HomeMy WebLinkAbout2151 LAS PALMAS DR; ; 81-286; Permite
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O I her.fflrm that I am llcensed under provision, of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
full force and effect.
lot N<> __ Cius
I hereby amrm that I am exempl lrom the Con·
~~<>;'~~!~:; !:: ~,~':0:~c:J. ~.~
county which requires a pennit to construct Ille<, lmp,ove, _,sh, 0< repa,r any structure, pno, to Its issuance aJso requires the apphcant tor
such pet'ffltl lo hie a signed statement that he ,a licensed pu......,,1 10 11,e p,o.,sK>Os of the Con
tracta<'s LtCense uw (C~ter 9 commencing with SectlDn 7000 of Dt•1S•0<1 3 of the Bus,ness ilt1d Pro-
fesSJOM Co<1e) a< that IS exempt lherefrom Ind the bas•> fO< the all8Q8d 8K8mPII0'1 Any •IOlahon of Se<:IIOn 7031 ~ by In aj>pli<:anl la< a permit suo,ec:ts tne applle*ll 10 a CIVIi penalty of not more than """ nunOred dolla,s ($500).
O I, as ow-of the p<Ol)e(ly, a< my employees ••th wages as their sole compensation, w,11 do the
work, Ind the structure .. not intended°' offered fo,
sale ISec 70M, Business ilt1d Professl0<1S Code
The Con1ract0<'s LIC8nse uw does not apply to~ owr,e, of p,operty wno builds°' ,m_ lhe<eon
and who does such work himself or throuot, rus own
employ~. provided that such 1mpt"O¥en"Mmts a,e not intende1 or offered for saJe 11. hc>wever, the
bu1ld1no or ,mprovement ,s sotd w1th1n one ye¥ or complehon, the owner--bu1lder will have lhe burden
ol p<O¥tng that ne did not bu1l<1 °' ,mp,ove f0< the purpose ol sale)
CJ I, as owne< of the f)(operty, Mn exclusively
eonuachnQ with licensed conlrac1ors 10 construct the f)(o,e<:I (Sec JOU. Business Ind Professions Gode The Contrac:10,·s License uw does not 11>1>ly
10 an owne1 ot property wno bu1kis or improves ~:~t~ 7.e~c:::!~ ~:C~~~~::.: l,cen.w Law)
0 I om exempt undef Sec
to, tn,s reason
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0 I hereby affirm that I ha.-e a cert1hcate of consent to sell•tnsure, or a certificate ot Wo,kers'
Compensation Insurance. or a cen 1l1ed copy thereof (Sec 3800, utbo< Gode)
POLICY NO
COMPANY
0 Copy ,s ltled with the c,ty
0 Cer11f1ed copy ,s hereby lurn,sned
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This seclton need not be comp~ted ,t tne perm,,
,s lo, one hundred dollars (S HlOJ °' tess)
D I cen ,ly that m the perf0<mance of the -10< wl'ucn 1n1s penn,t 1s issued. I shall not employ any
person 1n any ~ner so as to becon'te sub1ec1 to
lhe Wol'll.ers· Compens.a1t0n Laws of CaJ1lornsa
NOTICE TO APPLICANT II. aller malun~ lhtS Cert,
hc-ite of E,emptl0<1. you sl>Ould beCO<ne sul>,ect I?
lhe WOfti.ers Compensation prov1st0ns of the l..abof Code, you must tot1hw1th comply w1lh such
provisions or lh1s peffll1t sha.11 be deemed revohect
r O I nereby athrm tt'trat there 15 a con.suucuon
CC 1eno1no ilJQency ror 1he pe,1otrTW\ce of tne wOl'II lo, ~ wruch 1h1s permit ,s issued (Sec J097 C1v1I Code) ffi Len<>ers Name __________ _
-'
L Lenders Address ----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANTT LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLS BA ILDING DEPARTMENT
1200 Elm, Carlsbad, Calltornla 92008 (714) -438-5525 AP CATION & PERMIT
J~°/si L.*-, ~/~~-4-5 A~·;Tl7~:e;TIONI :;·~;_~ da~u;;;
~;;;;c__1VEs~ ~~ 1 4e;W:ER22.No 1.f?~ONTR~-,Jr~v r-~~i~z~NE
L, I BLOCK W' .. :~~y1~~9 l ASSE~J ~~EL NO-~ ..... ~ DESIGNER STATE LICENSE" STANDARD PLAN II p~, ~SL$(/ C-<f-Zf I DESCRIPTION 0.£.Y,ORIC -?i::.i ~--rr
I 5mE G
F/P FLR ELEV.
vO NO
GRADING f'.ERMIT ISSUED
NO
STORIES
TYPE
CONST
OESIGNE R'S PHONE
7.7&-0/0'Z
OCC LOAD FIRE SPR
71
I
I
7
PERMIT NUMBER
BLOG USE CODE
I •
CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS 1 YO HD I REDEVELOPMENT A REA
vO NO Not Valid Unlffs Machine <Artditd
QTY. / PLUMBING PERMIT -ISSUE . SUMMARY/ACCOUNT NUMBER QT~. MECHANICAL PERMIT -ISSUE
,,_,l/ EACH FIXTURE TRAP ~ T. -(1 INSTALL FURN. DUCTS UP TO 100,000 BTU (.L,.. ,-BUILDING PERMIT 7TJ.ifJ ... rn ------------'~---'--~""--''-"' ...... .c....l EACH BU ILDING SEWER /" OVER 100,0~TU SIGN PERMIT r, _ / 1 +--~~~~-+-~~+-~~~~-~~~~~~-,,'-:..._~~~+-~-~~-...... ~~~-~~~-=---,f+...--4-J'--~=-~-+~~~~~~~~--l
EACH WATER HEATER ANO/OR~ _/ BOILER/COMPRESSOR UP TO J? PLAN CHECK (7/ 11.J...( f'1/ ~/<.i
EACH GAS SYSTEM I TO <UliJTL~ BOILER /COMPRESSOR 3 I~ TOTAL PLUMB~G / / vr •-r
EACH GAS SYSTEM~ M_Jl,R{' METAL FIREPLACE / ELECTRICAL ----+-------.._ __ .j_
QTY.
EACH INSTAl ._;.ef'ERflPAIR WATER PIPE VENT FAN SINq;.,("DUCT
EACH VACcfuM,.Bf(EAKER MECH EXHAICfST HOOD/DUCTS -------1----------11------11--------
WATER SOS"'f'NER RELOCATION OF EA FURNACE/HEATER
EACH RcffiF DRAIN (INSIDE)
TOTAL PLUMBING T
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT /BKR
1 PH 3 PH /
EXIST BLOG EA AMP/SWT/BKY
I PH / 3 PH
REMODEL/ALTER fiR CIRCUIT
TEMP POLE ~MPS
OVER 200~PS ----
TEMP OCCUPANCY 130 DAYSI
TOTJ;L MECHANICAL
QTY. SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
, __ _.. ___ _
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
7 .-STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encmuas
San D1egu110
San Marcos
--
1 --;_
,71
Ir/-,~ -
f : I
Tl · ,,~, -
/ I 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
DEC~RATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
* AN OSHA PERMIT IS REQUIAED FOR EXCAVATIONS OYER
5'0" D£EP ANO DEMOUT10N OR CONSTl'UCTION OF
STRI.ICl\JR£S OYER 3 STORIES IN HEIGHT
Exp,rahon e .. ,y perm.t 11sued by the Building Olllc11I under the prov1S1ons olth1s
Code shall exptre by l1m1tat,on end l>ecome null and void If lhe building or work authorized by such permit II not commenced ,..,,h,n 180 days from the date of such
permit or ,f lhe bulldtng or '*°'k 1u1hor12ed by such perm,, •• suspended or
~S~D roOOMP~WITHMLCIT~OOU~Y~D~A~~~GO~R~NG~LrnNGCONL~~~~~~~~~·~·•~n~w~h~-~~~~er~t~he~w~or~k~t~s~c~o~m~m~~~ced~f~o~r~a~-~n~~UO~l~l~~d~~~·--~--~--------------~~--~-~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . % KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND APPLl~ANT S SIGNATU • OWNER O CONTRACTOR O APP:]IED BY :%
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THt"'"J~ ~ ~ / -D I 1. ~,
GRANTING OF THIS PERMIT ~ _ _-__ ,.., I --/-_ c:Z--~ /._ BY PHONE ~ ~ ~ • 1 ---,, 0 /
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~/~;)_~ INSPECTION TYPE DATE INSPECTOR .. BUILDING
FIELD INSPECTION RECORD
FOl.JNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE ' MASONRY CHECKED APPROVAL , .
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO . FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI ~-
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING -
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS '
PLUMBING TOP OUT SPECIAL MASONRY
-
TUB AND ~HOWER PAN
GAS TEST ' PILES CAISSONS
ELECTRICAL .
TEMPORARY POWER
'
ELECTRIC UNDERGROUND
'• . ROUGH ELECTRIC
ELECTRIC SERVICE . •· / -~ . , .... .. .
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
tiucT & PLEM., REF. PIPING ~
HEAT -AIR COND. -SOLAR SYSTEMS . ' .... ' VENTILATING SYSTEMS ,--....
., CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ("'"'I
~ ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL I I -... -¥~ PLUMBING I I C,f/ I
ELECTRICAL ,1 ,,,,... /"'1,/ ,,,I I (7/ { ' .
/ . 'L 'I 'I JI MECHANICAL
GAS L/T-f I ... .. ' -BUILDING ,-.
SPECIAL CONDITIONS I
CERT OF OC.NCY ISSUED
D:ite 1 '1l1q/(?I
Prepared 'oy1
-.:f, Gt\~"' I CllV\
PL:\:I CHECK NO . '(I -2, 9 ~
EU I LDH~G ADDRESS ~ \ S-\ L ft c; PAL-YY'I V\ s
APFLICANT/CONTACT °?, G,, E~~E°f'.lS €.lt_ fi:Oil :: ~:c. (:J\ 4)
2UILDr~G OCCUPANCY ~-~ (T,'J: • ~D:::S :1.NF.R PHONE
,2..~-010'2.
TYP2 Or COtlSTRUCT I O;-....,.,..,... _ 6 \ C ------l\\ IV CdTRAC:O~ ?HO NE -----------
SU ILDING PORTION EU ILDING ARE:\ · V ,\ LU A TT ON 'I A LU S
l·:ULT T~LIEH i,G ,, -G'3°! --ttr)::.P,0..) O'F(:-1~ ~5(e. , ·Z-.4 ~4
ef2.o-011 di {11 fu80 (~t'~ I Lf~ }~~ I
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~' l. (f;S°"~ ~ ,b"j I 8 ']0. \ I -----F 7
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Air Conditionin g I
Commcrc1nl ----
,...._ . .
Residential
~-i r e S or i n l< l e r s I ·-
I <ft Total Value I 19cC\4
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Eu ild in~ r crmit ~cc
Pl an Check Fee
----------
--------
-------
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT Dar:ECEJVED
c2/S I o!L J:k"'J') ~ BUILDING ADDRESS: JUL 141981
PLANNING DEPARTMENT
UNITS ALLOWED UNITS PROVIDED ~-------------------------
PARKING SPACES REQUIRED ---------~PROVIDED ___________ _
_____________ PROVIDED % COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
• FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
__________ PROVIDED
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE: ¢DATEJA
1 ,f!zf;f TO FINAL _______ DATE ____ _
ENGINEERING DEPARTMENT
R.O.W. ------_______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEW AY LOCATIONS~------------
GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION~~~-~~7~~-=~~/-3~-~0~~~~~-~~~~~~~~~~~~~~-
ADDITIONAL COMMENTS ____________________________ _
! \
OK TO ISSUE:~ DATE 1.· t\•il PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRIUKLING SYSTEM FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS __________ LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE:
QUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _