HomeMy WebLinkAbout2229 RUTHERFORD RD; ; 82-351_MISC; Permite[ ~-
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D I hereb. that I am licensed under
provision!\· -of Chapter 9. (commencing with
Section 7000) of Division ·3 of the Business
·and Professions Codei an'd my license Is In
full force and effect. ·
Lie,. No, ______ Class ----~-
I hereby affinn that I am exempt from,the. Con-
tractor's License taw for the following ·reason (Sec. 7031 5 Business and Professions Code: Any city or
county which requires a pennlt to construct illter, improve, demolish, or repair any structure, prior·to its issuance-~1s0 requires the applic3.nt for
such pennit to hie a signed statement ·that he is licensed pursuant to the provisions of the Con-tractor's License Law (Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-fessions Code) or that is exempt therefrom and the
basis for the alleged exemption. Any violation of
Section 7031.5 by an applicant.for a pennit subjects tne applicant to a civil penalty of not more than five
'hundred' dollars,($500).
C· I, as owner of the property, or r/,y' employees \
\11\th wage.s a.i; th~eir sole compensation, will do the • 1
USE BALL POINT PEN ONLY & PRESS HARD
. CARLSBAD· BUILDING DEPARTMENT
~200, Elm, <::_11rls~ad, Callfomla ~?008 (714) 438-5525
APPL}CANT TO FILL:IN INFORMATION WITHIN SHADED AREA AN
APPLICATION & PERMIT
~fCL~RATIONS.
JOB ADDRESS
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BUSiNESS LICENSE# ~· vi,..,..
.VALUATION PERMIT NUMBER
O\'IINER'S.NAME jJ _ . :._ J (J.wa..w·,. ~ &,et., OWNER;S,PHONE
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PRIME C.ONTRACTOR , ,~M4· CONTRACTORS PHONE#
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ZONE. %1
·OWNER'S MArLING ADORESS CONTRACTOR'S A-DORES~ LICENSE NO. PLAN I.O. # BLOG USE CODE
''1-9..:JD t;;.[tf,,.IJ~ .-.~ , $'.i) . ~:It I r536 a.JG,~ .,u,.,.
LQT 81..QCK SUfl'QIVIS-ION ASSESSOR PARCEL NO. DESIGN'ES
DESCRIPTJON OF.WORK · ' · . l . ~~ ~ /le;,)~. HOE$1GNER'SAOORESS
F/P FLR ELE,V. No·
STORIES
ST Al'E LICENSE #
,Z.Z,l -?-64
D,ESIGNE~'S P,HONE
,OCC GP EDI.J.
STANDARD PLAN# ·BUILDING SQ. FOOTAGE
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wcfrl<,and the structure is not intended or offered for \ sale (Sec. '7044, Business iina• Professiohs Code: YO N 0 The Contractor's License Law does not apply to an . . . · · owner of property who lluilos or improves thereon CENSUS TRAC"l' GRADING·PEAMIT ISSUED REDEVELOPMENT TYPE occ LOAD FIRE SPR
and who does s4ch work himself or.through h1sown j · A fl EA CONST
611 i1 ISS 19E.l4
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-. I I E7110il :sEiP
employees, provided that such improvements are O O D D not intende1 oi offered for sale. •If, however, the I ·--·----~ N y N YO NO Not Valid Unless Machine Certified
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building or improvement is sold within bn'e year of
co111pletion, the owner-builder will have the burden of proving that ~e did not build or improve for the (
purpose of sale). . I
[J I, as -owner, of the property; am exclusively
conttacting with. licensed contractors to co,rlstruct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of pr'ot,erty who builds or improves thereon, and'who cdntracts fo'r each proJects with a
contractor(s) license pursuant to the COntractor.'s license Law),
0 I am exempt under Sec. ____ -< B. & P.C.
for this reascin' --------'---------
D I hereby affirm·that I have a certificate of consent
'to self-iilsure, 'Or a certificate of Workers· Compensation Insurance, or.a certified copy thereof (Sec. 3800, Labor Code). .
z POLICY NO. ___________ _
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~ 0 Certified copy ,s hereby furnished.
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CERTIFICATEc OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed if the permit
is for one hundred dollars (SHJO) or less)
D I certify that m the performance of the wort< for
which this pennit is issued, I shall not employ any person in any manner so as to become subJect to the Worl<ers' Compensation Laws of Cahforma
NOTICE TO APPLICANT: II, after makin~ this-Certi-
ficate of Exemption; you should, become suliject t<>
the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such
prov1s16ns or this periTiit shall be deemed revoked.
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·O I hereby affirm that there ,s· a construction lending agency for ttie performance of the·work for
which this permit 1s 15sued (Sec 3097, C1vrl.Code).
L:ender·s N~me,_-'--'-----------'
Lender's Address ___________ _
QTY.I PLUMBING PERMIT· ISSUE ,3bll QTY.I MECHANIGAL PERMIT-ISSUE $_,Pf!_ SUMMARY/ACCOUNT NUMBER
EACH FInuRE TRAP I fi ,I _!_~STALL FUR~. D~:r,s UP T_Q_lOO;OOO BT\!. BUILDING PERMIT 01-000·4220
EA.CH BUIL:DING SEW!:R _ OVER 100,QOO BTU _,_,.. _,,,..,, __ ~-_ !':Ir.'-! Pl=RMIT 01 ·000-4221
~A_(;H WATE~ ·HEATl;R ANDlOR VENT BOILER'/G_OMPRESSOR UP TO 3 HP Pl.AN CHE~K
EACH GAS l,YST!=M 1 TO 4 OUT>LETS I II I BOILER/COMPRESSO'R'3-15 HP TOTAL PLUMBIN~
EACH·GAS SYSTEM 5 OH ·MO RE_ . METAL FIREPLACE ELECTRICAL
EACH INSTAI. .• ALTER, REPAIR WATER PIPE VENT FAN SING LE O UCT MECHANICAL
EACH VACUUM ~REAKE.R MECH EXHAUST -.HOOD/DUCTS MOBILEHOME
WATER SOFTNER RE~OCAT_l(l_N OF EA F-URNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOLAR
TOTAL MECHANICAL STRONG MOTION
TOTAL PLUMBING FIRE SPRINKLERS
I
I-QTY. QTY. SOLAR · ISSUE PUB.UC FACILITIES FEE
RRinr.E FEE I ---: • DISTRICT /· NEW.CONSTEA,AMP/SWT/BKR COLLECTORS SCHOOL FE!
I 1 PH 3 PH STORAGE TANKS I --··----I. EXIST BLDG EA AMP/SWT/BJ~R ROCK STORAGE
r.orlsh:ul
Encinitas
1 PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR ---
;
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l·HAl/ecAREFULLYEXAMfNEOl'HE'OOMPl..£tn· " ,' ·-:~:.:,ERMIT"AN'DDOHERE -··
CERTIFY UNDER PENALTY OF Pl:RJURY THAf' ' . t•(tlEREON INCLUDIN . HE
DECLARATIONS ARE TRUE AND CORRECT ANO ti' Ri"Htffl _, 'if'i' AND AGREE IF A PER IT I~
ISSUED: TO COMPLY WITH ALL CITY, COUN'r'f A~ STA~ $ GOVERNING BUILDING~ON-
1 STRUCTION, WHETHER SPECIFIED HEREIN OR NOt. l ACS!) AGREE TO SAVE INDEMNIFY M1.!2, j, KEEP HARMLESS THE CITY QF CARLSBAD AGAiNST AU. l.lAS.lLtTIES, JUDGMENTS, COSTS AND
GRANTING OF THIS PERMIT. . .
San Oieguito
San Marcos
---
01-000-4806
01-000-4222
01 ·000-4223
01-000-4224
01-000-4225
01-000-4226
6~·640-0519
01 ·000·4i27
-21tooo-49a3
65-623-0519
65-624-0519
65-625-0519
65-626-0519
I EXPENSES WHICH MA¥ IN ANY WAY ACCRUE AGAINST SAID·CITY IN CONSEQUENCE OF THE
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INSPECTION TYPE DATE INSPECTOR ..
'8~~3S-( \ t I I .'. ,-:t
BUILDING I
I FIELD INSPECTION RECORD
FOUNDATION ' ..
REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL I INSPECTOR'S NOTES ~ . . -.. ;
INSPECT}~N} ;, • .REQ. IF INSPECTOR'S !I_;. .... -\ '• -~.
MASON.RY I CHECKED APPROVAL DATE .
\ GUNITE OR GROUT . . I SOILS COMPLIANCE
Fl,.OOR & CEILING SUB FRAME I PRIOR TO
' FOUNDATION INSP
SHEATHING (
l STRUCTURAL CONCRETE
FRAME ! OVER 2000 PSI
EXTERIOR LATH 1NSULATION
., PRESTRESSED i
I CONCRETE
INTERIOR LATH & DRYWALL l POST TENSIONED
CONCRETE
~ PLUMBING .• , ~ r0. F.IELo··~ECq1NG
' ., __ , "' ;"'-
' . . SEWER AND BL/CO .... JS
HIGH STRENGTH
PLUMBING UNDERGROUND ' BOLTS '
PLUMBING TOP OUT f SPECIAL MASONRY
TUB AND ~HOWER PAN Ii
GAS TEST PILES· CAISSONS
ELECTRICAL
TEMPORARY POWER 1 ii:--t I ,,~ ' ~ • ·~ < -ELECTRIC UNDERGROUND I
ROUGH ELECTRIC ! j
ELECTRIC SERVICE
BONDING A
G. F. I. -SMOKE DETECTOR:
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT-AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTl(!N 'r HEJY All APPROPRIATE
.
. ' . ITEMS ABOVE HA VEI BEEN APPROVED. _.,,,..,.,
I
JOB SITE FINAL ' .... ,· .... ~~, ·. -
PLUMBIN.G .n'l ~ IXA ·
ELECTRICAL -,,~ ~--' . . . -. . . -I
MECHANICAL It. rv--A't -V.,. !
GAS I "°'-·"v' --\
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BUILDING , ,:, -, .... 4 .. > ~-•
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SPECIAL CONDITIONS
CERT OF OCCU~CY ISSU'ED l ...... i.. ... ---
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USE BALL POINT PEN ONLY & PRESS HARD ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA al DECLARATION~. • • I D I hereby a hat I am licensed under I
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CARLSBAD BUILDING DEPARTMENT
1200 Elm, £arlsl:!ad, CaUfornla 92008 (714) 438-5525 APPLICATION & PERMIT · provisions of, p er 9 (commencing with
Section 7000) of Division ·3 of the Business·
and, Professions Code, an'd my license Is In
full ,force· and effect.
Lie. No. _ -Class
I hereby ;,ffinn that I am exempt from the:Con· I tractors License Law for the following reason (Sec. I
703,-.; Business and Professions Code: Any city or j county which rflquires a pennit to construd · alter, improve, 01,molish, or repair any structure, I
pr19r to its tssuance a1so requires the applicant for I such pennit to ftle a signed statement that he 1s ·,licensed pursuant to the provisions of the Con-\ ~:i;r~s ~~18o\f;:~~~ag/~~2 ~~t~e;~c~~i ~~: l
fessions Code) or that 1s.exempt:therefrom and the j
basis for the' alleged exemption. Any violation of { Section 7031.5 by an applicant for a pennft·subjects .
tfl!' "l'!Plu;~nt. to a civil penalty of not more than five ( hundred dol!~rs ($500), . I
I
JOB ADDRESS'
~zz,7 ~~/.c/UJ /4,4,.r.:J
QVVNER'S NAME . '/1
'YJ. -·_. . ~ Cb<J-.d_ (.,J4LL.(,64.(} -~...___~ .1 ~z ::;~~o~e
OWNER's·MA!LING ADDRESS
'1-9'3.o ~,~ ~ . ~£). j',;J.)/l
LOT , BLOCK ·1 SUflDIV-lSION _ I ASSESSOR PAR~E[.. NO.
AO, t / s/ AV, ST.\DATE OF-APPLICATION!
. <fJ/l?r~ ..
PRIME CONT.RACTOR
~~CL ~-
CONTAACTQR'S ADDRESS
?~ ~1A.}ee£ J;;j,.
DESIGNER -'DESOAIPTl!?J'l·OF 111,'_0RK I ~//l.l. ~--,:&i,, -/1aot:4'n4<,, n-oes1GNeR's ADDREss -
F/P F'LR ELEV.• NO
STORIES
BUSINESS LICENSE #
-~~-Q '-
CONTRACTORS PHONE#
t:nz~~
LICENSENQ,
STATE LICENSE #
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·q!:SIGNER'S PHONE
OCCGP EDU 0 I, as o~ner of the prop~rty,·or my.·employees )l,1th wages as·their sole compensation, will do the work, and the structure is not' intended or offered for
sale (Sec. 70«, Bu'siness iinc! Professiohs Code: ~ · vD NC] ·---
1 CENSUS T'RACT GP LAND USE · 'PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT T.YPE · ace LOAD 'FIRE SPA I . . A.REA . CONST
l YO'N D vO NO vD NO. ( _______ ..._ ______ ..._ ______ .,,__ ____ ___. _______ . ____ .____ . .
I
VALUATION PERMIT NU¥BEA
ZONE 35").---
PLAN 1.0. # BLOG USE CODE
,ST.ANDAR!) PLAN # BUILDING SQ. FOOTAG,E
6 I I~ 168 H.16~ """ l1--•It-·.,.. l:;17'900
Not Valid Unltss Machine Certified
The Contractor's License Law,does not apply.to an
owner of property who builds or improves thereon and who does such work himself or through his own employee_s, provided that such improvements are
not intende1 or qffered for sale. If, however, the
building or improvement ,s sold w1th1n one year of. coi'npletion, the owner-builder will have the burden
of ,proving that he did not build or improve for the
purpose of sale).
) QTY.
l-PLUMBING PERMIT -ISSUE· . 7,.,s?J ~ QTY., MECHANICAL PERMIT-fSSUE ..;',()&) SUMMARY/ACCOUNT NUMBER
···"-· .. ----·· '""-TS UP TO 100,00!) BTU BUILDING:PERMIT a •. ~ as owner of the property, ani exclusively contracting with licensed C(?ntr~tors to construct the project· (Sec. 70«, Busmess and Profess1pn,s
Code: The Contractor.'s License taw does not apply to an Owner of, property who builds or improves
thereon, and who contract$ for each projects with a
contractOr(s) license pursuarit. to the Contractor's License Law),
1
EACH FIXJURE TRAP I H j IN:, I ALL tUHN. UUt;
'EACH BUILDING SEWER . I i I UVttl IUl I I I I -· ___ n ·-0,000 BTU SIGN PERMIT
0, I am exempt under Sec. _____ B. & P.C,
for this reason ____________ _
D I hereby affirm that I have a certificate of consent
)?,,,,.~~~~i~~eins~~an~e,°c;'!'~;~l~ed0~op~f~!r~;
(Sec. 3800. Labor Code):
POLICY NO. ___________ _
COMPANY
j'l"coPY isfiled with the c.~
D Certified copy 1s herel:>y furnished.
CERTIFICATE:. OF EXEM.PTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the•perm11
,,s. for one hundred dollars ($100) or less)
-0 I certify that in the performance ol the work for
which this pem11t is issued, I shall not employ any person· m any manner so as to bec6me subJect to '
the '1-/0rkers' Conipensaticin Laws of California
NOTICE TO APPLICANT, If, after niak1n;i this Cert1-
f1ca1e of exe'mption, you··should beCom'e sub1ect t0 the Workers' Compen5ation prov1sions,of'the Labor
~~f5,o~~ua/:1hi:1pe1~r~~~11 ~r;;f!~e~~}~voi~~h
I I [ .EACH WATER HEATER AND/DR VENT I 'II I BOILER/COMPRE
r I I FAf:H r.AS SYSTEM I Tn 4 OUTLETS I II I BOILER/COMPR ~--~ -------· -· ---------
REPL;CE -· 1 I ELECTRICAL 01-000-~;;; I ~ . t!7iJ I
SSOR UP TO 3 HP
--------IESSOR 3.j5 HP -
METAL FIREI
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
1 ··-----··1NGLEOUCT I I MECHANICAL 01-000·4224 I I
i I I EACH VACUUM BREAKER I I MECH EXHAUST --------------·---
1 WATER SOFTNER --------..... -· -.. ----·------·---. ---
VE'NT FAN SINGLE-Ou--
--------··--___ . -HOOD/DUCTS
RELOCATION OF EA FURNACE/HFATER
MECHANICAL
I· MOBILEHOME
MOBILEHOME PARK INSP
! EACH ROOF DRAIN (INSIDE) I TOTAL ME·····---·· n?nnun .. n?on., ---·---·--
! I TnT11. 1 n1 1u.n1a1r, ( I I FIRE SPRINKLERS 01-000-4227 I I
I PUBLIC FACIL!JIES FEE 25-000-4933
-· v., _ II I SOLAR -ISSUE BRIDGE FEE -~---~ •
--. ; .. lf/Jil I COLLECTORS I SCHOOL ,FEE -DISTRICT -------
i -... .. ..... ·--: IANKS 65·.623·0519
----· ··-cHANICAL
;:idt1 II QTY. I
16 .. ~, .
STORAGE-· .. ·-
. SOLAR
STRONG MOllON.
FIRE SPRINKLERS
PUBLIC FACIL!JIES FEE
BRIDGE FEE
. I SCHOOL _FEE -DISTRICT
....eaflsbad __...--
ROCK s fORAGE 65-624-0519
MP 65-625-0519 PUMP
HECK FEE 65-62(3-0519 PLAN CH
) TEMP,Pp LE 200 AMPS 11-'---+---"--------_;__::...._ ____ ,..,_.....,.,,_.. ___ +--+---:...._-----~---F--.,,Yf'l-"--rc;;;,,.e::..----ll-~--------~--------+-+---------I l · · OVER 2QO AMPS
I . TEMP OCCUPANCY (30 DAYS) I. -
I .
1. TOTAL ELE.CTRICAL TOTAL FEES PAYABLE
1 .... __________ ...... __ _.....,~ ..... 11-.....,j----"""---+----.----..... ----.11..--------------..i:::;;,.... ..... _...,_,_,.
ti 1 HAVE CAREFULLY EXAMINED THE.COMPLETE;D "APPLl()ATION AND f:'ERMIT" AND D0 HEREB * A.N ~ PEf!MIT IS.A£ai,IRE!) f'OR EXCAVATIONS OVER
·•·
b I he;reby affirm that there .1s a, construct'1on
lending ·agency for tt,e perf9rmanc~ of the work for which this per~,, ,s 1ssue~,(Sec, 3097, C1v11 Code)
.Lender:s Nam'e..., ___________ ~--
, CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION -Hl;REON INCLUDIN E · ' '~PAND-0840UT.ION-°" CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PE MIT IS STRUCl'\JRtS·OVEFI 3 STORIES IM HEIGHT
[ ISSUED: TO CQMPLY'WiTH At,L CITY, COUNTY AND-STATE LAWS GOVERNING_BUILDIN ON· ~~~~~{m2!.!!!!!~.!!p~~~~~!!!!E!!!!..l!!!!..!~!!W~..l!!!LJ!!!XL-"'7~~~~~,----------""!!'-----il!
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(I) :t:: .r. s: l ~1~~c:l~~L~~i1~~~fivEgr~2R~:::~ft~l~i1·~~tt~faf~~tjig~~i~~~:~6'J~~ AND _ DATE
I· EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE OF TH,E _,~~~..,.J..._::) ~,.-,............. av PHONE o -· . , · .. --c ~ ~ l~ &-.I.-I GRANTING OF THIS PERMIT. · ";" . ,·· ' ~ '7:, • -, '>-C/"'r (. -'
"lender"s Address---------~--
INSPECTION TYPE
BUILDiNG
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
Fl,.OOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH TNSULATION
INTERIOR LATl:I &_DRYWALL ,. PLUMBING..:· · ·-~
SE_WER AND auto
PLUMBING UNDE~GROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST.
· ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND .
ROUGH ELECTRIC
ELECtRIC SERVICE
BONDING A
G. F. I. -SMOKE DETECTOR'
MECHANICAL
DUCT & PLEM., REF. PIPING
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HEAT-AIR COND. -SOLAR SYST~MS
VENTILATING SYSTEMS t
DATE INSPECTOR
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i . ' ' 1. CALL FOR FINAL INSPECTION WHEN All APPROPRIATE . . \ . .
ITE;MS ABOVE HA VEf BEEN APPROVED.
JOB SITE FINAL f
PLUMBIN.G
ELECTRICAL
MECHANICAL
GAS
Bt.,JILDING1
SPECIAL CONDITIONS ' I I
CERT OF OCCUP rv ISSUED ( . C
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS . INSPECTOR'S NOTES -· -:--, -·--:, y ·-:._,-., ,_. ·, ..
-INSPECTOR'S INSPECTION' . ' : REQ. IF DATE CHECKED APPRQV;A.L ~
SOILS COMPLIANCE
PRIOR TO --
FOUNDATION INSP
STRUCTURAL CONCRETE ,
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED . -
CONCRETE . ~ ,-~"~, ,.'I .... ~ -~ •• ·-
'-'FIELD WELDING .,,. ;)
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES ·CAISSONS
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i ·USE. BALL POINT PEN ONLY & PRESS HARD . 'APP.ltGANT TO Fllt.fN INFORMATIQN WITHIN SHADEi> AREA AND DECL"RATIO.NS, ,,,..,..-
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. o:-1,h:ireby,;t11mHtia1.1.a:n\ licensed ~ncier -( • ··:cA,RL$BAD BUILDt~·G DE:PARTM~~T I APPLICATION & PERMiT
.~[ :provlslon11-.i?f qtf!lli\er.·11.<coi:nmehclnq.¥(1tti: · i-.,..... ,.... --:··: .. 1g9() _ _l;_lrn,.9arlst?:a_d,_Qaliforpi~_9.?@B-~9\39 (6:19h13.B-5525 · · · · · · ___ ; __ _ ti SectloQ, 'l'.000)' of .Division :a qt the Business. 1 : . · · · ·• 1 . . · · · : · ; . ;c ' and, P.r9teaslons Code, and ,my license Is In , . : . ' ' D~Tf Of._ ~Pf!-_ICAT ON_' ,us1NESS t,.ICENSE It VALUATION
I!!; full'force,and:effect. ~~-~'-,-' ;., L J;·-:;io.,....,,__,..-, -12.o ',---,·--· · ·· ·\Z·,ZO:. _,ri,f/ "";.., ---·-z Uc No. _____ Class . ! ' · · 1 '. • _ ... _ • •• ~ ~ -,,. , • 3· S-r.' .. '. '.. . .. __ , ,· . , -~ . . .,. I' )_ ' . . "'" -,CO~TfV\QT,QRS PHQN~f-... ZONE . -• : : • . . . .
" 1 ,hereby affirm. ,that I am .. exempt from -the Contrac,.. t· ~ · · 6Z -
tor's:Lice'nse, Law· for lhe •followlng-reason· (Sec,· 7031.5-' ' L __ j~~~J~~,...,.~J~~~-:__ __ _:_ __ __:;LJ~ti:j~~~~~J~::1}:lf~~~~~k~::'._J:d~~---l~~~C~~~~~ · · B~§lness,af\d, ~rofesslons:Cllde: ,AilY, ~ily or county whlcl\,re-! .
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PERM_ITNl:J":"BER
BLDG USE-CODE
i-· ~ _iicerise.~ ,License,_ .. \V'""t''"'' ., ..................... ~ ..................... ..,.,., . .,.,, --.,. , Division 3 of the Business and Professions Code) or that is e~-I L0T BLOCK _ -1 .SUBDI VISIO'N e!"ptt_herefroroanfthe·basifforth,eallegedexemplion, Any ,, ; . · : · ·,·. I v1olalmn of Section 703,1,5 by an applicant for-a permit sub-j · · · Jects the applicant to a.civil penalty of not more than five fiun' , -DESCRIPTION OF WOR'K , · -' ., · ! :
·,dred dollars.($500). '. ; ' . , , , ......... , .. " .. • I. .. . ,.OESIGNER!S-ADDRESS .
. .-, , i;:i 1:.~.soy,nerof!heproperly,·Of;my:~mpipyee;,l'!llhl'{aQ~S 1• , , , • , ' , , , • , ' • , { i ·, ffi ~s th_e,r sole qompensalion, will do th,e·work. and the slrtic· I ;, t _ · ~ ~ ·-. : : .-._. 1, -=-_,.. _.,._ • ,,;..,_ ~ , · .
·.:~ I A~SES~OR ~AR~NO •. DESIGl1CER· '' ><_,,,,..
,, LICENSE°# , STANDARD PLAN#
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·eull:.DfN'G SQ. FOOTAGE
-DESIGNER'-s"PHONE
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c «I, -~ C. a Jure_1s·n9t'mtended qr qffefed;fo_r sale (~ec. 7044, Buslnes,s f ·1 _/r,,,-,_¥/,/"'L\,1-,__~ · _t;..J~ u::::H .--.,~. ,,l, -· ~ r-·LJ · ·1 LJ· -·-, , .... __. .and Profe.slons Code: 'The'Conlractor',s·ticense Law·does f -, 1 FVP FLRlE[EV, NO occ GP EDU I ?.l/Pl u;r.ia 1.,-, 3 : not apply to ~o Qwner, 1/f jltoperty·who builds.or improves:,. · _. , .......... ' ! ! STORIES C: i;. · 1,1._, 0/,,.l .
al thereonandwhodoessuchworkhimselfO(through·hlsown j ~-"C:llf-f ,., .... · • . ,,.. .. ---·-.J .. •· ...... Ir··-···-........ _, ____ --•-·-·-·-----------·-•· • ... orl',•r,•1 ·1'_;'f), , ... •',
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iii: e~pl~yees,,providedthatsuchlniprovem~~ts_are'no_t·lntenq-. . . ;;;;;> l"''M .• : , . -.jO NO -:-,--:u~,-Cl/~ r!/[U/8;-l w ,ed or offered for-sale. ·If, however-;-lhe limJdmg or improve-1• .. .. .. ---... ·:r--· ------.. . .. -:i· I . _
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, . , t . , . , , , · · ,. . -. ·• . ;: ,. ~~til;!o/~/Jti~~~n~,r~~Jv~igottfl~~~~l~~iiiI~bo~'~'. r . c;ENSUS ~RACT ; GP LAND USE Pf,R~~NG_SP_~CE_ ' R_E_S 1:m1_T~---.... G~~,N~-r-eR-~rr__!~~~-.. ,.R,~~-~':E_~PMEr ··------------66:~,, -----~9-~ L.f>.A!)_ .!',IRE SP_R,_ ----• ·O-OOt . 87_4 0 l . .. .
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O·· prove-forthe·purpos~:of·sale) .. ·:, . ·; ·: .. _ ---:1-------------· i , , vp N.0 ! v~\El _ _ __ vp NO No~Valid'UnlissMachint!'Certified I .,/.QQ ·1:,.S • r: J.! I'~
~t{uC!n~;lini~n~[:~\~it'W~:J:tr~~tf;i~flf:if(i~~~~i~1~ -.] ·QTY · ---P-LU_M/-8-ING--..,·E-RMIT-1S:_S_U_E ...... ·_-::2·· -~-_r ;.:Q· TY ·i .. MEG. H-·A·N· ·,c-A--L; P.ERM-IT-ltsj SUE. · Business.and Professions Code: The Contractor's License , · 1 r, · ' ~ · I 1
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--· ...... -----SUMMARY/ACCOUNT NUMBER Law.does rlotapplytoan.ownerof property.who builds or.Im, .' , , ' .. -------, ·--.. -.... , ------~ ------· .-----•• -! 1-_ _ __ 'I ' .prov~s'thereon, ~pd-vii\~ c?ntracts,,for_eaph_pr9jects with-a I EACH, FIXTU'RE TRAP / l INSTALL FURN DUCTS UP TO 100 OOO'BTLI' BUILDING PERMIT ' 't~roractor(s} llcepse pursuant-to the•Contractor1s:·uc~nse I ' -. . . : ' . • ·, . ; . : ' '. . -01-00:00-8220
}. · · I ·EAC~'BIJI tD,ING'SEWER-----; ··• ·-·· --· ----· ·:--r; · · --· --r-------TOVER--100·,0,00;BTU-· ----------; --· ·-• SIGN PERMIT··---: : o· As a ijomeowner I am'improving my home, and the follow-
..... --,01•00-00-8221-· :
ing conditions exist:---. . .
1. The ,work Is being,!ll'rforq,ed·prlor to sale. 2. I have lived · In m~ ,home for twelve months prior to comeletlon, of this work. . 3. I h~ve not ·i:lalliied this exemption during the last three-years. ' -·
D I am exempl'under Sec. _,_.,_ _____ , B·& P;C.
for this reason ___ ·~---~-----
: . EACH.WAT.E~.HEA[ER.AN!J'/0-8.V~NT .. • j BO;ILER/COMPRESSOR;!)P_TO 3 HP_ i \ . . PLAN CHECK ... 0!:0o-oq-88q~
. · EA!;H GAS S1(STEM 1 TO 4 outLEifS • ( BO,ILER/COMPRESSORi3-15 HP [ i . TOTAL PLUMBING 01-00-00-8222'
. i ;-• ! ' . I ' 1 1 ·-. Jii#'?J -~ EACH GAS sysTEM 5 OR MORE -----· ---· ---------· MBTAl-FIREPLAGE··---· • -----· ----·-· · ···---.... · --El£GTRICAl:---· --.. · --· -01-00-00-8223· · ,., ~ ,r,1r:.:, 1 • l I 1 t j •
, 1 EACH: INS'fAG~.lffiER;·REP'AIR11/AT~R PIPE . / V9NTFAN SINGLE OU~T f l . ME.CHANICAL 01·00·00-8224 I -I
• EACHVACU!JM·BREA-KE-R--i·· .. :·_---_-..... ---_---! -----M(CH~XHAUST-Hoifo1ouc:Ts : r ----·-. ---MOBILEHOME--· 01,00-00-8225
WATE_R SOFJNER _. _. ~--'-------~_-:-·--:-__ . ~-L ,._ .. R(LOCAJJON.OF_EA F\J.RNACE/HE~T~.R----... -·-· -~· . -:---MOBILEHOME-PARK INSP.
EAGH ROOF D'.RAIN (INSIDE) I ( I l ! ! l I SOLAR 01·00-00-R226 CJ I he;eby afl1rrn thal j have a certificate of conse,,t to sell-insure. 'or a certif1cale of Workers· Cqmpensation 11\surar\ce, or a certified copy thereof I t . . -. . I I I I
'-l-OTAi:-PL:UMBING-·-· , . .-.J .. '.. _ . ___ __. 1 ............ 1 l,__ .... _. _: !_ __ ----·-··--.. -.. ·---~ __ EIBESP,RINKLERS, 01=00a.00,822Z (Sec, 31:!00, t.;,bor -~): . l
z __ p6i,Jcy NO. . I
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--1 ··-•... · • · -,-• .. ·----· --1---• .. f . ---·--: 'TOT-l,t'MECH'AN1CAt ' ; . ]--· .. -------·stRONifMOTlbN. ". -8-0-H2:33.cj519
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,-------, . . ... 11 ~ ,, ,--.., -~ -·•""'l I . , 1 j PUBLIC FACILITIES FEE 32-00-00·8923. ELEC~RICAL PERMIT -JSSlJE., ____ --y ........... -·,· QT.Y, .... -·---.S,OJ.:AB_ I.S~_UJ: ... --1 --BRIDGE'FEC ___ ---------------·--QTY.
rn , 9<>Py is filed-with, the.city~ • C~--~ I Z '-;::"'! • ,,. • ' -1 f · _ 0, ~rtified copy 1s herel)y furnished, --;
NE~.CONST;~~jMP/SWT/BKR. i ,1:'·-~:-' '.~'.: ·. ,, ... __ • ! COtLECT9f!.S ____ I ------.. 1 i. _ -· $C.HQQ!, f.EE; QLSTRlCT.
!PH" 11JO·i,_..---3·pµ,;_,,:::1··::_-'1-_I, ,._;_:,~~.,a ]sTtjRAGETANKS l l ! .it I,\\ n Carlsbad 80·92-21-0519 ::E' ' '
0 g CERTli"ICAT& OF'EXEMPTtON FROl,li ~RKEAS"COMPENSATION_INSURANCE (This section need not.be completed.1! the permit 1s for one hundred qollars·1sfOO) or less)
! EXISH·L:DG-E-A-AMP/SWHBKR-r·:·:,·:·: .:::: ... ..----. -----Encinitas-··--------------ao:92:22:051·9·• · l . , . ' ...
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1 . i PH _ ---! . _ . _ .. 3 P~ _ San Oieguito ~0:.92-~_3·05_1,9
, , I REMOOEL/1\LTER PER CIRCUIT,··:.,::; "':'-"1 ·> D 'I-certify thaHn the-perform_ance of, lhe "(Ork for . 1 • • .. .: . _ · 1._ -·---.. _ ~ _ __ ,1=-.,...,~-F.s--"-.,..,.d-ll---+--+"·--,:;;;,,"""'--:-c---t'-..;-----'I.J..a-f--...,....--....µ. San Marcos 80·92-24-0519
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I· II: o· ~-·· · .w~1ch mi,s,permit.is iss_ued, ,I sh~ll-not emplqy any . , TEMP POL[! 200 AMPS -. -I """1 • pefSO~ in any ~~.nn,er ~o-as to become subJ~ct to 4 • _ -, , 1 ,, theWorl<ers',.Cpmpensat1onLawsofCahfor!'1a ' , OVER-200·AMPS--~-··--··· ,,., -'" '•I
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'; • f1cate of·Exem·pt1on, you should·become sub1ect to 1-• ----C'-~'-'-'-1C-~' ...:.· ~-.:..' c;.· ·t----''-t\-PL..\7"~f-' -tt--i"'"f--f--------+------'1,...-ic-r,,1,,
.. lheWorl<_ers' Compen'sallon,prov,sicins 61 the La~r · j' II _ .J. -:·-.--__ .. .. ,,_ _____ -. __ 1_ • ., --~=-,:,:1 I ----Code, you -must .. forthwith comply with~ sut:h -, , l 1 r
· _pro~1s1ons·or1hisperm11~hall-bedeemedrevok~d. [ ,. TOirAL ELECTRICAL I t'-';;;.'··:r,.: :~_b":-:>'}0-/;Al~OLAR._.,_1.:: 1 j t· t , ·,c.,1 0 I ri,,:t:-,_ .. 1_.~,.,._, 1 TOTAL FEES PAYABLE .:. .. ,, ,·,. I . .,, ---·--1--------·--.-. -~! ,. ..... ~ ....... .--.-...... .,,-"",-""""-· .,_...t. ... .-... -~~·· .; {;.· -.·,-· --~:.. , -· ·: --:.;_,. ~ .... ;;.• ... --· -..::.. -· :-.::·""'-·-.,.t:~ ~ --. , ... .:~:_. .. _,,. f--~ -1-'1~ J
ffi , JelJ~ing\~gj?ncy tqr th~ p,~rfo!IT1a_nc~ of'jh,e ·work_ f~r
l-l HAVE OAREFUt:tY1EXA;Ml)',IED THE COMPLETED "APPLIOATiON AND-PERM·n:;:.P,No:oo HEREBY_· _.;. Expiration,. ~~ery-per_rif~t is~u,ed by,_the-Buifding o1r,;,:i,under\h;~;~Vi~io.~s,~(this.. · ·-· ·*--AN.OSHA PERMIT IS R£0UIRED.FOR:etCAVATIONS OVER '
] , CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON iNCLUDiNG THE Co'de-~h!lll expire by hm}t~t,on aoci becolt)e n(!II !Ind void. II the-building or work ·5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
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0 which tl)1s-perm1, 1s ,s~Lied (S:ec 3097, C1v1I €ode)
_ ~, -l.eni::1f?r:s_Name' ' .. ' ·,) : ·_. , .•
l. D. ECLARA-TION' S ARE-.,.RUE AND CORRECT AND t' FURTHER CERTIFY A. ND AGREE IF A PERMIT IS auth0"zed \>Y such ~rm,t 15 not commence<;f.w•lhm 189 days fro~ the date of such STRUC1\JA£S OVER 3 STORIES IN·HEIGHT ·1 . . . . permit, or ,t tile di · or work a orlzed: by such permit 1s suspended or .
j ISS(;IED: TO COMPLY WITH ALI:. ylTY, COONl'.Y AND·STATE LAWS-GOVERNING BUILDIN'C,, CON· ·L::·a:::ba::_n~do~n!!:ed~a;tz:.z;;.t'=;:·a~r..!t!!:he;·.:t;~is~o~m~m=en~c~e~d~fo~r~a!:J· :=·:'"ri~od=oJ..f ,u180=,d~a~:--::::---f'!~~~~~--"!'"'--~----~~~~-"""!~""'l
l; . ~1~~CJli~L~:~~iRc~Eg:f:iR~~:!bNA~Al~i} Att'frfJ~~i jigt~i:ri-~~~~~r 1~g. · APPi.iC S. E OWNER Q GONTRACTbR O APPROVED,BY . . DATE -
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REQUEST FOR INSPECTION RECORD
TIME:~---~-
INSPECTOR f "Z--''1,,1)•~ ~ ~:;R~Rs_s~~~t~f11,~~!i~1~~~~~~11~1~{~\~~~~!~~~~~;~~;;:~~~~~~~~~~~~~,;~0 I
REQUESTED B/Y ~
BUILDING
PERSON TAKING REPORT~-----~-
ELECTRICAL D ,
D FQ,UNDATION
D REINFORCING STEEL
D MASONRY
D G~OUT • GUNITE
! D FLOOR AND CEILING SUB FRAME
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D Sl-jEATHING D ROOF D SHEAR
D FRAME
D EXTERIOR LAi:H
D INSULATION
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D INifERIOR LATH OR DRYWALL :
D FINAL
PLUMBING
D U~DERGROUND PLUMBING
D SEWER AND PL/CO
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D TOP OUT PLUMBING
D TUB OR SHOWER PAN
D G!As TEST
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D \fVATER HEATER
D SOLAR WATER
D FINAL
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D TEMPORARY SERVICE ~ ..
D UFFER GROUND ,.-, ~·:
D ELECTRIC UNDERGROUND / p
D ROUGH ELECTRIC /'
D POOL BONDING /
~TRIG SERVICE • .•
'--f'q,t:'/i~L f'oP--Q
f'LA:s,1 C-
~ µDUI 75
D CONDITIONED AIR SYSTEMS
D SOLAR HEAT
D PATIO
D POOL D SPA
D SIGN
' D GRADING
D DRIVEWAY
D FINAL
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SPECIAL INSTRUCTIONS ____________________________ _
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Ready For ln;spection: D
~.M. D.P.M.
Monday ~Tuesday D Wednesday
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D Thursday D Friday
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