HomeMy WebLinkAbout2702 Medford Ct; ; 84-495; Permit"' z 0 ~ "' .. ... " ..
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my license Is in
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I hereby aff1rrr> that I am exemoi 'ro'T, •~e Con:·ac w s License law tar the fallowing re2son !Sec 7J31 S
!lus1ness and Proless,ons Code An)' u·1 or ~oun"y which re cuIres a permit to constrJct. a,:e· Ir1wove. demol1si o'
'epa,r any structu·e prI0· lo I1s Issu2nce also 'eq,ires '.heap
pl,unt for such pe'"Tlll to file a s,qneo s!atecnent JC.at he 10
IIcensed pursuant to The orovIsIors of ·~e coniracto' s
'"Icense Law IChaQter 9 commercInq w,th Section 7000 c'
D1·11s1on 3 c' tre Bcs11ess and P•ofess,ons C:;de) or that ,s e,:
empt therel'om an~ the bas,s for ll1e allegeo exempt·on An)'
·11ola1,on ~f Section 7031 5 Oy an app ,cant 'ar a permll sut
1c,::s 11,e appi,c,;.,·,t to d (.,v,i ~e11aiiy of nut 111ure ll'd" he nun
dred dollars 1$5001
as owner ot l~e oroper!y or my eT'p'oyees ,.,,th wages
as the,r sole compensalIon. will do t~e wO'k and the struc
ture Is not intended or oflerec for sale !Sec 704~. Bus,~ess
and Protess1ons Code The Contractor's\ ,cense Law does
not apoly to an owner o' property who builds or ,mpro,,es
thereon and who does such wor~ himself or through hI5 owr
employees P'O,oded that such ,mpro·1ements are rot ,ntend•
ed or of'ered lor sale. 11. howe·1er the bu,ldrng or Ir>1prove
ment ,s so·d w1thrn one year of complet,on. !ne owner-builder
will have tne burden of proving that he d,d not buIId or ·m
prove for the purpose of sale)
I, as owner ol the property, am exclusively contracting
with ::ce',Sed ;;ontractJrs :G r.ow;trurt the pro1ect !Sec 7044
Business and Protess,ons Code The Contractor's License
Law does nol apply to an owner of property who builds or Im
proves the-eon. ana who contracts tor each oroIects with a
contractor(s) I,cense p•ysuant to the Contractor's L1cense Law)
As a homecwner 1 am Ir,ipro,ing my home and tie follow ,ng cond1t1ons exist
1 The wo·k ,s being performed prior to sale
nave I,ved In my hoMe hr 1weIve montt>5 prior :o comolet,on or th,s work 1 rave nol claimed th,s e,emptIon during the last th'ee years
I am exempt unde, Sec _____ _ B & PC L for this reason ____________ _
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0 I hereby affirm !hal I have a ce'1il1ca1e ul cunse~!
10 sell ,nsure o, a rert,1,cate QI Wor•ers
Compensation Insurance. or a cen,t,ed c,ip, !IWr<>Of
1sec 3iW:Xl L..aOOr Code1
POLICY NO
COMPANY
D Copy ,s l11ed ,,11th the c,tv
D Certd,ed copy ,s herebv turn,shed
CERTIFICAH OF EX!::MPTION FROM
WORKERS COMPENSATION INSURANCE
/Th,s sectoon need not be compleled f t~E' ;,erm 1
,s for one hu<idred dollars ;S100! or iess·,
0 I cert1!y 1'1al In the perlormance ot !he "'"r\, r,n
.,.h,ch th,s perm,t ,s ,ssued I sh.al' not emp,n, an1 person ,n any manner so as 10 berornE" sLJtw, t h
the Worl<.ers Compensation L..aws ':ll Ca.,•orn,a
NOTICE TO APPLICANT It a!te• maio.,cq 1r.,s Ce,-,,
licate ol E•empt,on yOu should l)<>c{)m<' sut,1Pn I"
me Worl<.ers Compensation prov,s,ons QI me Laber
Code you musl torih.,.,,!r, ,--omp'; w,1r >v, h
prov,s,ons or tr-,s .ierm,t shal' bP deerneC 'eso•ec
0 I he'eby a•tirm lhat there ,s a c,onstru, ·,w·
Iend1n1, ageno t()r tn,-;,erl,,,r,iancE' ,,1 "1e "-')'~ 1,,,
wh,ch th,s per=,• , •,~ueC '"""' JOY.' C,,' ~,ooe,
Lende• s Narne ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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' CARLSBAD BUILDING DEPARTMENT APPLICATION & P'EAMIT
I 1200 Elm. Carlsbad, California 92008-1989 {619) 438-5525 I
: COB•riE~~ ?__ (ll)_, J¼<J ~;+ NEAREST CROSS ST 1D;;E ~;~;:;ON BUS,NESS UCENSE # _,;?U
1
A~ON >ERM,T NUM? I
: ,•Y li1 scoc, 1 suso,v,s,oN I ASJ~'1PAl.f'7, { l-/ Q () CONTRACT"; CONTR!~OA'.'..'.'.HONE, ZONE IY,. tjJl
1 owNeR·s NAME OWNER'S PHONE DaJtJ BJ!· J ' L./ J -::, l't 2.. {(
PLANIQ_# MoG usE cooE I ·""' ~ C L. CONTRACTOR'S4\DDRESS LICENSE NO.
1 Vlld-. ->",05:J'f ,., ,.-) LJU,--"2._
1 OWNER'S MAILING ADDRESS , 1 ::, 7 r1/'\J, 1~ D, , , /..,.,,, 1 1 1 : 1 7 CJ 1._ /V'l ,e{ .. ~ .( L0,tt;'+ DESIGNER LICENSE# 1 STANDARD PLAN# I BUILDING SQ. FOOTAGE
I DEscrr:::~ IO"f OF WORK /~ / I I I I
l r-.Tr.J / DESIGNER'S ADDRESS J DESIGNER'S PHONE I I
: Llq t/-__.!/_ fA--r/o (_~ u e.L
' ' . ' ' FLR ELEV. I I NO / OCC GP I EDU
STORIES
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; CE:rs.SUS TRACT I GP LANO USE I PARKll\,G SPACE RES UNITS I ,--,n,r.,.,r ncn.,,.,. ,,..,.. ,r~ I ccr,c ,~, r.ou,:c.,.,. '
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'-"n"u""" rc.n....,,, ,.:,.:,u~u I ~RE~VLLV' I
I TYPE I occ LOAD I FIRE SPF' CONST ,n ' n y ri ... n , vO NO I Nor Valid Unless M,1ehine Cerrd1ed
I If I I
I QTY PLUMBING PERMIT -ISSUE ; •"J_c;'[J I QTY MECHANICAL PERMIT -ISSUE ..:3-_ _
: EArnFIxrnRE TRAP INsTALLFURN □ucrsuPrn1ooooosrn su1Lo1NsPrnM11 . ..01•□□-oo-s220__ _ -~~. ---'oj I
I EACH BUILlJING Sf.WER I OVER 100 000 BTU SIGN PERMIT 01-00-00-8221 vi
I --EACH WATER HEATER AN[) OR VENT ---+------------+-B(l1-LER,cOMPRESSoRUPTo 3 HP f------~ PLAN CHECK ---/.?/:01-00-00-8806 ----u-: o.:.r
SUMMARY~CCQUNTNUMBER
1 FACHGASSYSTEM1T040UTlElS ----,s□ILER-COMPRESSOR31~HP TOTALPLUMBING ---v---01-00·00·8222
I ----+ -t--------,---------------
i EACH GAS SYSTEM~ OR MORE. I \'1ETAL F R~:oLAC: ELECTRICAL 0'.·00-00-8223 -----+------------+ ---------1----
I EA_~~-ST~~ _: _ _:_L!_ER, REPAIR \";ATE:R PIPE --I--_ --t'-_ ~~~N2_!_~N SING_L~ O~~T _ MECH~~CAL 01-00-00·8224
1 EACH VACUUM BREAKER ' MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225 I ~
: : WATER SOFT~ER Ii RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK INSP ---1
I t ti,~,!-' R,]()F -:,i:i;~~.~ .it --I _SOLAR_ 01-00-00-8226 1 1
1 1
1 TOHL MECHANICAL I SrnoNG MOTION so-92-33-0519
1 TU!AlPl\JMBINr, i I FIRESPRIN!\LERS 01-00-00-8227 I
I I I '11 I I PUBLIC FACILITIES FEE 32-00-00-89.ll I , QTY. ELECTRICAL PERMIT· ISSUE -.S' _ i QTY. SOLAR -ISSUE -~-
BRIDGE FEE
1 NEW CONST E,'\ AMP S'NT l:JKR i' COL~~C(PS SCHOOL FEE -DISTRICT ' --
1 l PH ·1 PH ___ ii STO>iAGF Ti\r·Jf<S Carlsbad 80-92-21-0519
1 FX1ST8I0GEAAMPSWTflKR ROC'\S'ORA(;F Encinitas 80-92-22,0519
I 1 PH ·; PH ~_l,!'.'._P _ San D1eguIto _ _ 80-92-23-0519 j
: REMODEL Al HR PER [IKCU~T _ ~lA~~'CK ~FF r S~~a~?S 80-92-24-0519
1 1E"v1PPOLE 200A',\PS I
\---I OVER /[JU AMPS LICENSE TAX 01-00-00-8162
1 fEMP OCCUPANCY '30 OAYSI MFF 80-92-57-0519 i ____ _ _ __ _
I ----------ii :---CREDIT DEPOSIT ~ R, :JV I
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1 T:lTAIElrl,lHll,Al I: I TOH.lSDl,\t:;; TOTALFEESPAYABLE I ,.St c.//_') I ,-_J,,,.-
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I ---------·---------------------____ ,! -¥-••-·----··--··--· ·"---------•-··· ·-,, .. ,_ ---•-------••-I I 1 HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Expiration. Every permit issued bythe8u1ld1ng Ofl1c,aI undertheprovis,onsolthts * AN OSHA PERMll IS REOUIRED FOR EXCAVATIONS OVER
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CERT'FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m_1ta11on and become null and void If tt,e bu1ld1ng or work !;' 0 .. DEEP ANO DEMOLITION OR CONSTRUCTION OF 1 . authonzed by such permit Is not commenced w1!h1n 180 days from lhe date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit, or 11 the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· L,:•~•~~"~""~!"c'~"!'i'._~t,~m~•e!•~ft~•~'!lh~•~•So~"~"c'~o"m!!!,maea~oesd:!.!,lo"'0'!.'!~'C"Od1-,eo!_l lt8~0l.J;!d••••L--:::-1"'~~~~~~-------------,7"l .... ----~ STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND □ 0 APPROVE BY D y'l
KEEP HARM.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO OWNER CONTRACTOR . i
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE □ Y.: , /J"', 'I
GRANTING OF THIS PERMIT. ='--------~ J 'f-
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TYPE I DATE INSPECTOR ------------·. --9 l.f -1-/ff& .
BUILDING I
FOUNDATION 1 ' 1-e/-.,Z"/ ~:.,,,-.,;. FIELD INSPECTION RECORD
REINFORCED STEEL 1
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ..
GUNITE OR GROUT , INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME 1
SHEATHING □ ROOF □ SH6AR
FRAME I
SO·LS CDMP1_ AN(_ E
I
Pf~IOR -:-o
~OL,NDAT;Qr,,.. 1".aSP
--------------L_ ---
EXTERIOR LATH 1
STRiJCT ,JRAL CUNCRF-TE:.
OVER 20JC F'SI
INSULATION 1 P9ESTRESSE:.J
INTERIOR LATH & DRYWALL , CONC:RETE
POST TfN2'",!0NED
I CONCRETE
PLUMBING I J:JE~D VVEL81NG i I
SEWER AND BL/CO cJ 1PL/CO '
UNDERGROUND □ WASTE □ WATER
----------· -T ----cil(;H ::,~F,E:~GT'-! ' ' dOL TS I
TOP OUT □ WASTE □ WATER :::YEC-;1AL r,..IAS(_)Nr::;Y
----· -
TUB AND SHOWER PAN 1
GAS TEST 1
PILES CAl;~SOr-.;-·
□ WATER HEATER □ SOLAR WATER 1---------------· ----
I
------
ELECTRICAL ,
□ ELECTRIC UNDERGROUND □ I.JFFER .
ROUGH ELECTRIC 1 -
□ ELECTRIC SERVICE □ TEMPO~ARY -j_______ _________ -------
□ BONDING □ POOL 1
' -----
MECHANICAL 1 ----
□ DUCT & PLEM., □ REF. PIPIN~ --------
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS : •· · · ; '
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVfi. BEEN APPROVED
FINAL ' I ' PLUMBING I
ELECTRICAL I ' ..
MECHANICAL I ' . GAS . I
BUILDING I /0-{'f_t(f '),;_.
SPECIAL CONDITIONS I
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PLAN CHECK KUMBEsr-Y 9 ),,-ADDRESS 2? () :i. ~ a· 0Received
PLANNING: TYPE OF STRUCTURE '.t'.~ ~ ZDNE:SEP 251984
SCHOOL FEES: SAN DIEGUITO ______ _ ENCINITAS CITY 06 CARLSBAD
CARLSBAD ______ _ SAN MARCOS ______ _
% COVERAGE ___________ _ REQUIRED SETBACKS ____ _
BUILDING HEIGHT _________ _ FRONT ________ _
FENCES/WALLS. ___ _;_ ______ _ SIDE ·----------
TWO CAR GARAGE _________ _ REAR. ________ _
COMMENTS: _________________________ _
REDEVELOPMENT APPROVAL REQUIRED: ______________ -=----
LANDSCAPE PLAN COMM
ENV!ROl'ttENTAL REQUIRED,_: -,1,:....-------------------
---·----,.----------------------
ADDITION11L COMMENTS,.· _____________________ _
OK TO ISSUE:~'-----DATE: ____ OK TO FINAL: ____ DATE: ____ _
**** * *** ... * ************************************************~
ENGINEERIN~. LEGAL DE,CR TION VERIFIED? ____ A.P.N. CHECKED? __
P.F.F. ____ , __ PARK U,IEU 1----------------
R.O.W: ___ ~~~
SEWER:
LATERAL:
c:: .... GRADING PERMIT: :z .... -.... > I-DRAINAGE: .... ~ c::
~ □ EASEMENTS: ADDITIONAL COMMENTS:
-c □ ........ u c:: ...,_
tis-□ O"-' u c:: OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _________________ _
PUBLIC ~'ORKS INSPECTOR: ___________________ _
FINAL OK: __________ _ DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR1l'1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
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4
1984
City of CARLSBAD
BUILDING DEPT. f----2 3 ---f -·
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