATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
OVER 2000 PSI
STRUCTURAL CONCRETE
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILESCAISSONS
t
..-..
APPLICANT PLAN WORKSHEET
PERMIT NUMBER .
JOB ADDRESS / ( ]W/1-CMIK ciTy
ESTIMATED VALUATION OF WORK 7 si-c
The value shall include all construction work for which the permit
is issued as well as all finish work, painting, roofing, electrical,
plumbing, heating, air conditioning, elevators, fire-extinguishing
systems and any other permanent equipment, including Contractors
overhead and profit.
BRIEF DESCRIPTION ÔFWORK ,ijP,,uT_v&'eAiT
BUILDING
BUILDING OCCUPANCY OR USE
TYPE OF CONSTRUCTION
AREA
PLUMBING
Plumbing Fixture Traps Number
Lay./Sink ............................................................................................. .
. Toilet ................... .............................................................................
Tub/Shower ......................................................................................... .
Floor Drain/Sink .................................................................................
Clothes Washer Standpipe ......................................................... — .........
Grease Trap........................................................................................
Building Sewer ............ ...................................................................... ........
Water Heater/Storage Tanks............................................................
GasPiping Outlets....................................................................................
Water Piping Install or Repair...................................................................
Drain/Vent Install or Repair......................................................................
Lawn Sprinkler System.................................................................................. ....
Vacuum Breakers
Hose Bibbs........................................................................................ . .
Dishwasher.....................................................................................
Other Fixtures or Equipment................................................................
Rain Water Drains (Interior)....................................................................................
MECHANICAL Number
Heating Units
Forced Air Unit.................................................................................
100,000 BTU or Less ..................................................... ...— .........
Over 100,000 BTU.......................................................................
WallHeater......................................................................................
Suspended Heater ................. ............................................ / ...... —.........
Floor Mounted Heater........................................................................
Floor Furnace....................................................................................
Compressors, Heat Pumps, Industrial Boilers
3 H.P. or Less/100,000 BTU or Less...................................................
Over 3 H.P.-15 H.P./100,00I-500,000 BTU .................................-........
Over 15 H.P.-30 H.P./500,001-I,000,000 BTU ......................................
Over 30 H.P.-50 H.P./1,000,001-1,750,000 BTU.........................................
Over 50 H.P./ over 1,750,000 BTU .....................................................
Air Handling Unit
10,000 CFM or Less................................................................................
.
over I0,000CFM ............................................................... ...... ............... .... .
Vent Fan to a Single Duct..............................................................................
Hood W/Vent Fan, Jennaire, etc......................................................................
Other Ventilation System Not Part of Heating or AC System............................
Gas Piping Outlets............................................................................................
Refrigeration
I H.P I Ton 12,000 BTU's...........................................................................
Miscellaneous
Install or Replace Appliance Vent Not Included in Appliance
Permit Above......................................................................................
Repair, Alter, or Add to Heating Applaince, Refregeration Unit,
Comfort Cooling Unit, Absorption Unit, or Evaporative Cooling
Sustem, Including Installation of Controls.............................................
Evaporative Cooler - Non-Portable Type....................................................
Other Applaince or Equipment Regulatedby this Code, but, Not
otherwise Classified..........................................................................................
ELECTRICAL
New Service Size in AMPS.........................................................................
Increase in Service Size in AMPS..............................................................
New Size__________________
Old Size____________________
Add Revise Circuits (No Service Change)..............................................
orary Construction Power.....................................................................
V
ADDITIONAL COMMENTS:
INTERDEPARTMENTAL INFORMATION SHEET
—.Bf1JILDING DEPARTMENT DATE:
!BUILDING ADDRESS:
PLANNING OEP ARTMENT tsulicling Department
ZONE LOT SIZE LOT WIDTH______________
UNITS ALLOWED UNITS PROVIDED_____________________
PARKING SPACES REQUIRED PROVIDED_________________
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED________________
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS_____
SEWER CONNECTION DRIVEWAY LOCATIONS_______________
GRADING PERMIT EASEMENTS DRAINAGE
LEGAL DESCRIPTION____________________________________________________
ADDITIONAL COMMENTS
I tn,I/ / I OK TO ISSUE:'VtL,L DATEfr7 fJ- 1) -' PWI OK TO FINAL DATE_________
FIRE DEPARTMENT
SPRINKLING SYSTEM -
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP.
EXITS____________________________________
LOCATION
OK TOISSUE: DATE OK TO FINAL DATE
ATER DEPARTMENT
:REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
(!0110 f I 1I; I)lI/.I' (I4/•f f 1 (0 V I' Ii
J275 fl'
DISAPPROVED
01-HER REF b1
I
PROJECT C2 ñ7 ADDRESS
ARCHITECT 0
ADDRESS S PHONE
OWNER ADDRESS PHONE
OCCUPANCY I3'- CONST. TOTAL SQ. FT. STORIES
7
2T 'SPRINKLERED ENANT IMP. _ /7cSfJc—
APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE
FOLLOWING CONDITIONS AND/OR MAKING THE'.FOLLOWING
CORRECTIONS: .
S
1. Provide one copy of the floor plan(s), site plan, and sheets
Storage, dispensing or use of any flammable or combustible liquids, flammable
liquids, flammable gases and hazardous chemicals shall comply with Uniform
Fire Code and
Building(s) not approved for high piled combustible stock. Storage in closely
packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks
and °6 feet for, tires, plastics -and some flammable liquids. If high stock piling
is to be done, comply with Uniform Fire Code, Article 81.
Medical gas system(s) shall comply with N.F.P.A. Standard 56F.
Fire extinguishers shall be provided based upon the following criteria:
a) 1-2A .rated ABC extinguisher for each sq. ft. or portion thereof
____b) maximum travel distance to an extinguisher of feet
other:
6. Fire sprinkler system(s) per N.F.P.A. Standard /3 shall be
7'(-
provided to protect
____ 7. Dry chemical extinguishing system(s) shall be installed per N.F.P.A. Standard
96 to protect cooking equipment and exhaust system.
X 8. Plans of
system(s) shall be approved by the Fire Department prior to installation of
system(s).
,
Show on site plan locations of all nearby proposed or existing hydrants within
200 feet.
Hydrant(s) shall be-provided and located
Show location(s) on site plan. Fire Flow: _gpm for hours from
hydrants. .
Access for fire apparatus is not adequate. Provide
shall be of hour construction
with openings protected with hour assemblies.
13.0 Comply with regulations on attached sheet(s).
06 Z
an Examiner Date
Report mailed to architect Met with ' '-"'Attach to Plans,