HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 201; 84-84; Permit[3 I hereby aHIrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
artd Professions Code, and my license Is Infull lor^e.apd^t^e<A
Lie No Cl«s
1 hereby atlinn inai I am exempt Iron the Contrac
tor's License Law lor the loHowing reason (Sac. 7031.5
Business and Protessions Cocte: Any city or county which requires a permii to construct, alter. Improve, demolish, or
r^r any structure, prur to its issuance also requires the ap-
pitcant lor such permit to file a signed statement that he Isiietnsed pursuant to the provisions of (he Contractor'sLKanse Law (Chapter 9 commencing with Sectloo 7000 of
Division 3 olihe Business and Professions Codo) or that is ex
empt iherelrom and the basis fer the aKeged nempilon. Any
vlolaUon ol Section 7031,5 Oy an applicant for a permit sub
jects the applicant to a civil penalty of not more than five hun
dred dollars (S500).
□ I. as owner of Ihe property, or my employees with wagesas ihelr s<^e compensation, vrili do tin worii, and Ihe struc-lure Is not Intended or offered tor sale (Sec. 7044, Businessand Proiessions Code; The Contractor's Llce^ Law doesnot apply lo an owner Ol property who builds or ln^>rovesthereon and who doas such work himsetl or through his ownemployees, proviM thai such improvements are not Intended or ottered lor sals. II. however, the buHding or imprpve-meni is sold within one year ol completion, the cwner-bulldefwill have the burden ol proving that he did not build or Improve lor the purpose of sale).
□ I. as owner ol the property, am exclusively coniractingwith licensed contractors to construct the pn^ (Sec, 7044.
Business and Prolesstons Code; The Contractor's Licenselaw does not apply to an ownw of property who builds or improves thereon, and who contracts for each protects with agmrBclor(s) license pursuant to Ihe Contractor's LicenM
□ As a homeowner 1am Improving my home, and the follow-ing conditions exist:1. The work Is being performed prior to sale.2. I have lived in my home for twelve monlluprior to completion ot this work.3. I have not claimed this exemption during thelast three years.
□ lamenmptunderSec.
for this reason
..BBP.C.
CH I hereby affirm thai I nave a cenificale ol consent/la self insure, or a ceriificaie ot Workers'Compensaiion Insurance, or a cerlitied copy ifvereol(Sec 3800, l-abor CoOei
POLICY NO . .
COMPANY
tp Copy IS filed wiin ine city
^ Ci OeriitiM copy IS hereby furnished
\JCEHTIFICATt OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This seci'on need not be completed ii the permit
IS lor one hundred dollars (SiOOi or less)
□ I certily thai m Ihe performance ol the work torwhich this permit is issued. I shall not employ anyperson m any manner SO as 10 become subteci tothe Workers Compensaiion Laws oi California
NOTICE TO APPLICANT II. alter making this Cerliiicale of Exemption, you should become subteci tothe Workers' C^pensaiion provisions ol ihe LaboiCode, you must forthwith comply with SuChprovisions or this permit shall be deemed 'evoked
Q I hereby siiirm thai there is a constructionlending agency lot the pedoimance ol Ihe work torwhich this permit is iSSueCj^Sec 309? Civil CoOei
Lender s Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
OWNER'S NAME ' ' ruwwc !»•«: omowc IOWNE R'S PHONE
AV. ST.
no.
OWNE R'SpAayl LING AOORESS
LOT BLOCK SU80I VISION ASSESSOR PARCEL NO
DESCRIPTION OF WORK j /—rf=rA^hA£lr-^ ^ t/ie7)CCT7TS
CENSUS TRACT PARKING SPACEGP LAND USE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACHBUILOINGSEWE
EACH WATER HE R AND/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GA YSTEM 5 OR MORE
TAL., ALTER. REPAIR WATER PIPE
H VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
RES UNITS
CONTRACTOR
OATEiOF APPlJtCATlOU BUSINESSBUSINESS
CONTRACTO
LICENSE #
CONTRACTpR S A^D^SSCONTRACTpR S A^D^SS
DESlGW^
DESIGNER'S ADDRESS
vD nQ
GRADING PERMIT ISSUED
Y □ N D
QTY.
TOTAL PLUMBING
REOEVELOPtWENT
AREA
vQ nD
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3 16 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOO/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT/BKR
1 PH 3 PH
EXIST 8L0G EA AMP/SWT.'8KR
1 PH 3PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
QTY.
10
NO
STORIES
TYPE
CONST
RS PHONE »
LICENSE NO.
DESIGNER'S PHONE
EDU
FIRE SPR
yIJ nQ
VALUATION
oo
ZONE
PLAN I.D. #
STANDARD PLAN #
PERMIT NUMBER
BLOG USE CODE
BUILDING SO, FOOTAGE
Not Valid Unless Machine Certified
1
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR 01-QO-D0-8226
STRONG MOTION 80-92-33-0519
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND ( FURTHER CERTfFY AND AGREE IF A PERMIT ISISSUED: 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 CARLSSAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
FIRE SPRINKLERS 01-00-00-8227
RJBLiC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
SCHOOL FEE - DiSTRiCT
Carlsbad 80-92-21-0619
Encinitas 80-92-22-0519
San Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
i ^
TOTAL FEES PAYKBLEt
7A
Expiration Every permit issued by Ihe Building Official under the provisions of thisCode shall expire by limitation and become null and void If Ihe building or workauthorized by such Mrrni is not commenced within 180 days from the dste of suchpermit, or if Ihe t>uiiding or.wuik Bi>thorized by such permit is suspended orabandoned at any time artejrlhe work is^ommanced tor a period of 180 daysARFLICAw5% SlGNATUR^ » /►Z OWNER D CONTRACTOR'
BY PHONE □
* AN OSHA PERM ft IS REQUIRED FOR EXCAVATIOKS OVER
S' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVE BY
454..^—
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION /' f
INTERIOR LATH & DRVWALL
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
rf
BONDING
G. F. 1. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING —
HEAT — AIR COND. — SOLAR SYSTEMS f f
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL /
-GAS-f 1
BUILDING
SPECIAL CONDITIONS !
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF
CHECKED
INSPECTOR S
APPROVAL DATE
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
>•
PLAN CHECK NUMBEI^ ^ <f 7 ADDRESS
PLANNING TYPE OF STRUCTURE
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
% COVERAGE
BUILDING HEIGHT
FENCES/WALLS
0£ O
TWO CAR GARAGE_
COMMENTS:
CH redevelopment approval REQUIRED:
I □
I 1 LANDSCAPE PLAN COMMENTS:cc
O LU
DATE
ZONE:
ENVIRONMENTAL REQUIRED:
ADDITIONAL COMMENTS:
ENCINITAS
SAN MARCOS
REQUIRED
FRONT
/ (
OK TO ISSUE: N DATE: 7^
—
''■[j^OK TO FINAL:DATE:
ENGINEERING LEGAL DESCRIPTION VERIFIED? j:! A.P.N. CHECKED?^_ PARK IN LIEU ^)jf\
R.O.H: f^XVSrr. IMPROVEMENTS; \
SEWER
0£LU3LU
LU <
a: o
LATERAL: ST.
: /V
I/)
z
o•— oh- LUO OS
LU >—•q: =>a o-O LUo o:
□
□
□
GRADING PERMIT
DRAINAGE: £x\fir.
EASEMENTS:
OK TO ISSUE:
ENGINEERING INSPECTION REQUIRED:
PUBLIC WORKS INSPECTOR:
FINAL OK:
E.D.U:iPiOO ^
DRIVEWAY:
ADDITIONAL COMMENTS:
DATE:
DATE:
IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECT
(DRIVEWAYS, CURB CUT. DRAINAGE, ETC.)
PAGE 1 OF
\
PROJECT
CARLSBAD FIRE DEPARTMENT
1275 ELM AVENUE, CARLSBAD, CA 9200,8
(71^) ^3G-5521
PLAN CHECK REPORT
APPROVED
disapproved
PLAN CHECK
other ref #
address
ARCHITECT
OWNER
_ADDRESS
ADDRESS
_PHONE
_PHONE
OCCUPANCY CONST.TOTAL SO. FT.STORIES^^^^J^PRINKLERED^ TENANT IMP.
APPROVAL OF PLA
\
NS IS PREDICATED ON CONFORMING TO THEFOlSg CONATIONS AND7oR MAKING THE FOLLOWING
CORRECTIONS:
+++1 I I I I I I I I I I I I I I I I I I H-1 I I I I I I I I I I I I I I I I I I I I '''''' '
1. Provide one copy of the floor plan(s), site plan, and sheets
Storage, dispensing or use of any flammable or combustible ]= - ® ^liquids, flarrmable gases and hazardous chemicals shall comply with Unlforin
Fire Code and
BuI Idlng(s) not approved for high piled combustible stock. Storage In closelypaked pi les shall not exceed 15 feet In height, 12 feet on pal ets or In acks
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 systera(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_r fggtb)maximum travel distance to an extinguisher of
c) other:
6.- Fire sprinkler system(s) per N.F.P.A. Standard
provided to protect ^
shall be
Dry chemical extinguishing systemCs) shall be Installed per N.F.P.A. Standard
96 to protect cooking equipment and exhaust system.
Plans of
V ^
. 9.
10.
system(s) shall ^ approved by the Fire Department prior to instal lation 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 locatlon(s) on site plan. Fire Flow:
hydrants.
qpm for hours from
11. Access for fire apparatus is not adequate. Provide
12.shal1 be of hour construction
with openings protected with hour assembl les.
13. Comply wlth/egulatlons on attached sheet(s).
F^caml ner
hitect Met withReport ma i 1ed to
/ /Date
Attach to Plans