HomeMy WebLinkAbout2141 Palomar Airport Rd; 160; 85-738; Permit0
1
or
^1 h«r*by affirm that Uam licensed under
sJons of Chapter 9 (commencinQ with
tlon 7000) of DMsJon 3 of the Business
and Professions Code, and myjicense is In
full foroftAh^^tegL.
LTc No.fgj^?Sy»lass
1 hereby iftnrn that i am exempt from the Contrac
tor's Licenss Law tor the foibnnrtg reason (Sec 7031.5
Busness and Profesiwna Code- Any oty or county wtech re
quires a permt to construct, aher, improve, demolnh, or
repair arty structure, prior to its rssuance also reqidrss ttie applet for such permit to Me a signed statement that he is
licensed pursuant to the provisions d the UKiiracior s
Lxonsa Law (Chapter 9 commencing with Sechon 7000 of
DrvtsiorU of the Business and Professons Code) or that is exempt thMrom and the basis tor the ahegea exemption Any
vioUtion a( Section 703J 5 tiy an apolicant for a permit sub
jects the attlccant to a/ivil penalty of not more than five hundred dallar\j500)
□ I, as ownsl^ ule pias their sote ca\gCnsati
lure IS not intern
andnot apply to
thereon andemptoyees, provided Ihi
j or offered (or safe if
iperty, or my emptoyees with wages
wifl do the worV, and the slruc-
tor sale (Sec 7044, Business;he Contractor's License Law doesproperty who buiWi or improvesworic himself or through ha ovm' mprovements are not yiand-Ihe buifdmg or improve-
O
op<c
3o
ment is sold within one year of completion, the owner-bidderwd have the burden of proving that he did not buiU or improve (or the purpose of sale)
□ i, as owner of the property, am nclusivety contractingwith licensed contractors to coretruo) the projeen (Sec 7044,Business and Professions Code The Contractor's LicenseLaw does no) apply loan owner of property who builds or im-prcwes thereon, and who contracts tor each projkits with acontractoils) license pursionl to the Contractor's LxenseLaw]
□ As a homeowner I am tmprovmg my home, and the folow-ing conditions exat1. The work b being performed prior to safe'!2 1 have lived in my home tor twelve monthsprior to completton of tMs work.3 i have not daimad this exemption during thelast three years.
□ i am exempt under Sec .
for thb reason
Q 1 hereby affirm that I have a certificate of consent to
lelf-insure. or a certificate of Workers' Compenaatlon Irv
surance. or a cerliftod copy thereof (Sec 3800 Labor Code)
POLICY NO.
^COfitPANY
Copy la fifed with the aty
ertified copy la hereby fumiahed
• COfitPAf
O
u
ir
lij
ocO
CERTinCATE OF EXEMPTION FFIOM
WORKERS* COMPENSATfON INSURANCE(This section need not be completed if ttie permitla for one hundred dollara or leaa)
Q I certify that m the performance of the work for whichthis permit la issued. I shall not employ any pereon in any
manner so as to become aubfect to tf>e Workara' (Dompen-
satfon Laws of California
NOTICE TO APPUCANT* If. attar making this Certifioateof Exemption, you ehould become aubfect to the Workera'
Compensation provisions of ttie l^or Code, you must
forthwith comply with such provlaicna or thta permit shall
ba deemed revolied.
O 1 heretiy affirm that ttiere rs a construction landing
agency for lha performance of thn work for which tfua permit la lesued^eo. 3097^«ttCode)
Lander's Nam
LarKter*# f 'asa.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENTCarlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
BLOCH
AV. ST.RD. NEAREST CROSS STv
lis:
BUSINESS LICENSE a VALUATION PERMIT NUMBER
SUBDI VISION ASSESSOR PARCEL NO
OWNER'S NAME ^1 OWNER'S PHONE
OWNER'S MAILING ADDRESS
1 DESCRIPTION OF WORK f 1
\ ^ 1
TION
CONTRACTORS PHONE H ZONECONTRACTOR
LICENSE NO.PLAN I.D. ■#CONTRACTOR'S ADORES
DESIGNER'S ADDRESS
DESIGNER'S PHONE
UCENSE NO.
BUILDING SO. FOOTAGE
T/nq/BsgBBg 7Q9;aE
NO
STORIES
OCC GP
yD nN
REDEVELOPMENT
AREA
TYPE
CONST
OCC LOAD FIRE SPR
yQ nD
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED
V □ N □Hot VaUd Untets Machine Certified□ nD
SUMMARY/ACCOUNT NUMBERMEGHAN GAL PERMIT - ISSUEPLUMBING PERMIT - ISSUE
001-810-00-00-8220BUILDING PERMITINSTALL FURN. DUCTS UP TO 100,000 BTUEACH FIXTURE TRAP
SIGN PERMIT 001-810-00-00-8221OVER lOG.OOO BTUEACH BUILDING SEWER
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-BB06EACH WATER HEATER AND/OR
TOTAL PLUMBING 001-B10-00-00-B222BOILER/COMPRESSOR 31b HPEACH GAS SYSTEM 1 TO 4 0
001-810-00-00-8223ELECTRICALEACH GAS SYSTEMS METAL FIREPLACE
VENT FAN SINGLE DUCT 001-810-00-00-8224MECHANICALEACH INSTAL REPAIR WATER PIPE
001-810-00-00-8225MECH EXHAUST - HOOD/OUCTS MOBILEHOMEEACHBREAKER
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSPWATE
ROOF DRAIN (INSIDE)001-810-00
TOTAL MECHANICAL STRONG MOTION
TO IAL PLUMBING FIRE SPRINKLERS
PUBLIC FACILITIES FEE-00-00-8SOLAR - ISSUEELEGTRIGAL PERM T - SSUE
COLLECTORSNEW CONST EA AMP/SWT'BKR SCHOOL FEE - D STRCT
STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Enclnitas
San Dieguilo
REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
UCENSE TAX 001-810-00-00-8 62OVER 200 AMPS
880-519-92-57TEMP OCCUPANCY (30 DAYS!
CREDIT DEPOSIT
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ■APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS 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 CSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMJjIIPT^NQ
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES. JUDGMENjerXOSTS ANEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COrlSCCijENCI
GRANTING OF THIS PERMIT
Expiration. Every permit luued tjythe Building Official under the provisions ofttiisCode sttall expire try limitation and trecorrfe nut! and void If trie building or worfrauttiorized try suctr permit is not commenced vvittrin 180 days from trie date ot auchnfm't nr if hiiiiH.r.^ Qf woflt Buttror^sdeby such permit is suspended or
* AN OSHA PERMST IS FtEOJlRED FOfl EXCAyATtONS OVER
5' 0- DEEP AND DEMOLmON OR CONSTBUCTX)N OF
STF«JCTU«ES OVER 3 STORIES IN HEIGHT
yAPPROWlD BYOWNER □APPLI CONTRACTO
BY PHONE □
TYPE 1 DATE INSPECTOR
. BUILDING 1
FOUNDATION i
REINFORCED STEEL I
MASONRY '
GUNITE OR GROUT \
SUB FRAME □ FLOOR □ CEIljiNG
SHEATHING □ ROOF □ SHEAR
FRAME !
EXTERIOR LATH [
INSULATION 1
INTERIOR LATH & DRYWALL i
1
I
PLUMBING I
□ 'SEWER AND BL/CO □ PIJCO
UNDERGROUND □ WASTE □ JWATER
TOP OUT □ WASTE □ WATERTUB AND SHOWER PAN |
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
!
(ELECTRICAL ]
□ ELECTRIC UNDERGROUND OUFFERROUGH ELECTRIC !
□ ELECTRIC SERVICE □ TEMPCj)RARY
□ BONDING □ POOL i
I
1MECHANICAL J
□ DUCT & PLEM., □ REF. PIPING
heat — AIR COND. SYSTEMS 1
VENTILATING SYSTEMS !(.
... .
CALL ROR FINAL INSPECTION WHEN ALL APPROPRIATE
FINAL
PLUMBING • - .\':a J- >. ■ I
ELECTRICAL h hiMECHANICALn/
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD ' ■ * '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP »- • X
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE J
field welO'ing /
- \
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
■*r^
PILES CAISSONS
« ^
• V •
*
\, ■■■■
'
- * 'Y' V V . . <
X 'V ,
.
1 ■' • .■
^ » V.
.. . >'
' '"v. >
•
•.■.V • V •■ \ • - -
PLAN CHECK NUMBER ADDRESS
ix, 1^0
DATE H -Jo -/5'
PLANNING; TYPE OF STRUCTURE ZONE:
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
% COVERAGE
ENCINITAS
SAN MARCOS
BUILDING HEIGHT_
FENCES/WALLS
TWO CAR GARAGE
REQUIRED SETBACKS,
FRONT . ^
SIDE,
REAR
COMMENTS:
REDEVELOPMENT APPROVAL REQUIRED
LANDSCAPE PLAN COMMENTS:
ENVLWIENTAL REQUIRED:
ADDITIONAL COMMENTS:
OK TO ISSUE:OK TO FINAL:DATE:
ENGINEERING
P.F.F.
R.O.W:
LEGAL DESCRIPTION VERIFIED?,
_ PARK IN LIEU
IMPROVEMENTS:
a.p.n. checked?.
E.D.U:
SEWER:
LATERAL:DRIVEWAY:
- n2o- ^
□
a
I— uju oc
LU *—ocq; o-O LUu a£
grading PERMIT:
DRAINAGE:
EASEMENTS:ADDITIONAL COWENTS:
OK TO ISSUE:DATE:'7
ENGINEERING INSPECTION REQUIRED:
PUBLIC WORKS INSPECTOR:__
FINAL OK:DATE:
IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
1200 ELM AVENUE
CARLSBAD, OA 92008-1989
TELEPHONE
(619) 438-5523
PROJECT
Citp of Carlif^ab
FIRE DEPARTMENT
ARCHITECT /a/ti-*'
OWNER G, fA X'
PLAN CHECK REPORT
ADDRESS
ADDRESS
.ADDRESS
PAGE 1 OF.
APPROVED
x
DISAPPROVED
PLAN CHECK#
r
PHONE
OCCUPANCY _ CONST. /TT-//, TOTAL SO. FT.
. PHONE
STORIES XAtl
:^SPR1NKLERED ^JENANTIMP.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
1.
2.
3.
4.
5.
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(8); site plan; sheets
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following;
6.
Permits are required for the Installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
COi, alarms, hydrants). Plan must t}e approved by the fire department prior to Installation.
The business owner shall complete a building information letter and return It to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
The following fire protection systems are required:,
ja Automatic fire sprinklers (Design Criteria:
□ Dry Chemical, Halon, CQj (Location:
□ Stand Pipes (Type:
-^7.
□ Fire Alarm (Type/Location: )
Fire Extinguisher Requirements:^I-One 2A rated ABC extinguisher for each 4.0o sq. ft. or portion thereof with a travel distance to the nearestextinguisher not to exceed 75 feet of travel. ^
□ An extinguisher with a minimum rating of to be located:
□ Other.-t-
8. Additional fire hydrant(s) shall be provided.
y 9.
>< 10.
.12.
EXITS
Exit doors shall be openable from the Inside without the use of a key or any special knowledge or effort.
A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit anddoors f/J |U—fxTf L i y i ,a./ A/rj% r, /yy OMjT' I
EXIT signs (6" x letters) shall be placed over all required exists and directional signs located as necessary to
clearly Indicate the location of exit doors.
.13.
GENERAL
storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
Bulldlng(s) not approved for high plied combustible stock. Storage In closely packed piles shall not exceed 15 feetIn height, 12 feet on pallets or In racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil
ing Is to be done, comply with Uniform Fire Code, Article 81. -
.14.Additional Requirements.LAt^p/ ,yl /■£jiL r/n/V
.15. Comply with regulatl^
Plan Examiner
n attached shedfTs).
Date-
Report mailed to architect .Met with .Attach to Plans