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HomeMy WebLinkAbout2375 Ocean St; 1; 84-275-1; PermitsJI[ "' z 0 ~ IIC C ... u Ill 0 u cc Ill 0 ... 5 I Ill z 3 0 z 0 .: ~ z Ill IL 2 0 u "' ir ... "" IIC 0 3 il I hereby alhrm lhat I am exempt from the Conlrac· lor's License Law ror the lottowing reason (Sec. 7031.5 Business and ProlessiOns Code· Any city or county whttli re· quires a permit lo construct at1er. improve, demolisJl. or repair any structure. pnor to its issuance also requires !heap,- phcanl for such perm,t to lile a signed statement Iha! he is ltcensed pursuant to lhe p,ov1sions of lhe eonrractor's Lteense Law (Chapter 9 commencing with Secllon 7000 ol Oiv,s1on 3 or the Business and Professions Code) or that 1s ex· empt therefrom and the basis to, the allege(] exemp11on Any v,olal10n ot Secoon 7031.5 by an applicant for a perm,1 sub· 1ects the apphcant 10 a civil penally ot not more lhan five hun• dred dollars ($500). O I. as owner of the property, Of my employees w11h wages as their sole compensatK>n, will do the wDfk. and lhe strut· ture is not Intended or ottered for sale (Sec. 7044, Business and Protesseons Code· The Contractor's lteense Law does not apply 10 an owner of Pfoperty who builds or Improves 1nereon and who does such work himself or through his own employees, provided lhal such improvements are not intend· ed 0< ottered tor sate. II, however. the bulld,ng or improve· ment ,s sold within one year of completion. the owner•btJ11der will have the burden of proving that he did not build or lffl· prove tor fhe purpose ot sale). 0 I, as owner of the property, am excius,vely contracting wilh licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ContractOf's license Law does~ apply to an owner of property who buikis Of im- proves thereon. and who contracts for each proiects with a contractor(s) license pursuant to the Con1rac1or's License Law). O 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 for twefve monlhs prior to complettan o1 thlS work. 3. I have not claimed this exemption durmg the last lhree years. D I am exempt under Sec. ______ , B & P.C. for this reason ------------- □ I hereby affirm thal I ha11e a certificate ol consent to sell-insure. or a cen1t1cate ol Wo~ers· Compensation Insurance. Of .a cen,hed copy lhereol (Sec 3800. Labo< Code1 POLICYNO 8z wc..lol ti4 l= COMPANY t,,'\ I s:s l Div I ~~ • ACopy 1s hied w1lh the city □ Cen,hed CoPy 1s hereby lurn1sned CERTIFICATl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (Th,s section need not be completed 11 tf'le permit 1s tor one hundred dollars IS 1001 or 1ess1 -l I certify that 1n the performance ot lhe work to, which 1h1s pemut 1s issued. I shall nol employ any person in N'IY manner so as 10 t>ecome sub1ect 10 the Woriters· Compensation Laws of Cahlom1a NOTICE TO APPLICANT If, alter makin1 this Gen• hcate of Exemptl()fl, you shouk:J become subrecl ,,, the Wortters· Compensatton prov1s1ons ol !he Labor Code, you must lorthw,th comply w11h such prov1s1ons or 1h15 permit shall De deemed revokeo 'rfl I hereby affirm 11'\al I here ,s a con~ truction fetci,no 3Qency tor !he pertormance 01 lhe wort,. to, I wh<eh th,s perm&ued tSec JO!l~I. I LendersName Jf< OF~.A I Lende(~Aodrm 80/ Al l'ldi/4) 1 ~T;t/ /9,Vl'J : I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I'":>. \ CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOBAOORESS -,, . I AV.ST.RO. NEARESTCROSSST 2375 Q;,iA~ ~ -[UAJ,T i) GA~i.S'3AD ~t.,_yD I DATE OF APPLJCA-TIONI BUSINESS LICENSE# 7tc,°) 7_ VALUATION ;~,),~(:,?, PERMIT NUMBER 1 ?A-Z75' \ Jci-0811-::....:.....x.,,----'---=-------• CONTRACTOR CONTRACTO: ns;' LOT BLOCI( ., OWNER'S NAME ZONE I PLAN 1.0. # BLDG USE CODE \ \ 'l:I,,~,-,..,_, STANDARD PLAN# BUILDING SO. FOOTAGE Cl.3., -'ti~~ 11 -:S ~ I ~--vO NO CE US TRACT GP LAND USE PARKING SPACE _5'2..~_ QTY. PLUMBING PERMIT · ISSUE \5 EACH FI XTURE TRAP I EACH BUILDING SEWER I EACH WATER HEATER ANO/OR VENT I EACH GAS SYSTEM I TO 4 OUT LETS EACH GAS SYSTEM 5 OR MORE EACH INSTAl . ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER S0FTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING QTY. ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP'SWT BKR ?::o&l. 1 PH 3 PH EXIST BLOG EAAMP/SWT/BKR 1 PH 3 PH REM0DEL'ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL I RESrlTJ ~ I -- 65/J!) GRADING PERMIT ISSUED YO ND REOEVELOPMENT AREA vO «J QTY. MECHANICAL PERMIT · ISSUE INSTALL FURN. DUCTS uP TO 100.000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3·15 HP METAL FIREPLACE VENT FAN SING LE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TDTt.L ME CHANICAL QTY. SOLAR -ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR TYPE v;;r 3-~ 7 D1) OEStGNER"S PHONE 1'114·4o/?· ~4 I U/ I fi I tJ4bl:lb:.i Ll~50~:-, occ GP I EDU ~-/ I I occ LOAD I FIRE SPR vO Nl'IJ Not Valid Unl~s Machine Certifi«J SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01 ·00·00·8220 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 M0BILEH0ME 01 ·00·00·8225 M0BILEH0ME PARK INSP SOLAR QH!Q·Q0·8226 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/ L.,lo 80·92·21-0519 Encinitas 80·92·22·0519 San Dieguito 80·92· 23·0519 San Marcos 80·92·24·Q519 LICENSE TAX 01-00-00-8162 mFE 1©8?10 CREDIT DEPOSIT TOTAL FEES PAYABLE I -~>.i::=;-L~ -::z,fiO,bO _Wf.J)f;_ c;;;;_L06 1 , ()fJ I J. Z'=> 3Zi1,00 iIBO.(J() 7zsQ,C20I7 4050.¾ 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 ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY, COUN1Y AND STATE LAWS GOVERNING BUILDING CON STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY. ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Ex111rehon. Every permit osaued by Ille Bu1ld1no Ott1c111 under the prov,.,ons of thtS Code shell up,re by hmttetton and become null and void If the bu1ld1ng or wor• authortZed by such permit 11 not commenced within 180 days trom the date of such :::c,~ I~ ~y ~,:•~ U:'=~,:~:~o~:=:ie:~~~ r~~~j~f·~~~~ Or * AN OSHA P£At,m IS AEOUIREO FOR EXCAVATIONS OVER 5· 0"' DEEP ANO OEIIIOUTION OR CONS~UCTION Of STRUCTURES OVER 3 STORIES IN HEIGHT ON~~c,o;, D ( "'"""o '' "· , ~ ~,d ~~if ~fJ .Jltt. • ....-~ I 1/'? ti- ' 7 ~ u:: >-.;; 0 a. E Q) f- l !! 0 <.? C <ll u ,.;:: b. a. <l'. I :£ C a:: 0 (/) (/) Q) (/) (/) <l'. I ,: .Q .; >- (/) (/) Q) u 0 a: <ll (0 Cl ~ Q) u C <ll C u:: C Ql ~ <.? 0 0 Q) a. (/) C ~ ;:; s: TYPE I DATE INSPECTOR BUILDING I ., V H 8<-1--~7S-J \\ ,~ ' ' , FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL ' I MASONRY ,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 A -- SHEATHING ;rs'.:.RoO F ~Hl:1'R 7<L ~OJ-t.i. ~ FRAME ~, -I SOILS COMPLIANCE l i ~ f PRIOR TO ·~ 4 ......... FOUNDATION INSP EXTERIOR LA TH ' I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I -~ INTERIOR LATH & DRYWALL I : PRESTRESSED CONCRETE POST TENSIONED "• CONCRETE PLUMBING I / FIELD WELDING . SEWER AND BUCO DIPUCO I ,..,~fa ~ ~/ UNDERGROUND D WASTE D WATER to·77_.-~ ... 6"=- TOP OUT D WASTE D WATER HIGH STRENGTH--' I BOLTS !l SPECIAL MASONRY I TUB AND SHOWER PAN I I GAS TEST I I PILES CAISSONS D WATER HEATER D SOLAR WATER I ELECTRICAL I I D ELECTRIC UNDERGROUND D l!JFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPOBARY - D BONDING D POOL I . •· '?----' .. . I L MECHANICAL I ' D DUCT & PLEM., D REF. PIPING ". HEAT -AIR COND. SYSTEMS I I ; VENTILATING SYSTEMS I . . • < -" l --, : I CALL FOR FINAL /NSPECT~'JN WHEN ALL APPROPR/A TE ITEMS ABOVE HA V BEEN APPROVED. . ' ,-~ FINAL I - PLUMBING I / ELECTRICAL I I /' I -y MECHANICAL ' I If~ ---GAS I I \V I I "r . ,, BUILDING I I ,..'0 ~l. I SPECIAL CONDITIONS I \Y l J I APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING EXISTING BUILDING LEGAL DESCRIPTION REMARKS: ' / L/Nlt (c_ LATERAL LOCATION ST. I ...: U) LATERAL NO, _______ INSTALLATION DATE-------1 SE 2 ISSUED BY __________________ _ DATE ISSUED----=--=~------------- VALI DATION • LATERAL CHARGE COMPUTATION OVE R 30' H. @ FT._.--='---------- OVER 10' V. ___ @ ___ FT. _________ _ STANDARD 6" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ @ ____ FT. _________ _ OVER 10' V. ___ @ ____ FT __________ _ TOTAL CONSTRUCTION COST---------- SERVICE CHARGE (REPAVING ETC.) _________ _ TOTAL LATERAL CHARGE _________ _ LINE COST DATA ----- ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ____ TOTAL ___ _ OTHER ____________________ _ I CONNECTION FEE NO. UNITS ____ COST PER UNIT ____ TOTAL---- PUMP STATION FEES NO. UNITS=--~-COST PER UNIT ____ TOTAL--- WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter ~itp of etarlsbab -.., < REQUEST FOR INSPECTION RECORD . ere ~ IY'fl TIME: ----'Y'----,-·--- INSPECTOR J/e ~fERMITNO. _________ DATE: ~ 'l OWNER __ r__,. /J.'--'"'!'#'7'-L.ffeCL-"-V--"9~.f:c-'v~A/C....,,..------------,-=------------ ADDRESS __ ___.,,,~~3:,-,7~f~__,o~c-~:e:.a!~~N"~____,,!_sr-+-----::;-::-~.,..-_r-,'---- REQUESTED BY ~,;M PHONE NO. 7,<f-¥ "<Iii' PERSON TAKING REPORT ____ _ BUILDING □ FOUNDATION □ FOOTING □ SLAB n REINFORCING STEEL n MASONRY [' GROUT· GUNITE 0 FLOOR AND CEILING SUB FRAME □ SHEATHING O ROOF □ SHEAR n FRAME □ EXTERIOR LATH □ INSUL N RIOR LATH OR DRYWAL FINAL I ELECTRICAL 17 TEMPORARY SERVICE 17 UFFER GROUND 11 ELECTRIC UNDERGROUND D ROUGH ELECTRIC n POOL B ING □ E RIC SERVICE FINAL ,-------------i✓;;;--,1~ r-. -=------------, PLUMBING :,Y MISCELLANEOUS D UNDERGROUND PLUMBING lJ CONDITIONED AIR SYSTEMS n SEWER AND PL/CO D SOLAR HEAT D TOP OUT PLUMBING IJ PATIO D TUB OR SHOWER PAN D POOL D SPA D GAS TEST ' D SIGN D WATE EATER SPECIAL INSTRUCTIONS ___________________________ _ □ Tuesday □ Wednesday n Friday