HomeMy WebLinkAbout2608 EL CAMINO REAL; ; 87-379; PermitIC ![
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O I hereby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalona Code, and my license Is In
lull force and effect.
1 · hereby afllrm that I am exempt lrom lhe Conirac· ror's License law for !he !allowing reason (Sec. 7031 .5
Busmess and Professions Code· Any city or county which re· qwres a perm11 10 construcl, alter. improve, demohsh, or
repair any Slruclure, prior 10 11s issuance also requires ?heap· phcant tor such perm1I 10 file a signed statemenl that he is
licensed pursuant to the prov1s1ons of the tontractor s License Law (Chapter 9 commencing with Sec11on 7000 of Drv1s1on 3 of lhe Business and Professions Code) or lhat ,sex-empt lherelrom and lhe basis for the allegeCI exemption Any
v101a11on ol Section 7031.5 by an apphcant lor a perm11 sub 1ects the apphcant to a CIVIi penalty of no1 more lhan hve hun·
dred dollars (S500)
I I I, as owner of the property, or my employees with wages
as !heir sole compensalmn. will do the work, and the struc·
ture 1s not mtended or ollered lor sale {Sec 7044. Business
and Professions Code The Contractor's License Law does
not apply lo an owner ol property who bullds or improves thereon and who does such work himself or 1hrough his own
employees, provtded thal such 1mprovemen1s are not mlend·
ed or olfered lor sale. 11. however, lhe building or improve· ment ls sold within one year of completion. the owner·builder
w,U have the burden of proving that he did not build or im·
prove !or the purpose ol sale)
0 I, as owner of the property, am exclusively contracting
with licensed contractors to construct lhe pro1ect (Sec 7044,
Business and Professions Code The Contractor's License Law does not apply to an owner of property who bu1kls or lm· proves !hereon. and who contracts lo, each pro1ecls with a
contractor(s) license pursuant to lhe Contractor·s License Law)
D As a homeowner I am improving my home, and the follow Ing cond1lions e1ost.
1. The work 1s being performed prior to sale 2. I have hved m my home tor twelve months
prior to completion of this work I have not claimed this exemption during the last three years
D I am exempl under Sec , B & P.C.
lor this reason
D I hereby affirm that I ha\le a certificate of consent to
self·insure. or a certificate of Workers· Compensation In-
surance or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy 1s flied with the city
0 Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s for one hundred dollars ($100) or less}
0 r certify that In the performance ol the work for which I
this permit Is issued, I shall not employ any person In any I ~a~r;
0
erL!~:s~~ ~~~o~:,:ubject to the Workers· Com pen· f
NOTICE TO APPLICANT. If, after making this Certificate I
of Exemption. you should become subJect to the Workers· I
Compensation pro\lisions of the Labor Code. you must I
forthwith comply with such pro\lisions or this permit shall l
be deemed revoked. I
I
I
I D I hereby affirm that there Is a consirucuon lending I
agency for 1he performance of the work for which this per-
mit is issued (Sec. 3097, CivH Code) I
Lender's Name I
Lender's Address ___ ~~--------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDIN:~EPARTMENT
2075 Las ~almas Dr., Carlsbad, C 009-4859 (619) 438-1161 APPLICATION & PERMIT l
JOB ADDRESS
1=. { --( / AV.~ RD. N~T CROSS ST. 'DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
1/t..,of5 6....J. -/-/4-,.} &,OOD '6,-~/11 ~-~ I tJfJ ~, -
LOT SLOCI( I SUBD1 v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE /6 /-/.73'/5 -S-2->A-A-7E OWNf R'S NAME I OWNER'S PHONE c~ ,,_/ ,,.(-.,..,..dt',.... 6/: ? /,P-7?4',.5'79.C. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MA,LING ADDRESS 's'i'h 7/0
#o,-~e>-, A~ evA'e,;.,.,, Ca 9'?-flt?/ OEStGNER DESIGNER'S PHONE /~e:I' ~ > A'/V7t:-DESCf PT<ON OF WORK
J ' DESIGNER'S ADDRESS STATE LICENSE NO.
-~ ,.~ 1-=J_~ w,1"~ A-_::r--0006 07/16 0101 02BldPmt 53.sc
F/P FLRELEV NO OCC GP EDU
:0Q2.)"F ~ ,N-~1 STORIES
vO NO ---
I
I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TVPE OCC LOAD FIRE SPA AREA CONST
y D ND vO NO . -vO NO Not Valid Unless M;,chine Certified
QTY. PLUMBING PERMIT· ISSUE 706 QTY. MECHANICAL PERMIT -ISSUE I~ -SUMMARY/ACCOUNT NUMBER ./
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 001 810-00·00·8220 ..... , -, -
EACH BUILUING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810·00·00·8221 ' -------·-~, EACH WATER HEATER AND10R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 -
EACH GAS SYSTEM 1 TO 4 OUTLETS -+-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 ' ------------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 00 1·810-00·00-8223 ----
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 -------------------
EACH VACUUM BREAKER MECH EXHAUST -HOOD1DUCTS MOBILEHOME 001·810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00·00·8226
EACH ROOF DRAIN i lNSIDEI DRYER VENT STRONG MOTION 880-519·92·33 ~:::::,n ---TOTt;L MECHANICAL flRE SPRIN~LERS 001 ·810·00·00·8227
TOI AL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00·8740
S<JO BRIDGE FEE 360·810-00-00·8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 134·810·00·00-8835
I PH 3 PH AWNING LA COSTA TIF 133-810·00·00·8835
EXIST BLOG EA AMP/SWT 'BK R GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00·00-8162
REMODEL ALTER PER CIRCUIT MFF 880-519·92·57
TEMP POLE 200 AMPS
0 VER 200 AMPS
TEMP OCCUPANCY 130 DAYSI ~ .If ' CREDIT DEPOSIT L 'I-· -;>
TOTAL ELECTRICAL I TOTAL I ~) ' TOTAL FEES PAYABLE .Jo
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the Building Offtcial under the provisions of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m,u1t1on and become null and void tf the bu!ld1ng or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHE'1 CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit 1s not commenced w1th1n 180 days from the date of such 1 TRUCTURE\OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING cm, ~~~'::~on~'~, 1:~v ~~~~·~He?~h:~~r:~!hi~~:1e~le~~~~ :6~~gd'~,srsr;a~~d 0' -
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE ,._ OWNERD CONTRACTOR 0 ":]~ r;, b/67 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND d_· ~_/-_· EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [] GRANTING OF THIS PERMIT .,. ----/ \
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~ , , rrv-,-~-,::------· , •/ '-,! , I • ,_ ,-~ ... -\(") \ '\ ; : :. TYPE ! DATE INSPECTOR ~---
'87--'<..7C,
.... ·. ,-, ... ~-
BUILDING I -:-'
FOUNDATION i FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . ' I '
MASONRY I REO IF INSPECTOR S
GUNITE OR GROUT ! INSPECTION CHECKED APPROVAL DATE • ,4. I -... ,
SUB FRAME D FLOOR D CEILING " '\ -,,
SOILS COMPLIANCE
SHEATHING D ROOF D ShiEAR PRIOR TO
I FOUNDATION INSP
FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
r CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
! CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D -P.LICO HIGH STRENGTH
UNDERGROUND D WASTE OWATER BOl TS
TOP OUT D WASTE D WATER SPECIAL MASONRY --
TUB AND SHOWER PAN 1 <..~~
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
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ELECTRICAL I . i.'\ \ -·
D ELECTRIC UNDERGROUND GI UFFER ...: -.
ROUGH ELECTRIC I '\:' ----
D ELECTRIC SERVICE D TEMPORARY --I -
---• . \ -:.~ ~, D BONDING D POOL .
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPJNG ... ,,·\ !; . . '··+ . I '
HEAT -AIR COND. SYSTEMS I ...... It";.. . --r.-·· -i '~": . ' ·< -· -"""~'
VENTILATING SYSTEMS I ' -~\ ' I . --OJO~ 01 \t 't I.U V-1 'V.l~pi..;,-..-,__
i .
CALL FOR FINAL INSPECrON WHEN ALL APPROPRIATE ,
ITEMS ABOVE HA E BEEN APPROVED. -.
FINAL I
PLUMBING l ,_
ELECTRICAL I a • . J \ ' I -<, ... \ ' ~ • I 1
MECHANICAL I -.. ~, \ v/,· ~,~ .. .;:.. ;\ ... ~ ' ·,1 -....1 ,, ,\ .. . _-.., __
GAS : : /) ,-. ,.-.6. -. ... _ . I
BUILDING l rflYef-(};rf,)l_~ A -~'> . .
SPECIAL CONDITIONS ! I I / I I
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ENGINEERING CHECKLIST
Date: 1--Jfo-87
Plan Check No. _8~1_-_8_7_Cf ____ _
Project Address: 2~oB ~ u:JMJJ.J() fltn..
Project Name: U},eµ; J/2.. 'vlwoow Aor:>JTIOA/
Field Check Date: ~----------
By:
LEGAL REQUIREMENTS
Site Plan
LEGEND
g7
@
1,2,3
Item Complete
I tern Incomplete -Needs
Your Action
Number in circle
indicates plancheck
number that deficiency
was identified
1. Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks.
2. Show on Site Plan: Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing
and proposed slopes, driveway and percent (%) grade and drainage
patterns.
3. Provide legal description of property.
4. Provide assessor's parcel number.
PERMITS REQUIRED
Grading
5. Grading permit required. (Separate submittal to Engineering
Department required for Grading Permit).
6. Grading plans in plan check PE -----
7. Need the following · completed prior to building permit issuance:
8.
A. Grading plans signed.
B. Grading permit issued.
C. Grading completed.
D. Certification letter and compaction reports submitted.
E. Grading inspected and permit signed off by City Inspector.
Right-of-Way Permit required for work in public
(e.g., driveway approach, sidewalk, connection to
etc).
right-of-way
water main,
9. Industrial Waste Permit application required. To be filled out
completely and returned to Development Processing.
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FEES REQUIRED
10. Park-in-Lieu fees required.
Quadrant: , Fee Per Unit: , Total Fee: ____ _ ----
11. Traffic impact fee required.
Fee Per Unit: .____..,. , Total Fee:
12. Bridge and Thoroughfare fee required.
Fee Per Unit: , Total Fee: ...,..__..;
13. Public facilities fee required.
14. Facilities management fee required. Fee: tiJ{:.AA~p-
/1 ... ~ 1,1 • 15. Additional EDU's required: -I\.U ~ ~
Sewer connection fee: -----Seweilpermit no. _-___ _
16. Sewer lateral required: -""~'"""""-"""""'~,=+---------
O.K. to ~ .... Lar.L.4--·.r::._ :::::·=::=:::: ....... !:!:::===--oDate:
If you have any questions about any of the above items identified on this plan
check, please call the Development Processing Department at 438-1161.
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PLANNING CHECKLIST
Plan Check No. 87-3.72 Address ,2t;()8 £/.... 6>111,AJo RmL
Type of Project and Use WiNg_)pv J:iQDLT!.OoJ. -CP-!flL$ I /2..-.
Zone c-2. Use Allowed? YES~ NO
Setback: Front~ Side .QK.__ Rear Qk_
School District: San Dieguito
Carlsbad >(°'
Discretionary Action Required YES
Environmental Required YES
Landscape Plan Required YES
Comments
Coastal Permit Required YES
Additional Comments
-
Encinitas
San Marcos
NO ---X-
NO ><
NO __L_
NO --.i._
Type ----
DATE 7-/6---8? -'---'--'=-'------
COUNTY OF SAN DIEGO
DEPARTMENT OF HEALTH SERVICES
Division of Environmental Health Protection
1700 Pacific Hwy., San Diego, CA. 92101
(619) 236-2243 ·,, f6i:-/ CT J<(<{,, c '/ If' t:rf'J.... PLAN CORRECTION SHEET
owNER: "'AR& kARcHeR EJJT . .r1JG
?P ADDRESS: :2.("() J./ 111:.RR/JR. /llJAJ./rl/YJ
PAGE j OF I --
DATE: 7-/f-0i7
PHONE: 7tl/) 77~-71& 7, 1-~, ()-f:, 0 CONTRACTOR: __ ...;...;..__;:.....;;..;;_.;;..;......_ __________ PHONE:
Address of Proposed or Remodeled
Health Regulated Building: ?' EL (' A/n 1AJ() 1?,:-Af f. l?.
TYPE OF BUSINESS: '>'lh!IOI K/~"' "L RECHECK REQUIRED---=-::.:c....._ APPROVED __
ITEMS
/vt,
JUL 2 01987
CITY OF CARLSBAD
DHS:EHP-886 (4/84)