HomeMy WebLinkAbout2281 JULIE PL; ; 83-M200; Permit.. z 0 :
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my llcense is in
full force and effect.
Lie No __ Class
I hereby afl1rm that I am exempt lrom the Contrac-
tors 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 to its issuance also requires !heap·
pl1cant for such permit 10 file a signed statement that he is
licensed pursuant to the provrsIons ot the Contractor's
License Law (Chapter 9 commencing with Section 7000 ol
o,v1sIan 3 of the Business and Proless1ons Gode) or that Is ex-empt therefrom and the basis lor the al_leged exemption Any
violation ol Section 7031.5 tly an appl1canl fa, a permit sub-1ects the applicant to a c1v1I penalty of not more than !we hun-
dred dollars ($500)
l -I. as owner ol the property, or my employees with wages
as their sole compensation, will do the work, and t~e struc-
ture 1s not 1ntencled or otfered for sale (Sec. 7044, Busrness and Professions Code: 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 employees. provided that such improvements are not intend-
ed or oflered lor sale If, however. the building or improve· ment 1s sold within one year of completion, the owner-builder
will have the burden ot provmg that he did not build or im-prove tor the purpose of sale)
CJ I._ as owner of the property, am exclusively contracting
with_ licensed con1r2ctors to construct \he pro1ec1 (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 for each pro1ects with a
contractor(s) license pursuant to the Contractor's License Law].
0 As a homeowner I am improving my home, and the !allow·
ing cond1t1ons must 1 The work is being per1ormed prior to sale 2 I have lived 1n my home for twelve months
prior to completion of 1h1s work 3. I have not claimed this exemption during the
last three years
ki1r 11h~~ r:;;~t under Sec ______ . B & P.C ------------
D I hereby af!1rm that I ha,e a cer11!,cate of consent to sel!-msure or a cer11!1cate of Workers Compensa!1on Insurance, or a cer11!,e<1 copy thereof
(Sec 3800. Labor Code)
POLICY NO _
COMPANY
D Copy 1s filed w,m tile c11y
-~ D Ger11l1ed copy 1s hereby fum,sh
CERTIFICATE. OF EXEMPTIO FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1! 11le perm,t
,s tor one hundred dollars ($100\ or less)
0 I cer11ty 1hat 1n the per1ormance of the work for which this permit ,s ,ssued. I shall not employ any
person ,n any manner so as IO become subIect to
the Workers' Gompensat,on Laws of Ca1,torn1a
NOTICE TO APPLICANT 11. alter mak,nJ 1h,s Cert,
l1ca!e ot Exemp1,on you should become sub1ec1 10 the Wor\l.ers Gompensat,on pro•Is,ons o1 the Labor
Code. you must lor1hw,th comply wIt!1 sucn p,ovIs,ons or this perm,t shall t>e deemed revoked
0 I hereby afl,rm !!131 there ,s a cons1ruct,on
,end,n\l agency to, lhe performance ol Ille work lor which th,s perm,1 ,s ,ssued 1Sec 3097 c,,,I Code·,
Lenders Name ___________ _
Lenders Address __________ _
un tliAll l"UIIII l"tll UIIU. rKq~ nRKU .... -·-····· ·-. ·--······· ......... -. ---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB A.OQflEi--' , ',, p,.__ Av.st. DATE OF APPLICATION ::;~~ ~'.C£NS£ # , VALUATION PERMIT NUMBER
'.)..;~ ./ i ;$ u '-t ~ RD, ,,--,_ , C --·~ OWN'e'fl'S NAM£ I OWNER'S PHONE c-1,~TOR (~ ~ • -, CONTRACTORS PHONE t ZONE cxt?a ~-Sf'/"~ E.i> ' -~ ul-112.'1~
OWNER'S MAI UNG ADDRESS Pl CONTRACTOR'S ADORESS LICENSE NO. , PLAN 1.0. # BLDG USE CODE
.,_, 1--;-r JU'L/ £ 7,5'4' ~-ei-.__.,,,,__p,_ vt~i"( ~ 7/S'SV .... ·~-1··-,_ ---r"I.'
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER LICENSE# ST AN D.f1fio'Pi;-tJf ,YlDING SO. F~l'A'Gf= .~·-I. ,7, u.-~, ~~1§.or• •· ~:
DESCRIPTION OF WORK
DESIGNER'S ADDRESS OESIGNEfl'S PHONE
\',c--/'-I/' f>--/Ju/3/h' L/. -'" FLA ELEV. NO OCC GP EDU
STORIES
vO NO
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA
AREA CONST
v D ~ D ,o NO vO ND Nor Valid Unless Milchine Certified
I 7_$ QTY. PLUMBING PERMIT -ISSUE I QTY. MECHANICAL PERMIT -ISSUE :;;;--SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00-00·8220
---------
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 ---t---------
EACH WATER HEATER ANO.iOR VENT _ ___L_ _ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806
---' '----
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222
-·-·-
EACH GAS SYSTEM 5 0 R MORE 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 HOOD/DUCTS MOBILEHOME 01·00·00·8225
----~ ----
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
'--------H-EA:R□OF D~~I~ (INSIDE) SOLAR Q1_ 00·00-8226
--TOTt=.L MECHANICAL STRONG MOTION 80-92-33-0519
I -. __ ~--
TOTAL PLUMBING FIRE SPRINKLERS 01-00·00·8227
QTY_ s~LAR -1ssuE /lbl!J, le -5~ PUBLIC FACILITIES FEE 32·00·00·8923 1/Sr,vv
QTY_ ELECTRICAL PERMIT -ISSUE .5-::----l_
--BRIDGE FEE
NEW CONST EA AMP'SWT:BKR --i'P-1-t) ,-, 3_s-:.--SCHOOL FEE· DISTRICT
--------cc .z #w' I/: ,,., ' r ;;(o~ lPH J PH Carlsbad 80-92·21·0519
------'
EXIST BLDG EA AMPiSWT:BKR soc~ ~Ioaa1,~ Pt? -t r:11 .c-~ Encinitas 80-92-22-0519
-----7 -·------------
1 PH J PH PUME S?_n Dieg_uit_o 80·92-23-0519
----------------~--------
REMODEL·ALTER PER CIRCUIT _£\AN GHfCK FEE l,T San Marcos 80·92·24·0519 ., . '
-----------C-----·------
TEMP POLE 200 AMPS --• .
----t-----------------------------------( L I -l!_§-::. o, V l. --,-
I OVER 200 AMPS _\I_ \,,:,' -IM--f ,__
------rrEMP OCCUPANCY 130 DA Ys) ----------------------~
----;------------------t:z;s 6 -~
__L_ l ----------------------------z,-g-/ • 0
TOTAL ELECTRICAL l I TOT AL SOLAR I YI; I I c-1~ OD 0
I I TOTAL FEES PAYABLE ~ . ' ' a
~ 00
Elcpi"ration. Every permit iss~ t,ytt,e Building Offk:lal ~ttie provisions of this • C *, AN OSHA PEFIMIT 1$ ~ FOR EXCAVATIONS OYlA
-
, tH.AVE CAREFUU y,EXAMfNED THE COMPLETED ··APPLICATION ANO PERMIT'' ANO DO HEREBY I
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code eflall expire by lim_itatron Md bicome'fulll and~-tl'le'buiffling or work 5' O" DEEP ANO DEMOUTI0N OR CONSTRUCTION OF
Oe6LARATIONS ARETRIJE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit is not commenced within 180days.from the date of such STRUCTURE.$ OVER 3 STORIES IN HEIGHT ~ permit, or if the buildi~ Of work authorized bV such permit ii sus~~
lSSUEO: TO COMPLY WITWALL CITY, COUNTY AND S'TATE LAWS GOVERNING BUILDING CON· abandoned at anv tima r the WOf'k is commenced for i : -rlod of 180 • "' STAUCTION, WHEJ-HER $PECIFIEO HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY ANO APPLAfra@:~ ~ OWNER □ CON TRAC~'.~
APPROVED BY
'ID~~
;:
!SEEP HARML~SS THE1CF(YOF CARLSBAJ? AGAINST ALL UABIUTIES, JUDGMENlS, COSTS ANO J/.A/. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
~RANTING OF THIS P_ERM!T. , BY PHONE 0 /lT"VI
/ / /
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING .
ELECTRICAL
MECHANICAL . .
GAS , ' I ' . /
BUILDING M .i.A, '-,i'_,i... 11.,r J 1--....'1 ,.x-r?f//\
SPECIAL CONDITIONS " r I -
CERT OF OCCUPANCY ISSUED
,,,-:.. -I -., .. --/YI cJ..nri
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE ' CHECKED APPROVAL ,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP . .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE ;
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
----
--
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t '=-i-~.fl: ' " = f. :• •
. ' . ' " _,
,..._ --
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
/'
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
.urn tJI
u r L
<...
NEW BUILDING EXISTING BUILDING
LEGAL DESCRIPTION
REMARKS:
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE---------
ISSUED BY -----+---"'---=--"----'-------
DATE ISSUED ______________ ,;__ __ _
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. @ FT. _____ _c. ___ _
OVER 10' V. ___ @ ___ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @ ____ FT __________ _
OVER 10' V. @ FT, _________ _
TOTAL CONSTRUCTION COST ----------
SERVICE CHARGE (REPAVING ET C.) _________ _
TOTAL LATERAL CHARGE----------
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT. ____ TOTAL __ _
OTHER ____________________ _
CONNECTION FEE
NO. UNIT$ ___ COST PER UNIT ____ TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL---
WHITE: Engineering· GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
"""::iiii-----------=====:=.,=;, .. ,'
.
~
.-'72!f=.li8l_... DEPARTMENT OF BUILDING INSPECTION
CITY LIC. t
CITY OF CARLSBAD
1200 ELM AVE.
CARLSBAD, CAL.
# .Penni t t /)J e:,21" tJ
FEE: 6~
MOBILEHOME INSTALLATION INFORMATION
CALIFORNIA ADMINISTRATIVE CODE , TITLE 25, CHAPTER 5, ARTICLE lA
PARK NAME i: I / 1 1 LOT OCCUPANT ' } I I
I ,. -./..
; ✓ J ;
I. D. NO. _9_0-_____ SPACE NO. _,_""'-2__._(_l_,_1._~ _ ___,9
NAME (" I ADDRESS __ ~..,__._!__._)_, .;..;JI'---,'---/ TEL.'------
CONTRACTOR STATE LIC.t CONTRACTOR ADDRESS , TEL. ~
NAME ., .v
; '
t c:::J t F:f1 --~
I . :_j-ELECTRICAL
I
0 _,
(') 0
c,: z
~□ 0
~ Ill a: l:J 0 >-& D
:::i Ill
WATER
DRAIN
INLET
GAS ~
MOBILE· ----HOME
STP.EET
. . ADDITIONAL DATA TO BE SUBMITTED WITH APP:
l. Two copies of Mobilehome support and Fdn.
plans (if mobilehome was manufactured after
10/7/73 two copies of manufacture r 's
instructions and p l ans must be provided).
2. Show size and location of a ll structures
on lot and distances to l ot l ines and any
mobile home or permanent structure located
o~ adjacent lots and within 10' of the
proposed mobilehome.
DISTRIBUTION: Origina l to Permittee
Copy to Customer
Copy to Finance
DATE:
' I I
i (r f
LOT UTILITY SERVICES:
1. Gas: Natural ,.,....-LPG
Riser S ize "'----, --
2. Drain Inlet:Size
3. Electrical:
a ) Recept acl e
Rating/amps 1 , ,Cr"
b) Connection for Power Supply
Assembly , ( ,1 c) Circuit BrE1aker Rating
(amps) _,,._/.._/J_{;'------
d) Equipment Rating (amps)/✓/
MANAGER APPROVAL:
MOBILEHOME DATA:
1. Size: Length (. •.J
Width --t ,,£ i!. t ..,
• I , ' 2. Electrical Power Cord
Ampere Rating
'· Metal Tag Rating amps ·~ I 3. El ectrical Power .Assembly
Wire Size & Type
Flexible Conduit Size ,, f
' ~ 4. Gas Supply I n l e t Size
Gas Connector, describe ..
5. Water Connector Size ..,
Water Connector Describe
r ~.A I
6. Drain Connector Size
Drain Connector Describe
7. Manufacturer C , v_A. • 1/ ' ,/ Address ...___,.___.'--_....:.,.;..---.: __ _
Model
Ser. No. / ( 71 ,,.., 2<-,,
State Insignia No . Pl 7 :(4 1,j•
Roof Live Load -~'-------~p.s.f Wind Load p.s.f
Year o f Manufacture
8. M/B State License Nos. 5 f ~ I I
PARK MGR'S. SIGNATURE:
INSTALLER'S SIGNATURE:
BLDG . DEPT. APPROVAL:
Jtd:F:
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