HomeMy WebLinkAbout2621 OCEAN ST; ; 85-230; Permit~~[ \J I!= '\
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D I hereby affirm that I am licensed under
prOYlslons ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proless!ons Code, and my license 1s in
lull force and eflect
L,c No _____ _ r1a1,
I hereby affirm thal I am e,emo: trom the r:orac
tor's License Law tor 'he lolow,ng reasor 1Sec 7031 J flus,ness and Pr□fess,ons Code Any c11y or coun·y wh,c,, re
qu·res a per<n,t to cJnsTruCT alter 1-~•o,,e derro-,s~ or
repa,, a~y structure prior to ts ,51·Ja~:ealsv req,,res :he ao
p1,cant for suer, pe·"'rl lo '.le a s r,neG sta·ement t~at re ,s
I,censed pursuant :o the provIs1ons of The con1rae1or s
1 •. ,cense Law 1Cha~re, 9 comr,,encrng w,:h Ser•,o~ ?00C Jf
01111,o~ 3 of t~e Bus,oess a1d Pro1ess1Gns Cor.e, or trat
emo! t~erefrom and the bas,s fo• the a'leqec e,.imJT1or
v1Glat,on o' Section 7031 S by an appl1ca~1 for a perm 1
:ec's t~e apo!,cant loam,! penalty of nc: mo~e :nan f,·,e
cred collars 1 $JOO',
I, as owner of the prooerty 0' my employees w,·~ 1,a~es
as :heir sole compensation wdl do the Nor, and 'he otr•"c twe ,s not intended or oflered for sale I Sec 7044 flu~ ness
and Professions Code The Contrador's License Law does not apply to an owner o• property 11,ho bu,las or 1mp1cves
The,eon and w~o does such work h1mse11 or Through h,s owr.
emp·,oyees. provided !hat such improvements are not ,n:end
ed or offereO for sale It. nowever the 1Judd1ng or improve
ment ,s sood w,th1n one year o1 comolehon the owner·burlder will have the burden ot pro,ing that he d•d not build ~r 1m-
o·ove for the purpose 01 sale)
as owner ol the p,onerly, am exclusively con1r;;ct11g
N1th ltcensed conlraclors IC construct the oro1ecl (Sec 7044 B1,s1ness and Protess,a% Code The Contractors L,ce1se
Law does not apply to an owner ol property who builds or ,m
proves thereon. ana who contraos for each pro1ecrs w1\h a cantractor(s) 1,cense pursuant to lhe Contractor's L,cense Law\
As a homeowner I am 1rr•prc,ing my rome and !he follow ,ng ~ond1t1ons ex1sl
1 The work ,s be,~g pertormed 0110, to sale
2 I nave lived ,n my home tor twelve rnon1ns pr,or ro completion 0J 1h1s NOrk
I rave not cla,rned this exeript,or d~ring tne last three years
for ,:h~: r~~~~t under Sec _____ _ B & PC
D I hereby a11irm trial I ha•e a cen,t,cate or conseni
to se1f-1nsure or a rert,t,cate <J' W0r~ers
Compens.at,or> lnsu•ance. or a cend,e(J cop, inf'rr>o'
!Sec .38(() Labor Code,
POLICY NO
COMPANY
0 Copy •s '•led w,tr, t'1e c,ty
D Cert,1,ed copy ,s hereby tum,shed
CERTIFICATl OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANU
(Th,s sechon.'A;d n/,t be compleled .f 'he ;>e'"''"
,~ tor r/r/lh~!Jlfled dollars ,:$100• ur "s~,
he perto,marc,, "t ,n,, w0r> 'Cl'
s ,ssued I shal' not er•µI,,) drh .,,, so as to ber-<Jrnp suo,,,,' 1,
mpens..,t,o" La"'s o' Cal,t•~"'•d
NOTICE TO APPLICANT It, a!Ter makir.-, 1n,s Cerl,
locale o1 Exempt.on ,.-o~ sr10uld become :;ut>1en 1'
the Wor1<ers· Compensation prov1~1ons ot rne c..at:KJ•
Code you must 1orth..,1!h comp•~ w,Th su~c
pro,is,ons or tn,s perm,t sndl IJP c1e,,...,,er1 'P"••P<:
D I he,eby af1irfY' 1na1 l~PrP s a
1end,n<;; aQer>q to, the perto,ma,, .. e c,I rne w:ir>
wn,,:;n lh,s perm,1 ,s ,~s~Pd ,Sec 309/ r~,,, C,xw
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008·1989 (619) 438·5525 j3:?3ss/ ~.--.. ~ 11,,::... ST.AO. NEAREST CROSS ST. D?/2 ;#~ BUSINESS LICENSE# VALUATION a-iE:MIT NUMBER
LOT BLOCK I SUBOI VISION I ASSESSOR PARCEL NO. CONTRYT<:: --'. CONTRACTORS PHONE# ZONE ~ 3 0
°?/'R'S NAME . . Al I OWNERS PHON, V#!/_ ~t;,lSk.J ~ ¥S'6-cl1S' K .. Sa /"/vu.~· , IIJ CONTRA~TOA'S ADDRESS r LICENSE NO. F'LAN 1.0. # BLDG USE CODE
o:NER'S MA'UNG •~os,s,i ·. · · ,1, bf~£. t/4, ~t)'(,4<'X jA -(_,_ A ·--;:;-;:1,'/
2~1 'I Ort:.AJ"tl' /'f'V"L DESIGNER LICENSE,, STANDARD PLAN,, BUILDING SQ FOOTAGE
DESC~Tl~ ?,_F WO_!I~. _ • _ _
C/ I L '--------1 DESIGNER'S ADDRESS DESIGNER'S PHONE
--Le_ew_ tJ'c_'fL _d"'"'n.~--------~-· F.'P FLR E:LEV NO occ GP EDU
STORIES
y~ -...c
CE:NSUS TRACT I GP LAND USE I PARKIN(, SPACE RES UNITS I GRADING PERMIT ISSUE'□ I REDEVELOP'v1El\rT TYPE occ LOAD FIRE SPR
AREA CONST
,□ NO ,= .._0 ,□ "0 Not Va/JdUnlessM•chineCert1f1ed
QTY. PLUMBING PERMIT· ISSUE I --7~1! QTY MECHANICAL PERMIT· ISSUE 7 -SUMMARY/ACCOUNT NUMBER I /• 1! ,:;;;>
EACH FIXTURE TRAP / ii I INSTALL FURN OUCTS dP TO 100000 BTU BUILDING PERMiT 0'·00·00·8220 +-------
-EACH BUILlllNG SEWER ___ _ ~-_____ 4 ___ _0_:'ER 100.000 BTU ___ _ SIGN PER~:_! 0'·0-0~J·8221 _ --
EACH WATER HEATER ANO OR VENT I BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 01 00-00-8805 -----· ---------------------+--------
1---+-'-A_C_H GAS SYSTEM l T0_4 UUl l.ET'.-i 801LER.COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 (/11_
EACH GAs-SYsTEM s OR MO_H_E ----·---·-1 \!ETA: F~R[P~A~E -----------ELECTRICAL 01-00-00-8223 /~ ::;.:;----------+ -----+---+ ---------______ ,__ __
EACH INSTA~ ALTER, REPAIR WATER PIPr , VENT ~AN SINGLE DUCT MECHANICAL 01-00·00·8224
-I---.. -----------
EACH VACUUM BREAKER MECH EXHAUST HOOll llUCTS MOBILEHOME 01-00-00·8225
_ Ll~':_TfR S~£_!N_~-----______ __ I RELOCATION OF EA FURNACE.HEATER MOBILEHOME PARK INSF
j LA(.-1 R1:·,:-:,F r:R,\ 'J 1'T·T.. --+-------!---~--=~~====~-----~--~------+ _SO_LAR OH0·00-8226
1---+------~--~~-j ---TOHiL MECHANICAL STRONG MOTIO~ 80·92-33-05'9 --~
TU:A! Pi ur,,1B1ri.L FIRESPRl~JKLERS 01-00-00-8227
'j PUBLIC FACILIT,ES FEE 32-00-00-89,lJ QTY ELECTRICAL PERMIT. ISSUE -_,,,..-i QTY. SOLAR· ISSUE ---· ··
f---+-------------------t-~~-----l----,-----------------+------1f-_.B'.:'R'"IDocGocE_.f_cEEc__ ___________ --+------· -
Nt:W CONST EA AMP S1Nl fl KR I,':-[ I ECTc,.::s SCHOOL FEE-DISTRICT ----------------
1 PH i Pf-I STC:RAGl T:;r,kS Carlsbad 80·92·21 0J19 --------------------t------------------~---------,
~XIST 1-lLlJG EA AMP S\NT flKR .:::Jc~ STCRAGl Encinitas 80-92-22-05·9
---------------------
1 PH 1 PH ;: --~~~,1? ______ _ _ __ -----------+-------Si _ ~~_n_ 01_~~ _____ 80·J2-203-~0~5_"90 _+----------0 _L_j_ RU,~O_OEL Al_lr.~ P~~ ~,IR[UIT <"" ---11 _ P,2-'~~--!LC>< '-t': ---+----_______ San Marcos 80-92-24-05"9
TE \.1P PO l E JO[J A1,1PS . 'i
OHR2lJUAMPS . :, --------------I LICENSETAX01-00-00-8162
--TEM-PliCcuPAr"IICY 3D DAYS1 ii -------------+-----M-FF 80·92-57-0519 -----
--~ ---Ii ----1 ----CREDIT DEPOSIT -----1----------
, lil!AL fLll.lRllid ./ ~~ rw, s,11,R I TOT j / ~--i / ~ / Ii I .. . . . I AL FEES PAYABLE /'t:) ,:.:.::.::.-
1 HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT" AND DO HEREBY Expiration. Every per~it issued bythe8wldingOfflc1al under the provismnsofth1s * AN OSHA PERMIT IS REOUIAED FOR EXCAVATK>NS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by llm_,tat,on 8nd become null and void ti the building or work 5· o·• DEEP ANO OEMOl.lTK>N~~STRUCTK>N OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhanzed by such permit ts not.~o enced wilhm lSO days from the date of such J STRUCTURES OVER 3 S~IIE EIG T ' permit. or 11 the bu1ldma •r wor ulhor~ by such permit 1s suspended or A -H
ISSUED TO COMPLY WITH A.LL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON· L~•~bo~n~d~o~n?.-"1t~•~'"~t~i""'~ljll!•'.c;~,!>h~•~~•~•;•l!1' odfnm'?-J~••~,nc~•~d~l'£o~, ~•~ ~,~,od"1._o~t~1~80!l.sd~•~••sL'--\f-1":"::::~~~:::"°,,,.~~-~:,,,'~!':---:-'.":'~""/--7"-~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPU 'f_'S 7::$~,µ □ •~ APPRO\I ;;~yr ~-~ <I° ~,/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ·~ SIG RE ..., OWNER CONTRACTOR "!! ·., DATE
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ J., , .i. ,A, L.' :3: , / fl~
GRANTING OF THIS PERMIT ,, , -7 vv .. ... -. BY PHONE .,, _ v I / y
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TYPE I DATE INSPECTOR
BUILDING
FOUNDATION I
REINFORCED STEEL
MASONRY
GUNITE OR GROUT j
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF C SH~AR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING I
SEWER AND BL/CO □IPL/CO
UNDERGROUND □ WASTE C WATER
TOP OUT □ WASTE C WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WA;T"ER
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPOPIARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
I
CAL_L FOR FINAL INSPECTION WHEN ALL APtfROPRl,4°fE/ ..
__ ITEMS ABOVE HAVB BEEN APPROVE/). · · ff-,
FINAL I , •. i I . ~~
ELECTRICAL
1
• ~ -~7 , PLUMBING
MECHANICAL I II
GAS ~
BUILDING
SPECIAL CONDITIONS I~,,
I/
~--·-----------------_...._ _____ -,,,____
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
DATE I INSPECTION ~REO IF INSPECTORS CHECKED APPROVAL ---. b--°"
S01LS COMFI_ C\'\JI~ E
PRIOR TO
~CLJNDAT:01\ l"-.SP
----+--~TPUCT ·. IPAL C'l 1NCF-lt--f_
l)\/E:R 2Q!_1C P~;1
PHbTRES::iE:J
CCNCPETE
POST TE"-:'-.!C1NET',
CONCRETE
FIEL [) \l\'ELlJING
----l -----+ ----
~,,;-';),60-...
INSPECTOR'S NOTES
---------------------!
------!----f'k]-j ST•H:NC3TI-' -i------f ------j r------------------------------1
BOL ~s --------+-----+-------7----
':J~'EC,A1 'v1A'.-.:.:_1r,.,i=-v
~'IL ES Cl-1'.)S,-f\,,·
>------
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7 -------f-------+------,
--_____ __J