HomeMy WebLinkAbout2278 LISA ST; ; 83-385; Permit"' z 0 : :l u "' 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
lie No Class_
I hereby affirm that I am exempt lrom the Contrac-
tor's License Law for the following reason (Sec. 7031.5
Business and Professions Code· Any city or county which re·
quires a permit to construct, alter. improve, demolish, or repair any structure. prior lo its 1ss_uance also requ,res the ap-
plicant for such permit to file a signed statement that he Is
I,censed pursuant to the prov,s,ons of the Contractor's
License law !Chapter 9 commencing with Section 7000 of
01vis,on 3 of the Business and Profess,ons Code) or that 1s ex· empt therefrom and the Oasis tor !he alleged exemplion. Any
violation 01 Section 7031.5 by an applicant for a permit suO·
jects the applicant to a cIvI1 penalty of not more than five hun-
dred dollars 1$5001
::7 I, as owner ot the property. or my employees with wages
as their sole compensation, wI1I do the work. and the struc-
ture 1s not intended or offered for sale (Sec. 7044 Business
and Professions Code: The Contractor's License Law does no1 apply to an owner o! property who Ouilds or improves
thereon and who_ does such work himself or through his own employees, provided !hat such improvements are not intend-
ed or offered for _sale. rt, however. the Ouilding or impr_ove-rnent Is sold within one year ot completion,_ the owner-builder
will have the ourden ot proving that he did not build or im-prove for the purpose of sale)
□ I,. as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (Sec. 7044,
Business and Professions Code· The Contractor's license
Law does not apply to an owner of property who builds or im· proves thereon, and who contracts lor each prO(ects with a contractor(s) license pursuant to the Contractor's License Law)
□ As a tiomeowner I am rmprovmg my home, and the tollow-mg cond1t1ons exist
1 The won< is being performed prior to sale 2. I have lived in my home for twelve months
prior to completion of this work
I have not claimed this exemption during the last three years
□ lamexemptunderSec ______ , B&P.C
for this reason
D I hereby affirm !hat I ha~e a cert1l1cate of consent
to self-insure, or a cert1f,cate of Workers
Compensation Insurance, or a cerM,ed copy the,eof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy ,shied with lhe city
D Cert1f1ed copy 1s hereby turn,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need not be complete<! d me perm,t
,s !or one hundred dollars ($1001 or lessl
0 I cert,fy !hat in the performance of the wor!< lo,
wh1ch this perm,t 1s ,ssued. I shall not employ any
person 1n any manner so as to become sub1ecT lo
1he Wo11<ers· Compensation Laws of Cal1lorn1a
NOTICE TO APPLICANT 11. at1er mak,n;i this Cert,
!,care of Exemp1,on, you should t>e<:ome subiect 10
the Wol1<ers· Compensation provrs,ons of the Labor
Code. you must forthwith comply w,th sucn prov1s,ons or lh,s permit shall be deemed revoked
0 I hereby a!t,rm that there •S a construC11on
1end1ng agency tor the pertormance o! the woO\ for wh,ch 111,s perm,t ,s issued (Sec 3097 C,v,I Code1
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619~38-5525
JOB ;f;'g; -AV.ST. DATE OF A~PLICATION 48N;;;;ENSE # VALUATION PERMIT NUMBER
LIS.A-J!P-· €J :.--. (pJ,ZO ... z_. __ .......:. ..
~-~ OWNER'S NAME 1 OWNER'S PHONE CONTRACTOR
'PA-rti> ~TR_!CTOAg:;;q,* zo"tzM 1-f p pl;fA.l:s" r. .MA '779. -M:..,. ,;.& 1014
OWNER'S MAI UNG ADDRESS CONTAACTofls ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
~~ " -• ,,,....<y>,..l 'y~ ····-• 31~~ /4 :--~ ,,,. .E![_
LOT l BLOCK I SU8rf/';..?,, I ASS,SOA PARCEL NO. ".."') V OEStGNER I LICENSE# STANDARD PLAN# BUILDING SO. FO<.YT~E O"l -o,O O 0 ... , .. -'5/,,?D OESCAIPTlON OF WOAk
OESIGNER'S AbOAESS . . . DESIGNER'S PHONE
~,,fJ .,,,.. .• . ,1, FLA ELEV. NO OCC GP EDU q✓l'f,,t'] . ,o ,rli STOfES M ---c~,~3~ I GPiZM ! PARKl~ACE "'5$"' l GRADING PERMIT ISSUED I REOE-G-ELOPMENT ¥f-~iJ ace LOAD Fl RE SPA
AREA ,rJ ,□ ~ y □ ' rf >0 N --N~f/jf i1N~ne Certified 1 ' .. ,.,
7.sZJ_ , 7 ~~ ►.i:!i.'-I-~;14: , ?.l QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 ✓-~ • .::..-......
EACH BUILDING SEWER . OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO.IOR VEN,-----t-----.-BOILER/COMPRESSOR UP TO 3 HP PLAN CHEC ,;-, • p;;J. 01-00-00-8806 -,t:1------
EACH GAS SYSTEM 1 TO 4 OUTLETS l BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 ----·-· 7,,.-;,_ EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL 01·00-00-8223 -------------.. ------
EACH INSTAl, .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 -· EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00-00-8225 ... ----. -----
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
: EACH ROOF DRAIN !INSIDE) SOLAR 01-00-00-8226
I -----TOT.G.L MECHANICAL , c:::o STRONG MOTION 80·92·33-0519 ----. ----r-.
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 -
QTY.I s--PUBLIC FACILITIES FEE 32-00-00-8923 ELECTRICAL PERMIT· ISSUE QTY. SOLAR· ISSUE ' BRIDGE FEE
! NEW CONST EA AMP:SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 --EXIST BLOG EA AMP/SWTlBKR
' ROCK STORAGE Encinitas 80-92·22-0519 -I PH 3 PH PUMP San Dieguito 80-92-23·0519 --------·--. I REMOOEL'ALTER PER CIRCUIT -5 -PLAN CHECK FEE San Marcos 80-92-24-0519 -. -·-' ----( TEMP POLE 200 AMPS ------. --------------·-OVER 200 AMPS ------·--TEMP OCCUPANCY iJO DAYS) -. ----·-. --·· ·--.l ------_____ _:__ ~--~ ---TOTAL ELECTRICAL 1 TOT Al SOLAR I 7::z,-! 10.-TOTAL FEES PAYABLE
' ":"·. . ·-. -;· .' E~J>iratlon. Every pfJJlOitJlttlad b)' t"-Buil.diog,,Ofllclal under the prQV,i&iOf'l$oftbi. I HAVE CAAEFUlL'i E)(AMtNEO lliE CoM'PLE1io "APPLICATION ANO PERMIT" ANOOO-HEREBV 'It Alf OSHA PEMKHS REQUiAEO FOR u:cAVATtOHS OVER CEftTIFY' UNDER PENAi.TY OF PERJURY THAT ALL INFORMATION. HEREON INCLUOtNG THE Code Shaff expire by JimiwtiOn end become null and void. 11 the buitdffig or work •$'0" DEEP_,,, Ol!UOllTI0H OR C0NST1'UCTl0N 0, DE<fl.ARATfONS A,. TRUE· ANO CORRECT ANO I FlJATHER CERTtFY ANO AGREE IF A PERMIT IS authOrized by svcti permit iii not commencectwithin 180 days from~~~ such ~.OVER,3 STORIES tN HEIGHT permit, or_ if 1he ~ijdl:ft: ~Ir.,•~~ t;,y JWCh permit is'"" or ISSUED: TO COMPLY WITH All CITY, COVNTrAND STATE LAWS GOVERNING BlJllotNG CON-abandoned at anw time thtl Work ,s commenced fO¥ a oeriod of 1 . STRlJCTION, 'WHETHEf!,$PECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO -w;.,r·J .. OWNER□ CONTRACT()fl:0 APPROVED CV DATE KEEP HARMLESS THE CITY 'OF·OARLSBAO AGAINST AU. LIABILITIES, JUDGMENTS, COSTS ANO ' p.: ' .......
I~~)/~
EXPENSES Wt;UCH MAY )N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BVPHONE,0 ,/\ ~ GRANTING OF 1'HIS PERMIT. . ' .
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & GEi LING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING . , . \.... ..... -• 1:..1'2 .C,JI
SPECIAL COND'ITIONS
CERT OF OCCUPANCY ISSUED
83-3&'~
FIELD INSPECTIDN RECDRD
REQUIRED SPECIAL INSPECTIDNS INSPECTDR"S NDTES
INSPECTIDN REQ IF INSPECTDR'S DATE CHECKED APPRDVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE ----POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
i SPECIAL MASONRY
I
PILES CAISSONS
i
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GRADI NG ___ cUBIC YARuS / RWlNER ;WTIFIED~
i INTERDEPARTMENrAL INFORMATION SHEET
BUILDING DEPARTMENT ,z.,1-,1~ Ll $~ DATE: ·i. ~ '(3
/6 BUILPING ADDRESS: ~ --VL~ \\\[) 5a@?d ~
A.P.N: -C.T: -----------------
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
PLANNING DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS · ----------------
ENCINITAS _____ CARLSBAD _____ _
· UNITS REQ' D: __________ PROVIDED:---------:::::---+--
% COVERAGE ALLOWED: _________ .PROVIDED: _____ --ff--+,,-J~=--
PARKING SPACES REQ'D: ______ _ PROVIDED: ______ ~~---
BUILDING HEIGHT REQ'D: ________ _ PROVIDED: ------~--
FRONT SETBACK t .
ALLOWED: ~ 2
PROVIDED: ( -:-~
INTRUSIONS: _ __:=:;____ __ _
SIDE SETBACK
RE-DEVELOPMENT APPROVAL REQ'D: _____ ~MftJ~~-'--
LANDSCAPE & IRRIGATION PLAN COMMENTS: [\ ------------------
ENVIRONMENTAL PROTECTION REQ= __ t:1-'--'i-"-'E ............ m......>..f-Pf-+-,-------------
, ..
1. ADDITIONAL COMMENTS: -----------------------
~:. :~.: ::~~: .~ .. ·• :::: :~,,. ~:. :: • : :::~: H. ~ •.•.. ::::: ... , .. * ••
ENGINEERING DEPARTMENT
R. 0. W: Q, l(_ , IMPROVEMENTS_: -'---'tv"-l{~frL-...L-----~--------
DRIVEWA y LO CAT I ON ( s) : --\,O~i:K-.=.o...., ---------'-----____ , ___ _
GRAD I NG PERMIT: _ __.l\.~~-Pc-'----------------------
EASEMENTS: O .K«, DRAINAGE: ~N.:,,,q_( .!....A:..l-----------
LEGAL DESCRIPTION: _______________________ _
ADDITIONAL COMMENTS: -----------------------
*CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: ______ -__ _
oK To rssuE: AJ.Lt! nATc: 1,t--sJ Pwr:. oK To F_rNAL: Afw
DATE: ~-l, ... S~
* If TIIIS ITEM IS NOT CIIECKED, BUILDING DEPJ\lrf~IENT WTLL MAKE
• FINAL INSPECTION.