HomeMy WebLinkAbout2632 Obelisco Pl; ; 80-176; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby alflrm that I am licensed urtder provi
sions ol Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes
sions Code, and my license is in full force and ef
fect.
OWNER-BUILDER DECLARATION□ 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason(Sec. ^31.5 Business and Professions Code), Anycity or county which requires a permit to con
struct. alter. Improve, demolish, or repair any
structure, prior to its Issuance also requires the
applicant (or such permit to file a signed statement that he Is licensed pursuant to the provi
sions of the Contractor's License L^w (Chapter 9commencing with Section 7000 of Division 3 ofthe Business and Professions Code) or that is exempt therefrom and the basis for the alleged ex
emption. Any violation of Section 7031.5 by an ap
plicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars
($500).
Ci I, as owner of the property, or my employees
with wages as their sole compensation, will do
the worV, and the structure Is not intended or offered for sale (Sec. 7044, Business and Profes
sions Code: The Contractor's License Law doesnot apply to an owner of property who builds orImproves thereon and who does such worKhimself or through his own employees, provided
that such Improvements are not Intended or of
fered for sale. If, however, the building or improvement Is sold within one year ol completion, theowner-builder will have the burden of proving that
he did not build or Improve for the purpose of
sale).
'□I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project (Sec. 7044, Business and ProfessionsCode: The Contractor's License Law does not ap
ply to an owner of property •ho builds or Improves thereon, and who contracts for such projects with a contractor(s) license pursuant to thecontractor's License Law).I am exempt under Sec B. & P.C.for this reason
Date Owner
WORKERS' COIklPENSATION DECLARATIONI hereby affirm that I have a certificate of con
sent to self-insure, or a certificate of Workers'Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code),
POLICY NO
COMPANY
□ Copy is tiled with the city.□ Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE(This section need not be completed if the per
mit Is for one hundred dollars ($100) or less).
I certify that In the performance of the work forwhich Lhls permit is issued. I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject
to the workers' Compensation provisions of the
Labor Code, you must forthwith comply with suchprovisions Of this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work for
USE BALL POINT PEN ONLY
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR
MATION WITHIN RED LINES.
OWNER
OWNER'S MAILING ADORESS ^OWNER'S MAILING ADORUS jaP
AV. ST.
RD
I 'l l !dwNER'S PHONE
fip t> ^
LOT BLOCK SUBOIVISION' ASSESSOR'S PARCE:e
DATE OF APPLICATION
PRIME CONTRACTOR^ A -
CONTRACTOR'S ADDRESS
DESCRIPTION or WORK
l no.
I I I I I I I I
CENSUS TRACT
BLD6 SO. FT.
QTY.
GP LAND USE
PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEMS OR MORE
EACH INSTAL., ALTER. REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
l^ijiTEfl SOFTNER
TOTAL PL
OCC. OP STANDARD PLAN ff
DESIGNER'S ADDRESS
RES. UNITS
AMT.
UMBING
CONTRACTOR
QTY.ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25 3PH
EXIST BLDG EA AMP/SWT/BKR
1 PH .25 3PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
AMT
TOTAL ELECTRICAL
CONTRACTOR
QTY.
PARKING SPACE
BUS. LICENSE
STATE LICENSE
CONTRACTOR'S
PHONE — — — I
STATE LICENSE
DESIGNER'S PHONE
NUMBER OF STORIES
TYPE CONST
MECHANICAL PERMIT
INSTALL FURN. OUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
PERMIT NUMBER
Hot Valid Unless Hlacliina Certified
AMT.
TOTAL MECHANICAL
CONTRACTOR
QTY.MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLlCATTON AND PERMIT. AND DO
HEREBY CERTIFY THAT ALL INFORMATION HER EON IS TRUE AND CORRECT AND 1
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY.COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHERSPECIFIED HEREIN OR NOT. I, ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE
OF THE GRANTING OF THIS PERMIT.
AMT.
X jp- 5
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
O-FILM
TOTAL FEES PAYABLE
it
*AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
S'-O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3STORIES IN HEIGHT
Jd^
APPLICANT'S SIGNATURE'OWNERQ
AGENT O
contractorD□
BY PHONE I
APMOVEDBY « yy DATEa\ /A^ P /L-
2
w
4^.
SITE
ADDRESS:OWNER:PERMTT NO: 'I'T'is?
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR
WOOD FLOOR
FOUNDATION* FORMS •SET BACK •TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR . »
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS • SETBACK • TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
l\ALLBOARD OK • PLACE TAPE
EXTERIOR LATH OK* PLACE STUCCO
FIREPLACE
DAMPER &STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
anOWN • FRAME y
• PAN /
FINAL INSP BY BLDG DEPT /
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP \
\
CERT OF OCCUPANCY ISSUED
inspector's NOTES . i>if- r . i,-. -w . . r .
jj
-it
• ■' :•? -'iiT. — w^.i, •- St/i -.T-jf^j
-r n - "> \--
■■ ' -" "-r'.j 1- ■' .-• , _
THE 1987 CORNERSTONE CORPORATION
narch 5, 1931
35 City Of Carlsbad^ Carlsbad, Ca. 32003
M
O
Address in question: Obslisco Uay,'
La Costa, Ca. 32003
Owner- Dusan Jevremov
C/>
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o
To whom it may concerns:<
s
7 UlB, The 13B7 Cornerstone Corporation have built retaining walls
and planter walls at EB32 Gbelisco Ulay, La Costa, Ca. 92003.
^5 We have constructed all walls according to City standards or
stranger even thought these walls did not require permit because
of their heights. Walls on the mentioned property taller than 3'
were constructed before we started our contract.
We also removed all existing concrete driveway and lowered grade
to accommodate automatic gate.
m Dirt removed did not exceeded the 100 yards or less allowed by
the City before permit is required.
If you have any further question, please contact our office!
LU
Very truly yours:
<
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O
in
CO ^ . ^1'
Tibor Farkas
President
PHONE: 619/471-0670 619/471-0946
ENGINEERING, INC.
476 W. Vermont Ave., Suite 102
Escondido, California 92025
714-743-1214/727-1818
Job #1159-80
November 18, 1980
Mr. Dushan Jvremov
13155 Porto
Del Mar, OA 92024
SUBJECT; Foundation for Retaining Wall Along Street
at 2632 Oblisco Place, La Costa, CA
Following our discuss:onp of this date, we have prepared
the following foundati .r tbcc nerdatr.on for the retaining
wall to be located alcrg -'ze front of 2632 O! lisco Place,
La Costa, California.
A special foundation de-sign will be required for this
retaining wall, due tc -he rock-like nature of the soil
in the proposed foundation area.
Due to the rock-like nature ct the soil, it :.s our recom
mendation that the proposed e'ght-focu maxiir^um high wall
have a footing that i£ a ■ciini;-ur. of ieet -ieep and four
feet wide, with a mrn;mum of .wo #5 lars oz : teel running
horizontally throughcvr the footing. The for ling shall also
be drilled and pinned t'-e ative, ■ ndist ted, rock-like
soil 4^ in-i^hce ce''i'-T pin imbedded a
minimum of one foot ir.' . rrt-'vc .-.1' =nd a min
imum of 5/8 inch in d: Tire .er- The f( uncatic: shail -e founded
a minimum of 4,5 fee*: rom t:: davli-'ht line-
If you have any quesr
your convenience.
MV ENGINEERING, INC
.■)ns, please feel free r.o contact us at
RCE #25115
RMV:mc
ENGINEERING, INC.
476 W. Vermont Ave., Suite 102
Escondido, California 92025
714-743-1214/727-1818
Job #1159-80
October 3, 1980
Mr. Dushan Jvremov
13155 Portofino Dr.
Del Mar, CA 92014
SUBJECT: Footing Investigation at 7620 Aldea Place,
La Costa, CA.
In reply to your inquiry regarding the granite outcrop
ping you encountered during the excavation of footings
at subject site, in our opinion the most expedient
method of laying the rebar through this area would be
to drill the granite and pin the rebar to it. This
should ensure the footing remains contiguous to the
outcropping.
MV ENGINEERING, INC.
David Houston
DH:mc