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HomeMy WebLinkAbout2705 MADISON ST; ; 87-916; Permit.. z 0 ;:: ~ ~ " .. Q "' i[ 8 .. .. Q ~ 5 ~ .. z ! z 0 ~ z .. .. ,. 0 " .. "' .. " .. 0 3 ![ 0 I hereby affirm that I am licensed under provl1ion11 ol Chapter_ 9 1commencmg with 1 8«:tlon 7000) of Dlvls1on 3 of the Business and Profasaions Code, and my license 1s in lull force and effect I hereby a11irm ma1 I am exempt from lhe Conrrar, tors license Law lo, IM 1ollow,ng reason !Sec 7031 ~ Business and Protess,ons COde Any c11y or county wh,u re qu,res a Derm,t To construct alter. improve. demol,sh or repa,r any structure prior lo ,ts issuance also requires !heap pl,canl lor such permit to tile a s,qned stalement that he ,s "censed oursuan1 to 1he provrs,ons 01 the contractors License Law ,:Chapter 9 commenc,ng w,th Serl,on 7000 or o,v,s,on 3 of tne Busmess and Pro1essrons Code, or I hat Is ex empt 1~ere1rom and lhe basis lor tne allegea e~empt,on An'/ v1olal1on ol Section 7031 S by an applicant to, a pe1m,1 sub Iec1s lhe applicant toa cIv,I penalty of not more than !,ve nun ared dollars ($S00l I as owner of tne proper1y or my employees w,1n wages as 1he1r sole compensahon w,II do lhe wo,k and lhe si,uc ture ,s nol ,nrended or ottered for sale 1sec 70H Bus,ness and Professions Code The Con1,acto, s License Law aoes not apply to an owne, ol property who builds or improves 1nereon and who does such work h•msel1 or through h,s own emoloyees. prov,ded 1na1 such improvements are nol ,mend ed o, o11ered for sale If however IM buold,ng or ,mprove ment ,s sold w1th1n one year of complet,on. 1he owner-bu,lder w1II nave the bu,den of proving lhat ne did not build or 1m prove lor the purpose of saleJ 1. as owner ot the property, am exclusively contraclmg with licensed contractors to construct the pro1ect !Sec 7044 Business and Professions Code The Contractor's License Law doos not apply To an owner ol property wno builds or im- proves lhereon. and who coniracts for each proIects w11h a contractor{s\ license pursuanl lo me Contractor"s L,cense Law) I As a homeowner I am ,mprovtng my home. and the follow Ing cond1t1ons exist 1 The work 1s being per1ormed prior to sale 2 I t,ave 1Ived ,n my home tor twelve months prior to complel1on of th,s work I nave not claimed 1h,s e,emphon dur,ng the last three years I am exempt under Sec B & PC !or this reason ____________ _ I hereby afflfm that I have a cert,f,cate o1 consent to selt-,nsure o, a cert,f,cate o• Workers Compensation In surance or a cert,lied copy thereot 1Sec 3800 Labor Code) POLICY NO COMPANY Copy ,s filed w,th the cI1y Cert1f1ed copy ,s hereby lurn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE iTh,s sectmn need no\ be completed ,! lhe permit ,s for one hundreo dollars 1$1001 o, less\ I cert.f) that,~. \he performance o! t~e work far w~•c~ th,s perm,1 ,s ,ssued. I shall not employ any pe,son ,n any ,nanner so as \o become subJec1 to the Workers Campen sat,on Laws ot Cal,forn1a NOTICE TO APPLICANT If after making th,s Cert,t,cate of E,emp11on you should become sut>1ect to the WorKers Compensat,on prov,s,ons of the Labor Code. you musl !orthw,1~ comply with such prov,s,ons or m,s permit sha'I be deemed revoked ~ 1 ~eret>y aft.rm 1na1 there ,s a construction lending agency for ,he performance o1 the work tor wh,ch this per m,1 ,s ,ssued {Sec 3097 Ci.1L Code! Lender s Name Lenders Address USE BALL POINT PEN ONLY & PRESS HARD J08 ADDl'tESS i::J7~ - COT CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 AV. ST.RO. THOMAS BROS NO. ASSESSl}R PARCEL NO :L-0:, 10;;)-J g (Ju I APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT VALUATION PERMIT NUM8EA ZONE B1/9'/y BUILDING SQ FOOT.A.GE ..,,.,.,,,.,u.,.,.,.,. "~"'"'"' © u: c t;-" .oest.Fluif10N'°'o.F.~-/ 0022 JC/.28 C-10.1 10.(}) ~ -6 (d') ---1tii:h J. :;; ' / I CENSUS TRACT I SARK ,NG SSACe RS::J QTY. PLUMBING PERMIT· ISSUE zs .. 52 EACH FIXTURE TRAP EACH BUILUING SEWER EACH WATER HEATER ANO OR VENT EACH GAS SYSTEM l TO 4 OUTLETS EACH GAS SYSTEM J OR MOR!: EACH INST AL ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER FACH ROOF [)RAlfJ 1:'IISIDf', • Fl, ~s-, ~ TOIAL P\ lJMHIN({ I /0 ro QTY ELECTRICAL PERMIT -ISSUE .-C. /!) ,_:;,- NEW CONST EA AMP SW! HKR I PH I PH fXISl HlllG EA AMP SINT 8KR 1 PH 1 PH RE~O[)El AL HR PER CIRCUIT TEMP P(ll f 200 AMP~ UVE R !OU AMPS fEMP OCCUPANCY '3D GAYS\ TillAl f.LU.lRICAl l OESIGNE~'S AOOAESS ' ' FLA ELEV v[J !\Jo GRADING PERMIT ISSUED 1RE0EVELOPMEr--.T ARE A QTY OTY. YO fl □ ,□ '-.0 MECHANICAL PERMIT -ISSUE INSTALL FURN DUCTS UP TO 100 000 BTU OVER 100.000 BTU BOILER·COMPRESSOR UP TO 3 HP ROILER,COMPRESSOR 3 lJ HP MET AL FIREPl ACE VENT FAN SINGLE DUCT MECH EXHAUST HOOU OUCTS RELOCATION OF E.A FURNACE-HEATER DRYER VENT TOH.L MECHANICAL MOBILE HOME SETUP CAR PORT AWNING ,,,..----;:. '· ~ GARAGt,,}; -~' ' Ir? ...,'\..,. ~-S'J.i ~" /'\"'7 !:/ uu 1 1,u, ,., P!',lU -,,,-,r'"' 0, l.,TI l i,· v•, ,--cm m C1\~~1.:-.,.u.r,, CARLS!_tr,IT,V ~ ~~'& l OT A1 (' .-:!'\.,.•, _, ' NO STORIES TYPE CONST I -5-E!l2- STATE LICENSE NO. OCC GP EDU OCC LOAD FIRE SPA v □ !\Jo Nor V;ilid Un~s M~chme Certified SUMMARY/ACCOUNT NUMBER BOIU'illilG i:irn~11 001-81 0-00-00-tll <'.U SIGN PERMIT 00 1-810-00-00-82 21 PLAN CHECK 001-810-00-00-8891 TOTAL PLUMBING 00 ·, -810-00-00-82 22 L_O ,ru ELECTRICAL 001-810-00-00-8223 MECHANICAL 00 1-810-00·00-8224 MOBILEHOME 001-810-00-00-8225 SOLAR 001-81 0· 00-00-8226 STRONG MOTION 880-519-92-33 FIRE SPRINi<LtRS 001-81 0-00-00-8227 PUBLIC FACILITIES FEE 320-810-00-00-87 40 BRIDGE FEE 360-810-00-00-87 40 PARK-IN-LIEU (AREA ]If 312-81 0-00·00-8835 LA COSTA TIF 311-810-00-00-8835 FMF ,-,,y T.' A 1"11 T:"T"'I. LICENSl!liJ>,U .L:J..0.!A'8~o.&l.lil'316? MFF 880-519-92-57 NOV 2 1!:Ja7 ~ltv nf .,.,. ...... ,. .,. c~1;Ln CCDI. TOTAL FEES PAYABLE /0 oi) I HA.Vf CAREFULLY EXAMINED THE COMPLEfED ··APPLICATION AND PERMIT.: AND DO HEREBY Otticia+undertheprovisionsofth,s * AN O$HA PERMIT IS REQU1R£D FOAUCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE utl 8nd void II lhe building or work 5' o·· DEEP ANO 0£MOlrTJON 0A CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERT1FY AND AGREE IF A PERMtT ff,, STRUCTURES OVER) STORtES tN HEIGHT ISSUED: TO COMPLY Wll:fl ALL CITY. COUNTY:AND STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NQT. I ALSO AGREE TO SAVE INDEMNIFY AND A.PP~O a, ~ DA TE KEEP HAl;IMLESS THE CITY Of CARLSBAD AGAINST ALL UAB!UTIES, JUDGMENTS, COSTS AND , iM EXPENSES WHIC,H MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PH fJ /0 'P-7 GRANTING oF mis PERMtt. , ,, _,,_,,~ \t;,'{lt;~~~:.;--------"' ONE l · ~a / --. Q E © f- l -0 0 CJ c ro 0 Q Q « I ~ C (l_ 0 w w © w w « ~ 0 ,; >- © 0 C rn C "- C © ~ CJ 0 u © Q w C m .c 3 £'_-!-Ci!( TYPE I DATE INSPECTOR ~ ~ BUILDING : DUNDATION I FIELD INSPECTION RECORD F R M G s s F i-----------------,-,----------------------7 EINFORCED STEEL : REQUIRED SPECIAL INSPECTIONS ~===~1;,;N~SP~E;;;C;;;T,,;O;c,R:,,:'S~N;;;D,;,,T;a,ES~====-===========~ IASONRY I REQ IF. INSPECTOR s UNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE . . ' .. ,,,.. , .• '.•. I·, .. , . F•·'. UB FRAME □ FLOOR D CEIi.iNG soiLs COMPLIANCE ·· (;!;'k n, ,';\,'fH'f?,',f;J HEATHING D ROOF D Si-JEAR PRIOR TO FOUNDATION INSP _ . RAME I srnucruRAL CONCRETE:: F_>_0_1,'T· 1-----------=--=-=------------ ::XTERIOR LATH I OVER 2000 PSI • ". . . ' ·1NsuLAT10N I PREsrnEssrn ; • ' ;~· •.1 ,,, i .• · r; I CONCRETE _ \ ..•. i .1 .f :1 1 .t ... INTERIOR LATH & DRYWALL I ro;P-;c;OS;c,TccTccEccNccSc:clO""N"'E""o---+--=t-=--=-t-=-- 1 1-"C,:::O:.:,NC.:::R.:,:E:.'.T.':.E ____ -+---t------t-----j ~--=-------=---------=----=-=- pLUMBING .: FIELD WELDING D SEWER AND BL/CO L Pl/CO I-H""1G""Hc-_ Scc.TccRccEN,-GccTc-H---+--- BOL TS UNDERGROUND □ WASTE D1 WATER r---=-------+----1------i---- TOP OUT D WASTE D \"/ATER sFEC1AL MASONRY TUB AND SHOWER PAN 1 GAS TEST ; PILES CAISSOSS D WATER HEATER D SOLAR W,ATER I ELECTRICAL I D ELECTRIC UNDERGROUND U UFFER ROUGH ELECTRIC 1 D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL 1 _ I MECHANICAL ; D DUCT & PLEM., D REF. PIP,NG HEAT -AIR COND. SYSTEMS 1 VENTILATING SYSTEMS ; I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL ; PLUMBING 1 ELECTRICAL 1 ~ MECHANICAL ; t' ·/ GAS I lf\_'1--,'l J ~ <fl " BUILDING 1 -' • / SPECIAL CONDITIONS I C I LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 {commencing with Section 7CX)Q) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION C 1 hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which reQuires a permit to con· struct, alter, improve, demolish, or repair any structure, prior to its issuance also reQuires the applicant lor such permit to file a signed state- ment that he is licensed pursuant to the provi· sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis lor the alleged ex- emption. Any violation of Section 7031.5 by an ap· plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himsell or through his own employees, provided that such improvements are not intended or of- fered tor sale. If, however, the building or improve- ment 1s sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). -=.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec.~--~-• B. & P.C for this reason Date _____ _ Owner WORKERS' COMPENSATION DECLARATION I 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. 38~~.o oddee)).. ~ 1g~?~~!_~yo~----;---4,L-tt-,._b~-- opy is filed with tne city ertified copy is hereby furnished CERT\FlCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is lor one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws o! California NOTICE TO APPLICANT: If, after maKing this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must lorthwith comply with such provisions or this permit snail be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby alfirm that there is a construction len- ~;n,, ,.,,.,,nr.v for the performance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I NQ.-y ..;!,_.,.. ~ ~ ._ JOB ADDRESS ,;,;,,,l,c> ',' ~o '"' :, ,', I I I I I I I I I ' ;VR~T. !;;; Ow:;L;qoN o~~ f ~ OWNER'S ?HONE ?RIME CONT~CTOR ) ~., ~ lr, ..... o .. ·.~-r~- OWNER'S MAILlN:;;;.ss CONTRACTOR'S ODR!i'.SS,. .u -~ :,C'7'"' " ,_ • LO, eLOCK I SUBOIVISJON I ASSESSOR'S PARCEL NO. DES\GNER ' . I ' I 0 ' I I l ' OESCRl?TION Of' WORK Ko_,, -, -(.A..Af'_.,-; . DESIGNER'S ADDRESS ,)' (/ CENSUS TRACT GP LANO USE ZONING PARKING SPACE APPLICANT TO FILL IN INrurs-MATION WITHIN RED LINES. eus. LICENSE PERMIT NUMBER /S<l30 lf-5-;:;.oo STATE LICENSE 1-,~&JO~I CONTRACTOR'S r7;o~E ~ 1 ~('.,' STATE LICENSE DESIGNER'S PHONE l RES, UNITS l NUMBER Of' STORIES Not Vah"d Unless Machine wrfifi«I BLDG SQ, f'T. BLDG USE acc. GP ! STANDARD '-11 !PLANIO# ! TYPE CONST I occ. LOAD I UTY. PLUMBING PERMIT AMT. UTY. ~HANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN"'."R,i.lCTS UP TO 100,000 BTU EACH BUI LO ING SEWER ""-.ovER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP ~p } EACH GAS SYSTEM 1 TO 4 OUTLETS , BOILER/COMPRESSOR 3-15 HP .....,_ v EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP .....,__ EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT .....,__ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I ~ AcxJ SIGN PERMIT I I I . I TOTAL PLUMBING --, 0--0 TOTAL MECHANICAL PLAN CHECK I I I . I CONT~ACTOR J CONTRACTOR ALL INCLUSIVE PERMIT I t/T "----ELECTRICAL PERMIT "--TOT AL PLUMBING I J'').,r,17 UTY. AMT. UTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I . I NEW coN EA AMP/SWT/BKR AWNil><:. MECHANICAL I I . I 1 PH .25 ' 3 PH PORCH ...... MOBILE HOME I I • I EXIST BLOG EA AMPlSII/T/BKR SET-UP ' SOLAR I I I . I IPH .25 '-3 PH RAMADA, CABANA ' I I I . I REMODEL/ALTER PER CIRCUI"' FENCE OVER 6' .....___ I I I . I TEMP POLE 200 AMP$ .....,_ TOTAL MOBILE HOME '-MICO-FllM I I I . I OVER 200 AMP$ --..... ' I I I . I TEMP OCCUPANCY (30 DAYS) ........ I'-.. I I I . I ~ I'-... I I I . 1 TOTAL ELECTRICAL -... TOTAL FEES PAYABLE I I~~~ CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HERESY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND 1 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES \N HEIGHT COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER . A SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFV AND KEEP HARM ~-=-. LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS_ COSTS AND /1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TH\S PERMIT A S~RE" OWNER□ CONTRACTORJil IAPPROV~J-DATE AGENT lQ BY PHONE 0 I('/-" I / f-t ~ ! ~ 0 ~ > 5 ;= ~ "-"' ?; 'l'ih! - "1.2-?-1/,N" ,7 ~E LRESS: OWNER: PERMIT NO: {) FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES 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 WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER GAS TEST SWiM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT 1 OTHER DEPT'S REQ COMPLETED . / i E.LEC METER-PERM-TEMP ' • ,✓ iA /\ r J ! GAS METER-PERM·-TEMP u rvc \ -~ I I I I CE~'-OF OCCUPANCY ISSUED --~----------------------------· --~-