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HomeMy WebLinkAbout2283 JULIE PL; ; 83-M179; Permit.. z 0 ~ "' .. ~ " '" C ~[ ~ 8 "' '" C ~ 5 ~ '" z ! z 0 ;: :I z '" .. ,. 0 " ,. "' '" "' "' 0 ~ ![ 0 I hereby affirm that I am llcensed 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 from the Contrac· tor"s License Law for the following _reason (Sec. 7031 5 Bu_s1ness and Profess,ons CC>de: Any city or county which re- quires a perm,t to construct, alter, improve. demolish, or repair any structure. prior to its issuance also requires the ap- plicant for such permit to !lie a signed s!atement that he Is licensed pursuant to the prov1sIons of the Contractor"s L,cense Law (Chapter 9 commencing with Section 7000 o1 01vis1on 3 of the Business and Pro1essions Code) or that 1s ex· empt therefrom and the basis for the alleged exemption. Any v1olat1on ol Section 7031.5 by an appl1c;m1 !or a permit sub· iects the applicant to a c1v1I penalty of not more than live hun· dred dollars ($500) :::J I, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the struc· turn is no1 intended or offered for sale (Sec 7044, Business and Pra1ess1ons 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 offered for sale. 11, however. the building or improve· ment is sold w1thIn one year of complet1on, the owner·builder will have the burden of proving that he did not build or im· prove for the purpose of sale) C I, as owner o1 the property, am exclus1vety contracting with_ licensed contr2ctors to construct the project (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) □ As a homeowner I am improving my home, and the follow• Ing conditions exist 1 The work IS being performed prior to sale 2 I have lived in my home !or twelve months prior to complet_ion of th_rs wor~. 3. I have not claimed this exemption during the rast three years □ lamexemptunderSec ______ .B&PC. !or this reason D I hereby afhr.~that I ha~e a certrt,cat, to self-insure. rfr a .ftrt,1,cate ,o/ Workers Compensat,on In ~, or a cert,f~ODY !hereof )Se<~l.abo, POLICY COMPAN 0 Cer11f1ed COPY; CEATIFICA'TE. OF EXEMPTION FROM WOAK:ERS· COMPENSATION INSURANCE (Th,s sec11on need not be completed 1I the perm,t ,s for one hundred dollars ($100) or 1ess1 0 I cert,ty that m the performance ot the worll for wh,ch th,s perm,, Is issued. I shall no1 employ any person m an~ manner so as 10 become subJec1 •o the Worllers· Compensation Laws ol Cat,torn1a NOTICE TO APPLICANT If, at1er makm} tr11s Cert• f,cate of bempt1on. you should become sub1ec1 t,:, the Worllers· Compensat,on provIs,ons of tne Labor Code you must torthw,th comply w,th sucn prov1s,ons o, lh,s perm,1 shall be deemed •evoked 0 I hereby a!t,rm 1hat there ,s a cons!ruc1,on 1end•ng agency 10, the perlormance of the worll lor wh•Ch th,s perm,i ,s ,ssued {Sec JIJ97, Ci.ii Godel Lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 #~c<. ~ -UWNER'S...-.ONE APPLICATION & PERMIT LICENSE-Nd. # , VALUATION o- ZONE PLAN 1.0. # PERMIT NUMBER :3-".,...._Cl' m; / ./ BLDG USE CODE COT UCfNSE # STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION -A P,!:l\l<iflf£fl'S.AOORESS QTY. EACH GAS SYSTEM 5 OR MORE I---+--------· ·--· -·.::1- --- GRADING ~EAMIT ISSUED v □ ND u, FLA ELEV. vO NO REDEVELOPMENT AREA vO NO ;>~ \ QTY.I MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100.000 BTU ~'.".~MPRESSOR UP TO 3 HP EACHINSTAlALTERREPA!RWATERPIPE -.... -· ·------ EACH VACUUM BREAKER ~ MECH EXHAUST· HOOD/DUCTS NO STORIES TYPE CONST 3- Q£SIGNER'S 'PJ-«)NE, occ GP I EDU cf/JG DCC LOAD j FIAE SPA YO NO Not Valid Unlt,ss M.chine C~rtified SUMMARY/ACoot'.liiJ Jllllli!Bffj/ e3 BUILDING PERMIT ·01-oo-oo-s220 . ------------ 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 -~------,------·-----------·-i------ WATER SOFTNER RELOCATION 0~ EA FURNACE/HEATER ! . MOBILEHOME PARK INSP 1~;:, .o 2~.::i, .• n EACH ROOF DRAIN I INSIDE) I SOLAR 01·00-00-8226E 3 -----·-t----TOTt.L MECHANICAL I STRONG MOTION -----80·92-33-0519 TOTAL PLUMBING I --":--FIRESPRINKLERS --= 01·00-00-822.7 . --_ -========----, PUBLIC FACILITIES FEE 32·00-00-8923 .,; ,,_ 7' J ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP.'SWT BKR 3 PH 3 PH PER CIRCUIT TEMP OCCUPANCY !30 DAYS) TOTAL ELECTRICAL s=-+---=--- -----QTY. I SOLAR -ISSUE BRIDGE FEE COLLECTORS STORAGE TANKS --'~--+-------- ----t---------,1---~S~C~H00L FE~ :_0_1S_TR_ICT __ Carlsbad ROCK STORAGE --------i---------i~~initas PUMP s.a~ieguito __ ----• :---::c------t-------n--~San Marcos -~8~0-_92-21-0519 80·92-22-0519 --~8~0~·92-23-0519 80·92-24-0519 I ,," __ ,,___ ----- ---- ( TOTAL FEES PAYABLE O,ti 1 ttA~E,CAftEFUL,LY~EXAM!NEO THE CQMPLEfED "APPLICATION ANO PalMfT'"'Af.tO 00 ttEl3EBY, CEA11f\' UN~ Pf~TY OF PERJURY THAT AI.L lNfOAMATION, Haff:ON INCLUDING Tt-fE 'O)¥:il!AR*fl<>k&AAE'.·TRUE ANO CORRECT AND f-AiRTKERQEATIFY ANOAfilREE.tF A PERMIT IS ~D; TO 'COMpt.t>,,O,mt 'AU CL1Y, COUNtv AOO STAl'E,LAWS GoYeRNtN&8UILOtH<l CON- ... ...-·-~· -... '··'·-~~~ tteREitt Off r,o; ~. ls ALSO AGRl;E TO SAV.E JfU)E~WY ANO '· e~on. every pintot:~1>vtheeu~otfi:cial ~ihspl'avmons~ * Nt·~•••v.t ta'flEQUIISl.FOll EXCAY-'llOHS OVf.A c:oae_ $halt &xpiri .by \im~r~b>N bitcome n~I ~·vol<f ff the tiui • ·· orW(lfk :·.5•.Jr· ~--DBil0t.l110tt OR ~-_ Of' · r.t,'J;i~~~~~~~~~~~~~- author~ by ~perm1t·•.l'Ol'~enced, *«bin 180d,tys of&UC.h. ·~OVER 3 SlQfllts ·w HEIGHT pj9lfflit Qr if the l:lu' ' ~ autttor!Ud1ly · ded-,:. i;:.;"';;:::_'-1,...,,.. ...... _,...~-.., .. .., _____ ~~=-----~ ~¥ • . ■ - ~it:M\11'.'.~ t'Ul·O APPAO_.VED BY DATE u ' , ·- ~ ;;: >-~ 0 0. E " >- I "O 0 CJ c "" u 0. 0. <( I -"' C 0:: ·•· ~' "' " "' "' <( I " .2 a; >- "' "' " u 0 a: "" 'ii 0 € " " C "' C ;;: -I C " " (9 0 u " 0. "' E 2 :c ;: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING 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 . ' I -/ SPECIAL CONDITIONS rn-u. I f ~ I J 1.,-;l,u l(,l, Vil CERT OF OCCUPANCY ISSUED I J . . , ~ . ' ,B-/Yl 179 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES REQ IF INSPECTORS .... ' INSPECTION CHECKED APPROVAL DATE . - SOILS COMPLIANCE PRIOR ro FOUNDATION INSP STRUCTURAL CONCRETE ' .. ' -• OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ' ... ,"'.: ~-· .. ~ .. -. -. ; i ---• --· --.r ~-• C . .: ·---~ -- ·----· . " • . -~---- -. . ·-f . ·' .. ,. . -., . -, ' .. ' APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD SE 1 I ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO Fl LL IN ISSUED BY DATE ISSUED BUILDING ..J ? ADDRESS ) VALIDATION OWNER 111--_ -.,, J, ~ ,r //L. I I MAILING ADDRESS LATERAL CHARGE COMPUTATION CONTRACTOR I t L r:::;M '"'-} --C ~• STANDARD 4" (Max. H. 30', V. 10') OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30'. V. 10') OVER 30' H. @ FT. NEW BUILDING I EXISTING BUILDING I OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST SERVICE CHA RGE (REPAVING ETC.) TOTAL LATERAL CHARGE . REMARKS: LINE COST DATA . ASSESSMENT DIST. NO. FRONTAGE COST PER FT. TOTAL OTHER LATERAL LOCATION CONNECTION FEE ..,: I I i--: (I) (I) NO. UNITS COST PER UNIT I TOTAL /' r'\ /' '\ PUMP STATION FEES '-~ \./ NO. UNITS COST PER UNIT TOTAL I I ST. -11; ooo co TOTAL CHARGES (LATERAL ETC.) LATERAL NO. INSTAL LATION DATE WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter DEPARTMENT OF BUILDING INSPECTION (7f CITY OF CARLSBAD CITY LIC. f 1200 ELM AVE. CARLSBAD, CAL. Parmit f FEE: MOBILEHOME INSTALLATION INFORMATION CALIFORNIA ADMINISTRATIVE CODE, TH'LE 25, CHAPTER 5, ARTICLE lA cfF PARK NAME L7. {~,7/....,..,, hr/r'?rS 1.D. No. 9o-sPAcE No. k-r .I? LOT OCCUPAN!O ,, / -r: ;Q NAME ~ tAJ,/rff.5 ADDRESS ;2.~3 di/iH" f"J.Af:,1 .L , rJ CONTRACTOR ,t,.,<=/ · n/J c.,,._ STATE LIC. # CONTRACTOR (1;6tlJ.ss<??l~ _J..p NAME 71 ~~ '',b6/« /7'-0'• ~om/ :tJ:~7/J.-Si:. ,,.__,, --Sp.-·i-1--4·. mr__ r ffi --t-tM1 I . :;;;:t ,:LECTRICAL [=:!--+ WATER DRAIN INLET GAS MOB!l,.f: HOME L ,, c_ ---;,--..v ,~ ........ ---1CJ1-----.J-J STREET ADDITIONAL DATA TO BE SUBMITTED WITH APP: 1. 'l'wo copies of Mobilehome support and Fdn. plans (if mobilehome was manufactured after 10/7/73 two copies of manufacturer's instructions and plans must be provided). 2. Show size and location of all structures on lot and distances to lot lines and any mobilehome or permanent structure located on adjacent lots and within 10' of the proposed mobilehome. DISTRIBUTION: Original to Permit_tee Copy to customer Copy to Finance Dl\TE: , ~~,; G LOT UTILITY SERVICES:/ 1. Gas: Natural k'.'.: LPG.....,.,;___ Riser Siie ~ 2. Drain Inlet:Size f/1. a) Receptac1/;Jp 'J..'/~ Rating/amps ~o 3. Electrical: ~ b) Connection ~r Power Supply · Assembly ~~ c) Circuit Breaker Rating (amps) 2, ..:rZ> · d) Equipment Rating (amps);:?IY1 MANAGER t,PPROVAL: MOBILEHOME DATA: l. Size: Length Width 2. Electrical Power Cord Ampere Rating I. Metal Tag Rating amps :?--» L> · i 3. Electrical Power As5Jf/.bJ;--,;;:;;;;;.,, Wire Size & Type ~ F'lexible Conduit Size . :z- 4. Gas Supply Inlet Size .)/y-1/ Gas Connect ~ desc;::4-be If s. Water Connector Water 6. Drain Drain Co 7. Manufacturer Address Model II Ser. No. o o State Insignia No. =f,2- Roof Live Load ;}:.o p .. s.f Wind Load /_ p.s.f Year of Manufactute /o/ZL 8. M/B APPROVAL: