HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 130; 83-404; Permitiivr RAI I DflIhT PflI AMI V t PDFC4Z 11ARfl APPLICANT TO FILL IN'INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
hereby atfirrñ that i'ai licensed under 0- 4,ion
lalons of Chapter. 9 (commencing with
I 7000) of Division '3 of the Business,
an d,Professlons Code, and my license is in
¶ full force and effet
- -.
CIass
I hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which cx- 4 quires a permit to construct, alter, improve, demolish, or 4 repair any structure, prior to its issuance also requires the ap- plicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 301 the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub-
- facts the applicant to a civil penalty of not more than five hun-
dred dollars ($500). ' --
.0 I, as owner of the property, or my employees with wages 1
as their sole compensation, will do the work, and the struc- lull ture is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law, does not apply to an owoer,of properly who builds or improves
thereon and who dues such work hitpselt or through his own
- employees, provided that such improvements are not intend-
Wed or offered for sale. If, however, the building or imprOve- Z ment is sold within one year 01 completion, the owner-builder
will have the burden of proving that he did not build or im-
- prove for the purpose of sale). - -
I -p•ho, I
I, as Owner 01 the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
- . • Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-,,
proves 'thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Z. Law),. - -.
- •,
fell(
• . An a homeowner lam improving my home, and the )!-
-log conditions exist:. - cc gi. The work is being performed prior to sate.
' ' - 2. I have ,lived in my home for' twelve months c - 'prior ID ompieliss 01 this work.
w " .' 3. I have not claimed this exemption during the
- ' ' last three years.
0 lam exempt under Sec. ' - , B & P.C. for this reason
/
A.
I \I-...i- -i
,' .e..z 0 I hereby affirm that have a c'VlAcate of consent • to self-insure. or a certifiafe of Workers'
Compensation Insurance, or a cetfified copy thereof (Sec. 3800, Labor Code).' -
Z P06CYNO./1__
'COMPANY /,VS' CO
i!oPy is tiled with the city,, Z - - I ID Certified copy is hereby.furnrshed.IL - - -
CERTIFiCATE'OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This secfion need not be completed if the permit
is for one hundred dollars 101001 or less)
Cc Di certify that in the performance of the work to,
0 • which this permit is issued. I shall not employ any
person in any manner so as to become subject 10
the Workers' Compensation Laws of California. --
-
NOTICE TO APPLICANT: If, after making this Cerfi
-. licafe of Exemption, you Should become subject to the Workers' Compensation provisions of the Labor
Code, you must 'forthwith comply'.wilh . Such
, - provisions or this permit shall be deemed revoked -
r O f hereby' affirm that there is a construction -
I •' lending agency for the performance of the work for LU which this permit is issued (Sec-3D97. Civil Code) '
Lender'sZ VA LIS
::.
-. CARLSBAD BUILDING DEPARTMENT • ' . -, APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE # V LUATION ' PERMIT NUM8ER
/ RD.
- Do -
ZONE - OWNER'S NAME OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE C
'e -+A /Nr7'L 4S2-rz/ / C / -61
OWNERS MAILING ADDRESS CONTRACT R S ADDRESS LICENSE NO PLAN I.0. # BLDG USE CODE
00, 2 /2 / ,Q 'v# 7€F , ,0.
L3 BLO3 F71 SlON -16 —/IS-- LL"f i*3 LICENSE #
,
STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION
ow
O
dx
DESIGNE 7 DESIGNER'S PHONE
F/P FLRELEV.
I •
NO
STORIES OCCGP EDU
NP) YO NO a 9V Ra 526 3E TRACT CENSUS RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR GP LAND,USE PARKING SPACE
- . -- ' AREA
,
' ' CONST
-
0 N 0 - "0 ND YO ND Not Valid Unless Machine Certified
- -
QTY PLUMBING PERMIT ISSUE
-
QTY MECHANICAL PERMIT ISSUE 3 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . ' / ,. ' INSTALL FURN. DUCTS UP TO 100,000 BTU - BUILDING PERMIT 01-00-00-8220 /
EACH BUILDING SEWER - - •- - - - OVER 100,000 BTU • SIGN PERMIT - -. 01-00-00-8221 -
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP 103 HP PLAN CHECK - 01-00-00-8806 7/ .
EACH GAS SYSTEM 1 104 OUTLETS , BOILER/COMPRESSOR 3.15 HP - - , - ., TOTAL PLUMBING - 01-00-00-8222
-
- EACH GAS SYSTEMS OR MORE - ' - 'p .- • - . - METAL FIREPLACE • - . . - - - ELECTRICAL --- - - 01-00-00-8223
EACH INSTAI'I, ALTER,REPAIR WATER PIPE ' - - VENT FAN SINGLE DUCT - -
• MECHANICAL 01-00-00-8224
-- 7
EACH VACUUM BREAKER -- . - , - MECH EXHAUST - HOOD/DUCTS • MOBILEHOME 01-00'00'8225
WATER SOFTNER - • .- . RELOCATION OF EA FURNACE/HEATER - ' - •MOBILEHOME.PARK INSP -' -- - -- •- - - -
— EACH ROOF DRAIN (INSIDE) - ' ' , . - - - ' SOLAR ' - . '01-00-00-8226 -
'TOTA L MECHANICAL . •
'. , -
'
-. - 7,.
' STRONG MOTION 80'92'33-051
- / --- -
TOTAL PLUMBING - -- ' - . - FIRE SPRINKLERS - 01-00-00-8227
T- ELECTRICAL PERMIT ISSUE. - QTY. - - SOLAR -ISSUE ', ,
PUBLIC FACILITIES FEE - 32-00-00-8923
- -•
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS - SCHOOL FEE DISTRICT
1 PH 3 PH ' , ' . - -. STORAGE TANKS . - , , - -• Carlsbad 80-92-21-0519
EXIST -B LOG EA AMP/SWT/BKR ' ROCK STORAGE -• - ' , - - - Encinitas 80-92-22-0519 - -
1 PH - -- ,•'. 3 PH • • '. - - PUMP ' - SanDieguilo _80-92-23-0519 -
REMODEL/ALTER PER CIRCUIT ' ' .' PLAN.CHECKFEE - ' • San Marcos ,80'92-240519
--'
-
----•'' TEMPPOLE200 AMPS ' .• , • . - • - .- - - ' - - -
-_____I
• OVER 200 AMPS' -
_______
, - - • -
•
" 2-53'
- TEMP OCCUPANCY 130 DAYS) ' - • . -. ' - I • . - -- -- , - -
TOTAL ELECTRICAL
'
- TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION'AND PERMIT" AND DO HEREBY o Expiration. Every permit issued by the Building Official under the provisionoo(Ihis * AN (HA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void, lithe building or work -5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permil, or if the building or work authorized by such permit is STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work - mm ced for a period of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICA'jeITURE /2OWNER0 CONTRACTOR
EXPENSES
KEEP HARMLESS THE CY OF CARLSBAD AGAINST ALL LIABILifiES, JUDGMENTS, COSTS
WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE
IIAPPR016::By
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GRANTING OF THIS PERMIT
I
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER ANDBL/CO
PLUMBING U'NOEGROUND 1
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING - I
HEAT -AIR COND. -SOLAR SYSTEMS • r
VENTILATING SYSTEMS -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEN APPRbVED. A
JOB SITE FINAL
PLUMBING
ELECTRICAL •t\i/i
MECHANICAL //.,I i"b
GAS
BUILDING -/67
SPECIAL CONDITIONS "7 / CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQI1IIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL D ATE
PRIOR TO
SOILS COMPLIANCE
FOUNDATION INSP
- -- -
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
-
SPECIAL MASONRY
PILESCAISSON5
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*
____ -.:.----- \\ t' ______ - • , ,- - •
01
(jPOVEJ -
fII ;(7l
AUG24 1983
City of CA
_ BUILDING DEPT. I1lOfsJ
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RAHAM:
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INLLJ1iA I OR SPACE,VINT
AUSTIN -,HAN"SEN -IN
V UO.N. RIOS P.O. BOX 610
'. SOLANA BEACH, CA .92Q75
(619) .481-1433/ 275-3610 J, V
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INCUBATOR $PACEVT NAL
A.'U S T I N H A L-fi &EN1N / - T j110 N. .RIOS P.O. SOX61® SONA BEACH, CA 9275
(6I9) 48t 433 /'2 75 -3IO
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AM .INCUBATOR SPACE INTERNATIONAL "
Application for Grading Permit
CITY ARLSBAD
ENGI RING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO. _______
Validation by Finance
Déártt
Building Permit Plan Check No.
FOR APPLiIT-F4LL IN
'he Address
2121 Palomar Airport Road
Surety Company Bond No.
IUkE CO. OF JI€ T
jai Description
Lot 3 ana .i4ot 6
Map No.
10738
Surety Address
Subdivision Name
Graham International
Date Filed Rec'd by
Owner
Graham International
Phone
438-1545
Cash deposit Date filed
$ I
Owner's Address
2121 talomar Airoort Road, Suite 300
The following documents are required and shal lecome a part
of the grading permit when they are approved.
'k Grading plans i( Specifications
)'( Soil report Geologic Report
______ ______ Drainage structures Other
iSr' Compaction report
Plans by Civil Engineer R.C.E.
Rick Encineerina Coanv 28448
Address Phone
365 S. Rancho Santa Fe Road, Ste 100 744-4800
Soil Engineer R.C.E. Phone
Robert Prater Associates 453-5605
Grading Contractor
Lusardi Construction
Phone
744-3133
SPECIAL CONDITIONS WHICH ARE MADE
APART OF THIS PERMIT
Address
1570 Linda Vista Drive, San Marcos CA 92069 Authorized hours of 6peration:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
Lusardi Construttion
Haul routes are to be approved by City Engineer. Proposed use of grade site
Access Driveway Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste
All slopes shall be planted per City Code.
15,600 0 1 0 1 15,600
Proposed Schedule of Start
Operations (dates) 4-8-85
Finish
7-8-85
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
I hereby acknowledge that I have read the application
the information I have provided is correct and agree
all City ordinances and State laws regulating excavating
and the provisions and f any permit
this application.
Signature of Permittee _________________________________________
Owner or authorized agent.__
to comply with
and grading,
issued pursuant to
r
and state that
Under City Code Sec. 11.06 170 this grading is:
0REGULAR GRADING - City inspector will make inspections
listed belo
w
.
CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make repbrts.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- Date
EIA Log No.
By
) '
L
WLv
Rough - prior to drains
Final . slopes planted
Compaction reports rec'd. / .-J
Grading permit fe$(_\lo8op Plan check fee $ 30.00
Permit
by _____ue(JU,_________________
Iss
Date _________________________
Pnvateengr. cert. rec'd.
I low-Inspector; Pink-Permittee; Goldenrod-Finance
) DO THE WORK DESCRIBED
JTH PERIOD