HomeMy WebLinkAbout2653 OBELISCO PL; ; 84-474; Permit□ ( hereby affirm that I am licanaed underprovlalona of Chapter 9 (commencing withSection 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lic No - r.iasi
I neieby alfirm mat i am exemoi irom the Conirar.-tor's License Law lor ihe loiiowing reason iSec 7031 3Business anO Professions Code Any cilyor county whicri requires a permit 10 construct, alter improre demolish, orregait any structure prioi to its issuance also requires the applicant for sucti permii id Tile a signed statement thai he islicensed pursuant to the provisions ol the Contractor sLicense Law (Chapter 9 commencing with Section 7000 olDivision 3 ol the Business and Prolessions Code} or (hat is eiempi ineretrDm and Ihe oasis tor the alleged exemption Anyviotaiion ol Section 7031 5 By an applicant tor a permit sub-leds the applicant to a civil penally ot not more than hve hun
dred dollars ISSDO)
I I I. asowner ot theproperiy, or my employees with wagesas their sole compensation, will do the work, and the structure IS not intended or ottered lor sate (Sec 704a. Businessand Prolessions Code The Contractor's License Law doesnot apply to an owner ol property who Builds or improvesiheieon and who does such worlr himseit or through his own
employees, provided that such improvements are not intended or oftered lor sale il. however, the building or improvement IS sold within one year ot completion, the owner-builderwill have the burden of proving that he did not build or improve tor the purpose ot satej.
i I. as owner ot the property, am exclusively contractingwtin licensed contractors to construct Ihe protect (Sac 7044Business and tholessions Code The Contractor's LicenseLaw does not apply to an owner ol praperly who builds or improves Iheieon. and who contracts lor each projects with acontraclofis) license pursuant to the Coniracior's LicenseLaw)
LJ As a nomeowfiert am improving my home andlhetoHowIng conditions existt. The work IS being p^tmed prior to sale.2 1 have lived in my home lor twelve monihsrior to completion ol this workhave not claimed this exempijon during thelast thm years.
D I amexsmpi untfer Sac
tor this reason .B&PC
□ I nereoy allirm itxai I rtave a cerTitir.ate ol consent
10 sett insure, or 4 certiiicaie ot woriieisComper>sai<on insurance, or a ceriitied copy mereot
iSec 3800. Labor Code)
POLICY NO
COMPANY
D Copy IS filed with tne oiy
□ Cenilied copy is herePy lurnished
CERTlFlCATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE(This section need not Be Completed if the permii
iS tor rone hundred doMa'S iJtOOl or lessi
□ I cenily thai in the performance o' the wot* torwhich this permit is issued. I STiali not employ any
person in any manrier so as 10 become Subtecl tothe Workers Compensation Laws ot Caiiiornia
NOTICE TO APPLICANT II. alter mahrng this Certiticate ol Exemption you should become suBieci tothe Wortrers Compensation provisions ot the iaOoiCode, you must loiThwilh comply with suCh
provisions or this permit shall pe deemed revolted
□ 1 hiereby alfitm that there is a constructiontending agency lo' the performance ot ifte wori< roiwhich (his permit is issued iSec 3097 C'v'i Codei
Lender S Ndme_
Lender s Address.
OSE BALL POINT PEN ONLY & PBESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Eim. Carlsbad. Cal ifornia 92008-1989 (819) 438-5525 APPLICATION & PERMIT ^9 V-
JOB ADDRESS
lOPfeLi^r^
AV. ST.RD. NEAREST CROSSST.
SUBDI VISION
OWN€ R S NAME
■5ID t-gVlTZ
OWN6 R S PHONE
OWNE R'S MAILING ADDRESS
DESCRIPTION OF WORK
^1- + -SPv
CI tr
QTY
X
'iP I AND i.iSt PiFtK. iNr, '.PA.-, i
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUiLUiNGSEWER
EACH WATER HEATER AND OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM b OR MORE
EACH INSTAl., ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
FACH ROOF DRAIN (iNSiDEt
Ft t •"> ij N I T S
CONTRACTOR
DATE OF APPLICATION BUSINESS LICENSE
CONTRACTOR'S ADDRESS v
755" W.
DESIGNER .'H16SI0I^ PbOL.io
DESIGNER S ADDRESSWtoiVJiNcrv 3 ^
755" W-
F P F lR ELE V
vD nQ
5RADING PERMIT ISSUED
t □ S □
2,
QTY.
REDEVE LOPMENT
AREA
□ nD
MECHANICAL PERMIT ■ ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 lb HP
METAL Fireplace
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACEmEATER
TOIAL PlUMBtNG
QTY.ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP SWT BKR
PH 3PH
EXIST BLDG EA AMP'SWT BKR
1 PH 3PH
REMODEL ALJEfi PER CIRCUIT
TEMP POLE- ?00 AMPS
OVER ?(J0 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL MECHANICAL
10
TOTAL ELELTRiCAl
QTY.
NO
STORIES
TYPE
CONST
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAl SOLAR
i HAVE CAREFULLY EXAMINED THE COfAPLETED • APPLlCATiON AND PERMIT" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEOECLARA-ribNS.AHE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN
EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH
GRANTING OF THIS PERMIT
CONTRACTORS PHONE•
LICENSE NO.
5-Z(pl(f?D
DESlONE R'S PmONE
OCC LOAD
6DU
FIRE SPR
yQ nQ
VALUATION
\5\Zo-
ZONE
PLAN t.D. #
STANDARD PLAN #
PERMIT NUMBER
a4-474
blog use code
BUILDING 50 FOOTAGE
No! Valid Unless Machine CenUied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-8221
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
01-00-00-e^222_
01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEKOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
-Quo^QOia^ze.
80-92-33-0519
01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8930
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Enclnitas 80-92-22-0519
San Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE
l\(n.'50
45^00
IS'OO
Expiration Every permit issued by the Building Official under the provisions of thisCode shall expire by limitation and become null and void ft trie buitdmg or worliauthoriied by such permit is not commenced within 160 days Irom the date of suchpermit, or if the building oi worii authorized Oy such permit is suspendedabandoned at any time after iiie work is commenced lor a period ot tao days
PLicANT's Signature/*^ownerD contracto
8v PHONE n
* AN OSHA PERMIT IS REOJIRED FOR EXCAVATIONS OVER
5" 0 DEEP AND DEMOLTTION OR CONSTRUCTION OFSTRUCTURES OVER 3 STORIES IN HEIGHT *
APPRCVEOeV date •HmwiM i^,n.g4
TYPE 'DATE INSPECTOR
BUILDING 1
FOUNDATION •
REINFORCED STEEL
MASONRY ]
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF □ SHEAR
FRAME '
EXTERIOR LATH t
INSULATION 1
INTERIOR LATH & DRYWALL i
1
PLUMBING 1SEWER AND BUCO niPUCO |
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W^TER
TUB AND SHOWER PAN i
GAS TEST !
n WATER HEATER □ SOLAR WAFER
1
ELECTRICAL i□ ELECTRIC UNDERGROUND □ l|)FFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPOfjiARY
□ BONDING □ POOL i
1
MECHANICAL i
□ DUCT & PLEM., □ REP. PIPINIG
heat — AIR COND. SYSTEMS i
VENTILATING SYSTEMS |
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATEITEMS ABOVE HAVE BEEN APPROVED.
FINAL 1
PLUMBING <•-
ELECTRICAL ,MECHANICAL |
GAS 1
BUILDING '
SPECIAL CONDITIONS i
1
1
FIELD INSPECTION RECORD ^
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REQ IF
CHECKED inspector s
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
prestressed
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
special MASONRY .
PILES CAISSONS
-■ - •
■ • .'
' ■
' . 'tN" i. »
1 ' ■ ■ "
• — —
= —^
PLAN CHECK NU
PLANNING:
Received
DATE
SEP 14,19^4
TYPE OF STRUCTURE ZONE:
T:ITY Ob CAMLSBAD
k LLl
ac
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
% COVERAGE
ENCINITAS
BUILDING HEIGHT
FENCES/WALLS
TWO CAR GARAGE
SAN MARCOS
REQUIRED SETBACKS
FRONT
SIDE
REAR
Z
COMMENTS:
i M REDEVELOPMENT APPROVAL REQUIRED:■— Q Z™i □
Q LANDSCAPE PLAN COMMENTS:oeoc ar
O L±JCJ Q£
5?
ENVIRONMENTAL REQUIRED:
ADOITION>\L COMMENTS:
OK TO ISSUE:
ENGINEERING
P.F.F. /j/A
R.O.W:
EWER:
LATERAL:
DATE OK TO FINAL:DATE:
LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED? V/^'
PARK IN LIEU
IMPROVEMENTS:
E.O.U:
DRIVEWAY:
GRADING PERMIT:
2 g DRAINAGE:
EASEMENTS:I—I '-nju-iLiiia: ADDITIONAL COMMENTS:
□ 7—
□OK TO ISSUE : _
* ENGINEERING INSP^^
PUBLIC WORKS INSPECTOR;
FINAL OK:
DATE:
REQUIRED:
If THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(driveways, CURB CUT, DRAINAGE, ETC.)