HomeMy WebLinkAbout2247 Hosp Way; ; 84-185-L2; Permit,M[
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D I hereby atttrm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full force and effect.
L,c No ------Cla11
I hereby af1rrm that I am exemp! from the Contrac
tor's License Law for lhe 1ollow,ng reason (Sec 7031 5 Business and Profess,ons Code Any r,Ty or county wh,ch re•
quires a Derm,I lo construct. alter. improve. demolish or
repair any structure. pr,or to its ,ssuance also requires !heap
pl,cant for such permit to hie a s,qned statement lhat he ,s
licensed pursuant to lhe provIsIons ol the Contrac1or s
License Law (Chapter 9 cornmenc,ng w1Th Section 7000 of
01v1s1on 3 01 me Business and Proless1ons Code/ or tha! 1s ex-
empt 1here1rom and the basis for the allegea exempllOn Any
violaI1on ol Section 7031 5 by an applicant for a perm,I sub
Iects the applicant to a cIvII penalty of not more lhan five hun-
dred dollars 1$500)
I; I, as owner of the property. or my employees with wages
as their sole compensa1mn. w,fl do the work, and Ille struc-
lure Is not mtendeo or offered !or sale (Sec 7044, Business
and Professions Code The Contractor's License Law does
not apply to an owner o1 property who builds or ,mproves
lhereon and who does such work hImsel1 or through his own employees. provided that such improvements are not ,ntend-
ed or ottered tor sale_ If, however, the building or improve-menl Is sold w1t!lm one year of completion, the owner-builder
w,li have the burden of pr011Ing 1Mt he did not build or im-prove tor tM purpose ot sale)
::-1 I. as owner of the property. am exclusively contracting
with licensed contractors to cons1rucl the project (Sec 7044,
Busrness and Professions Code. The Contractor's License Law does not apply 1o an owner of property who builds or im-
proves thereon,. and who contracts for each proIects with a
contractor(s) license pursuan1 to the Contrac1or's License law)
[7 As a homeowner I am improving my home. and the follow ing conditions exIs1
1. The work is being per!or!Tle{I prior lo sale
2 I have lived In my home 1or twelve months prior lo comple1ion of this work
I have not claimed th,s exemption during the
last three years
C I am exemp1 under Sec _____ _ B & P.C tor this reason ____________ _
D I hereby a!l,rm that I ha~e a ceii,1,cate o1 consent to sell ,nsure. or a cer11f1ca!e of Workers
Compensa11on Insurance, o, a cer1'!1e<1 COPV lhe1eo!
(Sec 3800. Labor Code)
POLICY NO
COMPANY
□ Copy IS 111€(1 w,th the c,ty
O Cer1>1,e<1 copy ,s hereby Turn,shed
CERTIFICATl. OF EXlMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need no! be compleled ,T the ;:,erm,I
,s to, one hundred dollars ISHlJ) or less)
0 I cer11Ty that ,n the performance of the worl< tor
which this pennIt Is ,ssued. I shall no! employ any
person many manner so as to become subIecI to
1he Workers· Compensat,on Laws oT CaI1forn,a
NOTICE TO APPLICANT II alter mak,nJ th,s Cen,
T1cale oT E•empt,on you should become subIecI tc, the Workers· Compensatron pro~,s,ons ol the LaOO,
Code. you mus1 !Q'1hw1th comply w,n, such
pro~,s,ons or th,s perm,1 shall be deemed revoked
0 I hereby alT,rm that the,e ,s a cori,iruct,on
lendrng ager,cy Tor lhe per1orn,3nq• ct the wor1< !or
wh,ch H11s perm,t ,s ,~sued ,Sec m1 r;,,,I Code,
Lenders Name ___________ _
Ler,defs Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1 0 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
R DA)%t7~•0NI
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5g;r;NSE # ~VALUAT,ON 4-RM,T N?R ~
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CON'TRACTOR'S A6DR£ss --. ~-~ . LICEKSE"NO. PLAN 1.0. # BLOG USE CODE I--
-DESIGNE~ -., ' ..,----'"-'---'-----'-'---'--'-"-'"'-'"""""'=-"----t"Pe::!i.1~lNE:.~'_s_Aqo,1u:ss.
QJY·I PLUMBING PERMIT. ISSUE '1, c;z-Jj QTY.
e', FLA ELEV
YO NO ---
REDEVELOPMENT
AREA
YD NO
MECHANICAL PERMIT· ISSUE
~
NO
STORIES
TYPE
CONST
.~-
JI ,t r
LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE
7-/0
OESl~.fl'S tHON.E
I
DCC GP EDU
OCC LOAD FIRE SPF!
YO NO Nor Valid Unless ftbchine Certified
SUMMARY/ACCOUNT NUMBER --lo I EACH FIXTURE TRAP l.r--INSTALL FURN. DUCTS iJP TO 100,000 BTU / I BUILDING PERMIT 01·00·00·8220 -;,! 'f, L -.J 0
QTY.
EACH BUI LO ING SEWER
EACH WATER HEATER ANO,·OR VENT ..._r.-
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM !'I OR MORE
EACH INSTA~. ALTER, REPAIR WATER PIPE _,, _________ _
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN !INSIDE)
TOT Al Pl UMBING 1
ELECTRICAL PERMIT· ISSUE • •
NEW CONST EA AMP SWl 8K R /~A,:
1 PH 3 PH T
EXIST BLDG EA AMP.'SWT·BKR
I PH J PH
REMODEL 'ALHR PE"R CIRCUIT
~ i.-£"Q__
RELOct'flON OF EA FURNACE/HEATER
-. '
TOTkL MECHANICAL
'}17,.~Tr
.~-II QTY. I SOLAR· ISSUE
-,.-{ -11 I COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
f---+---PLAN CHECK ~EE
TE MP POLE 700AMPS
DVE:A 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECIRICAL 1
I ~ ..--
-.. -~ , ., • . ,, ,, . . , " . 1 1 • ., % ., ; ---' "· I'
TOTAl SOLAR
SIGN PERMIT 01·00·00-8221 _ _,_ __
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00·00-8222
ELECTRICAL 01-00-00·8223 -
MECHANICAL 01-00-00-8224
MOBILEHOME 01·00-00-8225
MOBILEHOME PARK INSP
SOLAR 01~00·00·8226
STRONG MOTION ___ _ ~0-92-33-0_!J___g
FIRE SPRINi<LERS 01-00·00·8227
U PUBLIC FACILITIES FEE 32-00·00·8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80·92-21-0519
Encinitas B0-92-22-0519
San 01e_g_u1to 80-92-23-0519
San Marcos 80·92-24-0519
C----------
• ~'t: -
•
!------------------f--------'"-
LICENSE TAX 1-00-00-8162
--IDEF
CREDIT DEPO~IT ·~
TOTAL FEES PAYABLE I /ft/-,o.r -! HAVE'.CAAEFULLY EXAMINED THE 9()MPLETEl? '!:A_Pf'UC,tl.TION),NQ.)>1:;e,;tIT" i\f{0/00 }IER~S:x
C&RTlFY UNDER PENALTY OF -PERJURY TJ4AT; Al.l lNFORMATION HEREOf1(_INCLUOING THE
OECLAAAT10N.S, AAE TRIJE AND CORRECT ANO I Ft,JRTHER-CEflrtf!Y'ANO-At38.Sl;AF ~PEQMIT IS
""-tSsuEO?-ro COMRV~WtTH AU CJi:¥, COUNTY,1.NOSTAlE LAWS'GOVE~,&lll.DJNG CON-l~~~~~~!!ll!!.!J!{i:!!!!~:ili!i!!!!il!!~~iii~i!lG!!:iii[iiiixi;:_:, STflUC'TION. WHEtHE-R SPECIFIEO-f!EREIN p8 t,IOT. t Al,.SO AGREE TO ~VE, 1~0£MN(FV AND !JOl"S""'
:~:Nt'tsM~~tHr:._~r: :~:~i:;:tit~:,~~ ~~~~~N~~~~~~~o
* AN,~HA fl'.ERMJT ~REQUIFl60~EXCAVAT¥)NS_OVEA !f o;•'b£Ep ANO DEMOLrTION--OA CONSTAUCTION OF
S~ OVfA 3 STORIES IN HEIGHT
APPROV -BY -r71✓~'/-GRA-NTINGOf""4HIS~.RW"':-r---'~,,,_,,_,' .,' ' ,, " -.. ... . "' "
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' INSPECTOR
. . TYPE I DATE ?r'-r-1 ~5 -/....ol't,{ v BUILDING I
./ FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I _;_ : < , . REQ IF INSPECTORS
GUNITE OR GROUT ' INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE . ' . '' ' --. -
SHEATHING □ ROOF □ SHEit.R PRIOR TO
FOUNDATION INSP
FRAME I
'
STRUCTURAL CONCRETE
EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRES TRESSED • CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE '
PLUMBING I t"IE(O WELDING-
SEWER AND BUCO □IPUCO I HIGH STRENGTH -·•-: ~ □ WATER
BOl.fS ' .~DERGROUND □ WASTE
SPECIAL MASONRY -· TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WA1J'ER
I .
ELECTRICAL I -. ,-,-
□ ELECTRIC UNDERGROUND □ IIJFFER . . ·~ .
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOF.IARY '.
. , . .
□ BONDING □ POOL I . ..
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
I ,, .. VENTILATING SYSTEMS
'
CALL FOR FINAL /NSPECT/gN WHEN ALL APPROPR/A TE
ITEMS ABOVE HA V BEEN AP'PROVEO: ,
' FINAL ' . I · .• ..
PLUMBING I-~-· . .J ~ . . .,, ..... ':-. I ' .
ELECTRICAL I \) , . ) . "~
I (\ ---. . . ·.
MECHANICAL I r. r ~' -( ; ' ·, .• . ; .. '--1,,. 1/\1.'l\,,· '. ·. . -.. : ' . ' . . . GAS I • .
I \l ' -
. •· .
BUILDING I '
SPECIAL CONDITIONS ' '
I
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•
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•
CITY LOT# OF CARLSBAD
INSPECTION RJ!:CORD
.~
ADDRESS:
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
----
SUB FRAME ( FLOOR ( ) CEILING
SHEATHING () ROOF () SHEAR
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL FINAL ____________ _
PLUMBING
() SEWER & BL/CO ( PL/CO
UNDERGROUND () WASTE () WATER
TUB & SHOWER PAN
GAS TEST
() WATER HEATER () SOLAR WATER
FINAL ___________ _
ELECTRICAL
ELECTRIC UNDERGROUND () OFFER
BONDING ( ) POOL
FINAL ___________ _
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS FINAL. ___________ _
COMPLETE BUILDINGX:NAL C-~ .N"'
DATE:~"3:?-oS<P'"
CLEARED WITH GAS AND ELECTRIC
DATE: --------
NOTES ON REVERSE SIDE •••.•.
City of Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
•
• VALIDATION
1200 ELM 439.5525 You are required by law to complete and return this form to our office.
Address where Business
will be conducted
Name of Occupant
Owner of Building
Type of Business
Describe exact use of all portions of each building and lot
Previous use of Building
Type of flammable or explosive liquids to be used, if any
)
~ddress
Building 84-185-10 Permit No.
Business Phone
Home Office
Phone
~ Phone
1 certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury.
Dated this~ day of
Signature of Applicant
ENTAL USE ONLY
Use Zone Type of Construction
Planning
Department Date Approved By
Engineering
Department Date Approved By
Fire
Prevention Date Approved By
Health
Department Date Approved By
Building
Department Date Approved By
Signature of Building Offlclal
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.
1 I I ..
APPLICATION FOR P.ERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD .£~
ENGINEERING DEPARTMEN.:t') :t --,.
438-5541 pr
FOR APPLICANT TO Fl LL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING , II -7
/'~ ~ £. EQ<-,J I .P. ..J-.,,e.~r /<;!J O"">rJ
LJLD~S -~
LATERAL LOCATION
i-: en
ST.
LATERAL NO. _______ INSTALLATION DATE--------4
ISSUED BY -----------'--------
DATE ISSUED------=-=-----------
VALIDATION
LATERAL CHAR
STANDARD 4" (Max. H.
OVER 30' H. ___ ,@,,.·----"-
OVER 10' V. @ __ _
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----------
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT, ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS ___ COST PER UNIT ---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL---
TOTAL CHARGES (LATERAL ETC.)
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
1200 ELM AVENUE
CARLSBAD, CA 92008-1989
(!J:itp of (!J:arl.sbab
BUILDING DEPARTMENT
July 10, 1985
Charlyne Smith
8th Floor
San Diego Gas & Electric Co •.
P.O. Box 1831
San Diego, CA 92112
CHANGE OF ADDRESSES FOR CAMINO POINT (CT 79-27)
This is to notify you that the following address changes
have been made:
FROM:
t/'2238 Avenida Magnifica .
~asp Way (Pool>Equip.)
C _ ~~:~ :::~i::YMagnifica ~
V'z243 Hosp Wq,y (Laundry)
I'
TO:
✓2244
-2266
2286
v'2275 -r..-224 7
Avenida Magnifica
Avenida Magni.fl.ca~
Avenida Magnifica
Hosp Way
Hosp Way
Copies of this notification shall be forwarded to the
following:
Carlsbad Post Office
Carlsbad Fire Department
Carlsbad Finance Department
HELENE U. JOHNSON
Secretary
County Assessor's Office--
Carlsbad Police Department
TELEPHONE
(619) 438-5525
C: Cor:u:nunity Resources Real Estate Group, 2204, Garnet Avenue,
San Diego, CA 92109