HomeMy WebLinkAbout2151 LAS PALMAS DR; I; 81-402; PermitI USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
- .1 hereby affirm that lam licensed under
fbvIsions.of Chapter 9 (commencing with" I 11— Section 7000) of Division '3 of the Buslnesê.
Wand Professions Code, and my license I1n
full for and effect ,-
L
I hereby affirm Iam n. that esempt from the, Co
tractors License Law for the following reason (Sec.
, .70315 Business and Professions Code: Any city or
- county which requires a pern'IiI-tO construct
atfer. improve, demolish, ,orrepáir,any structure.
prior to its issuance also requires the applicant for
— - Such permit to tile a signed Statement that he is -1-.
- . licensed it to the, provisions of ,Ihe Con.
- tractors License Law (Chapter 9 commencing with
- Section 7000 of Division 3 of the Business and Pro.
.t' 4 lessions Code) or that is exempt therefrom and the '..'I basis for the alleged exemption. Any violation of
- Section 7031.5 by an applicant for a permit subjects.
IN • tne applicant to acivil penalty of not more than five
hundred dollars (15(5))
1i. 13 I, as -owne 01 the property, r',rryemploees"Ji
-- 5 .. with wages as their Sole compensation, will do the • work. and,the struclure is not intended or offered for I
" sale )Sec. 7044, Business and . Professions Code:
UI — 'The Contractors License Law' does not apply to an Z owner of property who builds or, improves thereon
- - and who does Such work himself or through his own *
o .employees, provided that, such improvement s are
' - ,.. j not intended or 'oferedtOrsaletf. however, the
building or improvement is sold within one year of
completion, the owner-builder will have the burden -
of proving that he did not build or improve for the
.—purpose of sale),
I.' asowner 'f the property, am exclusively
" contracting- with licensed contractors to construct
' - .i 'y f'.the- project (Sec. 7044. Business and Professions
' " ' Code: The Contractor's License Law does not apply
4,_'''to an owner of. property, who builds or improves'
thereon, and who contracts for each projects with a - contractor(s) license pursuant to the Contractor's - - C) . License Law). 'z 't) " ' ' -' - -
- 0 lam exempt under Sec. ,.,- ,B. & P.C.
for this re'aSOn ' •f'
tr-v L
- .., - - • . ,
•,.
0 I hereby affirm that I have a certificate of consent
to seff.insure. or 's certificate of Workers'
Compénsâlion Insurance, or a certified copy thereof I
(Sec 3900 Labor Code) ,
POLICY NO',
x'x4"COMpANy \(-
uS 0 Copy Is filed with ihe,City, - Z 4 0 Certified copy'is hereby furnished:'
'L CERTIFICATE OF EXEMPTION FROM
rt .j' WORKERS' COMPENSATION INSURANCE 4111 (This section need not be completed if the permit
is for one hundred dollars 111001 or less)
f certify that in the performance of the work for
' ?
•;j
'O '(4 ch tfEs permit is issued. I shall not employ any - 39 person in any manner so as to become subject to the Workers' Compensation Laws of California. '
.NOTlCE TO APPLICANT: It, after making this Can,.
. • licate of Exemption, you should become subject to
- the Workers' Compensation provisions of the Labor Code, you- must forthwith Comply with' such - - •,' * ,'. provisions or this permit shall be deemed revoked,
-:"
-F
t -.TD I rrereoç affirm that therels a construction
I lending agency for the performance of the work for '
l which this permit is issued (Sec. 3097. Civil Code) I
ZI . ' - - - . . I. Lender's Name ''--- " -
- L Lender's Address '
, •1, *
- -'-"CARLSBJISUILDING DEPARTMENT - -: aL1ATION PERMIT .. 1200 Elm, Carlsbad, 'California 92008 (714) 43&5525 - ' -- •: - -
JOB-ADDRESS ' ' . ' AV, ST. DATE OF APPLICATION BUSINESS LICENSE #
'5-) L)9 P4M1s DQ.-. 'Su ' ' to '8
' ALUATION , PERMIT NUMBER
OWNER'S NAME ' • OWNER'S PHONE PRIME CONTRACTOR - CONTRACTORS PHONE
J
ZONE
-L.. 4•- g cOtLO -AO . ________
':
',,,•,'
OWNER'S MAILING ADDRESS • CONTRACTOR'S ADDRESS .,) , LICENSE NO. FL I.D. # BLDG USE CODE
1-7 51 •i-V& LE-UC4D14 @2A— i.c'-s &ôks j'iu, -.Le P;,-3i'1sc ')/i'- -
LOT BLOCK, SUBDIVISION, ' ASSESSOR PARCEL NO, DESIGNER STATE LICENSE # STANDARD PLAN # ' BUILDING so: Poo'rAGE
DESCRIPTION OF INK, " - - ' I
DESIGNER'S ADDRESS ' ' DESIGNER'S PHONE
I3ZIM1e' .Z:J F/F F LR ELEV. EDU
STORES occcP IW,p_?.LaI22a7 ,.c qo.oI9927 1 0'02'BI 30.53
,, - ." CENSUS TRACT GP LAND USE PARKING SPACE - RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT , TYPE 0CC LOAD FIRE SPR AREA' '' CONST ' ' ' ' ' ' - •
0 N 0 YO-NO v0 ND Not Valid Unless Machine Certified,
-
QTY
J - - —. ,_,. .
PLUMBING PERMIT ISSUE
' -
/6 0 QTY
,•y
MECHANICAL PERMIT ISSUE
.
3
- • ' -
" SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP-*'4 -.#') , INSTALL FURN DUCTS UP TO 160,000 BTU - BUILDING PERMIT
''" EACH BUILDING SEWER' '.OVER100,000 SIGN PERMIT
-, EACH WATER HEATERANO/O).4''NT ' BOILER/COMPRESSOR UP TO 3 HP _.. PLAN CHECK
EACH GAS SYSTEM I TO 4,,1?6TLETS, .- • , -, BOILER/COMPRESSOR 3-15 HP - - , TOTAL PLUMBING
* EACH GAS SYSTEM 5-MORE METAL FIREPLACE 1 ' ' • - ' - ELECTRICAL-_.-
- EACH INSTAL. A R REPAIR WATER PIPE VENT FAN SINGLE D . I MECHANICAL
EA VA M BREAKER ,. — MECHEXHAUS - HOOD/DUCTS MOBiLEHOME
RSOFTNER _' __' _.-_ RELOC_OFEAFURNACE/HEATER.' - - MOBILEHOME PARK INSP
• EACH ROOF - '',", ':' , , a SOLAR
TOTAL MECHANICAL STRONG
4 ••
MOTION'
' - -_-'TOTALPLUMBING ___I FIRE SPRINKLERS
CITY SOLAR ISSUE
PUBLIC FACILITIES FEE '
BRIDGE FEE QTY ELECTRI CAL: PERMIT ISSUE _.
NEW CONST EA AMP/SWT/BKRL , COLLECTORS , SCHOOL FEE DISTRICT
1 PH 3 PH1 STORAGE TANKS - Carlsbad -p 4
EXIST BLDG EA AMP/SWT/BKR — " ROCK STORAGE - - ' Enclnllas
1 PH 3 PH x., PUMP ., Sat Olegullo
— REMODEL/ALTER PER CIRCUIT - .,..4 —7 PLAN CHECK FEE ,, San Marcus
TEMP POLE 200 AMPS "' - .'. .- .- r 4— -'y - • , ,.
'•' OVER 200 AMPS--
TEMP OCCUPANCY (30 OAYSI
TOTAL ELECTRICAL ' SOLAR - TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION 'AND PERMIT" AND DO HEREBY Expiration, Every permit issued bytfie Building Official underthe provisions ofthia * AN OSHA P€RMITIIS REQUIRED FOR EXCAVATIONS OVER C de shall rk limitation ll If CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE -ato 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF thorized 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 suspended or STRUCTURES OVER 3 STORIES IN HEIGHT - BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING abandoned at 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 0 APPROVEc!'Y OWNER CONTRACTOR KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - \''
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT. ' 1
INSPECTION TYPE I DATE INSPECTOR
BUILDING
Fc1JNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH 1NSU,L-A-710N
!NTERIOR LATH & DRYWA L
PLUM IN I
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT vr
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
HEAT - AIR COND. - SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION W'1EN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING J
SPECIAL CONDITIONS
CERT OFOCQPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REO. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
FOUNDATION INSP
PRIOR TO
STRUCTURAL CONCRETE
OVER 2000 PSI -
-.
-
PRESTRESSED
CONCRETE -
POST TENSIONED
CONCRETE
FIELD WELDING - -
BOLTS
HIGH STRENGTH
SPECIAL MASONRY
PILESICAISSONS
- - -- - --r-- -
• - ______ -
- - - - -_________ t -
V
Ca t e dg397
Prepared. byt • .• o ept
vIu ION ANP Pr\N C C K. r -' 0 Fsgil
PLAft CHECK NO. _________7w 7 ___
0017 j A z .7,;e -BUILDING EUILDINC ADD R S
APPLICANT/CONTACT PHONE NO.
BUILDING OCCUPANCY DESIGNER PHONE______________
TYPE.OFCONS.TRVCTION
• CONTRACTOR •PHON___________
Building Permit ee
zzj6p ;0116
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Plan Check Fec
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
-
• DATEL CEIVE
BUILDING ADDRESS: I / ç. \ $EP.21981
J )
CITY OF CARLSBAD.
IJUUUIII5 I.lJMI LIlIU
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH____________________
UNITS ALLOWED ___UNITS PROVIDED___________________________
SPARKING SPACES REQUIRED PROVIDED____________________
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PRVIDED________________
INRUSIONS
4,,.
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: -
:1 OK TO ISSUE:/1_-"/fr DATE OK TO FINAL DATE__________
ENGINEERING DEPARTMENT - Sft
R.O.W. - S
INDUSTRIAL WASTE IMPROVEMENTS_______________
SEWER CONNECTION S DRIVEWAY LOCATIONS__________________________
GRADING PERMIT • EASEMENTS DRAINAGE__________
LEGAL DESCRIPTION
ADDITIONAL COMMENTS S -
,• I
OK TO ISSUE DATE PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM __ FIRE: PROTECTION EQUIP.
FIRE ALARMS • EXITS___________________________________
FIRE HYDRANTS __LOCATION_______________________________________
ADDITIONAL COMMENTS -
OK TO ISSUE: ATE /c/-/ ___OK TO FINAL___ DATE_______
S •
WATER _DEPARTMENT S •
REQJIRENENTS OF APPROPRIATE DISTRICTS MET DATE -
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SC HEDULE FIRE DEPT
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1 IN SPECTIONS AND TTS
04
24 HOURs lJ ADVIt\3E -
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J PHONL (714) S552'
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FL
tITYFCARLBAD ---
FIRE DEPARTMENT
APPROVED
tests notations hereon conditions n SEp
correspondence arid conf0rrnanc3 wh 2 198
appticabc regulations.T' stamping C/ry
IS7 I.4.) of thse pbns shall not be hJJ to permit OP -'-
2 rov th 1of 0Y7/If
dI bep44b1
___
Subject to field inspection and req'tred
y Date
1 71 7 77
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- ______________ ______________________ - ____________________________
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