HomeMy WebLinkAbout2623 GALICIA WAY; ; 83-218; Permit., z 0 ~ "' :l :.l "
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~ hereby affirm that I am licensed under
~vi's1ons 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.
Lie No Class
I hereby atl,rrn that I am exemot from the Gontrac·
tor's License Law for the 10IIow,ng reason !Sec 7031.5
BJsiness and Professions Code Any city or county which re-quires a per'll1t to construct. alter. improve demolish, or repa,r any structure, pr,or to ,ts issuance also requires the ap-
pl,can'. tor such permit to me a s,gned statemem that he 1s
licensed nursuan! to 1he prov,s•ons ol the Contractor's
L1cense ~aw 1c~apter 9 commenc,ng with Sec~1on 7000 of
Dov1s1on 3 of the Busrness and Protess1ons Code) or that 1s ex-
empt _therefrom ana the,basrs for the alleged exemption. Any
v1olat1on 01 Section 7031 .5 by an apol1cant 1or a permit sub-
Iects the applicant to a c1vII penalty of not more than live hun-
dred dollars (S500!
C I. as owner of the property, or my emp;oyees w,th wages
as their sole compensation. will do the work. and the struc-
ture ,snot intended or offered for sale (Sec. 7044, Business
and Professions Code· The Contractor's License law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
ell or offered tor sale. 11, however, the building or improve-
ment Is sold within one year of completion, the owner-Dutlder
will have the burden of proving that he did not build or im-prove !or the purpose of sale)
D I. as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec 7044,
Business and Professions CDde: The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each proIects with a
contractor(sl license pursuant to the Contractor's License
law)
D As a homeowner I am improving my home, and the follow-
ing cond1t1ons exist
1 The work is being performed prior to sale. 2 I have lived In my home for twelve months
prior to completion of this work
I have not claimed this exemption during the
last three years.
:J lamexemptunderSec ______ ,B&P.C
for this reason
• I hereby athrm tha1 I ha~e a cert,1,cate of consent
to sell-insure. or a cer1,f,cate of Workers
Compensation Insurance. or a cend,ed copy 1hereot
(Sec 3800. Labor Codel
POLICY NO
COMPANY __ _
\z( Copy ,s filed wItri the c,ty /\ 11.----/o Cen,tied copy ,s hereby !urn~\
CERTIF!CATl OF EXEMPT10N FROM
WORKERS" COMPENSATION INSURANCE
(Th,s sect,on need no1 be comple1ed 1! 1he perm,1
Is for one hundred dollars (S100l or less)
D I cert,ty that "' the performance ot the work to,
which 1h,s permit Is ,ssued. I shall not employ any person ,n any manner so as to become sut>Iect 10
the Workers Compensation Laws o• Cal'1orn1a
NOTICE TO APPLICANT If after ma1<In;i th,s Cen,
1,cate of Exemption. you should become subIect !'J the Wor1<ers· Compensat,on prov,s,or,s of the Labor
Code. you must for1hw,th comply w11h such
prov,s,ons or this perrrnt shall be deemed resoked
0 I he,eby af•rrm that !here ,~ a construcl·on
lend,ng ~ency to, the pertormance o' 'he wor1< tor which this perr,,,t ,s ,ssued ;Sec )097 C,v,I Code,
Lenders Naf'le ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADOAESS AV.ST. DATE OF Af'f"LICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
IJ/d/_,?, (--1 AL.let A-l,Wf to-l'-/_~1'.
o~:·:N;rE Ml~~ . bGi:o~,
OWNER'S MAILING ADDRESS
'5M}..'e-
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CONTRACTOR
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CONTRACTORS PHONE• ZONE B~z,t8
l1%;T;··ii,~ er I LICENSENO I >LANLD.. I "r&s~AOD
LOT BLOCK SUBDIVISlON -,,,-•n~ DESIGNER LICENSE# STANDARD PLAN# OOTAGE
OESCRIPTION OF WORK ..
,. OESIGNEit"& PttONE--•
:/'{00._ .. S--:(o~ l>:((l.m __ _wr F/P FLAELEV. NO OCCGP EDU
STORIES
QI Ll.., •=6 c 0L'Qff1Bi6. i/C,1 -:
-·-YO NO
CENSUS TRACT T G> LAND USE T >ARK'NG S>ACE RES uNm I
QTY. PLUMBING PERMIT· ISSUE
GRADING f".ERMIT ISSUED
r • ND I
REDEVELOPMENT
AREA
YO r-.0
MECHANICAL PERMIT· ISSUE
TYPE
CONST
5-
OCC LOAD I FIRE SPR
vO NO Not Valid Unless lhchine Certified
SUMMARY/ACCOUNT NUMBER .t j --
;; '. ;_;
~,. !l• --9 ,:_.
EACH FIXTURE TRAP
EACH BUILDING SEWER
7.f!;-II QTY.
/ BUILDING PERMIT 01-00-00-8220 r ~ ::20
I I s1GN PrnMIT .J oH•--00-8221 _
INSTALL FURN. DUCTS iJP TO 100,000 BTU
OVER 100,000 BTU
--------·-
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
1---l-.-E'-A-'-'CH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
::_r-
j
I
r--PLAN CHECK 'ff!.i.G ~• _ r!]_o~
METAL FIREPLACE ELECTRICAL 01·00·00·8223 . / 0 0 ()__
EACH !NSTAL.. ALTER. REPAIR WATER PIPE --ti -~ t VE_NT FAN SINGLE •UC!
BOILER/COMPRESSOR 3-15 HP I ~ TOTAL PLUMBING 01-00-00·8222 I -~~~-_
---------------<·------. ----------I
MECHANICAL 01-00-00-8224 ~---
1---+-E_A_C_H VACUUM BREAKER ----+· ___ +--t MECH EXHAUST -HOQOiOUCTS -·-
WATERsOFT-NER -'
_ ---<c-----+--MOBILEHOME 01-00-00-8225-+---------1
e--
1--I II I
RELO~!',TtON OF EA FURNACE/H_EAT_E_R_ --+-------ii MOBlLEHOME PARK INSP
~~~~_?RA\~ 1:~SIDE) ---t-·--.. . SOLAR
TOT.£.l MECHANICAL STRONG MOTION
FIRE SPRINKLERS
j
TOT AL PLUMBING I -___ ,
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA ~MP SWT BK_R_ I ? --
1 PH 3 PH
~T'1-_ SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
--+--·
01-00-00·8__2l§__
_l!!!:"92·33·0~_
01 ·00·00·8227
32-00-00·8923.-+--
JI---i,;---------------80-92·21·0519
80·92-22·05-,9-jl--____ }'\DCK STORAGE' __ _
H 3 PH _ __ ----
----, PLAN CHECK ~tE MOOEL_ALTt:R P~l~_!:JIT _ _ b-----
MP POLE 200 AMPS _ _ _ _ ---
Encinitas
San Dieguito
·-II---San Marcos
,-.
~
EXIST BLOG EA AMP,SWT BKA i' iJUMP
1 1 VER 200 AMPS _ __ -------------,------____:__________1---------r-TEMP OCCUPANCY 130 DAYS) __ _ ---;-
---Bx,
_.1 ----
80·92·23·0519
--•~o~-92-24-0519
-/
-
~50
··--
··---
---··
---
TOTAL ELECTRICAL /0 00 I
TOT Al SOLAR TOTAL FEES PAYABL~74-.J 5'5',00
l HAVE CAREFULL,Y EXAMINED THE COMPLETED "APPUCATION AND PERM1r· AND DO HEREBY Ellpiration. E~erypemtt_tl~UedbytheBuildingOttlcialunderthepr~~~on,o(this * AN OSHA PENllfT iS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER -PENAL TY OF. PERJURY THAT ALL 1NFORMATION HEREON INCLUDING THE Code ~hall expire by hm_it~hon ancl become null ~nd void. If the building or work -5'0" DEEP A,NO DEMOLITK>N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed ~y such ~rmit is not commence_d withlfl 180daysfl"I;)~ fh8dateofsuch STRUCTURES OVeR 3 STORtES IN HEIGHT
ISSUED: TO COMPLY WITH All CiTY, COUNTY AND STATE LAWS GOVERNING BU!LD!NG CON· :~~:On~ 1
~t
1
~ ~~1~ffei~h=~~r:':!h:~-:en~ed'"t~7 r'"l!rot~ar"dec_' or
STRUCTlON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS SIGNATURE lf. OWNER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /~. j1 ~/II.•/ J/ .,,.')I? ;1
GRANTING OF THIS PERMIT. rH ~U/..,.,T/., _._ -~ LA
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£ s:
INSPECTION TYPE DATE INSPECTOR <I~-;),\ 'b BUILDING /
I .i~.1
I FIELD INSPECTION RECORD
FOUNDATION ' . .. .. '
/ " , ... -REQUIRED SPECIAL INSPECTIONS REINFORCED STEEL INSPECTOR'S NOTES
MASONRY INSPECTION REO IF INSPECTORS DATE i CHECKED APPROVAL
GUNITE OR GROUT ' : S01LS COMPLiANCE
FLOOR & CEILING SUB FRAME 1 PRIOR TO
FOUNDATION INSP
SHEATHING
·h.l~ ~ STRUCTURAL CONCRETE
FRAME • OVER 2000 PSI
~ PRESTRESSEO EXTERIOR LATH lNSULATION CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS --
PLUMBING TOP OUT SPECrAL MASONRY . ..• -TUB AND SHOWER PAN ·-t---
GAS TEST PILES CAISSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND /' ;
ROUGH ELECTRIC r,_ 1./Jn... ~ ELECTRIC SERVICE
. ., ,
-BONDING ·-·
G. F. I. -SMOKE DETECTOR
MECHANICAL ---------
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS w:••· ~\ _;-·. --.
VENTILATING SYSTEMS ,. 'f' :-:.--=I:-----.
~• . ...
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE / .
ITEMS ABOVE HA VE BEEN APPROVED. . / ·-------·
JOB SITE FINAL --. ..::s\P. --· " 1 -
PLUMBING ..-••'"'I'\ "' ' --A° -~ ..
ELECTRICAL \:, :/ '--; Q"') I
MECHANICAL , 0. I l ' /C,
-----
GAS '._ j.,. Ll./
BUILDING \''V ----------
SPECIAL CONDITIONS . ----·
CERT OF OCCUPANCY ISSUED I
• . .
GRADING CUBIC YARDS. ___ ~_-,,,71/#~·...:.._--=---• __ RUNNER MOTi FIED
I NTERDEPARTMEN -1 AL INFORMATION SHEEI
BUILD !HG DEPARTMENT /,l 4~ OAT~l E CE JV E 0
BUILDING ADDRESS: ;? h ,;:)..J ~ V~,,.-----MAY 301983
A. P. N: .;;L /I-lb -3 f c · T = --= CITY OF CARLSBAD
~ll£,i: * * * ;~ * * * * * * tm.llmL&Ltit * * * *******ti.~*** t; * * * * * * * rn:x:Mt!IJ.1.e*iew Wqrit
PLANNING DEPARTMENT
ZONE: _____ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS _____ CARLSBAD _____ _
·UNITS REQ'D: PROVIDED: d-
% COVERAGE A-L-L0-1-VE_D_:_______ _PROVID-ED-:~~~~~~~:1)::~(-A;~~~--_-_-_--_-_-_-=
PARKING SPACES REQ'D: PROVIDED: _____ t7_.:__ ____ _
BUILDING HEIGHT REQ' D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED: _____ _
PROVIDED: ------
INTRUSIONS:______ / j
RE-DEVELOPMENT APPROVAL REQ, D: llJ fl-!/Ji If 3
LANDSCAPE & IRRIGATION PLAN COMMENTS :--,f'c.-1,w~)_,_f_() ___________ ~~
ENVIRONMENTAL PROTECTION REQ: EX EM 1' 1 --"=''-'-...:.._....:....:,____:__ ____________ _
ADDITIONAL COMMENTS: ______________________ _
OK TO ISSUE: f?/s I I
DATE: 0/ i IP OK TO FINAL: ___ DATE: ___ _
* ********I··•** i· * * ·s * * * * * ·~;;;;,;t_* **I;****❖*,;********* i·* * * * * ,·t ** * * i· *** *
ENG INE,ER I NG DEPARTMENT _ -
R.O .W: ______ TJPROVEMENTS: _
PUBLIC FACILITIES FJJE:_· __________ SEWER CONNECTION: ___ _
DRIVEWAY LOCATION(S) =-----------'----
GRADING PERMIT: ________________________ _
EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: _______________________ _
ADDITIONAL COMMENTS: ______________________ _
* IP TIITS ITEM IS NOT CHECKED, l3UILDJNG DEPARTMENT lvILL MAKE
FINAL INSPEC'rION.