HomeMy WebLinkAbout2220 NOB HILL DR; ; 80-422; PermitCITY OF CARLSBAD— BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
NO. RD 4 4,
JO SS AV.ST.
...L ..CONTRACTOR
, DATE OF APPLICATION BUS. LICENSE
go 70
PERMIT NUMBER
2 OWNER PHONE
/ ____________
STATE LICENSE
7
ESS ONTRACTOR'S ADO 55 7 o4
ONE
CONTRACTOR5
Not Valid UnlwMachina Cartili&
31
BLOCK ApESsOR's PARCEL NO. I / ici 1a.1- DESIGNER ST _________ ________
DESCRIPT,A OF W9K
4 ç1 DESIGNER'S ADDRESS DE RPHONE
s/ /1
CENSUS TRACT LAND USE ZONING RES. UNITS GSPACESf
I
N UMBER OF STORIES
BLDG SO. FT. BLDG USE 0CC. GP STANDARD PLAN S I PLAN ID S I TYPE CONST '0CC. LOAD
I
AMT. QTY. MECHANICAL PERMIT AMT.
. INSTALL FURN. DUCTS UP TO 100,000 BTU
, OVER 100.000 BTU
, - BOILER/COMPRESSOR UP TO 3 HP
_ BOILER/COMPRESSOR 3.15 HP
BOILER/COMPRESSOR 16-30 HP _
VENT FAN SINGLE DUCT •
MECH EXHAUST - HOOD/DUCTS VALUATION: .2 000 1
UTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH AS SYSTEM 1TO4OUTLETS
EACH GAS SYSTEM 5ORM
- EACH ALTERPWI—R WATER PIPE
EACH P KLER SYSTEM
, RELOCATION OF EA FURNACE/HEATER , BUILDING PERMIT p.
3..00 Issue 3.. 00 SIGN PERMIT I • I I I
-Izoo~ TOTAL PLUMBING
CONTRACTOR .
TOTAL MECHANICAL
CONTRACTOR '
PLAN CHECK
ALL INCLUSIVE PERMIT I I I
Q ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT
TOTAL PLUMBING
TY. AMT. ELECTRICAL
NEW CONST EA AMP/SWT/BKR . -
AWNING , MECHANICAL
I PH .25 3 PH . PORCH . MOBILE HOME I . I
EXIST BLDG EAAMPISWT/BKR . SET-UP . SOLAR I • I I I
1 PH .25 3 PH , RAMADA, CABANA
/ REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
TEMPPOLE 200 AMPS . - TOTAL MOBILE HOME , MICO-FILM I • I I I
OVER 200 AMPS
TEMP OCCUPANCY (30DAYS) . - STRONG MOTION: I • I I .V
- Issue 2.00_
TOTAL ELECTRICAL
CONTRACTOR 7 -
TOTAL FEES PAYABLE I
I I I . - _____ ____________________________ ____________
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS 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 CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES :1hIIP 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION /OF ~~
STRUCTURES OVER 3ST ES IN HEIGHT HT.
'PPROWBY OWNER CONTRACpB'
0 r AGENT 0 BY PHONED '
n
rA._1.i
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031 5,Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its Issuance also requires the
applicant for such permit to file a signed state-
mont that he Ic licensed pursuant to the provl
sIons of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
Dl, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure Is not intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himsail or through his own employees, provided
that such Improvements are not Intended or of-
fered for sale. If, however, the building or improve-
ment 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).
Dl, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property .ho builds or Im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec._, B. & P.C.
for this reason_______________________________
Date ______________ Owner
WORKERS' COMPENSATION DECLARNI
I hereby affirm that I have a certificate
sent to self-Insure, or a certificate of Wi
Compensation Insurance, or a certified
thereof (Sec. 3800, Labor Code).
POLICY NO._____________________
COMPANY
oCopy is filed with the city.
0 Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the p
mit Is for one hundred dollars ($100) or less).
I certify that in the performance of the work fo
which this permit Is issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: if, after making this Cer
- tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
irovlslons or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
'S
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
SITE
ADDRESS: . OWNER: PERMIT N D
FIELD INSPECTION RECORD .
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES .• '' \'
woob FLOOR
'. .. FOUNDATION • FORMS • SET BACK • TOILET . .
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING . .5 S. OK TO INSTALL SUB FLOOR
F.
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS • SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH_HEATING/VENTILATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE.
EXTERIOR LATH OK. PLACE STUCCO
FIREPLACE' .
DAMPER &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
PRE DECK
FENCE PREPLASTER
SHOWN • FRAME
-. sPAN A
FINAL INSP BY BLDG DEPT _,CfrV
OTHERDEPT'S REQ COMPLETED If '
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP
CERT. OF OCCUPANCY ISSUED
•
•. . •
Fa
-S.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
14 / DATRECEIVED
BUILDING ADDRESS: /(14
APR 30 1980
CITY OF CARLSBAD
Building Department
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH___________________
UNITS ALLOWED UNITS PROVIDED__________________________
PARKING SPACES REQUIRED PROVIDED_______________________
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK:
ALLOWED
PROVIDED________________
IN T RU SI ON S
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
J. FEE; $
OK TO ISSUE: DATE OK TO FINAL DATE__________
ENGINEERING. DEPARTMENT
R.O.W.INDUSTRIAL WASTE
SEWER CONNECTION DRIVEW
GRADING PERMIT _EASEMENTS
LEGAL DESCRIPTION £j7f3-' )-1-i4
ADDITIONAL COMMENTS
IMPROVEMENTS
OCATIONS
DRAINAGE
-
OK TO ISSUE: DATE PWI TO FINAL DATE_________
FIRE DEPARTMENT
SPRINKLING SYS TEN -
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP.
EXITS__________________
LOCATION
' OK TO ISSUE: DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE