HomeMy WebLinkAbout2652 LA GRAN VIA; ; 85-357; Permit"' z 0 ;:: " "' " J
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license is 1n
lull force and effect
L,r No ______ C1.is\
I hereby atf,,m that I am exemo• trom ihe Contrac
!or's License Law tor the follo,i1ng reason !Sec 7031 S
Sus,ness and Proless1ons Code Any ~,1y or counry wh,u, re ou,res a perm,t to cons:'uc: alle' ,,,,p,~ve. demo•1sh. or
reoa,, any structure pr,or to ,ts 1ssuan:e also requires •~e ap
pl,cant for such perm,t to ',le a s,~ned sta:err,ent th;;t he ,s
ucensed oursuanl to the provisions ol the ConTractor s
L,ce~se Law (Chapter 9 commenc,ng w1lh Sect,o~ 7000 of
D1v1s,on 3 of The Bus,ness and Professions Code, or t~Gt Is ex
emoi t~erefrom and the basis to, the allegea exemo!mo Any
v10IatIon or SecT1on 703\ 5 by an aool1cant 'or a permit s1.b
,ects t~e appl1can1 to a c1v<I penalty 01 not mare than five hLn
Ur~d dui,ars :S500,1
I as ow~er of the property, or my ernrloyees with waaes
as their sole compenSiltIon will do the work. and :he s:rllc
ture Is not intended or offerec for sale (Sec 7044 Business
ana Profession~ Code The Contraclor's L•cense Law does
not aooly to an owner ot property who builds or improves
thereon and who does such work himself or ihrough his ow~
employees. provided that such improvements are not intend
ed or oflered for sale. If, however the building or improve
ment 1s sold w1th1n one year of completion the owner-ou1lder
will have the Durden of proving lhat he dId not build or Im
pr~ve 1or :he purpose ol saleJ
I as owner or the property, am exclusively cont,act1n9
wrth licensed contractors to construct the oro1ect !Sec 7044
Business and Proiess1ons Code The Contracto0's License
Law does not apply to an owner of property who builds or Im
proves thereon. and who contrac1s lor each pro1ects with a
contractor(s) license pursuant to the ContractGr's Licens~
Law)
A.s a homeowner I am Improvmg my ho'11e. anc the lollow
Ing cond1t1ons exist
1 The work is being performed prror 10 sa,e
2 I have I,ved In my home lor tweive montns
prior to complehon of this work
3 I have no\ claimed this exemption durin~ lhe
last three years
_ I am exempt under Sec ______ _ B&PC for this reason ____________ _
0 I hereby aHorm that I na,e a cenif,ca!e or consent
lo sell ,nsure or a cert1t1cate ol Wor~er5
Compensallon lnsurar>ce. o, a cen,f,e<J COP)' thereol
(Sec 380) Latx:,, Code,
POLICY NO ~ L/ .) D o 7
COMPANY r',-. /! ,,,_,, t \J'-,\.i ......_,, ,<>,"\
O Copy Is l1led with the c,ty
--+.,.,j ~• ri"'l':t i
0 Cer1,11ed copy ,s he,ebv lur'11shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sect,on need ncl be completed ,t T'W ppr~, I
•~ •o, one r,ur>dred dollars iSH)), or ies~,
0 I cen,ty that In the perfo,mance ot 'he ,..,,r>< •nr
which th,s perrn,1 ,s ,ssued I shalt not errq:.,I0, dn\
person ,n any manner 50 as tc become ~uh•n' t,,
the Wofl<ers Comoe,.,sat,on La"'s o' Ca"t"•~,a
NOTICE. TO APPLICANT It atter mak,n] 1n,s Cer1,
licate ot E•emotion you should t>ecorne sub1ec: n
the Wor1<.ers Compensation prov,s,ons ol me l...aD<Y
Cede ~Ou mus1 !or,h.,.,,lh cornpl) w,tr,, sue"
prov,s,ons or 1h,s perm,! sr,,;1I t,,a dee<ned ,evokP<I
0 I hereby att.rm 1'1;,1 triere ,s a -.o,,c,trur :,v
end,n\l a,;ienc, tor tne per1orcna ·,ce ~-• •rw "-CJ"' •,,,
wh•ch 1r,,s pert'T'1I ,s •"•S~Pd :S..c ],()9/ r~ ,, ~,,,<Je
Lenders Name ___________ _
Lenders Address __________ _
1 USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm. Carlsbad, California 92008·1989 (619) 438·5525 :/-:,:,:~
2
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LOT sCoc.K-sueo,v,s,oN AS~O~A~C266 -'3 3 CONTRACTOR CONTRA;;PHON" ZONE 8~ -~,
I OWNER'SNAME OWNER'SPHONE ~\ 0o.-..l6T 43<o ,;2
I CONTRACTOR'S ADDRESS &)05
I OWNER"S f:~A:!RESS <.:>'t"I 'f r;;:(.., c.-.. I R.c::~ e.
UCENSE NO.
f,-Ll <., 71 G.S-
PLAN 1.0. #
&-~-357
BLOG USE CODE
I DESIGNER LICENSE II STANDARD PLAN# BUILDING SO. FOOTAGE
:1-cc'-~~c-c=.,,------------------t ~icJ{E; tLORA
I m~~~./2.... @,,~ 1-,0:-;E,;S,:-,G;,-::N;,'E:,R;:'S~A:".O:CO:CA=Es:CSC------------t-,O:-:EccS,:-IG=NccEC:RC:'SC:>CCHCCOCCNCCEC---if---------~----------!
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STORIES /) _' ,□ ,□ ~-/ ,..--:..:,
I CENSUS TRACT GP LANO USE PARK INC, SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE ------
F,P FLAt:LEV. OCC GP EDU
Ul..l.. l...UAU I FIRE SPF'
! AREA co~ :r-,-----'-------_J------,L----=--L,---,-'-'~□'--~'.c:_ __ _.L ___ __:'~Dc:__~~_j_ __ ,--_ _j__~~,..-'----J-----.L~'~□=.._:N~){~.L---~N:o:t:C:•:/id::_::U:n:/"'~'~M::::":h:m:'~C=':':'':'':'d::_ __ ~~-
I QTY PLUMBING PERMIT. ISSUE MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
: r-3,,--t::-EA-::CCH~F",x::T~U::R;:E;:-:,T~R-:A~P-'''Z..,--·-,-;S"O;,-,s;----t-:;,-'c=,-:c..irit---t-:,N:cS;cT;cAc;C-;C-f"u"R"'N:;--;D;cUccC::Tc;S:,Oc,Pc-;cTO;c-;l;:-OO;:-.:coo:CoCCB:CTC:U-,----t--::;r,f--,:,,:t;t---a,,,u,,IL"'D"IN"'G'P"E"RM""IT~-----;;o-;-1-00°o•"O"o"8"21'00"----c...-~~~.,.,-i
I EACH BUILlJING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00-8221
1 EAcH·~~~ATER HEATER ANO oR vENT BO-iLrn,cUMPREssoRUPTO 3 HP PLAN CHECK --+----01-00-00-8806
1 --------
1 EACHGASSYSTEM~_2._9_~~UILE1S(9~~--BOILER,COMPRESSOR315HP TOTALPLUMB!NG
I EACH GAS SYS 1 EM';, 0 R MORE I :,.i[TAL flR:[P!LAC[ ______ ELECTRICAL · ~-~ --~ ~-~t v~~T-F~~ :~!_NG_L~ 9 uc_T _ _,,&,......:'-.--i MECHANICAL : L-L.._!!CH !~_S_TA~ ~L~ER. HE PAIR WAHR'.~~~
1 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS
I ',\'ATER so~ fNER I RELOCATION OF EA FURNACE,HEATER -·-+---------------
1 fACH :,:::.u rm;,'. ·.s ·1L I n
QTY ELECTRICAL PERMIT -ISSUE .::r-~ l11 0TY. SOLAR· ISSUE
: ------~-------i ---i TOT~L MECHANICAL I ,,,,, OC,-____1..
, I ~ 1 TOlAI PIUMBl~t; I I, .,,. f--
l I I r T _ "
''----1-N_,_~_C_O_N_S_T_E_A_A_M_P_s_,_,_,_,_K_R _______ _,_ ______ j__ __ +-r_c_.l_f_C_Tn_,R_s_· ______________ j__,<_ __ _c_ _ _Jj__
·1 PH I I s~o.iAGE -A'J-<S
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1 EXISTBLOG.EAAMPSWTBKR , ROCf<STCRNJE
I -1 PH 3 PH ~U~P , I
?_ RE'flODELALHR PHlCIRCU1lG? Ji).;;;,, ~LA\C~-t.C~-FFE_____ .,,,-:.,__
I PH
M0BILEH0ME
MOBILEHOME PARK INSP
~OlAR
STRONG MOTION
FIRE SPRINr<:LERS
r'UBLIC FACILITIES FEE
BRIDGE FEE
C:CHOOL FEE -DISTRICT
Carlsbad
Enc1n1tas
~q1egu1to
San Marcos ---1-----
1 fE.MPPOLE 200A\iPS /
l OVER ?OU AMPS ----/ I u -
LICENSE TAX 01·00·00-8162
01 ·00-00-8222
01-00-00-8223
01-00-00-8224
01 ·00·00-8225 ~ ----
01-00-00-8226
80·92-33-0519 t
01 ·00-00-8227 -----
32-00-00-893) ~-
80-92-21-0519
8()-q/-?2-0519
80-92-23-0519
80-92-24-0519
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_<1_££.
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---
___ TEMP OCCUPANCY :JO DAYSI ____ . ii _ / __ --~FF 80-92-57•0519 ___ j_ _ _ ~
, / CREDIT DEPOSIT I ------&o,1 3~ /'i
; I 1111,1 E1E1.1H11.A,-' /<.$q I 1r-,, SOCAR ---TOTAL FEES PAYABLE I ~ /d2~ J.:1-
I HAVE C!\~i::F+JU..Y ~A.MINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. E11ery per_mit issued bytheButldmg Ofhc1al undertheprov1sionsofthis
CE,RTIFY UN1JER"''Pl:NALTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become null and 1101d It the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S aulhor,zed by such permit is not commence_d w1th1n 180days from lhe date of such
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON permit, or ii the buitdmx or work authonzed by such permit 1s suspended or
, . * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATK>NS OVER
5· o·· DEEP AND DEMOLITK>N OR CONSTRUCTK>N Of
STRUCT\JM:S OVER 3 ST(IAIES IN H_!:IGHT
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND abaocioned time 8 er the work 1s commenced for a enod of 180 da
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APP OWNER □ D-~~v;
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C!TY IN CONSEQUENCE OF THE ',f P9,· H _,....
GRANTING OF TH!S PERMIT 1 _ / ~ ,A r '/ -<-'-:, '...{~~/((-:-1';_,. //
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
"
SHEATHING □ ROOF □ SH_g_AR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL ..l
PLUMBING
SEWER AND BUCO □IPUCO
"-
UNDERGROUND □ WASTE □ __'1'.ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN _j_
GAS TEST 1
□ WATER HEATER □ SOLAR WA__iER
ELECTRICAL _j_
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC '
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL 1
MECHANICAL _J_
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS -'
VENTILATING SYSTEMS
_J_
DATE INSPECTOR
/) _,,,_/.,,
, r f7
,.,
~ ?/tlrr 1,,..,
J>h/J-r 1,,,,
1r~Kl7'-'
1-,.,ft'llr~
I 'F/tJ/ /"_f1t
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Yifr,.,1r ,
,,,
Ylf/rrl7"'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE, BEEN APPROVED
FINAL I
PLUMBING " I /)
ELECTRICAL " I r ' I
MECHANICAL
" I
in/lJ,)/ I' I
GAS '\. ' 1
BUILDING I"
SPECIAL CONDITIONS I -
I
---------------
2S-· 3S-7
• ' FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -
SOILS COMP!. IANCE
PRIOR TO
F-0LIN0ATIQN INSP
----------STRUCTURAL CONCRElE
OVER 2DOC PSI
PRESTRESSEO
C:ONCRETE
POST TENSIONED
CONCRETE
FIELD Vv'l:LDING
---Hl(_]ri STRENGTH
HOLTS
SPECIAL .\1ASO!\rf1Y
--
r'IU'S CAISSON::.·
---------
--
-----~
--
-,-
PLAN CHECK NUMBERcf.r-3s-7ADDRESS rJ/p S-¢ /:_ ~ J/~ > ; . DATE ~
PLANNING:
a:: ..... a
TYPE OF STRUCTURE &• ~
SCHOOL FEES: SAN DIEGUITO ______ _
CARLSBAD ______ _
% COVERAGE __________ _
BUILDING HEIGHT _________ _
FENCES/WALLS ___ ..;._. _____ _
TWO CAR GARAGE. _________ _
ZONh,4°
c:,0 ~~s
ENCIN~0 '\ t-,,'"-~~
SAN MARCOS ~% c't"v
' ~ ....
REQUIRED SETBA~~ .... ~---
v
FRONT _ __,.,._---,,,.....--
SIDE__,~..,_"""'.z:,'""'/~~ ... --· __ _
REAR ________ _
;: ~ COMMENTS: ________________________ _
~ ~
~ Q LJ REDEVELOPtlENT A?PROVAL REQUIRED: ________________ _ w~o ....,_ ~s-o 8~ LANDSCAPE PLAN COMMENTS: _________________ ..,..._
ENVInOi':MENTAL REQUIREp.,_: ___________________ _
ADDITIONAL COMMENTS:=----------------------
01< TO ISSUE: · ~: ~.10mro FINAL: ___ DATE: ____ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? ~.P.N. CHECKE~
P.F.F. ______ PARK IN LIEU------------·---
R.O.W: ______ IMPROVEMENTS: _____________ _
~--------------E.D.U: ___________ _
SEWER: ________________ ..._ ______ _
LATERAL: __________ _ DRIVEWAY: ______ , __ _
GRADING PERMIT: _____________________ _ -..... i j DRAINAGE: ---------------------·----
I-..... u a:: ....,_
EASEMENTS: _J'::T...L~!::::!"=::-::::. ____ ADDITIONAL C01"NENTS: ____ _
, ,. . . ~-□
8c::i □
82 8 □ -------------------e---:---r"""".""--:::,:,,o---
8 ::::! OK TO ISSUE: ---'-6~~•=:::-----=----·· DATE:___.;;c;~·.,J-/-'-f~V_·~z .... e.___r""3 __ _
I I . * ENGINEERING INSPECTION REQUIRED: ______________ _
PUBLIC WORKS INSPECTOR: ________________ _
FINAL OK: _________ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)