HomeMy WebLinkAbout2605 JEFFERSON ST; ; 85-499; PermitVI z 0 .= < a: < _,
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~ I hereby 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
~~:1 ~~rce,f1t4-fit1Tc1m <!.-s(J
I hereby alhrm lhat I am exempt from the Contrac-
tor's license Law tor lhe 1011owing reason (Sec 7031 5 Business and Professions COde Any c,1y or county wh1cli re· quires a perm11 to construct. aller improve. demohsh, or
repair any structure, pnor to ,ts issuance also requires !heap·
pl1can1 !or such permit to file a s1Qned statemenl lhat he is licensed pursuant to the provisions 01 the C.:on1rac1or s
license law (Chapter 9 commencing with Section 7000 of 01v1s1on 3 ol lhe Business and Prolessions COCle1 or lhal ,sex·
empt therelrom and lhe basis tor !he allegeo exemption Any v101a11on of Section 7031 .5 by an appticant !or a perm,t sub·
Jects the apphcan1 to a CIVIi penally al not more than live hun
dred dollars ($500)
I. as owner of the property, or my employees with wages as their sate compensat1ori. will do the work. and the slruc·
ture 1s not intended or ollered lor saie 1sec 7044. Business
and Professions Code The Contractor" s LJcense law does
no! apply to an owner of property who builds or improves
thereon and who does such work himself or through his own employees. provtded that such ,mprovemenls are not intend-,
ed or altered lor sale If. however. the building or 1mprove·
menl is sold w1th1n one year of comp1e1ton. the owner-builder will have 1he burden ot proving that he did not bu11d or 1m·
prove tor the purpase of sale)
I, as owner of the properly, am exclusively contracting
with licensed con1raclors 10 conslrucl lhe pro1ec1 (Sec 7044 Business and Proless1ons Code ""e Contractor's license
Law does no1 apply 10 an owner ot property who builds or ,m-pro.,,es thereon, and who contracts !or each Pfotecls with a conuactor(s) hcense pursuant to the Conlractor's License Law).
ll As a homeowner 1 am improving my home, and the follow
Ing cond1t10ns exist 1-lhe work ,s being perlormed poor to sale 2 I have 11ved 1n my home tor twelve months pnor to complel1011 of this work,_
3 I have nol claimed this exemption durmg the last three years
::::J I am exempt under Sec , B & PC for this reason ____________ _
L-. I hereby affirm that I ha"e a certificate of consent to
sell insure. or a cert1hca1e ot Workers Compensation In-
surance or a certified copy thereof {Sec 3800. Labor Code)
POLICY NO l <f :2 13 E/
COMPANY <t,lf-(0 e,4,3,
Copy 1s f,ted with the city
~Cer1tl1ed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be completed 1f the permil
is for one hundred dollars lS100J or less)
~ I certily that m the performance ol 1he work for which
ltHs permit ,s issued. I shall not employ any person tn any
manner so as to become subJect to the Workers" Compen-
sa11on Laws of California
NOTICE TO APPLICANT: II. after makmg this Certificate
ot Exemption. you should become sub1ect lo the Workers
Compensation prov1s1ons of the labor Code. you must
forthwith comply with such pro\llsions or this permit shall
be deemed revoked
0 I hereby affirm that there Is a construction lending
agency for the performance of the work for which this per-
mit 1s issued 1sec. 3097, Civil Code)
Lender·• Name & //; •
l ender·s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
NEAREST CROSS ST BUSINESS LICENSE # PERMIT NUMBER
2-~R;/:S-:1 if-&r .!>tJAI RO
I DA TE OF APPLICA Tl ON I 17t1,-o}{ 1S-L/1i ZONE 7 SUBDIVISION ASSESSOR PARCEL NO
D~V. C..of2.P. OWNER'SPHONf
QW"'E R'S 11.'AILl"'G ADDRESS
PLAN 1.0 . # BUIL?; i rGE,
/
l°ESCAIPT•O"' OF WOR~d/11" P4> oL-/~ P-A--I DESIGNERS ADDRESS
'--
CENSUS TRACT 1 GP LANO USE PARI( ING SPACE RES UNITS I
T
GRADING PERMIT ISSUED
y D ND
F1P F LR ELEV
YO NO
1 REDEVELOPMENT
AREA ,o NO
NO
STORIES
TVPE
CONST
I DESIGNER'S PHONE
LICENSE NO
OCC GP EDU
OCC LOAO I FIRE SP P
vO NO
•
Not Valid Unlers Muhme Certified
QTY. PLUMBING PERMIT · ISSUE ·-?~ I QTY.I MECHANICAL PERMIT. ISSUE I 3-I SUMMARY/ACCOUNT NUMBER
/ .,,,,--"'' .... ~--EACH FIXTURE TRAP 7 INSTAL L FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 ---~-4 OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 f-_ 80ILER1COM~RESS0R 3 15 HP TOT~~81NG 001·810·00·00·8222
EACH BUI LUING SEWER t; I EACHWATEAHEATERANU •ORVENT
EACH GAS SYSTEM I 10 4 OUTLETS
ACH INSTAl ALTER REPAIR WATER PIPE MECHANICAL 001·810·00·00·8224
~
EACH.G_ASSYSTEM 50RMOR_E__ l METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
--. -----------.j---------l
-
ACH VACUUM BREAKER MECH EXHAUST MOBILEHOME 001·810·00·00·8225
WATER SOFTNER I ~ I RELOCATION gy('A FURNACE1HEATER I MOBILEHOME PARK INSP
EACH ROOF DRAIN ,,,NSIDE) ~ ~OLAR 001·810·00·00·8226
TOTAL PLUMBING 1 1/_ c:-:ot T0"fJ;L MECHAN ICAL I,., ./
STRONG MOTION 880-519·92·33
FIRE SPRINKLERS 001·810·00·00·8227
-~
QTY. ELECTRICAL PERMIT · ISSUE s-II QTY. SOLAR -ISSUE V ~BLIC FACILITIES FEE 332·810·00·00·8930 1--I
1 NEW CONST EA AMP SWT BK R COLLECTORS ---;;;7 . SCHOOL FEE· DISTRICT
J J 1 PH 3 PH • STORAGE TANKS ./ . Carlsba~
EXIST BLDG EA AMP SWT SK A ROCK STORAGE _/ • Enc1mtas
I PH 3 PH . PUMP / , San 01egu1to
1 1 l REMODEL AL TtR PER CIRCUIT / () l) / PLAN CHECK FEE ./ · I San Marcos J \;
-TEMPPOLE 200AMPS . / ,
1 1 OVER 200 AMPS . / .----LICENSE TAX 001·810·00·00-8162
TEMP OCCUPANCY 130 DAYS) . / • MFF 880·519·92·57 T ~ .-~19
. / . CREDIT DEPOSIT I"" / /. l!l..::, /
' TOTAL ELECTRICAL I I roe ( TOTAL SOLAR TOTAL FEES PAYABLE I I i/J. L/q
"T
Expiration. Every permit ,ssued by the Bu1ld1ng Off1cu11 under the prov1s1ons ot ttHs CAVATIONS OVER
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY 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
ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. Wt-lETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
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
Code st>alt e•pire by 1tm,1a11on and become null and vood If !he buoldong or work TRUCTION OF authorized by such permit ,snot commenced wtth1n 180 days from the date of such IGHT Q.)
permit. or 1f the building or work authoHzed by such permit ,s suspended or ~
abandoned at an time after the work 1s commenced for a nod of 180 da s ~
APPLICA;;[Z_/_4 OWNER [l co::Rp:::: 0 'I q. ~. </J
/ / ... 'V'
TYPE I DATE INSPECTOR I " -, \
BUILDING I ,. < 35-e+91 I ,, (I '-'· . . ' FOUNDATION I
REINFORCED STEEL ' I
MASONRY I '
' \ FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
" .
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
\ .. ~\',. ' , REO IF INSPECTOR S .-\ ...• INSPECTIQ~• DATE '. CHECKED APPROVAL .
' , ' SOILS COMPLIANCE •. ....... ~·-PRIOR TO
FRAME I
. FOUNDATION INSP . -EXTERIOR LATH I
I \ ....
INSULATION I
STRUCTURAL CONCRETE
OVER 2000 P~I ..
4
PRESTRESS!'D . . '
INTERIOR LATH & DRYWALL I
I
I
. CONCRETE ·, ' POST TENSIONED
CONCRETE '
PLUMBING I FIELD WELDING
D SEWER AND BL/CO D PWCO
UNDERGROUND D WASTE o:wATER
TOP OUT D WASTE D WATER
-HIGH. STRENGTH. •. BOLTS
SPEC'lAL MASONRY ' . \. . ' . .
TUB AND SHOWER PAN I : ..
GAS TEST I
I
D WATER HEATER D SOLAR WATER
.
PILES CAISSON~ ' , ... -· --~
I '
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC ' I
. . •. , -· --.
' : . . .... <-.r-. -..... -.
' -. .. . . .
0 ELECTRIC SERVICE D TEMP¢RARY ' \ . . . -.
D BONDING D•POOL I ' ~ ..
I -·--I
MECHANICAL I
D DUCT & PLEM., D REF. PIP.NG
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I .
I ' -.
ITEMS ABOVE HA JE BEEN APPROVED.
.
' . .:..._' \ • -T .... ., .\. \
FINAL
PLUMBING , -...... -. ' ' ... • ,., """'---·,
" ; ""--· ..... . j.-· . . '
ELECTRICAL
MECHANICAL
GAS
BUILDING
,.....___ -
' ·• ' . . -·, . .. . ··" . ·, •.. ' ' . .. . .... \ .. . . ,
' . , . > ~) . . • . ~ • . ', .ff -... .. ~ ·.
SPECIAL CONDITIONS .
..
Pl.AN 'cHECK 'HUHBERli-f'f ! ADDRESS ;2&,o s-Cl.v.L,Jn-.! '.
r 1111 r
,
DATE ~_,-;
TYPE OF STRUCTURE---'~--·--------------PLANNING: ZONE: -----
-
SCHOOL FEES : SAN DIEGUITO -------ENCINITAS --------NUMBER OF UN ITS CARLSBAD SAN MARCOS
a: w.l :::z w.l
-------
BUILDING HEIGHT ________ _
FENCES/WALLS __________ _
TWO CAR GARAGE ------------
-------
REQUIRED SETBACKS -----
FRONT ___ ~~.,....----
SIDE -----"',....~-------
REAR -------------
;: ~ CGr'iMENTS: _________________________ _
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~ D REDEVELOPftENT A2?~0VAL REQUIRED: s~o · . -----------------...,_ ~go 8~ LANDSCAPE PLAN COt11ENTS: -----~---------------
rnv rnc:-:f.;rnrAL RtQUIR,Q: -----------------------~
P,DOITIOilAL COM!~ENTS: ------------------------~
EMG I NE En ING LEGAL DESCRIPTION VERirIED? ____ A.P .N. CHECKED?_
P.F .F ·------PARK IN LIEU _ _.. _____________ _
R.O.W: IMPROVEMENTS:------------------
_________________ E.O.U: --------------
SEWER:
LATERAL: DRIVEWAY:
a::
w.l GRADING PERMIT: :::z
w.l -w.l > .... DRAINAGE: w.l ! a:
~ .o EASEMENTS: c{, ADDITIONAL CO,...ENTS: -co .... w.l ua: w-
a:~ D a:: O' 0 w.l
t..l ~ ua: OK TO ISSUE : DATE:
* ENGINEERING INSPECTION REQUIRED: _______ ~b'--------
PUBLIC ~ORKS INSPECTOR: _________________ _
FINAL OK: -------------DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRTVl='l.14VC:: r 11co l'"IIT nnll Hllll"l"' f"TI" \
I
I
1200 ELM AVEl-<'UE
CARLSBAD, CALIFOf~NIA 9_20C:S.
Qtitp of QtarL~uah
TElEPHOt~E:
(714) 729-1181
This document will certify that ! um i'lwa1:e of the provisions of the
Californi-a Administrative Code, Title 24, Section '£20-1'106 (c),
''Swim.ming-Pool Heating", as shown on form D.f>L iF297. I undQrstand
·.·tl"!c:it neither a swimming pool oo.ilding permit using a fossil-fueled
·heater nor. a p-lumbing/electrical permit for a . new or replacement
fossil-fueled heater will be i~sued until this certificatidn is
executed.
· For the swimming pool located at S~PF~~ ov ~1'. ~~~~~~~~~~~~~~~~~~~-(site address) I certify that ··all of the following requirements for
fossil-fue l ed (or electric) swim~ing pool heaters will be met:
1. Outdoor pools sha!l be equipped with a pool cover.
2 ... ON-OFF switch on outside of heater.to ~llow shutdown without
adjusting thermostat and start-u? with0ut relighting pilot light.
3.. 3611 minimum length of plumbing provided bet,..;een filter and
heat.er to allow future solar installation.
4. After January 1, 1~82, new heaters installed must have 75%
thermal ef fi.~ienc_y.
5. 'l'ime clocks installed tq. allow pump opera tion du~ing off-peak
demand. periods (unless pump used for active solar.).
6. Directional water inlets in .pool for <J.OOd mixing.
Print Owners Name:
Owners Signnture: : ~~1~ ,, Dat~;~ ~(g<
Print Contractors ·Namet~~R~~---'-f_o~L=f.__ __ 8~§'.#J~~:,,mc;..1f~~O:::__~~~~~~~~~~~~
Contrnctors Signilture: na te : -zi-f'
Address:
. . . . ,'~~\ -~·---..... ·-··----··--·-···---···-
'-= G. H. SCHREIBER
ethOctftnt ••. -
"0• MAST C'~ PLAN ~VIL. IHGIN&U
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