HomeMy WebLinkAbout2121 Palomar Airport Rd; ; 82-222; Permit□ I that I am licansed undar
provisions of Chaptsr 9 (commencing with
Sactlon 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
lie No Cl»ss
I hereby affirm that I am exempt from ITie Contractor's License Law for the following reason (Sec.7031 *> Business and Prolessions Cods Any oty orcounty which requires a permit to constructalter, improve, demolish, or repair any struciure.pnor to Its issuarKS also requires the applicani forSuch permit to file a signed staterT>eni that he islicensed pursuant to tite provisions of Ifte Contractor's License Law (Ctyapier 9 commertcing withSMtion 7000 of Division 3 of tfie Business and ProfessKyts Code! or that is exempt ii>erefrom and IfteiMSis tor the alleged exemption Any violation ofSection 7031 S by an applicant lor a permit subjects
ine applicant to a civil penalty of rwt more than livehundred dollars ftSOO)
n I. as owner of the property, or my employeesWith wages as (heir sole compensation, will do thework, and the structure is not intended or ottered lorsale (Sec 7044. Business and Professions CodeThe Conlracioi's License Law does not apply to an
owner of property who builds or improves thereonarrd wr>o does Such work himself or through his ownemployees, provided that such improvemenis are
not intended or offered tor sale ff. f>owevet. iftebuiidirtg or improvement is sokJ within orte year ofcompletion, ihe owiter-buikter will have itte txjrdenof provirtg thai he did not build or improve for thepurpose of sale)
O I. as owner of Ihe property, am exclusivefycontracting with licensed contractors to constructthe project (Sec 7t)44. Business and ProfessionaCode The Contractor's License Law does not applylo art owner of property who tnjilds or improvestftereon. and who contracts tor each pr^ects with aconiractoris! license pursuant to the (^tractor'sLicense Lawj
Q I am exempt under Sec
lor this reason _
. B & PC.
□ fherebyalfrrmthat ihaveacenificaleofcortsent10 self insure, or a certificate of Workers'Compensation insursrtce, or a certified copy thereof(Sec 380Dy6uM>r Code)
POUC
' IS filed with the city
□ Certified ccwv is fterel>y iu
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE(This section need not be completed if the permitIS for orte hundred dollars (SKX)) or less)
Q I ceriily that in the performance ol the work lorwhich this permit is issued, ■ shall not employ any
person in any manrter so as lo become subject tothe Workers Compensation laws ot California
NOTICE TO APPLICANT If, after making this Certi-iicate of Exemption, you should become su^eci tothe Workers' Compensation provisions ol the Labor
Code, you must lorlhwith comply with Suchprovisions or this permit shall be deemed revoked
O I hereby affirm lltal Iftere is a conslruchonlending agency tor the perlormance ot the woik loiwhich this permit is issued (Sec 3097. Civil Codei
Lender s Name.
Lertder s Address
USt?B*LL PQ^NT PEH PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANA^'.CLARATiONS.
CARLSBAD WLDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPKATION & PERMIT
AV. ST.
RO
OAhTE OF APP(.ICATlON
OWNE R'S NAME OWNER'SPHONE | PR I ME CON TRACTOR
%
'Z'jm
BO
0WN6 R'S MAI LING ADDRESS
BLOCK SUBDIVISION SSESSOR PARCEL NO
NTRACTOR'S AOOFTESS/^ LICENSE NO.
DESCRIPTION OF WORK
A)
OESIGNEH'S ADDRESS
CFlF /
ISE #
CONTBACTOnS PHONE I
STATE LICENSE a
/S'9 oYo
DESIGNER'S PHONE
ZONE
VALUATION
loop
STANDARD PLAN #
PERMIT NUMBER
BLOG USE CODE
BUILDING SO. FOOTAGE
7/0g/S2SI93
DOOIS193 7/02/ pp
NO
STORIES
FLR tLtV.OCC GP
vU nD
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS REDEVELOPMENT
AREA
GRADING PERMIT ISSUED
Y □ N □
OCC LOAD FIRE SPR
vQ nD Not Vakd unless medune CertifiedvD nR
PLUMBING PERMIT • ISSUE MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP NSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100,000 BTU
PLANCHECKW^ j ISIGN PERM!01-000-4221
BOILER/COMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR VENT 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 0 -000-4222
ELECTRICALEACH GAS SYSTEM S OR MORE METAL FIREPI ACE
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER M0B1LEH0MEMECH EXHAUST - HODD/OUCTS 01-000-4225
MOBILE PARK INSPWATER SOFTNER RELOCATION OF EA FURNACE/HEATER
01-000-4226EACH ROOF DRAIN (INSIDE)
TOTAL MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000-4933ELECTRICAL PERMIT - ISSUE SOLAR • tSS BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad
NEW CONST EA AMP/SWT/BKR COLLECTORS
STORAGE TANKS 65-623-0519
EXIST 8LDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
San Dieguito 65-625-0519
REMOOEL/ALTER PER CIRCUIT San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED •'APPUCATION AND PERMIT ' AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEHEON INCLUDING THEDECURATIONS 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 CONSTRUCTION, 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 parmjt Issued by the Building Official underiheprovisionsofthisCode shall expire by limitation and become null and void If the building or workauthorized by such permit is not commenced wlthm 180 days from the dale of sucftpermit, or if Ihe iMjiidlng or wo.'k authorized by such permit is suspendedabandoned at any time after the work is commenced for a period of 190 davs
* AN 06HA PERMIT 1$ REOINRCD FOR EXCAVATIONS OVER
5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
.ICANT'S SIGNATURE ♦
(G-
OWNER □ CONTRACTO
BY PHD
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
•^REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING / ^
FRAME
EXTERIOR LATH INSULATION / / 0
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
f V
BONDING h \
G. F. 1. - SMOKE DETECTOR
MECHANICAL i
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
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCliAiiLCY ISSUED
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REG IF
CHECKED
INSPECTOR'S
APPROVAL DATE '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
'CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
N
HIGH STRENGTH
BOLTS
special masonry
PILES CAISSONS
'V 'v,
■' _
L'L.-. ;..
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- - . ..
{A!f \ , . ■\- \ •' '
yI)
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS: ^ 1 .1
DATE:
3 - /X ^
PLANNING DEPARTMENT
;:oNE 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 & IRRIGATION PLAN COMMENTS:^ ^KrEIVED
ENVIRONMENTAL PROTECTION REQ: AJA-JUN 28 7982
CARLS3ADBuilding DepartmentADDITIONAL COMMENTS
^ TO FINAI^OK TO ISSUE DATE DATE
ENGINEERING DEPARTMENT
Li>^ 13
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE OK TO FINAL DATE
FIRE DEPARTMENT
SPPINKLING SYSTEM
FIRE ALARMS
FIRE PROTECTION EQUIP.
EXITS
FIRE HYDRANTS LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRIC DATE