HomeMy WebLinkAbout2180 LAS PALMAS DR; ; CB880322; PermitU) z 0 j::
C a: C '.J (.) w C
IC:_·~~', \',. ~ l_:~. e,[: 0 I ·~~-reby affirm .that I am licensed under p. _ provisions .of Chapter 9 .(commencing with..
:: ~ .. ~tl(?n 7000) of Division 3 of the Business
1-' • · •and. Professions Code, and my license Is In ~ fuil force and effecf .. ' , ~, . ,
Ur· • .
, I hereby affirm that I am exempt from the Contrac-tor's 'License ,Law lor the following reason (Sec, 7031 5 •• 'Busille"sS and Pfcil8ssionS Code, Any cf(y or county whicti're-~ 1
' q·UireS a· PerrT11t to constJpct, aller. 11l1proye, Demolish. or
repair any structure, pnorJo !Is issuance alSo requires.the ap-
fi~~~~!J0rp~~;~a~ri::;t 1We111~rgv~~~"n;d ~{3;~~0~a~~~!c~~/~ Uc'en'se·Law (Chapter ·g• commelicin~ Willi' Section, 7000"of' 10lvls1orl 3 of the Bustn8sS,3nd P'rOfess,olls Coc1'e),or that is'ex-r
empt thereJroni and the basis tor the.alleged exemption., Aqy • vio)ation·of Section 703r.5'oby an applicant for a permit s,yb· • ,, jecls the applicant to a civil penalty of not,more than five hun-
' dred dolla:s·(S500), . __ _ .. ,
:. • ·1 I ·I, as·own~r of,ihe properly. or•my errijijoyees with wages ffi : as their.sole compensation. will do the,work, ,and the stfuc-
C ti\re [s,notintended or-offered lor sale (Sec, 7044, Business
.::J' and Profess1om, Code: Tlie ContraCtor''s License Law does 5 no,t ?PPIY tq_.ah oy,ner or property, who builds or irriprqves, m . thereon and·who,does•sucli.work himself or throug~·h1s own 'ii:, empCoyees,.providild that,suCh improveffieOts are not inte-nd· w ed or ollered !or sale. 11.·however. the•bli1lding or improve-Z ment is-sold within one year Of cOmµ,letiorl; the owner-builder ~ wlll 'hiive the burden of pfovmg tha'rhe did. nor build ·o, im·
USE BALL POINT PEN ONLY & PRESS.HARD L0/58'/-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
• \ 1.
J,oe'Aocii\ess
·2180•
1.,01 I BLOCK .J/·
oWNER.'S NAME
CARLSBAD BUILDING 'DEPARTMENT
¥CJ?5 l:.as P~~rri_a.s_Dr.;,qa_rlsbad, CA 92009-1915 (619) 438-1-161 APPLICATiON & PERMIT
'A.V. ST. Ro:' : THOMAS BROS NO. ' 'eySINESS LlC,ENSE # VALUATION
_--1 SL/B0t\/1$10N _.,
u . .. .. JS~ooo
~E~SOR P,AflCEL No.·_ ~ /' CONTRACTOR "4-43..,.. c:t5'0 -.=>:D
PERMIT N'UMBE,R
Cp <tio~:a."t-
. · ~ ' '· OWNiiA'S PHONE D~LS pA-t..pr,ndfl_ i' 1 A:ss~~ 'Jf£-o.o/4. . _. BUILDING SQ. FOOTAGE -
,OWl',jER'S MAILING ADDRESS , • ·, ·/do ::,:., ~tJl!.Ji,-:n::~ .... . . 0Es1GNER's HQfl!E
ESS -STATE LICENSE NO,
...... ., I I . -7 F/P
vD NQ:
PLR ELEV.' ' .,, '.
-\. · .. ~ / I·":' i ---.-,,
6cc GP EDU: NO
STORIES 0023 03/15 0101 OWldPmt 808,,0(
GRADING PERMIT ISSUED TYPE OCC LOAD FIRE SPA
CONST
2 µ:
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0 0. E: Q) I-
I
:2·
0 (9
,0 prove for the purpose of sale),
, • 11 i.,as own~\ of the p_roperty, am:e~clus1y~ly contracting '_ with licensed comract9rs t9 construct the pro1~ct (Sec. 7.044,
Business and P,rofessiO[lS Code: The Contractor's License Law does not apply to ari:owner,of,property who bmldsor-1m-·. proves-thereon, -and·who contracts· for-each~projects with a ,contractor(S) license ,pursuant to trie Coittracfor's License.
=' '-L CENSUS TRACT J PARK ·.NG SPACE I
~ ,,• . '
RES UNITS t
y D N .0 r VE'LOPMENT'
A
_ vD_!'JO '\'.D.~.D Not Valid Unles~.Machine t;ertified .J 'c:,
,.;.,.
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•' .w ,l' C. :[ z ~ .. -
Law)._·,._ .. ,. , .. ,_ .
[T As a homeowner I am'improving'my honie; and.the follow-' ing coliditicins.ex1st· , _ .
1, The work is being performed,priorto sale. 2. 1, have hv'ed· :in ,my,-home for 11We1ve months prior to com'plelion orthis ,worlc -3. t have not claimed this exemption durmg the last three.years,
D I am exempt under Sec. _______ , B & P,C,
.,tor.this-reason_~-------'-----
· •D I hereby affirm thai l'have,a certificate of consent to
.QTY.I 1,. .PLu~}~'11'Jo RERM1;. 1ssuE -_., .• . .,! ' ' ',.,
·•--~A'Cl,j:fll(Jlj_flE'T•RAP-~ ,. 1' '!_·..".~._._,_,
EA..C_H_ BUIL:0'J~G,SE,WE_R-·v: . : ~~,,.
. EA;C_H ,WAT.ER H EATEk)l;N o'ii:l R.)1'(,fi-1_)
~E~CH GAS SYSTEM 1 TO 4 jd'i:LET,_S__
EACH GAS SYSHM 5~0RE
EACH INSTAL. AL])1'11, REPAIR WATER P(PE
EA'CH VACUIJ,l{"BREAKER
'WATER}flff.NER
EACH-lOOF DRAIN (JNSIDE)
) '
c:Je5V -OTY.
_I
MECHANICAL PERMIT -ISSUE
INSTAq fURN. DU~TS UP T.D 10Q,OQOyd"',
OVER·lO~tlll BTU
BQI.LER/COMPRESSOR UP T¢iP
80 I LER1COr,1P,R ES$0 R..)-1'5 HP'
METAL FIREPLACE/
VENT FAN ~LE D.UCT
MECH e1HAUST HOODIDUC.TS
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
TOTAL MECHANICAL
1~~00
E -
.
SUMMAF-IY/ACCOUNT NUMBER
BUllDING PERMIT 001-810-00-00·8220 /?/
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK OOHl10-00·0~-8891-}~~
TOTAL ~IING'r.\ A -ft-~~-8222
-.,-,
ELEC~:p-..c, fi.Qi..R@IU.'8223
MECHANICAL -Op1-810-00·00-8224
MOBILEHoMi:l 1N 1 7 atSmRoo-o0-8225
SOLAR 001-810-00-00-8226
,s1RoCIIJmef CARLIIMD-33 I / I
self-insure;or a certificate of Workers· Compensation In-· ' T I I
surance. or a certified copy thereof(Sec. 3800, Labor Code) TO l AL p LUMB I N.G I
'POLICY NQ. .
--~,~~·~=-,, Dlnt!lttlili!l·~iic -. PUBLIC FACILITIES FEE . ~20-810-00-00-87 40
COMPANY
~ Copy 1s filed with the city
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION F'ROM
WORKERS' COMPENSATION INSURANCE
(This section need riot be completed 1f the permit
1s for one hundred dollars ($100} or less)
0 I certify that in the performance of the work for.. which
this Rerrriit is issued1 I shall not employ any person in any
manller so as to become subJect to the Workers· Compen-
sation Laws of California.
"NOTICE TO APPLICANi: ff. after making this Certificate
'of Exemption, you should become subJect to ttie Workers·
Compensation Provisions of the Labor Code. you must
forthwith comply with sych provisions or this permit shall
· be·deemed revoked.
0 I hereby afffrm that there ·is a construction ·,e-nding
agency for the performance of the work for which this per·
mlt·is i~sued (Sec ·3os1 .. c1y11 <;:ode) · •
Lender's-Name_~-~~~----~--
Lender's Address, __ ~---'-~------
•QTY. ELECTRICAL PERMIT -ISSUE ,c:; c:JO QTY.
NEW CONST EA AMP:SWl B,KR • CAR PORT
lPl;J 3°¥, AWNING
_E_XIST_B'Lb(} EA,~MPISWT ;~ GARAGE
1 PH _/ 3 PH
R0EMODEL'ALTER ftR CIRCUIT
T~MP POLE ~MPS
OVER 20011,M'Ps
T .. EMP ii-1:UPANCY (30 DAYS)
TOTAL ELECTRICAL l
MOBILE HOME SET~S1,1~
TOTAL
/~" -t~T ~Q~ z ..
:0)
,1%f
~ ·~
~
'<nO w liJ\IV
-~~P,,uor.~
GIil '"!:1'"~--NiV nF c11RLSBI\U
C~Rl-~•"i.
~r ........ \
~ ~~
~' -~ •v'/ .• Oj
.A'!'J./ '-.!,. __ -().~'Y . ~ ,,. .. --=----
BRIDGE FEE 360-810-00-00-8740 -
PARK-IN-LIEU (AREA )
TIF -312·810-00-00-8835
LA COSTA TIF 311·810-00-00-8835 .
FMF
LICENSE TAX 001-810-00-00·8162 l s.as-
MFF 880-519-92-57
CREDIT DEPOSIT
TO:rAL FEES PAYABLE l -iot--
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E~ery per_mit is!ued by the Building Olficial'!nderthe·provis,onsofth,s * AN OSHA PERMIT IS·REQUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmitat,on •nd become null aod void If the building or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF , authorired by such permit 1s not commenced within 180 days from the date of such DECLARATIONS ARE TRWE AND CORRECT AND I FURTHER CERTIFY AND AG.REE IF A PERMIT 1$ permit, or if the· building or work authorized by such permii 15 suspended'or .. STRUCTI,IRES OVER 3 STORIES IN HEIGHT
ISSUED: ·TO COMPLY WITH ALL CITY. GOUN1Y AND·STATE LAWS GOVERNING BUILDtNG CON-· abandoned at an time after the work 1s commenced for, a nod ot 180 da s, · -,.
STRUCTlON. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND · , · . 'I'll 'AP~" --·· KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABILlTIES, JUDGMENTS, COSTS AND ~PPLICANT S. SIGNA~WNER_:: CONTRACTOR:.,a,.,. ED BY ~
. EXPENSES, WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE · BY PHONE ~ •
GRANTtNG OF THIS, PERMIT, ' l''f ,
DATE .
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~--,~ ____________ .,.._ ...,........,....-,--,-_,...:--,---::-:-:::::~=-. -. . --' I •
_ TYPE ! _ _ 1 DAT.E INSPECTOR -· · (J8 81d) .3 ~
B_UILDING :-
FOUNDATION ; _ ~F_.::IE=-:L:.::.D_IN_s_P_E_C_T1_o_N_R_E_c_o_RD'------'----'-----.--r----------'-------'--------~-----1
REINFORCED STEEL ; REQUIRED SPECIAL INSPECTIONS '=====~1;;,N~SP:.,;;E;;;;C~T~O,;,;,R'~S,,;;N;,;:O;.:,,T;,;ES~====-=--========;====;=====j
MASONFJY : REO IF INSPECTOR'S ,.
GUNITE OR GROUT : INSPECTION CHEC.KED APPROVAL DATE_ -~·~cµ·-~~~~~-· -----~-------------------j
. CEl11ING /. r' l .. V-.bf..,,'.;ir.-~ SUB FRAMED FLOOR D 1.:. SOILSCOMPUANQ~ F;:;., L---=.,.~!.1g;'i'+~,:,--------------------==---1 SHEATHING D ROOF D SHEAR PRIOR TO /r:,..,· ~<,;-)"\
=-:...:..:::....::..:...:....:.::..:..:...:::.:___--=:._:_:,,;:.._ ____ ,'----'-t------t----, FOUNDATION INSP e-.?, ~---,---1:"'~~\\¾-----------------------j
FRAME ' STRUCTURAL CONCRETE :;.;; • ' . \:.:\ '
EXTERIOR LATH : -OVER 2000 PSI· /:..,. t __ , •. • ~ ~
IN' SULATION . ; A I . PRESTRESSED i;;; ·-. ;·· ,' .
-• U -CONCRETE 1 ~ , µ,~··j,:';,"JL,__...,.l.~.:.f.-/ ___ -'--________________ ---j INTERIOR LATH & DRYWALL : 1//1 I I I~ /Jl/fJ.1 / POST TENSIONED \~~ ,.:.. ·/
: , 1 , 7 t -• CONCRETE \<·,.. 1-----,,,___,£-."_::;...,_'_;_,• ----------------------i
______ P_L_U_M_B_I_N_G __ ---':---1----t-,,f--_.__ _ ___. FIELD WELDIN:G' • ·:, ,-·k-a--,-,-~"~\ "..:,,_.'·~~_:_~ ._· ---------~---------~--i
tJ SEWER AND BUCO D PL/CO HIGH_ STRENGTH. ' . -· _,_ /
. BOLTS 1-------------:--=~:-;:--:::--:-----------i UNDERGROUND D WASTE D WATER !'¼i.;H'";Qi..t•.:1:t-,-! i..t~""rt'.)?H,~i! i~i.r-'l-~ :::...:....:.-=-=..:_:_--------~''----t-------;----, SPECIAL MASONRY v.··--~\t; -!t;:, •·., V-'-""-~· • ·• "
TOP OUT D WASTE D WATER 1-----'-----+----+-----+----t ~:tA iiot ~~ff-;fi~f'jui,,
tuB AND SHOWER PAN ! 1---------+-~-+---~-+------i ' .-,.. ~ • . ~ .. --. .
GAS TEST : PILES CAISSONS • '.,·' l .~ ,:,.1 ::::-,
D WATER HEATER D SOLAR WATER .
• ' ,. ....... 'T"\ '( _ lf "1 ,f %"\ y-•:.,, fl ' l---------+---+-----t----1 ~-.. -t £:.. 'I D f':i .!-,A
·-ELECTRICAL : ~ b:-------,-,.,.,,...---+----t-----'-t------1 . -, ~ ·
D ELECTRIC UNDERGROUND D;UFFER -,,, f-7 ~ • --.,'l /{?(
ROUGH ELECTRIC : l/l/,. . ,. w,gJ V:~t ( If)' ' ..
D ELECTRIC SERVICE D TEMPC>,RARY ~T-. . . ~\
D BONDING D POOL : . ' h'f~ I V 1----------+---t------J-----i l---"'-------------,-------------j
------------+: ---t-----;-----;...,-, )
MECHANICAL '. (iJJ1: . ~
D DUCT & PLEM., D REF. PIPlf',IG JP ..... i~ I , _ . . , ··
HEAT -AIR COND. SYSTEMS 1 . J'.~'".l-~\.'------------------------7 VENTILATING SYSTEMS i , _ ··. , _ ~ _ 1,fJ ir:7,.~l~11
' . ';r' -._ V 1----~~----------------------1
CALL FOR FiNAL JNSPECTION WHEN ALL APPROPRIATE· -. -b~ ~ .,f'D
ITEMS ABOVE HAV:E BEEN APPROVED. . _ . • ~ -~ JfJ ~) 11 . ., . . • _
FINAL : · ~ · -. ~ . .:.H v-.,,.,AP ,1 ~-..!....--~------------~
PLUMBING .EY/5>//.A.JG ! /1 .,~ .111~ o(,,V' .J\l'ff ~) •7r L~(~ _ ,1---...:..·__:_ __ __:__.,--,-~-":---\~-------------1 ELECTRICAL : A Ji r' ,-,: ~~ jv,J? · ~-' · JP" -' . U V\ ' . ' . . --":, ._ , , . ~ -::~
MECHANICAL ~/'~/~ : --., / -Av---::· !·(;!/ ,,. up.;v 1"' wflr1' , -.-• , • _ _ ~ • , ~ ~ ~:; : , 1 , v 1 ~ 11 ~ 1 ir, -~~ ,1--~ r -:, 1---------__;_--'-,-___________________
7
BUILDING : / . LI/ . fi ,,,J ,,,._ptt/lv !-~------------------------:-------1
SPECIAL CONDITIONS -: /, • F> ...
: . L----------L---'----~--~ -------------l'-----JL--------------
FINAL BUILDING INSPECTION
..: " '"''"'"
PLAN CHECK NUMBER: 880322 DATE:
PROJECTNAME: ___________ ~--~~--~--....,..-c'----~-,----,-,----,-'-~-----,-,,'~
ADDRESS: 2130 Las Palmas Dr.
PROJECT NO.:
TYPE OF UNIT:
_________ UNIT NUMBER: ---~----,'-· PHASE NO.: --~----~
_____ c_o_m_m_T_J'-.. _· ---NUMBER OF UNITS:
CONTACT PERSON~· ____ S_h_a_r_r_a_tl~C_o_n_s_t ____ ~-'-,--~'-'-'--,,-,...._---',-_~_----, ___ _
CONTACT TELEPHONE~· __ -'-7_45_-_0_9_4~5-~--,---..~~-~~-~-'-,-'-~~~~---,-'-,......,..,..._...;..-~+,-
bldg, engin.,.plan, fire. h2o.
•. I
INSPECTED
BY: ____ ~-----
INSPECTED BY: _________ ~
INSPECTED
BY: ___ ~~~----
DATE.
INSPl;CTED:
DATE
INSPECTED:
DATE
INSPECTED:
L. ...;,· -
APPROVED . -~
APPROVED -~-
APPROVE!;) ·-~-..
Costa Real Municipal Water District\ JUN. 1 5 ·19aa
COMMENTS: Engineering Oepartment ~
(619) 438-3367
;,-_
.. "'·-:..·.
" ''l ~
··"'
DISAPPffOVED ·---
DISAPPROVED ~--
DISAPPB0VED -'-~-
.. -
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities. PINK: ·Planning: .GOl,.D: Fire
;:..,.}
:::?':".f.~7-:._: .. ~:~~(~:11¥'.~~/~~r ·.: ·>-,1;:p.·.-1·~?2/~"~~icJ.t'¥~~~,~4~:,;;~p~~it~~1¥ .. 1w~~j1$.~~~i\'!'?¾,"'111'~~~~1 _,, '_,.'..,";.r;!~~,:-,t-.!..-.:--, ·~-'\~~.,..,-..\..,.,,~··JO;t..\~..,f,,c-~ljl'~ '"-'4--c-yt,'\l\:~,..il"'-.(.tf ~1~ .• Jf'iil~'\'-,.~;,Hf,,-.,~~.,..,,.,.~~~"J....:::::~•-f! ,t • ~
. ·,~ .
~"' -~,-f-~~A"' FINAL fjtUl~N~,1NSPECTION -
PLAN CHECK NUMBER: 880322 DATE:
PROJECT NO.: ----~---UNIT NUMBER: ~-~-----
TYPE OF UNIT: _____ co_m_m~T_I ____ NUMBER OF UNITS:
IN~PECTED &.. ~ DATE ¢r/a<a -2SZ BY. ~ INSPECTED: APPROVED :DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
.INSPECTED DATE
BY: INSPECTED: APPROVED. DISAPPROVED
COMMENTS: ----------~~------~--,.---+--~---'-'-'~~--'---"--"---'--',~
·.' '
i -:-: -
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY.:~tilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION >#f: ~-',,~ .. .,. RECEIVED JUN 1 6 1988
PLAN CHECK NUMBER: DATE:
PROJECT NAME:---------------------------------
ADDRESS: _______ l_1_8_0_W_~-~-~-' _Jm_~_IS_· _O_r_. -------~----------
PROJECT NO.: ________ UNIT NUMBER: -~------PHASE NO.: -,-----',----
TYPE OF UNIT: ~----<:_e:.u_m_m_T_l ____ NUMBER OF UNITS:
CONTACT PERSON: ____ S_h_o_r_t"_o_t_f _(:o_._h_lrt ____________________ _
CONTACTTELEPHONE: ___ 7_4_5_ ... _o_o_~_s ____________________ ~--
c. ~Ny~PECT~
INSPECTED
BY:-----'------
INSPECTED BY: _________ _
DATE / V
INSPECTED: {.,//<.,/kr APPROVED ~
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __ _
APPROVED
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS:------------------------~---------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CAN~61Y: Utilities PINK: Planning GOLD: Fire
f'
.FINA,l,. BUI_LDiNG INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME:--------------~-----------------
ADDRESS:
~· PROJECT NO.: -------~~ UNIT NUMBER: ~-~--·1...c.:t ___ PHASE NO.:
TYPE OF UNIT: ' _____ c_,_o-n_,~_T_I __ ~_ NUMBER OF UNITS:
CONTACT PERSON:, _____ t_,i_lf_.t_t'_r_n_t_l _~_ ... ,_a~n~p~,t~. -----------------------
CONTACT TEL~PHONE~· ___ 1_4_$_-0_9_4_5 __ _,..,-~"'---,-------~-------,-------
INSPEJOTED ~d
.BY:-~-~~'-,"~.._,---+-+-----
INSPECTED BY: __________ _
INSPECTED BY: _________ _
.DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED ~ DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS: --------------~--------~-------'-t ______ _
Rev. 1/86 WHITE: Suspense 'BLUE: Water District GREEN: Engineering. CANARY: Utilities PINK: Planning GOLD: Fire
2560 ORION WAY
CARLSBAD, CA 92008
~ttp ~of CCarlS'lJab
FIRE DEPARTMENT
PAGE 1 OF_/_
TELEPHONE
(619) 931-2121 APPROVED ·
PLAN CH ECK REPORT
DISAPPROVED'><
PLAN CHECK# (!./J fif?-32 2
PROjECT6&Y// £°(«,?f,,c.. ~ffJ4/. ADDRESS 2/Bo t11s PALfA,.,~.A:;
ARCHITECT -"-j--i'1/_.-'-A-'----~-------ADDRESS _________ PHONE _____ _
OWNER i=. V DAVI s! ADDRESS _________ PHONE
OCCUPANCY B2 CONST. S .... -=-,;;_1-..._f ~--TOTAL SQ. FT. /7, .:2 (p ']_ I STORIES
~~SPRINKLERED ~TENANT IMP. ---~--'~-------------.,-----------
. . ,•' . '
__ . 1.
---2.
__ 3.
~4.
__ 5_
'I. 6.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING to THE FOLLOWING CONDiTIONS AND/OR MAKING·
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND P.ERMITS
Provide one copy of: floor plan(s); 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: . _
Permits are required for the installation of all 'fire protection systems~~ stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
The business owner shall complete a building information letter and return it to thEl fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
Th, e following fire protection systems are·requireq: _ _1 1. ..,, /\,.., ,,
'-@Automatic fire sprinklers (Design Criteria: -"'L..'-'-'-1 "\.-+-h"""l __ ~c.,_1.A_-,i--'-_1<-=.w=---'1'--;--'-.i---"O=-rF,.c....:.1_<--"~=--~/l'--'-'K""'!-"t:-'-II_-___ _
D Dry Chemical, Halon, CO2 (Location: ____ · ---'----------'------------
. D Stand Pipes (Type:---,--------...,..,,,,---;;-__,,.-,'----,-----------'-----------,
D Fire Alarm (Type/Location: _____ ,,. ___ ;._· -----'-----'-----~------~---
__ 7. Fire Extinguisher Requirements:
0 One 2A rated ABC extingui.sher for each =-----"'-'---'--'--sq. ft. or portion thereof with~ travel distance· to the nearest·,
extinguisher not to exceed 75 feet of travel.
0 An extinguisher with~ minimum rating of to be located:
D Other: __ ...,_ ____ ~-----~---------'------------'---
--8. Additional fire hydrant(s) shall be provided ------------'-------------.a...
--~-
__ 10.
~ __ 11.
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 and
doo~ · ·
EXIT signs (6" x ¾" letters) shall be placed· over all·required exi:ts and directional signs located as ne9essary to
clearly indicate the location of exit door-s.
I GENERAl-
__ 12. Storage,. dispensing or use of any flammable or combustible liquids_, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code. ..
'Y, 13. · Buil'ding{s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in 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 R~quirem..=_nts. -As PEtL L,/. St!-. ·3 30 3 Ce)
, . 2/1--,,c;,C --I Lou((..., f::::-1..-1-Y IAJ <=: Pr-'\SS2'~ 'Tli«ou <: h
lu..Jn :J:>·J1Dl.Ot>J 1106 /L::::>uL.,vl.,.s. 7 iJ (c.c.~Ac i1.. ~.,,'.'.\, /~ •-<._,.·_ ,_ •
__ 15, Comply with r~gulations_on attached sheet(s). . . /, /-!t'-~ . l ; ,,., ,;:...,:• "
Plan Examiner _......_ -' ( _ -C , Date-'-'-?_;...,,.·,_,/ 2=---~-',-'-/~.,..,_t..,_Y!-, ___ ,;;__
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Report mailed to architect __ ...,. Met with --"--·----------~-_, __ _ __ Attach toP.lans
. ,. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS .
. .. .. .. '· . CARLSBAD BUILDING DEPARTMENT APPLICATION &-PERMIT --a: -
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prov!slc?n• of. qhapter-9 (col)lmenclng with
Section 70()0) of-Division ;3 of_ the El'!slness
and .ProfHslons Code, and my license Is In
full force •!:lil.effl!CI. ' . -a ·, l ~
I hereby affirm that I am exempt from the Contrac· tor.'s License Law .lor the following reason (Sec. 7031.5 Business alld PrOfesslons Code: Any city or county wh1cli re-qmres a permit~ to-construct, alter,, 1mprove,-demohsh. or
Ill' z 0 i=· ,c a:·
· :I 1 : 1Jepair any structure, ppor to its issuail~e also requires !heap-plicant·for such permit to file a s,gne~ statement that he is ,licensed' pursuant to. rne· prov1s10hs · of' the Contractor s ·license Law (Chapter 9 comm'encing with Section 7000 of o,v,s,on 3 of the Business arid Professions Code) os that 1s ex.-empt therefrom and the ba·s,s f.or.-the·a11egeo ex~mpt1or. Any v10Ia11gn.of.Sect1on .7031 :S'by an,_apphca~t ·for. a"per_m,1 sub· jects the apphca'ot to a i:ivitpe'nalty,of not m·ore.than five 'tiun· dred ·dollars-($500). · · -
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1,1 I, as ownei of I.he properly, or my employeei with v,ages
as'•t,Mir sole1comperisat10flr wilhdo the work, and the struc-ture I~ not intended or' ottered-tor sare (Sec. 7044, Business and' Profess,om, Code~ The Contractor's license Law dDes not· apply, t~f an owner o( prqperty. who bmlds ·or improves .thereon and who does such work~h1mse\f' or, through his own
employees .. provJde~ Iha! such im~rovements are no,t mtend-ed or offered for·sale. If, however, lhe·bmlding or Improve-menffs sold wilhfri,one'year of cOmP.lelioh, the owner-builder will have !he burden 'qf· P.ioving JhaFhe'd1d •no! build Or Im· prove foHhe purpose.of sale).
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f I I, as owner of the property, am exclusively confracting ( , viith;I1censed contracfors to clinstruct.the.projecl'(Sec. 7044, .( Business and Professions Code. ' .. The Contractor's License I Law does not apply-to an owner of property who builds or im· , pi9v~'\' there?n, ~~d ;vho. coptracts for each projects -wIt,h a ,/ ~ fOnJ1ractor(s). hcense pu(~uant ·to t~e _9ontraclor's' b,en~e ·1 . Law. . • ,, . 1 " ji As~ h?m~ciw~;r.l am improving my.home;.and the follow· • I
~--.. in.9, ~o~dlh%~ e~~st~ belng:p'e~i6rm';d p;idrto,sale, r
· -2: ~;i~~~~-~i~i;~Won"li! tn~m!o)~'. }Welve months · I ~
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3. I, have riot ,claime'd this. exemption during. the I lasMhree years. · ' I
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.tUh~~r~~;Wt ~n~er S~c. _______ , B & P.~'.'
., D I hereby·affirm·th~t l·have a certificate of consent to ,
Self-Insure. or a certifi,:;{l.te 9f Workers··compensatioh ln-
surance. or a certified copy.tl:lereol(Sec, 3800. Lab9r C6de)
POLICY NQ:
COMPANY
· D Gopy i.S ,filed-with the.city,_
g_?e~t!fied_ copy i~ heret>ltUr~ish8_c;t
CERJIFJCATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This ,sectiOfl need not be coITlpleted if the permit
15 for one hundred dollars ($100) or less)
. 0 I certify ihat"in the performance Ot the work for which
this permit is issued, I shall not employ any person in any
manner so as to ,become sutiject to the Workers' Compen-
sation Laws of California.
NOTICE TO APPLICANT: If, after making this Certjflcate
of Exemption. you should become subject to the Workers·
Compen~ation provisions of the' labor Code, you must
" forthwith comply with such provisions or this permit shall
be def?med·_revoked.
~ • 1 l D I he~eby affirm that there is a construction lending ... ffi , agency for the performance of the work forwhich this per-
·, _ , O mi{ is issUed (Sec. 3097. Civil Code) .. z-··-· .. --~. ,.. ___ .
~ Lender's Name __ ---~~·~:~,---~------
. Lendef·s AHdreSs_· ~----·--~-----
. l
-~-2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 • , ••• ' ! .' ' '' ~-·---.......
JOB Ab_ORESS ' ' AV, ST.RO, THOMAS BROS NO. lbA~'f. AP~L~~ONI BUSINESS LICENSE# ~ PERMIT NUMBER
2/4"6 4"'.., /4,1.,,_(f.,. p,,,__ . , . Of J-9 /fr1 I // 10-r. 7 , ~()("\ ·
LOT BLOCK I suBOIvIs,oN 1-AssE.ssoRPARcE..LNo. co111TAACTOR , coNTAACTORSPHONE~ zoNE r::iP ... f ':t. 0 'c) I · -?/Y · ~ T .J -
:oWNE'R'S NAME . ' . ' . I .. ' '' I OWNER'S PHONE ,,e ~ w,,J .f',u;·:,,-1 ~ 9 9,3 -7.r~
r'-/ // · ,/ . ~', . CONTRACTOR'S ADO RESS STATE. LICENSE NO. BUILDING SQ. FOOTAGE
'-,,J;lt},:n,r .... ,d4~ 1,,/'trr/,:,J,r/.,.,, 4'~~-~t:;, 9.Jl'.-rYYY. ,1'2.,2,.~ ,,e; 1'1.J"-,r~ C:,,/ C
OWNER'S MAILING ADDRESS ·· /'Vi44e ;2, :?"o ,,.J Ct'! 9 :Z. 6 .11 2. 7 /il,,,<,:J __
. . .. DESIGNER OESIGNER'.S PHONE 2,,/Jx; LAv.'r7Ac-;11n"""' e,.,. e,,_,,,,e.,,~u:J',,,,,./ C:41, °?Mo ;J . .
.DESCRJ,PTION OF ,WORK .f" A fl'/ e,-/1.,; A ,t;fq-,r'...., /V ;fl.,,,_,:., C!,,-,,.,(A.,_,,~..,,. t:;;J ,.f"_,, '}'.J /,i:.,,..,. DESIGNER'S ADDRESS STATE LICENSE NO.
C,~ <:-er/~ 4',t,,,&c..,"'...,_,,.., ...J.;,,...r', A 9375 08/29/89 0001 01. 02 ..
. -· F/P --FLR. ELEV.. --No ocG·op EDu· -· -... c-Pt:•Mr· 2s~o1.
-.. STORIES • f\n
..f'Ac///4,44..:..,,e, ff~~/4.,:·.., <f,;,,-,-t"u vO NO ----• · -· ....
' · .• AREA CONST ', :· I CENSUS-TRACT -1 PARKING s·PACE I RES uNITs I GRAPING PERMIT 1ssuEo 1·REDEVELOPMENT · TYPE · occ LOAD ·FIRE SPR
· ---: .. · yo' k D · . vO NO · · · -vO "!0 Not Valid Unless Machine Certified
QTY,. · _PLUMBING 'PERMIT"-ISSUE · · · ·17 J1J QTY, MECHANICAL PERMIT. ISSUE-/S--· SUMMARY/ACCOUNT NUMBER . . . . -
EACH FIXTURE TRAP : : .. . ·.. INST!\~l FURN. DUCTS u·P·TO 100,000 BTU 'llUILUINu PtHMlr uu1'810'00-00-·82,20' / .~ •
. EACH BUILDING SEWER . .. .. OVE_R 100,000 (iTU . : SIGN_~E_RMIT 001-810-00-00-8221· · · • · •· •·
EACH WAT'ER ~EATER AND10R VE.NT I BOILE~/COMPRESSOR·UP TO 3 HP ' ~LAN CH~CK 001:810-00-00·8891 / t)
-EACH.GAS SYSTEM.1·:T:O 4:0.UTl:ETS . -. , ; BOltEflfCOMPRESSOR 3-15 HP · lOTAL·PLUMBING ·-001-8·10-00-60-8222 ·--
, . EA~H GAS SY_S~.EM6 OR.MORE .. , __ _ ... METAL;FIREPLACE ELECTR!CAL · 001-810-00-00-8223
EACH IN~TAL., ALTrn, REPAJR WATER PIPE VENT FAN SINGL:E DUCT : MECHANICAL 001-810-00-00-8224 ----
EACH VACUUM BREAKER MECH E--XHAU~l HOODIO·UCT-S . MOBILEHOME 001·810·00-00·82'25 • -• ·· .. -·•
w·ATER SOFTNER RELOCATl\)N OF EA FURNACE/HEATE~ _ .. SOLAR 001-810-00-00-8226 •..
EAC-HROOF DRAIN (INSIDE) : DRYER. VENT .. STRONG MOTION 880-519-92-33 _,
TOTI.L MECHANICAL FIRE SPRINKLERS 001·810-00-00·8227 .. , ~ " -~----.. -.. '
-TOT AL PLUMBING I , PUBLIC FACILIT.IES F.EE ,320-810-00-00-8740.
/ BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT -,ISSUE J .. -QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP'SWT BKR CAR PORT TIF 312-810-00-00·8835
1 PH , 3 PH ~WNl~G .. LA COSTA· TIF 311-810-00-00-8835
EXIST BLDG E·A AMP/SWT'BKR GARAGE FMF
1· 1 PH · ·3 PH LICENSE TAX 001-810-00-00-8162
: · REMOOEL'ALHR PER CIRCUIT MFF -880-519-92-57 --•.
i -JEMPPQLE 200AMP.S .,
:. OVER 200 AMPS
i' TEMP OCCUPANCY (3Q DAYS) _ _.
I CREDIT DEPOSIT . I . -
: --TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I . :;J ~· . '
r • ,. -~~1...,.., ·,i, • ~. • ..-:,..,-" ~ •• t ~ ~,
J I HAVE CAREFULLY ·EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E~ery per.mil issued bylhil BuildingOfflcial,~nder the pn~vIs1ons of this * AN OSHA·PEFWol:t lS fl£QUIREO F~ OCAVATIONS OVER
· CE.RTlFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HE:REON INCLUDING THE Code shall exptre by hm_ltaiion 8nd become nt!'I aod VOid I1.th8 buddmg or work 5''0'' DEEP ANO 0£MOl1T""-"'·OR CONSTRUCTION OF I authonzed by such permit Is not commenced w1thm 180 days from the date of such """ . I DECLARATIONS ARE TRUE AND CORRECT AN_D I FURTHER CERTIFY AND AGREE IF A PERMIT l& permit, or if the building or work authorized by such permit 15 suspended or STRUCTUMS OVER 3 ST°"IES IN HEIGHT
f ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-i..::•b~a::.:,ndo~n:::ed~a::,t.,:11:.:invwt;:::im~e:..!a!!:ft.!!er..!t!!:he;::.:W::o~rk~ls.!:c~om!!:m:!!:e!!!.n~ce~d!..al~orwa~o~1e~ri~od:!..;o~f..!1.2!80:!..;d,!!!la~v:s~.--::-'P.~~fl!!!l~------------------'4 i ~~~c:~~%L~~~~~Rc~:veg~~2R~~=!~ ~°'3~1%~· AIL~~iafi~ii.~~~:~~~~~~~~~~ ~~g APPLICANT'S SIGNATURE ~ OWNER G(__ coNTRACTOR O. APPP~E BY .. O"A,%
1· EXPENSES WHICH MAY IN ANY WAY ACCR,UE AGAINST SAID CITY IN CONSEQUENCE OF THE /.,J __,,, . , j B'< PHONE O . ' /' C:,.-/4(Qc i ·LG~R~A~N~T~,N~.o~o~F:T:H~,s!--~P-!ER:M:':T-~-·~..:.· ______________ ,;,· ----.1/~.::;::: --;;;~~· -;::=~~~"!.;::-~-~··v-~-i~~,._,...:::~::..-----..:.·~·,:::.:.J_, --iLZ~~~2._~~!:~~~~~·1_-~0:f ·~-~~6~ ,~j
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TYPE I DATE INSPECTOR
BUILDING I
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FOUNDATION '
REINFORCED STEEL t
MASONRY l
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GUNITE OR GROUT !
SUB FRAMED FLOOR D CEILIN$
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LA TH I . ..
INSULATION 1
1 .
INTERIOR LATH & DRYWALL I
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PLUMBING I
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WAl1ER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WATeR .
I
ELECTRICAL I
·1
D ELECTRIC UNDERGROUND D UPFER
ROUGH ELECTRIC !
D ELECTRIC SERVICE D TEMPOR~RY
D BONDING D POOL l
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MECHANICAL I
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D DUCT & PLEM., D REF. PIPING'
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPECT/O/11 WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE SEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS /' I'
BUll,.DING / .S,r~..S.
SP_ECIAL OONDITIONS I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ. IF INSPECTOR'S :~ INSPECTION CHECKED 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
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