HomeMy WebLinkAbout2235 FARADAY AVE; BLDG 5400; 84-217; PermitI h«r<K>y •flirm that I am llcanaad undar
Tovlslona of CMptar 9 (commencing witn
Saction 7000) of Division 3 of the Business
and Protassions Code, and my license Is in
full force and effect.
Lie No Cia«
I netrty allitm thai i am enempt from irte Contrac-
tflf's license Law lo' the lollowing rejson iSec f03i i
Business and Professions Code Any c>iy or county wfiicn le-
quires a permit lo construci. airer improve. Oemoiisn. or
repair any sfruciure. prior lo iis issuance also rsQuitesfrieap-
piicani tor sucn permii ro hie a signed siaiemeni mar ne is
licensed pursuant to the provisions ot the Contractor s
License law (Chapter 9 commencing with Section fOOC ol
Division 3 Dl the Business and Professions Code) or that is en-
empl therefrom and the basis lot lt>e alleged exemption Any
violation of Section fD31 5 t>y an appiicanr tor a permit suO
lecls the applicant to a civii penalty ol nol more than tivehun
dreo dollars [S500)
' M. as Owner ol the properly, or my employees wilh wages
as Iheir sole compensation, wiii do ihe worti. and the struc
ture IS nol iniended or olleied tor sale (Sec 7044. Business
and Professions Code The Contractor's license Law doesnot apply IP an owner ol properly who Puiids or improves
thereon and wno does sucn worii himself or through his own
employees, provided that sucn improvements are nol intend
ed or ottered tor sate It. however, the building or improve-
menl ts sold within one year cl completion, the owner-Buiidei
will tiave the Durden ol proving that he did nol build or im
prove tor lite purpose ol sale)
n I, as owner ot the properly, am exctuswaiy contracting
wKh licensed contractors to construct Ihe protect (Sec. 7044.
Business and Professions Code The Contractor's License
taw does not apply to an owner ot property who builds or im
proves thereon, and who contracts lor each priqects with a
conirac(«($) license pursuant to the Coniracier's LicenseLaw)
' 1 As a homeowner i am improving my home, and Ihe toiiow
Ing condllions exist:t. Tf« wofli is being performed prior to sale
i. I have lived m my home (or twelve months
prior 10 completion ol this worK
3 I have not claimed this exemption during the
fast three years
□ I am exempt under Seclor this reason .a&PC.
n I hereby affirm that I nave a cehiricate ot consentto self insure, oi a ceriiiicaie ot Wortters
Comper>saiiot> insurance, or a cetitied copy itiereot
iSec 3800. Labor Codei
POLiCV NO
COMPANY
□ Copy IS filed with The city
□ Certified copy is hereby furnished
CEflTlFtCATl OF EXEIutPTlON FBOM
WORKERS COMPENSATION INSURANCEfThrs section need not be completed if tne permit
IS tor one hundred dollars iliOOi or lessi
□ t cedity that m the performance or the worli torwhich this permit is issued, l shall nol employ anyperson in any manner SO as fo Ciecome subiecl In
the Wortiers Compensation Laws of Caiitorma
NOTICE TO applicant ir alter mailing this Cem
ticaie ot Exemption you should txecome subject lo
the Worhers Compensation provisions ol trte LaborCode, you must rothwitn comply with suchprovisions or this permit shall be deemed 'evoxed
D I ftereby atiirm trial there >$ a corisfuctionlending agency ipr the performance o' the worii lotwhich this permit is >SSue0 (Sec 3097. Cwi Coder
Lender sName
Lender s Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS
LOT
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989^(619) 438-5525 APPLICATION & PERMIT
A V. ST. RD. NEAREST CROSS ST.
S U B DI V ISCT a iQN I a/siL-lo /SE
I DATE OF APPLICATION
SSOR PARCEL NO.
OWNE n S NAME
CARL-S-fbTtr cEUTtSR
OWNER'S PHONE
OWNE «'S MAILING ADDRESS
75^ CrNGltsito^ RD -S.D. cA '=1'2.lV(
BUSINESS LICENSE P
CONTRACTOR
KouU G:::toscrRocT^<^bi ^.
CONTRACTORS PHONE »
CONTRACTOR'S ADDRESS LICENSE NO.
£NG.lW>sa2, 7.'Z.I-7Co4-
LICENSE B
C-Soe:30
DESIGNER'S ADDRESS DESIGNER'S PHONE
■KA-llxl
ZONE
PLAN I.O. «
STANDARD PLAN #
PERMIT NUWER
8LDG USE CODE
BUILDING SO FOOTAGE
Mol Valid Unless Machine Certified
STORIES
»□ nD
AM K ■ N '.I' A'-- ,REDEVELOPMENT
AREA
QRADiN'j f-ERMlT ISSUED
r □ N □
TYPE OCC LOAD FIRE SPR
PLUMBING PERMIT - ISSUE SUMMARY/ACCOUNT NUMBERMECHANICAL PERMIT - ISSUE
BUILDING PERMIT 01-00-00-8220EACH FIXTURE TRAP INSTALL FURN DUCTS UP TQ 100,000 8TU
SIGN PERMITEACH BUILDING SEWER OVER 100 000 01-00-00-8221
PLAN CHECKEACHWATER HEATER AND OR VENT BOILER/COMPRESSOR UPT03 01-00-00-8806
EACH GAS SYSTEM 1 T040UTLETS BOILER/COMPRESSOR 3 TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT
MECH EXHAUST HOOD
MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER 'D MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACF»HEATER MOBILEHOME PARK (NSP
EACH ROOF DRAIN (INSlDEi SOLAR Ol-O0-Q0i8226TOTAL MECHANICAL STRONG MOTION
FIRE SPRINKLERS
80-92-33-0519
TGiAL Plumbing 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8930ELECTRICAL PERMIT • ISSUE SOLAR - ISSUE
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE - DISTRICT
STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BlOG EA AMP'SWT ROG< STORAGE Encinitas 80-92-22-0519
San Diagiilio 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-QO-OQ-B162
TEMP OCCUPANCY f30 DAYS)MFF 80-92-57-0519
CREDIT DEPOSIT
HITAL ELtLTRIGAL TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED TIHE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEDECLARATIONS ARE 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 CON
STRUCTION. V/H£THEfl SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING OF THIS PERMIT
Expiration Every Pdrmil issued by the Building Official under Ihe provisions of thisCode shall expire by limitation and become null and void U the building or workauthorized by such permit is not commenced within 100 days from the dale of suchpermit, or it the building or work authorized by such permit is suspended orBbanOoned at any time after the work is commenced lor a period of tM davs
-* AN OSHA PERMIT IS REOUtREO FOR EXCAVATIONS OVER
5 0 DEEP AND DEMOLITION OR CONSTflLX:TION OF
STRUCTURES OVER 3 STORIES IN HEK3MT
APPLICANT S SIGNATURE OWNER n CONTRACTOR
BY PHONE □
TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING
FLOOR & CEILIN^UB FRAME '
gf ROOF □ SH^^
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO DIPUCO
UNDERGROUND □ WASTE □ V/ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WA""ER
ELECTRICAL
□ ELECTRIC UNDERGROUND [ZVllFFFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE U/tETE MPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE
WMr
INSPECTOR
STBISTRU
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATEITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
BUILDING
SPECIAL CONDITIONS
■ gWr^)7-.5V0g' • ' •
FIELD INSPECTION RECORD
REQUIRED SPECIAI. INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
INDATION INSP
CTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED■■eONCRET^CC*
FIELD WELDING
HIGH STRENGTH-
BOL fS
special masonry •
PILES CAISSONS
A-J '•«,T-r
REQ IF
checked
INSPECTOR S
APPROVAL DATE
INSPECTOR S NOTES
Tvrr—r-
S;- •
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS . n tT" ■> /■
OWNER L t t- >7 ^ ■' w-iri U i-
MAI LING
ADDRESS
' /' ^l 1/ 71. U t- 0
.7^7 1 11 -'.- ,7 ■ 7/
CONTRACTOR [- ( L L ■ j- . ■-
CONTRACTOR'S
ADDRESS
'■ I'm. '' i l l- V j .
NEW BUILDING \' EXISTING BUILDING
LEGAL DESCRIPTION ^ 7" 7
7 / -
/ — /
SE t"
ISSUED BY
DATE ISSUED.^ ,■ 9 H
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Ma*. H. 30*. V. 10').
OVER 30' H. @ FT..
OVER 10* V. @ FT..
STANDARD 6" (Max. H. 30', V. 10').
OVER 30* H @ FT..
OVER 10' V @ FT..
TOTAL CONSTRUCTION COST-
SERVICE CHARGE (REPAVING ETC.),
TOTAL LATERAL CHARGE.
REMARKS:
'"V-A- z.
/• '/ 7 ■
. . 7'> // -A I
/'
LINE COST DATA
/ /
ASSESSMENT DIST. NO
FRONTAGE COST PER FT..
OTHER
.TOTAL.
LATERAL LOCATION
ST.
NO. UNITS-
CONNECTION FEE
4COST PER UNIT--.TOTAL-
PUMP STATION FEES
NO. UNITS .^COST PER UNIT TOTAL.
LATERAL NO..INSTALLATION DATE.
TOTAL CHARGES (LATERAL ETC
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
. V j \ I
XL": o .
CONTRACTOR'S
ADDRESS 'lY ' Af -1 : ,
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
SE
I, ,K •
ISSUED BY
DATE ISSUED.
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10').
OVER 30' H (g| FT..
OVER 10* V @ FT..
STANDARD 6" (Max. H. 30*, V. 10*).
OVER 30' H @ FT..
OVER 10' V @ FT..
TOTAL CONSTRUCTION COST.
SERVICE CHARGE (REPAVING ETC,).
TOTAL LATERAL CHARGE-
REMARKS:A LINE COST DATA
=- /. i"''"/.'/Jl r
ASSESSMENT DIST. NO..
FRONTAGE COST PER FT..
OTHER
.TOTAL.
LATERAL LOCATION
A
ST.
NO. UNITS/• '/
CONNECTION FEE
.COST PER UNIT.-TOTAL-
NO. UNITS.
PUMP STATION FEES
COST PER UNIT-. TOTAL.
LATERAL NO..INSTALLATION DATE.
TOT';afL CHARGES (LATERAL ETC