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HomeMy WebLinkAbout2281 JULIE PL; ; 83-M200; Permit.. z 0 : :l u .. 0 C I[ 0 u a: .. Q ~ 5 I .. z ~ z 0 s z .. .. .. 0 u "' a: .. " a: 0 3 I[ 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 $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING . ELECTRICAL MECHANICAL . . GAS , ' I ' . / BUILDING M .i.A, '-,i'_,i... 11.,r J 1--....'1 ,.x-r?f//\ SPECIAL CONDITIONS " r I - CERT OF OCCUPANCY ISSUED ,,,-:.. -I -., .. --/YI cJ..nri FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE ' CHECKED APPROVAL , SOILS COMPLIANCE PRIOR TO FOUNDATION INSP . . STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSEO CONCRETE POST TENSIONED CONCRETE ; FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ---- -- :.:"" L --.. : t '=-i-~.fl: ' " = f. :• • . ' . ' " _, ,..._ -- APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS /' OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS .urn tJI u r L <... NEW BUILDING EXISTING BUILDING LEGAL DESCRIPTION REMARKS: LATERAL LOCATION ST. LATERAL NO. _______ INSTALLATION DATE--------- ISSUED BY -----+---"'---=--"----'------- DATE ISSUED ______________ ,;__ __ _ VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') _________ _ OVER 30' H. @ FT. _____ _c. ___ _ OVER 10' V. ___ @ ___ FT. _________ _ STANDARD 6" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ @ ____ FT __________ _ OVER 10' V. @ FT, _________ _ TOTAL CONSTRUCTION COST ---------- SERVICE CHARGE (REPAVING ET C.) _________ _ TOTAL LATERAL CHARGE---------- LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ____ TOTAL __ _ OTHER ____________________ _ CONNECTION FEE NO. UNIT$ ___ 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: )