HomeMy WebLinkAbout2283 JULIE PL; ; 83-M179; Permit.. z 0 ~ "' .. ~ " '" C
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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
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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: