HomeMy WebLinkAbout2270 CAMINO VIDA ROBLE; ; 80-465; Permit€31VQITVA NOIlD3dSNi
i
QLo .LL. w>
ZUJ
EPARTMENTT APPLICANT TO FILL IN(714)438-5525 MATION WITHIN RED Llh^^ I CITY OF CARLSBAD-BUILDING DLICENSED CONTRACTOR'S DECLARATION MCC QAi i oniklT DPkl Okil V AHr-'LICAl IUN & HhKM1 hereby affirm thai 1 am licensed under p,ovi- Ubb b ALL h'UlN 1 KtNUNLT ^QO ELM AVENUEslons of Chapter 9 (commencing with Section, \,
m '2 N^,
i VCC j*Jla \^v\
« ^^
UJ r^»
^HS4r\
S
inQ _.0:
—
a:o ~o
1
^7000J of Division 3 of Ihe Business and Profes-sions Code, and my license Is in full force and ef-fect.in *&
P\j
< vi.tt T1- V
o 5
Ul -i
UJ
oIa.
(ft
E
UlZio
5
fi
^UJjk \
1
.s11I
I
CONTRACTOR'SPHONE4**-n*vr>
V
t/> XT*
Eex2 V
*
^i
en -*^UlUJ
Q *5-.R'S MAILINGH* S,si
Ulin p*
3 r^
UJ
in (V)
c Cv iUl ^J
105 "V^u V>o -^ASSESSOR'S PARCEL NO.1 1 1 1 1 1 1 1 1 1VISIONSUBDIBLOCKst
f
RIPTION OF WOi oa, -v"•«,
Ul .Q vl
*J
u
•3
in «A
Ul *L\ct ^Pj
Q \ 1< \J
m
* f\Ul Wz -^os O
Ul ^Q
4t
*
1
Ulf S
SVJ
^
to
•^
)U\
X
-*
Vj^
1 ^*^NUMBER OF STORIESto
Ulu
0-1/1
CTZ
tt
t =H=
ini-
01Ultr
ZONING<n3
pz
aa
CENSUS TRACTa
o
uo
TYPE CONST0 1
i^STANDARD PLAN #a,a
uuO
UJin
o
CD
i-u.
ain
a
m
I'V\
**v
O
H
EH
\ D
H
MECHANICAL PERMITo
i
PLUMBING PERMIT>NSTALl FURN. DUCTS UP TO 100,000 BTUEACH FIXTURE TRAPOVER 100 ,000 BTUNG SEWEREACH BUILDBOILER/COMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR 3-15 HPEACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 16-30 HPEACH GAS SYSTEM 6 OR MOREVENT FAN SINGLE DUCT-EACH INSTAL., ALTER, REPAIR WATER PIPEMECH EXHAUST - HOOD/DUCTSEACH LAWN SPRINKLER SYSTEMO
Ti
^
1
BUILDING PERMITDN OF EA FURNACE/HEATERRELOCATIcc
LUz1-LL.OI/)
cc
LU
t-
3
_SIGN PERMIT ,A , 4l3S'3<?t-Jo
Issueoo
n
-issue!
oIxlXo
z
a.TOTAL MECHANICAL"VE PERMITALLINCLUSIoco
o<
t-Xoo
TOTAL PLUMBINGCONTRACTORitf|fllis**s*II s«;II°p!PlI ill^H S
:
I;!!1!!I!! HfflfiiS'iii °!n¥iiPfi ipp!Ujg£|E|c03gJ5g-5o{2e CO-m"2EsE^S^« >; ™ c | £ g g
ii!lffU*iIiii-i isyppi! ijfJisHtS^K8SE-£|rg£S*£l *l*5°~$°«"£jj = IJl^glssS
illlllllllllltil ciililliiiiili ~Il3£ttl~
"TOTAL PLUMBINGELECTRICAL-s.MOBILE HOME PERMITa
m
ELECTRICAL PERMIT!—O
fnr this reasonOJc
O
01BQ MECHANICAL\NEW CONST EA AMP/SWT/BKR"
LU
oX
LU
o
ccoa.
Xa.
CO
Ui
Xa.
-
cc
o
a.
LU
EXIST BLDG EA AMP/SWT/BKR-
-RAMADA, CABANAa.
M
LT>
Xa.
-
-
to
ccLU
o
UJozUJLL.REMODEL/ALTER PER CIRCUITWORKERS' COMPENSATION DECLARATION1 hereby affirm that 1 have^a certificate of con-sent lo self-insure, tor a certificate of Workers'Compensation Insurance, rfl * certified copythereof (Sec. ^2P'ALa^ojf F°!^^lPOI ICY NO nWAlX' * A ia.
S
I
>z<a;ct.
-
-
LL
C3
TOTAL MOBILE HOMETEMP POLE 200 AMPS\'
-
-
seE
ao
cc
LU
a
—"••—• w — — T—DCopy is filed with th^ciiy.DCertified copy is hereby furnished.^\
-
_STRONG MOTION:a
oCO
TEMP OCCUPANCY—
-
-
O
O
*<N
IssueT^v*
^V;
1
TOTAL FEES PAYABLETOTAL ELECTRICALCONTRACTOR?*J SCHOOL FEES:^ - sQsS^xX \
R\
KgV' J
Q O tfl I
Sz- ($i i^i^v sU'm*0>V "S
K Q >V*^JiooXT6"
cc z a, \uJ < jB\ >
< in in
OQ
Q - £ J. 9 uZ Q t 5 Z L< Z U CC. < 2
•< -i a: < <" -
p^S§l§!
* ^ t". fc o S <
? ° W , > m
>"£ w r "! -j
1 HAVE CAREFULLY EXAMINED THE COMPLETHEREBY CERTIFY THAT ALL INFORMATION HFURTHER CERTIFY AND AGREE IF A PERMITCOUNTY AND STATE LAWS GOVERNING BUILtSPECIFIED HEREIN OH NOT. I.ALSO AGREE TCLESS THE CITY OF CARLSBAD AGAINST ALLCERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCEffhls section need not be completed if the per-mit is for one hundred dollars ($100) or less),1 certify that in the performance of the work forwhich this permit is issued, 1 shall not employ anyperson in any manner so as to become subject tothe Workers Compensation Laws of California.NOTICE TO APPLICANT: If, after making this Cer-tificate of Exemption, you should become subjectto the Workers' Compensation provisions of theLabor Code, uou must forthwith comply with suchprovisions or this permit shall be deemed revoked.ffl \
|v
APPLICrtkfV^IGNATftjHE1 OWNERQ CONTRACTOR^I/ AGENT D BY PHONE L£OF THE GRANTING OF THIS PERMIT.'•CONSTRUCTION LENDING AGENCY1 hereby affirm that there Is a construction len-ding agency for Ihe performance of the work forwhir^h this DBrtnit is issued (Sec. 3097. Civil Code).
6Z
L_
,s
UJ
Q.
•
ttUJ
Z
o
1
.[ J' 4
j SITE1 ADDRESS:o:OLJ
UJo;
o
h-u
LU
0_
2
Q1— JLU
LL
*
n*•
UJ
oz
"ccoh-u
UJQ.
z
K
Oh-UUJ
CO
Z
UJh-
D
INSPECTION| WOOD FLOORTOILET•«] • FORMS • SET BACK[ FOUNDATIOh3R PLUMBINGj UNDER FLOC}R HEATINGUNDER FLOCVLL SUB FLOOR^4.
fe
Z
o1-
o
[SLAB FLOOR1 PLUMBINGLLI
LTUJ
QZD
1-LU
—1
ORMS • SETBACK • TOj FOOTING • FCONCRETEtr
D
O0-o1-
o
FRAME3TRICALROUGH ELE<O
Z
m^| ROUGH PLUJiriNG/VENTlLATINGROUGH HE A*PLACE INSULATION| FRAME OK •DCC<r
OK • PLACE WALLBO,| INSULATIONOK • PLACE TAPEWALLBOARDOUuD
h-1/1
LU
U
J
Q.
y.o
X
H
| EXTERIOR L[FIREPLACEj
UJ
UJi
| DAMPER a SI/HEIGHT OF CHIMNEY| PLATE TIES,| OTHERLd
O
D.j TEMP POWEFSEWER-
U
h-
<n
O • STEEL BONDINGOOH
Sffi
UUJQ
LU
ItQ.
ir
' FENCE PREPLASTE1 FRAME[ SHOWN •-
z
Q.
t
I
Ic
£
J
LI
Ci
A
<
L
-*
<
*FV
LU
^3
JD
D
i;
J
r
•D,\
5\
=-^
£
n»S REQ COMPLETED| OTHER DEPT'!•PERM-TEMP! F.LEC METER-'ERM-TEMPj GAS METER-F;UPANCY ISSUEDwuo
LL.
O
S
UJ