HomeMy WebLinkAbout2653 Galicia Way; ; 81-469; Permit.. z 0 ~ .. ~ " "' 0
..
I[
8
.. "' 0 ...
3 ~ "' z !
z 0 ~ z "' .. ,.
0 " .. "' "' " .. 0 3
·1l
'
I hereby affirm that I am licensed under
slona of Chapter 9 (commencing with
Ion 7000) of Division 3 of the Business
and Professions Code, and my license is in
full torce.:,i~ ,ett99t. (' <:::>
Lie No _.;,._~µ_.,.r) Clas\ _ ____,__, -J~
l hereby afl,rm th.it I am exempt from the Con
~~t~~~~:;:: ~; ~~f~~~,~~l~c:Je'°t~~;\ft
county wh,ct, requ,res a perm,t to construct •
illter. ,mpm~e. demol,sh. or repair any s1ructure
proor lo its issuance also ,equ>res the applicant tor such perm,, lo l•le a s,gned statement 1ha! he ,s
licensed pursuant 10 the prov1s1ons of the Con
tractor's L,cense Law !Chapter 9 commencing w,th
Section 7000 ot D1v1s1on 3 of the Busrness and Pro-
feas,ons Godel or that ,s exempt !herelrom and the
bas•s for the alleged exemption Any v,olat,on of
Section 7031 5 by an apphcan1 for a perm,! sub1ects
tne applicant to a c,vll penalty ol not more than hve
hunclred dollars ($500)
D +, as owner of the property. am exclusively
contracting w,th licensed contractors to construct
the proJect (Sec 7~. Business and Profess,ons
Code The Contractor's License Law does not apply
to an owner of property who builds or improves thereon. and who contracts tor each pro1ects with a
contractor{s) hcense pursuant to the Contractor's
License Law)
0 I am exempt under Sec
!or !h,s reason
B 5. PC
0 I hereby alhrm that I ha~e a cer1,11cate of consent
to self-insure. or a cert1t,cate of Workers
Compensation Insurance. or a cer1'11ed copy thereof
ISec 3800. Labor Godel
POucvNo -~Z(..c,:· -·71,;;_-_
COMPANY Ct-t.-;;, . ...,._D _.~_,_; ,:J}::.
~y ,shied with the city /l-,(J.. d C:r1,f1ed copy 1s hereby turrnshed
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed ,t lhe perm,t
1s tor one hundrea dollars (SHXll o, less1
D I cer11!y that 1n the pertormance of the wor1< for
wh,ch this penrnt 1s ,ssued. I shall no1 employ any
person 1n any manner so as to become sub1ec1 to the Wor1<ers· Compensation Laws of Cali!om,a
NOTICE TO APPLICANT If. after mak1n;i ttHs Ceri,
hcate o! Exemp1,on_ you should become sub1ect l'J
the Wof\\ers· Compensation prov,s1ons of the Labor
Code you mus! forthwith comply w1th such
prov,s,ons or this perm11 shall be deemed re,oked
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO _____________________ :..:A::.P::.P=Llc::C::.A::.N:.::.T TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBA BUILDING DEPARTMENT A~ ,,LICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
....?/.6?) (ia J;r1·r,, w(v./ A~iTrTi :~=s~TOON1
BUSINESS LICENSE#
23:U.-~
OWNER'S NAME 5_±6/e.. K,e_r Y\'f' r owlj,"bc.2-°3"0~ iu:(,_, \A{(}..,_J
T 1 if?:lw:r;;.':,J
Co..rl ~bo.._
'"OM CONTRACTOR n_ I CONT1R1CTORSPHONE# ,·c.i:.,,rn f"Co L~ 1'13-~A"'
COn55"(D~D&ClA1Ct M.., ~ J 3"i:,L71po
STATE LICENSE# LOT BLOCK SUBDIVISION
DESCR<PTOON °' wo•• , 6 6ob ~ 7&0
.C,O}J5[___j!J[ fct)L.-i.f&:>_ 0rsssWGrOJYdfM-,, °ijy3;2!,;os
----F .'P F LR ELEV. NO
STORIES ace GP EDU
YO "'•
GRADING ~ERMIT ISSUED TYPE
CONST
ace LOAD FIRE SPA
VALUATION
7, -, :,-B
ZONE
PLAN 1.0. tt
STANDARD PLAN#
r:;
PERMIT NUMBER
/'l-il,f
BLOG USE CODE
BUILDING SQ. FOOTAGE
cENsus TRACT I oe ,.AND us, I eARKCNG S'ACC I Res uNCTS I
y O N 0 I
REDEVELOPMENT
AREA
vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7 :tONJTY MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT -------
----OVER 100,000 BTU +----SIGN PERMIT __ ~ J2_._. tlT) _ _ PLAN CHECK ,4 . .__,,,--,
EACH GAS SYSTEM 1 T_9 ~!)~TL~S ~ -'12 -------------+---TOTAL PLUMBING p~J()!
>--+-E_A_C_H_GAS SYSTEM 5 QR MORE META~-F~R_E_P_LA_CE _ --------+-------It ELECTRICAL '
EACH INST Al, ALTER, REPAIR WATER PIPE --~d _ _j _____ _:_ _ __c __ .:,,,.._. MECHANICAL
EACH VACUUM BREAKER ______ _ ____ _ ;J.. . ~ MECH EXHAUST .:,,,.~---!--MOBILEHOME
WATER SOFiNER --+------,I--RELOCATION OF EA FURNACE/HEAT MOBILEHOME PARK INSP
SOLAR
TOTl<.L MECHANICAL STRONG MOTION
EACH FIXTURE TRAP
t±
_l_
-EACH BUILDING SEWER
EACH WATER HEAlER-A~-_D_i-R v_~~!~l
; EAC.JiROOF DRAIN il'.'JSIOE\ .... ~--L_.l I ---,;_.---.----.x __ -I Ir Lk. -
----+---·-
----+------
+--~ .yu
--+----;. 0-0
/ '3. s-o
---
~
TOT AL PLUMBING I ~-~-· __ __ FIRE SPRINKLERS PUBLIC FACIL-:IT::CIE:-:S-:f:-:Ec-E----------t----------1
OTY. ELECTRICAL PERMIT -ISSUE ---+ ......... ~. SOLAR -ISSUE __ _J._ ____ _,, BRIDGE FEE __
--+---_:_--II-SCHOOL FEE -DISTRICT -,.
f---t--------
NEW CONST EA AMP.:SWT BK R
' 1 PH 3 PH ----
EXIST BLOG EA AMP,iSWT.'BKR
I PH 3 PH
~ ·3 I REMODEL'ALTER ~~~~UIT ----
f----
TEMP POLE 200 AMPS --
OVER 200 AMPS
TEMP OCCUPANCY !30 DAYS) f------· .... -
_L_
--------+
Carlsbad
---------------+-------<>--
ROCK STORAGE Encinitas
PUMP '-....... San D1egu1to
San Marcos . -'------4----PLAN CHECK FEE "-
---+-
-------i-----+--
--,II--------~+---...: --n--··.,
---+-
_______ --j
--------1----------
-
-
TOTAL ELECTRICAL 7 !)
TOTAL. SOLAR -·-------"---------TOTAL FEES PAYABLE I ,,P}-56
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS'GOVEAN!NG BUILDING CON·
STAUCTION, WHETHER SPECIFfEO HEREIN OR NOT. I ALSO A9REE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONtEOUENCE OF THE
GRANTING OF THIS PERMIT.
E~piration. Every permit issued by the Building Official under the provisions of this
Code shall e~ptre by limitat10f'I and become null and vmd. II the budding or work
authorized by such permit is not commenced within 180 days from the date of such
permit. or if the building or work auth<niiad by such permit iJ suspended or
abandonfl!l,t any time a"'1:_the wot't!_ IS COl!lmanced for a penOd of 180 days.
A~ SIGl7/URE • ,./J OWNER O CONTRACTOR~ · ~44/~ ~ BYPHONE0
* AN 06HA PERMIT .IS REQUtflEO FOfl EXCAVATIONS OVER
5· O" DEEP ANO DalOUTION OR CONSTRUCTION OF
STRUCTURES OYER 3 STORIES IN HEIGHT
APPROVED BY DATE
7' ,,,4-~ J 1//./.l'·YI
"' u:
c'.' ro 0 "-E "' I-
I
D
0 '"
c .ro
~~
"-"-" I
~ C a:
0 "' "' "' "' "' " I
3 2 ,; >-
"' "' "' u 0 a:
ro <ii 0
§
"' " C ro C u: -I
C "' ~
'"
0 13 "' Q "' = I
~
~ s
INSPECTION TYPE DATE INSPECTOR
BUILDING --,
FOUNDATION A
REINFORCED STEEL /."·I-YI ,.r
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO /I
PLUMBING UNDERGROUND /:J.·l·S'J L7
PLUMBING TOP OUT
TUB AND SHOWER PAN .
GAS TEST //._15'-$/ ,,,-f
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND .
ROUGH ELECTRIC /'J.J.S'/ d'
ELECTRIC SERVICE .
BONDING ;\ I ,., • , • f-/ ,_.p
G. F. I. -SMOKE DETECTOR
MECHANICAL
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 . '\I ,Y •-· _J[_ _ I, I. l"'Tr"
ELECTRICAL \IX.V ~ I
MECHANICAL 'C",\ \"''
GAS ' BUILDING
SPECIAL CONDITIONS
CERT OF ocr• •PANCY ISSUED
1r 1 -4 ~ 1
FIELD INSPECTION RECORD
REOUIR ED SPECIAL INSPECTIONS f======~I N:c;S:;;P;;E:;;C:;;T:;;O~R°''S:;;N;;_O:;;~T;;E;;S==-~=--~-=====-======
REQ IF INSPECTORS , • ~ \
INSPECTION CHECKED APPROVAL DATE ,S~~-L:J!U(l.$ C/,LJ~l'>r, ~17 AIU,t/!__.[~_,11=,,,.J-c,,1,__J_--"1
SOILS COMPLIANCE ,3/' ,.---.. .1 4e~~--.,.... PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE _ ----~---------------------------POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH r---·----------
BOLTS ____ i------,---------__ ---------------------------------------,
SPECIAL MASONRY
PILES CAISSONS
f-----------+----+------t----
11---------+----t------t-----; f-------------------------·------i
:
i f----------------------------i I
. 1------------------------------------, .
1--------~--------------------------
f---------------------------------------
INTERDEPARTMENTAL INFORMATION SHEET
I •
BUILDING DEPARTMENT
BUILDING ADDRESS:
' DATE: ~ECEIVED
.:l6S3 )?~, ~ ] . ;2,16° ---(i ~ ).._ 9 °o NOV 1 o 1981
/
PLANNING DEPARTMENT
.... ,
CITV Of! ~R.LSBAD -Bulldln-e1artment
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED PROVIDED ___________ _
% COVERAGE ALLOWED PROVIDED -------------
BU IL DING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
AI.t,LOWED
PE.OVIDED ______ _
HITRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ~ ~
OK TO IS SUE :d,tJ-vd· DATE[l ,,-\ 'l,.,,~t TO FINAL DATE I --------·------
DEPARTMENT aPL/ v J ;
-R-.-0-.-w-.~~~~~~--~---_-__ I_N_D_U_S TRIAL WAS TE . _______ IMPROVEMENT s _______ _
.,
ENGINEERING
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO Is SUE= ;im.:c DATX\ .. \2: g, t PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM FIRE PROTECTION EQUIP . --------------------
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS ___________ LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
fwATER DEPARTMENT
~t~UIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
81--'I''
•
1,00 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
TELEPHONE,
(714) 729-1181
Qtitp of Qtarl~bab
This document will certify that I am aware of the provisions of the
California Administrative Code,,Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/~lectrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at ,;;;_t'!f'3 "I
(site address) I certify that all of the following re
fossil-fueled (or e~eqtric) swimming pool heaters wil
for
1.
. \' ~ .
Outdoor pools shall be equ~~ped with,a pool cover.
2. ON;.OFF switch oh 'outside o;tl~eater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length-of plumt:i;ng provided between filter and
heater to allo~ future sol~r installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
•
5. Time clocks inst~iied t6 allow pump operat~on during off-peak
demand periods: (unless P).ll!W,-_used for activl! solar).
6. Directional water_ inlets .in 'pool for good mixing.
Print owners Name:
Owners Signature: ~~""'' J/. ~ Date: f---9 ~
Print Contractors Name: ___ ~__,_-~r~>c-=->1~~~d"'--~-'-'"-"'~/j~J"'-------------
Contractors Signature: Date: f-9--51
Address:
•