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Home My WebLink About2632 Jefferson St; ; 81-366_misc; Permiten z 0 .: C cc C ..J 0 "' 0 ~[ : ... z 8 cc "' 0 ..J 5 ~ "' z ~ 0 z 0 .: ~ z "' IL 2 0 0 en a: "' "' cc 0 3 ll ~ I 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 tor,i !"d e!J,t;,}/ J<. lie No ;J(v' 7 ~ p Class t)- I hereby affirm that I am exempt ''°"' the Con ~!o;'~~~~:;,S: ~; ~,~:.~:~'~,\~ county wtuch requires a permit to construct alter, improve, demolish, or repair any structure, prior to its issuance •lso requires the applicant for such penmt 10 hie a signed statement that he ,s ltcensed pursu.nt to the prov1s1ons of the Con tractor's License Law (Chapter 9 commencing with Section 7CXX) of 01v1s1on 3 of the Business and Pro· fess1ons Code) or that ,s exempt therefrom and the basis to, the alleged exemption Any v1olahon of Sechon 7031 5 by an applicant tor a perrmt subjects tne apphcant to a c1v11 penalty of not more lhan five hun<!reo dolla,. ($500) 0 1. as owner of lhe property or my employees .. 1th wages as their sole compensation, will do the wof'k, and 1he structure 1s not intended or offered for sale (Sec 70,,u 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 woo himself or through his own empk>yees. provided that such ,mproveme;its are not 1ntende1 or ottered for sale It, however_ the building or improvement 1s sold within one yeair of completion, the owner·bu1lder will have the burden of p,ov,og that he did not build or improve lor the purpose of sale) D I, as owner of the property am exclusively con1rachng with hcensed contractors to construct the proJect (Sec 7()« Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves ~~~tci: 7i~nc:'~~~!~~~; ~~c~h~rc!:,~~~:~~·! License law) Q I am exempt under Sec tor this reason ,B &PC 0 I hereby affirm that I ha,;oe a cert1hcate of consent to self.insure, or a cert1f1cate of Workers Compensation Insurance, or a certified copy thereol (Sec 3800 Labor Code) ' POLICY NO COMPANY OJ ,Fi (._£ ~ IS hied With the Ctly 0 Certified copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit •s tor one hundred dollars ($100) or less) 0 I cer11ty that m the performance ol 1he work tor wh1cn th,s permit 1s issued, I shall not employ any person 1n any manner so as lo become sub1ect to the Wof'1ters· Compensation Laws of Cahfom,a NOTICE TO APPLICANT It atler mak1n1 tn1s Cert• flcate of Exemp1ton. you should become subJect I'> lhe Workers' Compensation provisions of the Labor Cooe. you must forthwith comply with such provisions or this perm11 shall be deemed revokeo D I hereby affirm tnal lhere ,s a consrruc11on ending agency tor lhe performance of the work tor which lhtS permit IS ISSue<J (Sec 3097, c,vll CocJel Lenders Name ___________ ~ Lenders Address ------------ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT" FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBA. '3UILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 J~L0 ~2 se-PPe12s()/v ~ E OF APPLICdNI . i.Lik BUSINESS LICENSE # ~~~~; PERMIT NUMBER VALUATION ~~00 g,-~i M;sRMA-~~4AI 1 OWNER'S PHONE -.., ' ~~R;; j • gt, ///,,~· CONTRACTORS PHONE • ZOi'J2' 7;z.9-~:i,o 2i·s;~ING ~~sf{?_ flS t) rv I ~;·s-~E+ Pet<; O ,J C:5td LICENSE NO. PLAN10f: % l, BLOG USE COOE LOT I BLOCK l SUBOI VISION /~~~PA~,: PJ/ -Lr-DESIGNER STATE LICENSE # 5/o?;-'J>(p STANDARD PLAN# BU(lOfNG SO. FOOTAGE j<.'Q';,'~'YF~t/RK & fl,_ DESIGNER'S ADDRESS DESIGNER'S PHONE ., ,.J_) I-"--k I I ~ ~/l. F/P F LR ELEV. NO E_a i"'1. t e ,d--e/l/o)I, R.€ P« (, e. d~,~-~ OCCGP EDU 9/2B/Bl7BB1 9P.S5 STORIES oo·o,7ae, 012~1 8 ) v O NO --ge, 11s REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST vO NO YO NO I Nor Valid Un~s Machine Certifitd CENSUS TRACT l GP LAND USE l PARKING SPACE., RES UNITS GRADING ~ERMIT ISSUED YO ND .... ··---------- QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. ,.,. -711 EACH FIXTURE TRAP 1·~c MECHANICAL PERMIT -ISSUE A 3 • 0 0 f SUMMARY/ACCOUNT NUMBER 1 1 sz:> INSTALL FURN. DUCTS UP TO 100,000 BTU/ I I BUILDING PERMIT f LJ._(f-- 1---- QTY . EACH BUILDING SE.WEA ~---- 'V f--SIGN PERM IT (' EACH WATER HEATER ANO/OR VENT PLAN CHECK EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3·15 TOTAL PLUMBING C ---- EACH GAS SYSTEM 5 OR MORE EACH INSTAl , ALTER , REPAIR WATER PIPE METAL FIREPLACE 7 I I ELECTRICAL _ L_ 7 - VENT FAN SIN~ MECHANICAL EACH VACUUM BREAKER MEC~ST -HOOO /OUCTS MOBILEHOME -,...----<1>---------<1~----11'-R-E~ OF EA FURNACE /HEATER MOBILEHOME PARK INSP WATER SOFTNER EACH ROOF DRAIN (INSIDE) I ~ II y I I SOLAR TOT.C.L MECHANICAL STRONG MOTION 1--~~~~~~~~~---~~~--+-~~~~~~~---1 TOTAL PLUMBING FIRE SPRINKLERS -~~~~~~~--- PUBLIC FACILITIES FEE BRIDGE FEE ~~~---6-~~~~--,.--~----,-.;,,c--~----lt-~-+~~~~~--,-~~~~---~~~t-~~~--~11- SCHOOL FEE · DISTRICT Carlsbad Enc1n,1as San D1egu1to I--l ~·-~+-~~--~.,-#--1~-..'1'--~ San Marcos - I . 7 .,-I M -lY [ TOTAL FEES PAYABLE I cf-v. q TOTAL SOLAR Yi HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" ANO 00 HEREBY E•p,ratton Every permit •nued by lhe Building Offlc,11 under lhe prov111on1 oflh1s * AN OSHA PERMIT IS f1EOU1AED FOR ~CAYATIONS OYEA CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall e•pire by hmilal,on and become null and void II lhe building or work ~· O" DEEP ANO DEMOLfTION OR CONSTAUC OF authorized by such permit ,snot commenced within 180 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit, or ii the building or work aulhorized by such permit 11 suspended or STRUCTURES OYER 3 STORIES IN HEIGHT ISSUED TOCOMPLYWITHALLaTY.COUNTYANOSTATELAWSGOVERNINGBWL~NGCON· L~l~b!an~~~a~l~a~n~l!•m~e~a~fte~r~l~h!ejw~o~r!k~~~co2m~m~~~ce!d~~~r~a~~r~,od~2~~180~d~e~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO AP ICA SIG:lAT ~E ..... ~WNER O ~/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE O 1 GRANTING OF THIS PERMIT tvc:z, __ '_ • ~ I ' INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION \ REINFORCED STEEL I I MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING • FRAME rnrv I EXTERIOR LATH lNSULATION , • .A ~ ~· ' - INTERIOR LATH & DRYWALL Uli ,., -1 .A -Jj rJY-1 PLUMBING I I - SEWER AND BL/CO PLUMBING UNDERGROUND i PLUMBING TOP OUT I TUB AND ~HOWER PAN I GAS TEST : ELECTRICAL . TEMPORARY POWER ELECTRIC UNDERGROUND . () ROUGH ELECTRIC ~I I ~ ELECTRIC SERVICE I f V I BONDING A ( G. F. I. -SMOKE DETECTOR . I MECHANICAL I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL ' MECHANICAL GAS BUILDING SPECIAL CONDITIONS - CERT OF OC .,ANCY ISSUED ------.. -~~{}. 31 ~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 CONCRETE ' OVER 2000 PSI - PRESTRESSED • CONCRETE . POST TENSIONED F CONCRETE FIELD WELDING HIGH STRENGTH BOLTS - SPECIAL MASONRY I . PILES CAISSONS "- .. I ~ - I L . -I --, . ,--... ;c.. . .~ INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT UNITS ALLOWED UNITS PROVIDED -------------------------- PROVIDED PARKING SPACES REQUIRED ---------------------- _____________ PROVIDED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: \LLOWED 1 lOVIDED ------- INTRUSIONS __________ PROVIDED SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: REAR SETBACK: ENGINEERING DEPARTMENT PY-/ R.O.W. INDUSTRIAL W~ _______ IMPROVEMENTS _______ _ ________ DRIVEWAY LOCATIONS ____________ _ SEWER CONNECTION GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTION _____________________________ _ ADDITIONAL COMMENTS_-..b~-i-------------------------- FIRE DEPARTMENT SPBir.KLING SYSTEM FIRE PROTECTION EQUIP·-------- FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS __________ LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: . WATER DEPARTMENT --REQUIREMENTS OF APPROPRIATE DISTRICTS MET ______ .aa.....-_DATE ________ _ a,.~,, CITY OF CARLSBAD BUILDING DEPARTME". 729-1181 -Ext. 36 I , .::: Application Jr BUILDING Permit 6?-38'~ For A licant to Fill In Building Permit Fee /~~ PA!. I\ Owner', Name __..E.""-~12"""-__ .... 1J:,c...::I.IL;N=i,__ ..... c~.Bc.,<... .. vL.-__ _ Mail AddreH -~_C_.3~2 __ T.~1:::...,F:.__J:'_G_ll~.J_o_A/_ Contractor __,,,B.wL:!!.:.?)'-LLl{~nJ...As"""-LTT...:_ __ __;Q=->,o«...-:..1.tO..::sr.~._ Contr. Address ~L..ll!!C'.._,,,.!.....:o=--..£.~~~~~~Ue~'l-4---.1...<0,~lt:...:.:Xw.t.:...e.=.::w~'f fJ , To Const. ~ Add 0 To Alter 0 Convert 0 Ta ~~e From Frame, Masonry, etc, To Be Used For --'8~~£.l""-', ,,e.f_./'--'_0=---------- Kind of Foundation C O # C. No of Stories / Floor Space (Sq. Ft.) ____ 4.,._,....L./_C;,ec._..:,f',__· ------ Gara!Je Elooc Spoce {Sq. Ft.) M'taclied Deloe bed Legal Description -~--"---=-O-'T"--_9J-___ ..;..2 __ (:...._ __ Block Lot or Section Township R11nge No. of Existing Building --------------- Wiil this construction inc!;,de_s'lny plumbing installation or alter- ation? Yes O No~ I ACKNOWLEDGE THAT I HAVE EAD THIS APPLICATION AND STATE THAT THE ABOVE t CORRECT AND AGREE TO COMPLY WITH ALL CITY AN STATE LAWS REGULATING BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A S REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE ------ APR 18-69 ~cc117 * ** 1-5.'.>0 Building De t. Use Onl Building Address c 6 .3 2 ::;feFs:Fn.s St. Near --=k_..._.)a"'-'"'--'C"""-."""Jtz_.;:.;.V"-'A~-------- Set Back Front P.L. Side P.L. Garage Rear P.L. Other Group Zone Approved by Contractor City Bus. Lie. No. Waler Meter Se· ... age Disposal Sys+em Inspection Record U!il:ty Company Notified --Date ______ BY--__ _ Final ======-==-~_;:;;c= -------~------"'c=..;== If a check is ten:fored for pdymtlnt for the above fee and the cfiec k ,s not honer :d when presented for payment, your building perrr·• will be imrrcd;o•ely revoked. City of Carlsbad Building Dept. Permit void if work is not commenced within 60 d11ys of issuance. CITY•OF URll8L BUILDING DEPARTMENT OWNER MAIL ADDRESS Edward M. Duncan 2632 Jefferson CITY Carlsbad TEL. No. 729 5870 PLUMBER Arrow Service Co. Inc. ADDRESS 6424 Mission Gorge Rd. CITY SD 281 353 TEL. NO. STATE LICENSE NO. c 36 CARLSBAD BUSINESS 176711 LICENSE NO. 7553 NO. ITEM FEE TOILET • $1.2!1 BATH TUB • 1.2!1 --- SHOWER • 1.2!1 WASH BASIN • 1.215 -- KITCHEN SINK • 1.215 DISHWASHER • 1.2!1 LAUNDRY TUB o• TRAY • 1.2!1 AUTOMATIC WASHER • 1.2!1 WATER HEATER & VENT 0 1.!10 GAS SYSTEM 1 TO 1!1 .30 ltA. AOO. • 1.!10 FLOOR DRAIN OR SINK • 1.215 LAWN SPRINKLER @ 2.00 MISC. WATER PIPING • l.!10 ]-50._ GARBAGE DISPOSAL • 100 VACUUM BREAKER OR BACK FLOW DEVICES 1 TO 15 • 2.00 GRADING PLAN I PERMIT s 2 00 YES0 NOD TOTAL FEE s ~-r,o I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING Pl.NIN& PERMIT. APPLICATION • 1J-67 ~'::0 21ZJ***** **J.)0 BUILDING ADDRESS 2632 Jefferson NEAREST CROSS ST. GROUP I ZONE Inspection Record APPROVALS DATE INSPECTOlll·S SIGNATURIE UNDER FLOOR WORK ROUGH PLUMBING GAS PIPING GAS VENTS PLUMBING FIXTURES MISC. GAS TEST UTILITY CO. NOTIFIED FINAL VALIDATION This is a Plumbing Permit When Properly Filled Out, Signed end Validated. Permit void if work ls not c:ommenc:ed within 60 days of date of Issuance.