HomeMy WebLinkAbout236 OLIVE AVE; ; 85-389; PermitIll z 0 ;:: < ac < ...J (.)
"' 0
__/I hereby affirm that I am licensed under ~ [ ~•lslona of Chapter 9 (commencing with >-Section 7000) of Dl•lslon 3 of the Business ~ and Professions Coda, and my license is In
~ full force and ?fr G _ I O z Lte No 1',CJ Class
0 (.)
ac "' 0 ... 5 Ill ii "' z ~
z 0 ;:: < Ill z "' ... :E 0 (.)
Ill ir UJ
" ac 0 :t
il
1 hereby af1irm that I am exempl lrom lhe Conuac· 1of's license Law tor !he tollowing reason !Sec 7031.S
Business and Proless,ons COcle Any c1Iy or county which re· quires a perm11 to construct, alter improve, demohsh, or
repair any structure. prtor to IIs issuance also requires !heap-phcant !or such permit lo Me a s19ned statement that he 1s
hcensed pursuanl to the prov1st0ns ot the contractof° s License Law (Chapter 9 commencing with Sechon 7000 of
Otv1s1on 3 of lhe Business and Professions COdeJ Of that 1s ex· empt lherefrorn and the ba~s lor lhe allegeo e>temphon Any
v1olat10n 01 Sett10n 7031 .5 by an appltcant for a permII sub--1ects the applican1 to a civil penalty of not more than five hun-
dred dollars (SSOOI.
rJ I. as owner ol the property, or my employees with wages
as their S<Me compensatton wlll do 1he work. and lhe struc·
ture ,s not intended or ollered for sale (Sec 7044, Busmess
and Profess,ons Code The Conuactor's License Law does not appty to an owner of property who bu1Jds or improves
!hereon and who does such worl< tnmsdlf or through his own
employees. provided lhal such improvements are not intend-ed or ottered tor sate. II, however, the building or 1mprove-
menl 1s sdd w1th1n one year ot complehon, lhe owner-butkter will have the burden ol provmg thal he dHl not build or im-prove lo, the purpose ol sale!
D I, as owner of the property, am exclusively contracting w1lh hcensed contractors to cons1ruc1 the project (Sec. 7044.
Business and Profess10ns Code The Contractor's license
law does not appty to an owner of property who builds or 1m• proves thereon, and who contracls tor each proiects w11h a cootractor(s} hcense pursuant to the Contractor's license
Law).
□ As a homeowner I am 1mprovmg my home, and the follow
mg condillOns e,ust 1. The work 1s besng performed pnor to sale. 2 I have lived m my home for lwelve monlhs
prior 10 complet10n of this WOfk
1 have not claimed this e11.emp11on dunng !he last three years
D lamexemptunderSec ______ ,B&P.C. for this reason ____________ _
D I hereby affirm tnat I ha,1e a cert1f1ca1e ot consent
to sell insure. or a cen,t,cate ol Workers Compensation Insurance. o, a cen1f1ed copy thereol
(Sec 3800. LabOr Code)
POLICY NO
COMPANY
□ Copy IS ftled with lhe Ctt'y
0 Cen1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be compleled ,f the perm11 ~ 1s tor one hundred dOllars 1S 1()01 o, 1ess1
I cert1ly that 1n the performance ot lhe wor). to, ch 1h1s perm,t ,s issued I shall not employ any
son 1n any manner so as to become sut>1ec1 10 the Worti.ers Compens.at1on Laws ot Cahtom1a
NOTICE TO APPLICANT II. alter makmJ lh1s Cer11
hcate ol Exemption you should become sub1ec1 t?
the Wof1il.ers· Compens.at,on prov1s1ons or the Lat>or Code you must for1h'tlt1tn comply w11h such -~·-::(:;~
0 I hereby attum that !here 1s a construchon
1end1ng agency tor !he performance ot lhe work tor
which this perm,1 1s 1ssue<J (Sec )097 C1v1I Cooe1
Lenoer s Name ___________ _
Lenders AOC!ress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
2-'3Co d '-• 'v€ C::,-A(l.FJ~I~ I DA TE OF APPLICA Tl ON I >--s,-rs-JOB ADDRESS AV ST.RO. NEAREST CROSS ST.
CONTRACTOR
BUSINESS LICENSE #
#s-t;S-/
CONTRACTORS PHONE • LOT l BLOCK
OWNER'S PHONE :r; l~t: €'-1:""'l!..., 72.,9-9)-r:,('
tfl,/ f .s , 'J.t/ • z.. 7 2.,~ CONTRACTOR'S ADDRESS LICENSE NO.
I SUBDIVISION F5SESSOR PARCEL NO
OWNER'S NAME
OWNER'S MAILING ADDRESS I JG:o 99 .)-
LICENSE 11 SA-me,
f;:DES RtPTJON Of WOR~ , ,. ~-----~ o 1¢
,_ -,..-AJ--..~~~~~,ttt~..,,,....,.,""""""-.<........<J4-P,_~::...::....::c.....c....a=---j~
,c: o I
Jr-eJ 1¢--lat
DESIGNER
A/14
DESIGNER'S ADDRESS
F/P FLRELEV.
vO NO
GRADING PERMIT ISSUED REDEVELOPMENT AREA
~
STORIES
TYPE
CONST
DESIGNER'S PHONE
ace GP EDU
ace LOAD FIRE SPA
VALUATION
ZONE
PLAN 1.0. #
STANDARD PLAN#
1:,1311&
UJIJ/;j,jo
PERMIT NUMBER
~f3fs9
BLOG USE CODE
BUILDING SO. FOOTAGE
b
llhlt 5 •
15.
CENSUS TRACT GP LANO use PARKING SPACE RES uN1TS l
y D ND vO NO vO NO Not Valid Unlers Milchine Certified
QTY. PLUMBING PERMIT -ISSUE 7so QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS uP TO 100.000 BT U
EACH BUILDING SEWER I 11 I OVER 100,000 BTU
BUILDING PERMIT
SIGN PERMIT
EACH WATER HEATER AND OR VENT I ft I BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS I i I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 0 R MORE i I I METAL FIREPLACE ELECTRICAL
1 1 EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SI NGLE DUCT I I Mt<.;HANl(.;AL
I I --" EACH VACUUM BREAKER MECH EXHAUST -H00010UCTS I II MU~ILtMUMt
a1.r-n11 A 111,..A I
1.1.nn11 run1Jr
11 1 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
11 MOBILEHOME PARK INSP
I U :;uLAH I I . I I EACH ROOF DRAIN (INSIDE) TOT/;L MECHANICAL
rn, An
I I I I II ~IHt :,~HINI\LtH:, I TOTAL PLUMBING I II
I-STRONG MOTION
c,nc C"[)OU,l'JI CO{'
I I
QTY. ELECTRICAL PERMIT -ISSUE 5-QTY.
NEW CONST EA AMP SWl BKR
I PH J 3 PH 1 t/tYffls~M P SWT BKR(3 ~.ilfr
1 PH 3 PH
/Og/1,
REMODEL ALTER PER CIRCUil
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Diegu1to
San Marcos
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
01-00-00·8220
01 ·00-00-8221
01 ·00-00·8806
01-00-00·8222
01-00-00-8223 I
01-00-00· 8224
01-00-00-8225
1-QC!:.0.0.:.8226.
80·92-33-0519
01-00-00-8227
32·00-00-89ll
80-92-21-0519
80-92-22-0519
80-92-23-0519
80-92-24-0519
TOTAL ELECTRICAL l 1< 110 TOTAL SOLAR TOTAL FEES PAYABLE I
/?-etO -
/S_?tl-t--
HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERM tr ANO DO HEREBY E,piration Every permit issued by the Building Ofl1c1at under lhe provisions ofth1s
CERTifY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp1re by hmttation and become null and void II the bu1ld1ng or work
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP 1'NO DEMOLITION Qe CONSTRUCTION OF
STRUCT\JR£S OVER f!,10RIES 1N HEIGHT DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days lrom the date ol such
ISSUED TO COMPLY WITH ALL CITY _COUNTY AND STATE LAWS GOVERNING BUILDING CON permit. or if the bu,ldi or work aulhonzed by such permit is suspended or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~ L:a~b:;an~do~n;a~•~•~•~n~t~im~SjilE!..~th~•:.cw~o~rc!k...!I!.•..!:c.2o~m!!:m!!!9!!.!n!!c:!!ed~f_!!O!._r .!•~~rt_!!od2.so!!_f,..!l.J!80!!.£d!!8ll.-""\:-..j~~~~~~--------------------~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICQJS S E 'f, OWNER O CONTRACTOR DATE ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 1;::;;;=~-----\ (t\ ~ '
GRANTING OF THIS PERMIT "I BY PHONE --~-------'""' $""_~,•as-
0 ,,, '<.:.:..J
Q)
LL
>, ii:i
0 a.
E Q) I-
I
-0
0 ('.)
C
ctl u
0. a. <{
I
.:,::
C
ii:
0 rn rn
Q) rn rn <{
I
~ .2 -a; >-
(/) rn Q) u 0 a:
ctl -;
0
~
Q) u C ctl
C
LL
:::::.
C
Ql ~ ('.)
0 u Q) a. rn C
2
£ ~
TYPE I DATE INSPECTOR
BUILDING
OUNDATION F,
R
M
lEINFORCED STEEL
vlASONRY -
GUNITE OR GROUT
.,-------. .. -· ' '
FLOOR & CEILING SUB FRAME
I
I
I
I
I
I
s SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ' SEWER AND BUCO 0 \PUCO '
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAiER
I
ELECTRICAL ' □ ELECTRIC UNDERGROUND D CIFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOAARY
□ BONDING □ POOL I
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I -·
I
~ ' .. &
' -' ·-
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV~ BEEN-APPROVED.
FINAL I ..... PLUMBING I ; . . . ~ --
ELECTRICAL ' , ..... , f-6--
MECHANICAL I
GAS •. . -... --\ 1 I ,..._ . '.
BUILDING ~--I ---.
SPECIAL CONDITIONS I
I
.
I
• C• •• I\'\.-{•_ -, -• I ·;-:,, -_,, ~'
\ ''\. ,> -8~ ·'5~ I ---, FIELD INSPECTION RECORD ........ ~ -
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
' -' REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE -'"·
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE:.
OVER 2000 PSI
PRES TRESSED
CONCRET~ ,
fl.O!TT TENSIONED.-.···
CONCRETE
FIELD WELDING
HIGH STRiNGT.H
BOLTS ..
SPECIAL MASONRY
PILES CAISSON"
---
'· -----' . -. . . ' ·-
I -
\ ., .. ',_~ "' '\ ' ' ' ' .. ' --. ,~·,,... . :.. .. ,~·,~:"".t'-' ' . \ L ._,, '!. ~' .
~ ':o.", ·, • ~t . ~-~ . ,-;\ ,\) : ... ' .
-.-~ -----c.
. . . --• . .. ·, , ... ~"-.. < ...... --._ ~