HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 140; 86-288; Permit.5
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT - .• . . APPL!CATION. PE IT - -k Carlsbad, California 92008.1989 (619) 438-5525 -
.106 ADDRESS - AV. ST. RD. NEAREST CROSS ST. / - DATE OF APPLICATION BUSINESS LICENSE ) VALUATION ' PERMIT NUMBER
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LOT - SUBDIVISION A SES OR PACEL NO. x '\ CONT ACTOR CONTRACTORS HONE ZONE
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OWNER'S NAME OWNR'SPHONE I -
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CONT RA CTOR ODR JCENSENO PLAN I 0 BUILDING SO FOOTAGE
OWN NG ADDRESS
DESIGNER HON
N OF WISR—K i
ONE
.[ DESIGN RSDDRE LICENSE NO 6/I W86 753 6OOU
\VA IQ QX F/P
000I 7 6/H/66 60.0
FLREVN NO
'A 'N
STORIES
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CENSUS TRACT OP LAND USE PARKING SPACE RES UNITS - - GRADING P MIT ISSUED
- - - - - v 0 it 0
REDEVELOPMENT - ' TYPE - -- 0CC LOAD FIRE SPR
AREA : CONST • ,,
' 0 -ND , yD ND Nor Valid Unless
-
Machine certified
OTY.
'
PLÜr1BING. PERMIT- ISSUE 7 QTY.
'
MECHANICAL PERMIT - ISSUE
-
- SUMMARY/ACCOUNT NUMBER -
- EAcH'FIxTURETRAP i-_- - " , INSTALL FURN. DUCTS UP TO 100.000 BTU ' , BUILDING PERMIT 001-810-00-00-8220
- EACHBUILDiNGSEWER -,, --- - OVER 100,000 BTU , SIGN PERMIT 001-810-00-00-8221 -
EACHWATERHEATERAND/ORVENT -• , OILER/COMPRESSORUPTO3HP -- PLAN CHECK 001-810-00-00-8806 -
EACH GAS SYSTEM I104 OUTLETS. .. BOILER/COMPRESSOR 3-15 HIP r
,
- ,-. TOTAL-PLUMBING _-001-810-00-00-8222 -
EACH GASSYSTEM 5 OR MORE
-
METALFIREPLACE I( ELECTRICAL 001-810-00-'00-8223
EACHINSTAL..ALTER,REPAIRWATERPIPE -
,-
,- VENT FAN SINGLE DUCT r ' ' ' MECHANICAL ' 001-810-00-00-8224 O tam exempt under Sec. ___________________ ,B & P.C.
EACH VACUUM BREAKER - - .- MECH EXHAUST - HOOD/DUCTS ' MOBILEHOME - 001-810-00-00-8225 -
WATER SOFTNER - -- , . EL0CATI0N OF EA FURNACE/ T , - • MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) - - - .•. - - - ' - , ' ,,,-,LAR 001-810-00-00-8226
TOTa,L
a
MECHANICAL
-
.x $l
STRONG MOTION 880-519-92-33
- TO [AL PLUMBING I - ' ' FIRE SPRINKLERS 001'810'00'008227 -
QTY ELECTRICAL PERMIT ISSUE QTY SOLAR ISSUE 0 ' PUBLIC FACILITIES FEE 33281000008930
NEW CONST EA AMP/SW1 !I3KR -. - COLLECTORS -- . SCHOOL FEE - DISTRICT
- 1 PH 3 PH -, STORAGE TANKS - - . CISbad --
EXIST BLDG EA AMP/SWT/BKR - . ' • ROCK STORAGE Encinitas - ,• - - ' - -
-- 1 PH ' * -. - 3 PH • e' PUMP - - ' San Dieguiio
REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE - - ' San Marcos - - --
TEMF POLE 200 AMPS - - - • . - - -
OVER 200 AMPS • - --:---- - , , LICENSE TAX 001-810-00-00-8162 -
TEMP OCCUPANCY.(30 DAYS) - , - - - - , MFF - , 880-519:92-57 -
' - - -- .
CREDIT DEPOSIT
- TOTAL ELELTRILAL /0 -- - -
• TOTAL SOLAR .
.
- TOTAL FEES PAYABL .___4.....)tao
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permitinsued by the Building Official under tTre provisions oithis * AN OSHA PERMIT REQUIRED eraS expire rtht0rr arid become null and void FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE by If the building or work uthorized by such permit is not commenced within 180 days from the date of such 50' DEEP AN EMOLITION OR CO$STAUCTION OF
DECLARATIONS ARE TRUE ANDCORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by'such permit s suspended or STRUCTURE OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned SI any time after the work IS commenced for a period of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE 0 APPROVED - IIAT E/
• KEEP HARMLESS THE CITY OF CARLSBAD ALL OWNER CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE
L9 L
II - / GRANTING OF THIS PERMIT 0 A •
-
. USE BAIL' POINT PEN ONLY & PRESS HARD
'1
D.I hereby affirm that I am licensed under
14provisions of Chapter 9'(commencing with I Section 7000) of Division 3 of the Business
41 and Professions Code, and mr4j,,cense is in
cc I full forca ad effe -
z. Lic, No rLWS( Class
- - 0 0 - I hereby affirm that i am exempt from the Contrac-
tor's License Law for the following reason (Sec. 703t .5 -
Business and Professions Code: Any city or county which 'e-
quires a permit is construct, alter, improve, demolish, or t repair any structure, prior to its is%uance also requires the np-i
plicani for such, permitto tile a signed statement that he inn __ I
--licensed. pursuant to the provisions of the Contractor's
License Law (Chapter 9 commencing with Section 7000 at
0ivision 301 the Business and Professions Code) at 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-
jects theapplicant in a civil penalty 01001 more than lye
,,,,.,dred dollars 155001_
- 0 i, as owner I the property, or in employees with wages
as their' sole c p lion, will do e work, and the stroc- - tore is not intended or red for le (Sec: 7044. Business _a -,-.-and Professions Code: I Co racIst's License Law ones -
5 not apply to an owner of pr ny who builds- or, improves
- thereon and who does soc or imnell or through his own
employees -provided IN och im ements are not intend-
W ed or otlered lot sale. - however, e building or imptove- 1
Z - mont is sold within e year 01 comple n, the owner-builder
will have the bee n of proving that he - not build or im-
0 prove for the po 00001 sale).
t, 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 001 apply loan owner of property who builds or tm
- proves thereon; and who contracts for each projects with a • (iS • contractor(s) license pursuant to the Contractor's License Z Law)_
0 As a homeowner I am improving my home, and the tallow' 4 ' ing conditions exist: -
1 • The work is being performed prior In sale. -
- .2.. I have lined in-my home for twelve months prior to completion of this work. • -
(ii 3. I have not claimed this ,eoemplion during the
0 . lasl three years.
for this reason 0 - -
LI thereby affirm that t have a certificate or consent to
"911. insure. or a certificate or Workers 'Compensation In. $ orance. or a certified dopy thereof (Sec. 3000. Labor Code)
POLICY, NO. - Z - COMPANY
jgs- Copy is bled with the dIp
Z 0 Certified copy is hereby tarnished
w ---,-- - , - 0
. - x CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE. (I) - - - t-(lhis section need not be completed it the yermit'
- is-for eve hundred dollars ($100) or less(
'0 71cer1i1y that in the performance of the work for which
CK this permit is issued. fshdll 001 employ any person in any
manner so as to become subject to the Werkers Compen.
- saline Laws or California.
NOTICE, TO APPLICANT: if. alter making this Certificate
or Exemption, you should become subject to the Workers'
Compensation provisions 01 the Labor Code, you most
Iorthwith complywith Such provisions or this permit shalt
'be deemed revoked;
, u •n• -
I hérIiI ablirm that rhor is a cooslruction lending
agency I - perform t the work for which this per.uj t
mit is issed I .3097 Civil Code)
lot I Lender's Name '- •
[ Lendes Add S_
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT I
SUB FRAME Li FLOOR LI CEILING
SHEATHING LI ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
S SEWER AND BL/CO o pLico
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WPJER
ELECTRICAL
0 ELECTRIC UNDERGROUND 0! UFFER
ROUGH ELECTRIC I
0 ELECTRIC SERVICE 0 TEMPORARY
0 BONDING 0 POOL
MECHANICAL
LI DUCT & PLEM., 0 REF. PIPING V r
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
II
__
BUILDING __
I / SPECIAL CONDITIONS
FIELD INSPECTION RECORD V V
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
5..,
V 'S
SOILS COMPLIANCE
PAl RTO
DATION INSP
V
S
V
STRUCTURAL CONCRETE
OVER 2000SPSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE .
FIELD WELDING V
BOLTS
HIGH STRENGTH
SPECIAL MASONRY V
PILES CAISSONS
'S
S 5
ZONE: TYPE OF PROJECT: Fl
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS CARLSBAD SAN MARCOS.
.90
PLAN CHECK NO. ADDRESS ( 2) DATE
PLANNING
SETBACKS: FRONT SIDE REAR
DISCRETIONARY ACTIONS:_______________________________________________________________
REDEVELOPMENT PERMIT REQUIRED:_______________________________________________________
LANDSCAPE PLAN COMMENTS:___________________________________________________________
ENVIRONMENTAL REQUIRED:______________________________________________________________
ADDITIONAL COMMENTS:
- ui:i* ISSUE: 1 101 sc.
ENGINEERING
LEGAL DESCRIPTION VERIFIED? APN. CHECKED?
P.F.F.: _:- PARK—IN—LIEU QUADRANT: FEE PER UNIT:_________
RIGHT—OF—WAY:
.
TRAFFIC IMPACT FEE PER UNIT:—
EASEMENTS,:— . DRIVEWAY:
.
IMPROVEMENTS:
LU
0
LU
U) z
0
GRADING PERMIT:
GRADING COMPLETION CERTIFIED:
DRAINAGE:____
ADDITIONAL COMMENTS:
FIELD CHECK DATE: INITIALS:
E.D.U.: SEWER:
LATERAL: INDUSTRIAL WASTE PERMIT:
OK TO.ISSUE
DPD2:DPD6:04/15/86