HomeMy WebLinkAbout2430 MARK CIR; ; 81-263; Permit., z 0 ~ a: :l 0 "' 0
"' ll 0 0
a: "' 0 .,
5 ~ "' z ~
z 0 ~ z "' .. :,;
D I nereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect
L,~ No Clas\ __
I hereby affirm that I ~ exempt from the Con
¥ro~t8~~7i;ss: a~; i~~f~~.~~~~er~~i\~r
county which requires a permit to construct
alter. improve, demol,sh. or repair any structure,
pnor 10 ,ts ,ssuance also reQu,res the applicant tor
such permit 10 tile a signed stalement that he ,s
licensed pursuant to the prov,s,ons of the Con-
tractor"s License Law (Chapter 9 commencing with
5ect1on 700) of D,v,s1on 3 of the Business and Pro-
tess,ons Godel or that ,s exempt therefrom and the
b;,11s,s for the alleged exemp1,on Any v,olat,on of
sec1,on 7031 5 by an applicant for a perrmt subJects
1ne applicant to a c,v,1 penalty o! not more lhan hve
hundred dollars ($500).
O I, as owner o1 the property, or my employees
w,th wa,ges as then sole compensat,on, will 00 the
work, and the structure ,snot 1nl&noed 01 oflerecl for
sale (Sec 7044, Business and Protess1ohs Code
The Contraclor's License Law does not apply to an
owner of property who budds or ,mproves thereon
and who does such work himsel! or throug~ h,s own employees, provided that such ,mproveme;its are
not mteode-:l or offered for sale If, however, the
bu,ldmg or ,mprovement 1s sold within one year of
complet,on. 1he owner builder will have the burden
of pm,mg that he did not build or ,mprove for the
purpose of sale)
□ I, as owner of the property, am e~clus,vely
conlractmg with locensed contrac1ors to construct
the pro1ect (5ec 7044. Business and Professions
Code The Contractor·s License Law does no1 apply
to an owner of property who builds or improves
thereon, and who contracts tor each pro1ects with a
contrac1011s1 license pursuant to the Contr;;clor's
License Law)
0 I am exempt under Sec
tor 1htS reason
, B &PC
O I hereby amrm that I ha-.,e a cert1f1cale of consent lo self-insure, or a cen,f,cate of Workers·
Compensation Insurance. or a cert1f1ed copy 1hereol
(Sec 380'.l Labor Code)
POLJCYNO
COMPANY
0 Gopy ,s hied with the ctl'r'
D Cert,t1ed copy 1s hereby furnished
0 CERTIFICATE. OF EXEMPTION FROM
O WORKERS' COMPENSATION INSURANCE
Y, (Th,s sect1on need not be comple1ed 1! the perm,1 ffi _ /"or one hundrell dollars ($100) or less)
~ Mr cert,Ty 1ha1 on the performance of the work tor 0 which this perm,! 1s issued. I shall not employ any 3 erson ,n any manner so as 10 become subiect 10 __ -,-7 the Workers· Compensa11on Laws ot Cahforma
![
NOTICE TO APPLICANT If. af!er makm;i this Cert,
f1cate of E,empt1on. you should become sub1ect l'J
the Workers· Compensat1on prov,s,ons of the Labor
Code. 'r'OU must 1or1hw1th comply with such
pro.,s1ons or this perm,t shall De deemed revoked
D I he<eby affirm thal there 1s a cons1ruc1,on
tend,ng a1,ency lor the performance al the worl< for
wh,ch th,s perm,! ,s 1ssued 1Sec YE7 C1~11 Code1
lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT; I FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSB. BUILDING DEPARTMENT ;. .'LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS A~ci,T· 1 D7~7:;iTION BUSINESS LICENSE# VALUATION PERMIT NUMBER
~'fjt) u, £i n i,,-c.,711 I"/ ,,C 7 h1?Ja (I I¾ ii--v~3 OWNER'S NAME OWNER'S PHONE PRIME CONTRACTOR CONTRACT41AS PH/___E # ZONE
'1 A M r, r, tu /"L/< li/Sll;, 7,;9-55?:J</ 11 IJ / A 1. I!'> . '7"v I>, ~'>'-'J 19<//-Jy~~
OIIIIJilER'S MAILING ADDRESS t'ONTAACTOR'S ADDRESS LICENSE NO. '1~,~D~~ BLDG USE CODE s A IM p ;: /? JI,, ,<1 g I Y,,. A LI) Alf 7 7JS-'<1
.if, BLOCK ~-~;::;~; II,~ ASSESSO; 1":f~, ~ /t? -<,6-0£ OESIG .. ER STATE LICENSE# sq,,: NDARD PLAN# BUILDING SO. FOOTAGE
.J~ wr/c.·· 7,,,C'/,,.., oesCR1PnON0Fj"!;.... /ft Y/£' ,_ /?()IP"'-A/I~ J"-')-J't, 't DESIGNER'S ADORES&"". DESIGNER'S PHONE ~ -,/:J ' .!<-7/USl,'li.50,, I-y 1,,. f,tr)tJ C-t,t;1G/l; -' ' . □'.·': I 1.58\ ' -.
' -
et, FLA ELEV. NO °t?-G?; EDU lli-J", t • -~ •
-STOR!jS -~ ':"\ . ~,
--· -·"' • ' -'· ,□ ~ -' . •
CENSUS TRACT I GP LAND USE PARKING SPACE t~N~S I GRADING ~ERMIT ISSUED I REDEVELOPMENT rfN OCC LOAD FIRE SPA
AREA r-d
YO ND v □ v □ N(\,J_ Not Valid Unless Machine Certified
I ~-----'
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE -, SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP I INSTALL FURN. DUCTS i.JP TO 100.000 BTU/ If ~ BUILDING PERMIT ,,_,, -Y_; _.,l_(,)
OVER 100,oon.wtu l ·-~
EACH BUILDING SEWER /-: ' SIGN PERMIT ,
------. ,
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO l..M'f PLAN CHECK , , .-J-,U(II I -
---BOILER/COMPRESSOR JXHP EACH GAS SYSTEM 1 TO 4 Oi~ TOTAL PLUMBING I/ --------------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE/ ELECTRICAL V -,
EACH INSTAt. .. ALTER.-REPAIR ER PIPE
------~ ~--------
VENT F~NGLE DUCT MECHANICAL ,_, -
EACH VACUUM BREAK.Hf M.£e'lfEXHAUST -HOOOIOUCTS MOBILEHOME I ------
WATER SOFTNFV I / A UlC:&TION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF □RAIN (INSIDE) ---./-~ v,--·11 / SOLAR
1-1 1~ ~ ,., I 'OTI.L. ~CAL STRONG MOTION
-----------
I 6 7, -TOTAL PLUMBING I . -FIRE SPRINKLERS
ELECTRICAL PERMIT -ISSU~V
I
Q\<. l/ w otR -ISSUE
PUBLIC FACILITIES FEE
QTY. 7-~ BRIDGE FEE
-
NEW CONST EA AMP/SWT!BKR /, A / COLL CTO S SCHOOL FEE -DISTRICT ·-m'"'V .
lPH STORAGE ANKS Carlsbad
EXIST BLOG EA AMP/Sll>!/BKR ~i¥ -
ROCK STORAGE Enc1111tas
I PH / -~PH PUMP S_~n _Q~e~ 110 ·--------------
REMODEL/ ER p CIRCUIT --. _"'-I. . -PLAN CHECK FEE Sari Ma·cos ----·· ------------
TEMP Pff't[ 20 PS ·------i-------------t--·
I /. OVER 200 A ,/l I
-----------------· ~;,7d. ~~+ TEMP UPANCY (30 DAYS) '/:! ,_ ~-------·-----+--------
-----l -----------+------------------
TOTAL ELECTRICAL 1-TOTAL SOLAR TOTAL FEES PAYABLE I '/ .u-1 • I -., ,.,,,.,,.,,., -
t~b~t.tiEXAMl'tk!D-COMPLETEO .. APPUCATI~N. ANh PERM!;... AND 00 HEREBY Expnlion.&erypenalf..uecf,bythe8uitding0fficialundeftheprovisionaof1rns * AN OSHA PEAMfT IS REQUIRED FOR EXCAVATIONS OVER
CEifflFY UNDER. Pl:NALTY OF 'PERJURY THAT ALL INFORMATION tt.EflE()N INCLUDING THE Code shall expire by limitlltion anct become null •nd void. If the building or work ·5' O" DEEP AND 0EMOUTION OR CONSTflUC1lON Of
t$CLARATI0NS AAE-TRUE AND drnmECT AND I FURTtlER-CERTIF't AND AGREE IF A PERMIT IS au1horiZ9d by such s-mft is not commenced within 180 (lays from the date of such STRUClURB OVER 3 STORIE$ IN HEIGHT pemut. or it . .the. '=!.I.,°' wotk.authoriZitd by such permit is suspended or J$UED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING SlHLDING COf+. llb•ulol-, .. -.::. time the,wor1t iS eommenoed for a ---'od of 1.;;;: d&"'"·
'.st_ROCTK>N., WHETHER SPECIAE_D HERElN OR NOT. i ALSO AGREE TO SAVE INDEMNIFY AND
g -r ~t OWNER □ COfljTRACTOR l!T" APPROVj; 1'! r/, K~ HARMLESS THE CITY OF CARLSBAD AGAINST-ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY-IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE ) ~~---" .• BY PHONE 0 ~118' t/ GRANTING OF THIS PERMIT. ,,.._ • • -.
~
LL
i'.' ro
0 a. E "' >-
I
2
0 CJ
c ro u ~~
~l(
I
~
C a:
0 00 00 "' 00 00 <(
I
~
2
ai >-
,ii
00 "' u 0 a:
ro oi 0
~
"' u C ro
C LL
s
C "' "' C!i
0 u "' a.
00 C
~ .c ;:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUND)TION ..,._q_~, 41 . n1
-' REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME fl
SHEATHING , j/
FRAME 17/1 • )"/ll\...,/
EXTERIOR LATH lNSULATION ' ·r-
INTERIOR LATH & DRYWALL y I ./, /)I',..,
PLUMBING •
-
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER .
ELECTRIC UNDERGROUND f J
ROUGH ELECTRIC . 'r1/1 l> I hV
ELECTRIC SERVICE I'/ I
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF o~~•JPANCY ISSUED
31,;;u.c,3
FIELD INSPECTION RECORD . REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCR~TE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS --------------..
SPECIAL MASONRY
PILES CAISSONS
-----
------
'
'
·--------
. ----
•,•
----------
,--
---------
, . ,
•
INTERDEPARTMENTAL INFORMATION SHEET
, BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
RECEIVED
DATE : --JIHtJM-N -c.g-a-9 11'198194-1 -
CITY OF CARLSBAD
BulldlR!I Department
ZONE J2... L LOT SIZE ________ LOT WIDTH ________ _
UNITS ALLOWED __ __.L-_______ UNITS PROVIDED __ -J.---------
PARKING SPACES REQUIRED ' '2-PROVIDED, __ _!,t!E>=.JJTC-_____ _
% COVERAGE ALLOWED ____________ PROVIDED _________ _
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ______ _
PROVIDED __ c,,._..,_.~-~-oe:
INTRUSIONS ____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~~rq,;,j,o..L..:.... ____________ _
ENVIRONMENTAL PROTECTION REQ: ~M)~/~p.,,..__ ________________ _
ADDITIONAL COMMENTS: -~l,.Jw,f~t'-'!r::::z:__ __________________ _
OK TO ISSUE:~ATE1trfct OK TO FINAL _______ ,DATE ___ _
ENGINEERING DEPARTMENT
R.o.w. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT -~_,.,,__ __ _:EA%MENTS __ ~----~_DRAINAGE
LEGAL DESCRIPTION ;;t!,t · Zi z:t /;au<'-«..c 2k,a? • ""-..2.
ADDITIONAL COMMENTS __________________________ _
OK TO ISSUEJ,&t DATE b':l\ln'1 PWI ____ OK TO FINAL ____ D.ATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS ______________ _
FIRE HYDRANTS LOCATION, ________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE, _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ___ __,,,jll!JL.,--
REQUEST FOR INSPECTION TIME:. ______ _
--,.~'}__ INSPECTOR _ ___.,,,,..,,~""--''----T-#-------PERMIT NO,, _______ DATE: ______ _
OWNER ________ _,W.c....,,c_.,L../_._L ...,.,y. .... ~""""-=:::,,,.,,:~-----------
ADDRESS _ ____..:;?~4-____..:3::::..,, ..... J.______,\M<-..:...-~--=--'l.-=--------------
,
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
II
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.I.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY }(wEDNESDAY D THURSDAY D FRIDAY
D A.M.
DP.M.
SPECIAL INSTRUCTIONS __ s;...,,,,."-(.,...,:.~~...L.>..~--~U?AL~=i:==ILJ=-J~..:/4=-1----------
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
~~°' v.--q77~~~
~ Af_,(A ~~~
~ ~ -I fl O ~JA_
1;p
<!itp of <!arlsbab
REQUEST FOR INSPECTION RECORD
TIME: _____ _
INSPECTOR -.<f:---H..,------,-----,,---
OWNER _-1----=-.µ.~.I.L.JL.L....:.~~L....::......s:;>--J~,--------,,...--------------------
ADDRESS -+-4111~~-1L--~____.!:..Lk..c~~--~~4--L---.....,...--=--=------,,,.....,..--,=-,---c-----
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT· GUNITE
□ FLOOR AND CEILING SUB FRAME
□ SHEATHING □ ROOF □ SHEAR
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
□ FINAL
PLUMBING
□ UNDERGROUND PLUMBING
D SEWER AND PUCO
□ TOP OUT PLUMBING
□ TUB OR SHOWER PAN
□ GAS TEST
□ WATER HEATER
□ SOLAR WATER
D FINAL
ELECTRICAL
□ TEMPORARY SERVICE
□ UFFER GROUND
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
□ FINAL
MI SC ELLAN EOUS
□ CONDITIONED AIR SYSTEMS
□ SOLAR HEAT
□ PATIO
□ POOL □ SPA
□ SIGN
□ GRADING
□ DRIVEWAY
D FINAL
SPECIAL INSTRUCTIONS __ ...... ,t=--=d;-';L-1.. ~Y~---1-/1_..~~-f.-l'J.:....::.5::c....--r'-!..-----f.f<-~=-=L=----L----=,......~L....L..L-.t_:....e ____ _
--------------------------f-;&!--c:7-":-----------b.
Ready For Inspection: □ Monday
□ A.M. □ P.M.
D Tuesday □ Wednesday □ Thursday □ Friday
R-e --Sf o JY / J To O t..v 7Y --ec .. ._r
Co /y I /2 /;. r Or w a, T---et---.s; 42 77
tZ T Co ,., #--ec.. 7 c ;._, c( ~ / /; T 4->_:, To -er :s?"-'-j .s 71-,~ t,;lA~✓ I
/v o • p--e r i4,L 1 7'tj ~ Co ,y .-v~-7 ~ L-v a1.s
oN rt,~ ;law, .
Cu w~1,;l-r,v--c,,hooS-e To u...~-e / XG, f 171¥/
O Al Ca v. L t<.-J 7o -S <:A.f, ,C;JL>-(_ i ~ 87a/'
~~~ ~ 7#/:S Wa-.s A-foc)i-Gt()/~
k ~ -a. -r 4/T.) s;, /0 'v /2, <-<-r'I ,I} '7 .
r.-01',v Ca ,,,1 ..S~ /hAo"'/i ...s'llA.tLO
uf.< ~ s-er:~ ~fd'~ cJ,-J 17..~ D~
th ..e_ /v'I 0/ 57Ze lA /J'2 f./-/~4-~ 4 / ;_jJ ~ ..:5 ~ c4>,
c1t-J ~ cP~ ~ -z;-~ N~<Jdd~ .,
fl o .st ::, /r;. f.-<.-Co, f-f. ...pc,,, 7 ~ '--v 'I? f.4.-, I J UA--/0 a-e~ /K (q r!--:>-1-vtoP\;{ RL~ ~'-,Ltc.,C.o ~>4'~ ~
S ft f' ,Ch J. t, '7 u.. .....l.v--4 (a,,t<. f'<>,-e;--.1-Co ,,....;;t...,...,
~;~t,_ ~