HomeMy WebLinkAbout2355 Ocean St; ; 84-275-3; Permitsf!
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IC r)1 I hereby affirm that I am licensed under
o [ A'~lalona of Chapter 9 (commencing with ~ Section 7000) of Division 3 of the Business ~ and Professions Code, and myn_ense is In
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I hereby affirm that I am exempt from the Contrac·
tor's Lteense Law lor !he following reason {Sec 7031 5 Business and Protess1ons Code: Any city or county wh1eh re•
quires a perm,t to conslruct. alter. improve. demohsh, « repair any structure. pnor 10 its issuance also requires the ap·
phcanl for such permit to Ille a signed statement that he Is hcensed pursuant to the provisions of the contractor"s
License Law (Chapter ,9 commencing with SectJon 7000 of
Dlv1st0n 3 of the Business and Professions Code) or lhat 1s ex· ~pt therefrom and the basts lor the a~legeo exemption Any
v,olat,on ot Section 7031.5 by an apphcant for a per111tt sub· )eels the applicant to a civil penalty of not more than five hun·
dred dollars 1$500).
□ I, as owner of the property, or my employees w11h wages
as lhe1r SOie compensation. will do lhe work. and lhe struc·
ture ,snot intended Of-ottered IOf sale (Sec 7044, Business and Professions Code: The Contractor's License Law does
not apply ro an owner of properly who butkls or improves
thereon and who does such W'Dfk hlmsell or through tus own employees, provided that such ,mprOYements are not intend·
ed or ottered for sale. If, ho\tiever, the building or improve-ment Is sold within one year of completion, the owner-builder
will have lhe burden of provmg that he did not build or im-
prove lor the purpose ol sate).
D 1, as owner of the prOJ)erty, am exclusively contracting
with hcensed contractors to construct the project (Sec. 7044, Business and Professt0ns Code: ·The Contractor's License
Law dOeS not apply to an owner of property who bwkts or im-proves thereon. and who contracts for each protects With a contractor(s} license pursuant to the Contractor's license Law).
D As a homeowner I am improving.my home. and !he toUow· ing concHttOfls exist:
1. The work is being performed pno, 10 sate. 2. I have Jived ,n my home tor twelve months
prior to completion of lhIs work 3. I have not claimed ttus e.xempttOO during lhe last three years.
D I am exempt under Sec. ______ . B & P c.
for this reason
D I hereby athrm that I rlave a cen1tica1e ot consent
to self-insure. or a cenihca1e of Workers·
Compensation Insurance. or a cen,hed copy !hereof
(Sec -3800. LabOf Godel
POLICYNO fj;).f)X/0/~'t F
COMPANY f1i::£i01 In5 .
j1J'Cof)y ,s hied with the city
0 Cer111ted copy 1s hereby lurn,she<J
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed d the perm,t
1s tor one hun<Jred dollars {S1001 or less)
0 I cen,ty that ,n the pertormance of !he wort{ tor
wh,ch 1tus permit ,s issued. I shall nol employ any
person 1n any manner so as 10 become sub1ec1 10
the Workers' Compensation Laws ol Cahtorn1a
NOT'ICE TO APPLICANT 11. afler makm~ !his Cert1
f,care ol Exemphon. yoo st,oukj oecome subjec1 l"J
the Workers· Compensation prov1s1ons of the Labor
COde. you mus1 lorthw11h comply w11h such
prov1st0ns Of lh1s perm,1 shall be deemed revoked
Lenoer s Nam.t1 ,4"'" -~JI }'' w7 , l..L,J", ~ '11 ' ....
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USE BALL POINT PEN ONLY & PRESS HARD
QTY.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
vO NO
PARKING SPACE REDEVELOPMENT AREA
y O N 0 vO
PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT· ISSUE
EACH FIXTURE TRAP J ,4t:;:D()I I J INSTALL FURN. DUCTS lJP TO 100,000 BTU
EACH BUI LO ING SEWER I L . .::;-1)1 J OVER 100,000 BTU
EACH WA TEA HEATER AND/OR VENT J 7 .~DI J BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS I 7 -~ I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE J I J METAL FIREPLACE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST · HOOD/DUCTS
WATER SOFTNER I H I RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE}
TOTJ;L MECHANICAL
TOTAL PLUMBING
QTY. I SOLAR · ISSUE
NEW CONST EA AMP/SWT BK A COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
AEMODEL 'ALTEA PER CIRCUIT PLAN CHECK FEE
TE MP POLE 100 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELE(;TAICAL
.00 TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT" AND DO HEREBY
CEAT,FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~-
APPLICATION & PERMIT
BUSINESS LICENSE # VALUATION PERMIT NUMBER
blo m-z'JS~3
BLDG use CODE
BUILDING SO. FOOTAGE
23
FIRE SPR [.;
vO"' Not Valid Un~s Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01 ·00·00·8806
TOTAL PLUMBING 01 ·D0·00·8222
ELECTRICAL 01 ·00·00·8223
MECHANICAL 01 ·00·00·8224
M081LEHOME 01 ·00·0Q-8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 80-92-33·0519
FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32-00·00·8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad I/ 8R...-80·92·21·0519
Encinitas 80·92-22·0519
San Oieguito 80-92· 23-0519
San Marcos 80-92-24·0519
LICENSE TAX 01-00-00·8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE
* AN OSHA PE,_,IT IS REQUIAEO FOfl EXCAYATIOHS OVER s· 0" DEEP ANO OEMOUTIOH 0A CONSTRUCTION OF
STRUCTUM.S OVER 3 STORIES IN HEIGHT
ISSUED,. TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• 1 -at any bme afler the work ,s commenced tor a period ol 180 gays ~ ' STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ---· ·-···----·-· .. ~ . . -----± .. r--.. --Ur I I
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT '61'11-i>HONE 0
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TYPE I DATE INSPECTOR
BUILDING I . ~ '
----.
~</J.,.d-)~ -~~ '.-..
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
SHEATHING ~OOF :Kl SHE,xR
FRAME I 2 _r_. ,_ ;(, ,,,, -u 7
EXTERIOR LATH I -
SOILS COMPLIANCE I : r ! '· . PRIOR TO ~"""--"r ~ . -
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I IL -,it, ........ _ ---
INTERIOR LATH & DRYWALL I ~
PRESTRESSED
CONCRETE
POST TENSIONED
I
I CONCRETE
PLUMBING I / FIELD WELDING
SEWER AND BUCO DIPUCO I \• \r)-g;:__ L'C./',,OJI _
UNDERGROUND D WASTE D WATER 1/J. 7111 _QI ~
TOP OUT ~ASTE .K.WATER ·--
HIGH STRENGT--H ...
BOLTS
., . SPECIAL MASONRY . . . · TUB AND SHOWER PAN I ~
GAS TEST I ~ ..0. ~L ~ I 71 -v :,, PILES CAISSONS + D WATER HEATER D SOLAR WATER I'
I
ELECTRICAL I
I " .,
D ELECTRIC UNDERGROUND 8( l!IFFER -r •
ROUGH ELECTRIC • '-, I 1-:J ..l"-r• Ire-"---
D ELECTRIC SERVICE D TEMPO~ARY .. --.,
D BONDING D POOL I , __ ._.. ., s --:: :
I . -
MECHANICAL I
I -.. . .
D DUCT & PLEM., D REF. PIPI~ /// ---
HEAT -AIR COND. SYSTEMS I //,,-'\. ~ .
VENTILATING SYSTEMS I -
I
CALL FOR FINAL /NSPECT!'jN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED. .
FINAL I /
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I \ ' •. 1\. r{,·(~ .. ' '·-'ii-,_ .-\ . . '.\ . -\ . I • ' ' . ~·
' PLUMBING I ! ~-I ;o 1?.X ,.,-\.\-\.,, "': t-\"-~.:. _'; l ' 1, l •
. I ' " \. . ' ~ 0 \ Ir -.
ELECTRICAL I ' I ~ I -
MECHANICAL I ( ~/
"' .... "\: ' I jt,,f\\ ·t"l:\\ ,\,\\.\\~:Ji . • ,<.. \ . • \:,_ I
, • ' i , ~' . •
GAS ' I "'~ frJ"
BUILDING I \ "''-1 I
. ---' .. ., . '\ -. ;, .;:.__ ~ ~ . '
J j . '
SPECIAL CONDITIONS I . \Y ./ -
; . I
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO Fl LL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
'-I
REMARKS: \.._
M r-
I dNl1
EXISTING BUILDING
7 //0 7
(e
LATERAL LOCATION
ST.
LATERA L NO, _______ INSTALLATION DATE--------1
SE 2
ISSUED BY -----':..._ ___ ___;:..._ ________ _
DATE ISSUED-----.:.....c.._~ _ _;_ ________ _
VALIDATION
I / I / •
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @_,,,._· ___ FT. _________ _
OVER 1 O' V. @ FT.---,,-"'-/:..._ ______ _
STANDARD 6" (Max. H. 30', V. HY) _________ _
OVER 30' H. ___ @, ____ FT. _________ _
OVER 10' V. __ ...c-@. ____ FT. _________ _
T OT~ CONSTRUCT ION COST ----------
SERVJCE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO.------====----------
FRONTAGE ____ COST PER FT. ____ TOTAL ___ _
OTHER _______________________ _
CONNECTION FEE
NO. UNITS_...;./ __ COST PER UNIT_...c.._ __ TOTAL----'
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL---
TOTAL CHARGES (LATERAL ETC.) _...c.._ __ /-=------='-----'-'--=---
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter