HomeMy WebLinkAbout2352 MARCA PL; ; 84-462; Permit::! 0 ;:: .. "' :l :.l 0
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0 I hereby affirm that ! am licensed under
provtalona of Chapter 9 (commencing with
Section 7000) of DMslon 3 of the Business
and Professions Code. and my license is in
lull force and effect.
L,c No ______ Clay;
I hereby anirm that I am exempt lrom the Contrac-
tors License Law tor the following reason (Sec. 7031 5
Busmess and Proless,ons CCH:Je Any c,ty or ~aunty wn1ch re-
Quires a perm,t to conslruct. alter. Imorove. demolish or repair any structure. prior to its issuance also requires !heap-
pl1can1 !or such permit to hie a s,qned statement that he 1s
licensed pursuant to the provIsIons of ihe C.:ontracrnr s
License Law (Chapter 9 commenc,ng with Section 7000 ot DIv1sIon 3 o1 the Bus,ness and Professions Code) or that ,sex-
empt therelrom and the basis tor the allegea exemDtIon Any
v,0IaI,on ol Section 7031.5 by an ODpl1c;mt tor a permit sub-
Iects the applicant to a c1vII penalty of no1 more than 1,ve hun-
dred dollars ($~00!
'...! I, as owner ol the property, or my employees w,m wages
as their sole compensahon. will do the work, and the s1ruc·
ture Is not intended or of1ered tor sale (Sec 7044. Business
and Profession, Code The Contrac1or's L,cenS!l Law does
no! apply 10 an owner o1 property who bmlds or improves
thereon and who does such work himself or through his own
employees. provided that such improvements are not intend-
ed or o!lered for sale 11, however, !he building or improve·
men! Is sold w,1hin one year of completion, 1he owner·builder
will have the burden of proving that he did not build or im-prove lor the purpose of sale)
L. I. as owner of 1he properly, am exclus,vely contracting
with licensed contractors 10 construct the proJect (Sec. 7044,
Business and Professmns Code. The Contractor's License
Law does not apply lo an owner ol properly who builds or im-
proves thereon. and who con1racts !or each proIects wrth a
contractor(s) license pursuan1 to the Contractor's License
C.w)
rJ As a homeowner I am improving my home, and the follow-
ing condrtIons e~1s1
1 The work is being per!ormtld prior to sale 2 I have lived rn my home !or twelve months prior to complehon of this work
I have not claimed this exemption during 1he
last three years
~r 1Ih~:/!;~~it under Sec ______ , B& PC
------------
□ I ~reby afltrm that I hMe a cert,!1ca1e of consent to self-,nsure or a cer11l1cate of Workers
Compensation Insurance. or a cert,l,ed copy Thereol
(Sec 3800. Labor Code)
POLICY NO
COMPANY V
□ Copy >S ~ With the city
0 Cert,fled copy ,s hereby furn,shed
CERTIFICATl OF EXE::MPTION FROM
WORKERS' COMPENSATION INSURANCE
(lh,s sechon need not be comple1ed ,f lhe oerm,1
Is tor one hundred dollars 1$100) or less)
D I cer1,!y that ,n the perlormance ol ttie work tor
wh,ch rh,s pem,I1 Is ,ssued. 1 shall nol empIoy any
person m any manner so as to become subrecl lo
the Workers· Compensat,on Laws o! Cal1!orn•a
NOTICE TO APPLICANT 11, a!1er mak,nJ IhIs Geri,
!1cate o! bempt,on, you should become subIec1 v,
the Worl<.ers · Compensation prov,s,ons ol rne Labor
Cooe. you must tonn ... ·,tt, comply w,m such
provisions or m,s perm,\ shall t:,e deemed revoked
0 I hereby a!t,rm !hat the,e ,s a consirucr,on
iend,ng i'Qency tor The per'ormance o' The ,.or• lcJ<
wh,ch th,s pe,m,t ,s ,ssued ,Sec 3097 C,v,I Cooe,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 1619) 438-5525
AV.ST.RO. NEAREST CROSS ST.
..,er:)
s= . *~ 4 .
ft11~--v,:·t'"j~~;-"'.•--t.:~ ! -Jh~.~~ $/¥&"''45,.~, S·0fo4f vO NO I I AlcS UNITS
QTY.I PLUMfflNG PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANlJ..-OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAI,.., ALTER. REPAIR WATER PIPE
GRADING PERMIT ISSUED
YO N □
REDEVELOPMENT
AREA
YD ND
QTY I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS i.JP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
EACH VACUUM BREAKER 'OIi I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER
EACH ROOF DRAIN !INSIDE)
TOT AL PLUMBING
QTY.I ELECTRICAL PERMIT· ISSUE ~-
NEW CONST EA AMP'SWT BKR
I PH 3 PH
EXIST BLOG EA AMP/SWT:BKR
1 PH 3 PH
REMOOEL 'AL HR PER CIRCUIT
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSJ
TOTAL ELECTRICAL I
'l H~\fE ~uu.~~;;;,COMPLETED ;.At:iP4JCAiIDN A~~~~~t,
CEAttFY'iJf.iOEfl 'FENALTY OF PtRJURY-TH,\T All, INFOftMArroN: ~REON"
OECLAflt,TIONS AB£, TRUE AND ¢ORRECT~O t FURTHEI} CERTIFY Allio)
'ISSUED: -TO'COMPt.Y vyrft-t\ALL Ctrf;"C'OOtft:Y A~O STATE 'LAWS OOVEfl:
STROCTl&N, Y.,HETKE:tl ~IFIEQ\. ttEf!filN~'N{?J., t'ALSO AGREJ:::t,
KEEP ~·TI-f_E<ltfl:;~--•-rl'/IIT>Alj.LO\~ILITl~,J
, EXPE~S w...-ett MAY 1tf·Aff\'.: iitA~flUNST SA\O CtTY JN" OON$Ei 'GMffil~fTJi!S_PfMff'J;~-1;4:''f4:<,_,:'+'"~;/"~ ·:, '"" -' "'
RELOCATION OF EA FURNACE/HEATER
TOTt.L MECHANICAL
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHE.CK FEE
TOTAL SOLAR
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
TYPE
CONST
3-
'
8USINE~rNSE # PERMIT NUMBER
84-4{d,
PLAN 1.0. # BLDG USE CODE
J2€$, Fbo 1-
STANDARD PLAN# BU5zij
C 0
DCC LOAD j FIRE SPA
vO NO N'!.f, Vf1/i_d .Unlen Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00·8225
MOBILEHOME PARK INSP
SOLAR 01 -00-00-8226 I I -.... a STRONG ~OTION 80-92·33-0519
Fl RE SPRIN;(LERS 01-00-00-8227
PUBLIC FACILITIES FEE 32·00·00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80-92·21-0519
Encinitas 80-92-22-0519
San Die_g_~ito 80-92-23-0519
San Marcos 80-92-24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE /B,,W
··* .,.~ 11f!EllWIIEbFQA:~••••M~ 5' O" OdP~ DEMOUTI8":t.,~ffllJCTION Of' '
S~OVER 3 STORltfs 1H HEIGHT r
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TYPE --BUILDING I
-------------~~-----------------, . _ 1 DATE 1 ,NsPECTOR r 24'-4-<.> ?--
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY
l~.40~ ~ ,,., ~ REQUIRED SPECIAL INSPECT IONS I I INSPECroR:s NOTES
1
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
.. . ·-: l,/4:>--lt>-/t' ~ . .
SHEATHING □ ROOF □ SHFAR ---,-.
REQ If". INSPECTORS
CHECKED APPROVAL INSPECTION
!=======~-~--tc--~~="'4==~~-~--=
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
DAlE
FRAME I STRUCl URAL CONCRETE:
EXTERIOR LATH I DVER 2000 f'SI ------
---+---·-
INSULATION , l'RESTREssrn
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRE1E
PLUMBING
SEWER AND BUCO □IPL/CO ~
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST I
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
7
!
D ELECTRIC UNDERGROUND □1UFFER
ROUGH ELECTRIC !
□ ELECTRIC SERVICE □ TEMPCjRARY
dJ BONDING .&[POOL
I
I
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ~
VENTILATING SYSTEMS
FIELD WELDING
HIGH STRENGTH
~-TcS"----s-·,,.._ ____ ,r~--f----+------t------
SPECIAL MA~NR-V· '
._ ________ _
PIL.t::S CAISSONS
f----------t-----t--.. ---+---
~...a¾ a
/ I -
t-------------+----+-------l-----<
·-·----------------------
----------------
.,;_~
,';Y.
I -. ,L :,-:.Q
CALL FOR FINAL ,_NSPECTION WHEN ALL APPROPRIATE V I I I I f--------------------------lTEMS ABOVE HA v'.E BEEN APPROVED. /I
FINAL I I V II/
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
\
,
•
PLAN CHECK NUMBERf'f-:f?/2._ A~DRESS _2.;i:Y.2. /?1~ ~
PLANNING: TYPE OF STRUCTURE__,.~--~-'--. ________ _ ~
ZONE: ------
a: ..... :z .....
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD
% COVERAGE
BUILDING HE
FENCES/WALL
IGHT
s
r\
~
,
'---
I
TWO CAR GARAGE _________ _
ENCINITAS --------
SAN MARCOS ------,~+--
REQUIRED SETBACKS rl--r---r-1----
F RON T __ ,,tt-"'-::::::::
SIDE -----t--+--+--t----R EAR ________ _
;: ~ COMMENTS: ~ ~ ---------------------------
~ □ REDEVELOPPIENT APPROVAL REQUIRED: N ~ -
-Q D -----'---------------!-.....
ua: ~ Ii □ LANDSCAPE PLAN Cort1ENTS: N TR
a: ..... :z ..... -..... > I-~ ~
I-..... u a:
0¢-ENVIRONMENTAL REQUIRED __ : ____ ......_,,__ _____________ _
------------------------------
ADDITION>IL C0"1ENTS: ------------------------
OK TO ISSUE: xt: DATE:~\D~ OK TO FINAL: ____ DATE: _____ _
*•************* .. *****************************************************************
ENG I NEER I NG. LEGAL DESCRIPTION VERIFIED? Y£S A.P.N. CHECKED? y~
P.F.F. ___ M._.,,.,._0 __ ',4 ____ PARK IN LIEU ___ N,..,,._,0_'A _____________ _
R.0.1~: N/4 IMPROVEMENTS: _________________ _
7
E.D.U: .Fl~r-_______________
SEWER: .£)0 ,,JtJ7 rf;!n,/< u/" ,,Pt:JO c_ 70 ...9c"'Y(Jc><_ .t)f~l'r'\
LATERAL: ~I/S7'/,JC DRIVEWAY:_-__________ _
GRADING PERMIT: .-:..#,~A~-------------------
DRAINAGE: .M~ -.sv...u. P~o£_ ,q.u,./~ ~-t ~
EASEMENTS: ;t,/o,,J,=,-~.,-~r ADDITIONAL COMMENTS: --------~ D -o □
~g D ~ 8 ~ OK TO ISSUE: ---,.'+~-----DATE:_...:7'-"Z_,_1_i;-,1'1J-fL-f-------
• •
•
* ENGINEERING INSPEcWottEQU!RED:_...;.A~-a~--------------
', *
PUBLIC ~'ORKS INSPECTOR: _____ "-----------------
FINAL OK: _________ ...;...,_ DATE: _____________ _
IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)