HomeMy WebLinkAbout2347 PIO PICO DR; ; 86-503; Permit"' z 0 ;:: .. a: .. ~ u ~
C e [ D' I hereby •fflrm that I am licensed under
U provlalona of Chapter 9 (commencing .with
: S.Ctlon 7000) of Division 3 of the Business
t-~d Proteaalona Code, and my l!cense 1s ,n s r· 1110,ce aod effect
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I hereby a!hrm !hat I am exernp! from The Contrac
tor's L•cense Law tor the following reason 1sec 7031 5
Business and Proless1ons COde Any c,ty or courty wh,ch re qu,res a permit to construct alter. ,rnprove aemol,sr C'
repair any structure prior to its issuance also 'equires !heap
pl,cant for such permit lo !11e a s19ned staTement that re ,s
lacensed pursuant to the provisions ot the 1.,ontrac1or ,
L,ce~se Law (Chapter 9 commencmg w,th Se,,t,on 7000 o'
D1,os1on 3 ol the Business and Professions Code', or that ,sex
emol l~erelroM and the basis for lhe alleged exemption Any
violahon ol Sec1,on 7031 5 by an applicant tor a perm,r sub 1ects IM applicant to a c1v,1 penally ol not more lhJn five h,Jn
dred dollars (S500J
'. as owner of 1ne property or 'nY employees with wages
as their sole compensation. will do the work and The srruc
turn 1s not intended or altered Jar sale (Sec. 7044 s~s1ness
and Protess,ons Code The Contractor's License Law does
not apply to an owner of property who builds or improves
!hereon and who does such work himself or through h,s own
employees. provided that such improvements are no11n!end ed or offered for sale If. however. the bu1ld1ng or improve-
ment 1s sold w1th1n one year 0Lcomplet1on, the owner-builder
will have lhe burden of provmg that he did no\ build or 1m
prove for the purpose of sale)
-I, as owner of 1he property am exclusively contrachng
with ltcensed contractors to construct the proiect (Sec 7044 Business and Professions Code The Contractor's License
Law does no1 apply to an owner 01 property who builds or 1rri-
p1oves tllereon. and who contracts for each pro1ec1s w,th a
contractor(s) license pursuant lo the Contraclor's L1ce~se Law)
11 As a Mmeowner I am 1mprov1ng my home. and the follow
1ng conditions ex1sl
1 The work 1s being p!lrformed pnor to sale
2 I have lived ,n. my home for !welve monlhs
prior to completion o1 this work
I have not claimed this exemption durrng lhe las! thr~ y~ar~
B & PC
I hereby aft.rm that I have a cert1hca1e of consent 1o
selt,,nsure. or a cer\d1cate of Workers· Compensation In
surance or a certd1ed copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
Copy 1s l,led w,th the c,ty = Cer1,taed copy 1s hereby furn>shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if 1he permit
1s for one hundred dollars 1$100) or lessl
~ I certify that 1n the performance of the work for which
this permit 1s issued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers· Com pen·
sat,on Laws of California
NOTICE TO APPLICANT: 11. alter making tills Cen,1;ca1e
of Exemption, you should become subJect to the Workers
Compensa1,on prov,sions of the Labor Code. you must
!o,thw1th comply with such provisions or this perm rt shall
be deemed revoked
I hereby M!1rm that there 1s a consiruct,on leno1ng
a~escy tor \he performance o11he work br ·,>·r ch t01s pe•
m,t ,s ,ssued ,sec 3097 Ci,1· Coele1
Lender's Name __
Lender's Address ___ _
, USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859 APPLICATION & PERMIT
JOB ADD1'1ESS --AV. ST.AD. NEAREST CROSS ST. BUSINESS LICENSE # VALUATION PERMIT NUMBER
~ "3 ~ '/ f ,,., (),," /?A.,,{ .. ;I. . () I A ""-j:J. '"' -""-/3. >"1)
l BLOCK
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! PAPK <"JG SPACEc RES UNITS I
CONTRACTOR CONTRACTORS PHONE. 41
DESIGNER'S PHONE
.
ST,.,~
__________ 1-~~~~,-,~~~-,-c·R~,-,·,·v-,.~~~~~.-~,N.0,-~-1--0-c"c~G-,~-,~~,-D-U.;;::=I!
GRADING PERMIT ISSUED
I
REDEVELOPMENT
AREA
,o -.o
STORIES
TYPE
CONST
ace LOAD FIRESPP
ZONE
uiiu9 uu.i u9i.i7iti6PRiiT 120.
Nor Valid Unless M,1ch,ne Cerr1fled
QTY PLUMBING PERMIT -ISSUE ' I '.52-( QTY. MECHANICAL PERMIT. ISSUE -:i. -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I] I INSTALL FURN UUCTS iJP TO 100.000 BTU BUILDING PERMIT 001-810-00-00·8220 ):, 1 1 1--~-------------------+----~---ll---+--'-'------'-'-"--"---'----".C..::.--'----c___--'-----'--'-'-'--'--'-c._c__ __ +---~-..... ~~---------------~---~~.,....,
EACH BUILDING SEWER ---------~----· ~+-_ _ ___ O~ER 100.D_O? ~TU __ J__ SIGN PERMIT 001·810-00-00-8221
::cc::::::;1Et:~~-r:-?o{~{~'.T --• --' ---L:~:'.~: :;~::::~:~'.:~,'HP -=-~~-.c_ ~-~~~~Lc;~;,\LE ~~~::: ~ / ~-
EACH GAS SYSTEM '.l UR MORE ~E-:-AL FIREPlACE ELECTR~ 001:8-l,Q-.00-00-8223 J .l'i"'"-
1-----+--EA_C_H_ 1NSTA~ ALTER. REPAIR-\r'~Ar ER PIPE ---~-----· ___ ~ -VENT FAN s1NG L EDuCT -MECHAN~CAL --6o1-;s1-'0~06-oo-.a224 ---------"-'-..j t __ ij_ __ _
1---+-'E"-A-'C"-H_V_A~CU~U_M-'B"-R_E_A_K-'E_R ________ T, ____ c__ll-----l-M-E_C_H_EXHAUST HOOD'DUCTS
----~~T~~--S_O_F_T_N_E_R _____________ -'-----~---4---+--RE_L_D_C_A_T!ON OF E:A FURNACE·HEATER
M OBILEHO ME 001·810-00-00-8225 -. ---------~=~~~~=~+---------...j ..
EACY ROOF D8.'\111 il~JSln~, DRYER VENT
-----·-----jJ--~S~O~LccAccR_,, _____ _c·Dc,Oc_l·~Bc.lO __ ."oo~-"oo~-"''~'~6----i~~-----....,.,,..-----"
_STRONG M!YflON 880-519·92l_~1----------~·~UC!.1'-" .,.,..,,_
TOT.C.L MECHANICAL , FIRE SPRINKLERS 001-810-00-00-8227
- - - i 1------
--~-~~~TU~I A~l ~P~l l~JM~8~1N~L-~----bl~=~~-~~~~~--~-----~-----~---.b--------<l --~B_L~C_ FACILITIES FEE 320-810-00-00-87 40 ---+----------~
BRIDGE FEE QTY. ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP -~~RK-IN-LIEU (AREA )
NEW CONST EA AMP'SWl \:lKR CAR PORT TIF 001-810-00·00·8835 ---------------1-----------11---~--------i----------~
1-----1--1 _PH __________ J_P_H ____ ___, _______ ~ _ _j_A_W_N_I_NG _________________ -+--------'------le----=L-'IC~E~N~S~E::...:T~A~X:__ ___ O~O~l..::-810-~~0~-816_2 __ +------------
EXIST BLDG EA AMP.SWT BKR 1 · GARAGE MFF 880-519-92-57 ----+------------
I PH 3 PH --+------------REMODEL AL TfR PER CIRCUIT ~--------------------,f---------
TEMPPOLE 200AMPS
1---+-0_V_E_R_l_OO_A_M_P_S ____________ +----------41----+----------------------1----..:...----i--------------------+---------1
TEMP OCCUPANCY r30 UAYSI +
1-__ ,__J.L... ___________ ~-~-~l~Y'l-..,__.=~---~~----+----------------------------------=--=-·-=--=-------t-----"~_:C~R~ED~l~T..::D..::E~PO~S~IT:.__~~~~~~.l...~~--<'"~-~7__--~-.1:2,QC~~-~-~
I;:;-Ii I ro,,, I TOTAL FEES PAYABLE I '\ 2.v -'i~ T1lTAL ~LELTRl(.Al
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS" ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I&
ISSUED. TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPEC!FlED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AI\ID
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERM!T . .
Exp1rauon. Every permit issued by the Building Official under the provisions o! tf',s
Code sha!! expire by lim1tat1on and become null and void !I the building or work
au1honzed by suchpetm1t 111 no1 commenced w1thm 180 days from lhe dale uf such ::d10n~ 1~t t=~u ~r:::1~fte~~h:':~r:~!h:~~e~JeJu,~7 :er~~1~,s~:b~"a~~d or
O~,, ... CONTRACTOR0
PHONE 0
* AN OSHA PERMIT IS REQUIRED F0A EXCAVATIONS OYER
5' o·· DEEP A.NO DEMOLITION OR CONSTAOCTK>N OF
SiRUCTURES OYER 3 STOAfES IN HEIGHT
APPROVED BY f
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I I n . I>,'
REINFORCED STEEL ' I I
MASONRY I
GUNITE OR GROUT I
SUB FRAME O FLOOR D CEILING
SHEATHING D ROOF D SHEAR ,
FRAME I "' -r 'i >tit
EXTERIOR LATH I I
INSULATION I
INTERIOR LATH & DRYWALL '
'
PLUMBING I
0 SEWER AND BUCO D lj>UCO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
' I -
ELECTRICAL I I I
D ELECTRIC UNDERGROUND GJ UFFER I /
ROUGH ELECTRIC ' I 'l-[961 I/----' D ELECTRIC SERVICE D TEMPORARY I
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. Pllj>ING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
'
CALL FOR FINAL /NSPEOTION WHEN ALL APl'ROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED '
FINAL I
PLUMBING I
' '
ELECTRICAL I /
MECHANICAL ' ""-'. I
GAS I .
BUILDING I '2 I q, . f,;) I,.,/'.
SPECIAL CONDITIONS I
I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
REQ IF INSPECTORS
CHECKED APPROVAL DATE
1---------+-----+-,------,,L ___ _
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSON~'
INSPECTOR'S NOTES
1------·----~-l------J.-------'--·--~----------------------------<
1-----------+----+-----+---~
,
PLAN CHECK NO. ~-&}Q
• ,~.£ PLANNING
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SCHOOL DISTRICT• ~ DIEGUITO ENCINITAS .
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SETBAO<So FR""1 Q(~ S!OE @(, ·
DISCRETIONARY ACTlONSi ] e: ' REAR
REDEVELOPMENT PQCMIT REQUIRED1_..P1 ......... A-----------------
LANDSCAPE PLAN cgtl4ENT$1_·_A""f ..... &------------------
' ENVIRONMENTAi.: ~Ul£D1,..,..~_.J+\+rt:------------------
ADDITIONAL ~ti;,-----------------------
LEGAL DESCftlPTION VERIFIED? APN CHECKED?
PARK-IN-LIEU OOAORANTI ,Af.l~EE PER UNIT1 -TO-T-AL-FE_E_: _A_i~/-~---
P.F.f'.: TRAF.f'IC I T FEE PER UNIT: TOTAL FEE:
FACILlTIES: +41.lMf, -H~~.._ ____ BRIDGE & THOIUIUGHFARE FE-E-:_-_-w:: ... it~~~~~~~
IMPROVEMENTS1 __ ..;11,i:rr"f11'=--------------------
FIELD CHtCK DATE & INITIALS: ______ RIGHT-OF-WAY:__, ________ _
DRIVEWAV1 EASEMENTS1 j]o;; j?
E,D.U.1 _______ _ SEW£R1 ______ _ LATERAL: _______ _
lNDUSfRIAL WAST( PERMIT: _________ DRAINAGE:_·----------
GRADING PERMIT1 ___________ GRAOING COMPLETION CERTIFIED: ___ _
ADDITIONAL COMMENTS: ------------------------------------
OK TO ISSUE1_· _-.,..A""":iiJ11x ..... · . __ · ......,._· _______ DATE:_q-+·--~/-:Z ........ -.... 8-~-----
DPOZ1DP06107/17/86