HomeMy WebLinkAbout2705 Medford Ct; ; 84-43-192; PermitA(! / S ( 0 I h8reby affirm that I am licensed under
provisions of Chapter 9 (commencing with
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Section 7000) of Division 3 ot the Business ~ and Professions Code. and my license 1s ,n
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I hsreby alf,r~ !haT I a"' e,em~• "r, trc Cc0"ac tor's License Law 'or l~e 1oI·ow1nc reacon /Sec 7031 .'i
Business and P·otess10ns Code A~y c,tv w county w0Ic, ·e cu,res a perm,1 to construct. a.ter 1"lt;'~'1e de.T-0111". r;:
repa,r any strJc:u,e i:;·1or :o rs os~anctarso ·eqcires :ie ap
pl,cant 1or suer ~erm,t :o Ille a srqred s·a1e-en1 That he s
licensed pu'~uan\ to tne provrs•ons o' th~ •~ort·acor ~
License Law 'Chapter 9 commenc,nq w,:n Sec:,on 700C of D1·.i,,on 3 of the Business and Pro'essrors C~deJ or that Is e~
e'llpl therefrom and lhe basis lor The aI;egea e,emp1Ion Any
vr~laMn ot Secl1Jn 7031.J by an aopl<eant lor a perm,1 sub
Iects the aopIIca~1 lo a crv,I pena,'ty of no: more than five h,,r;
dred dollars ($)001
I 1. as owner al the ~roper!y, or my employees w1:h ;iages
as their sole compensation. will do the work an~ the struc-ture ,snot rn!ended or offered lor sale (Sec 70~4 Bus1ress
and professrons Code The Contractor's License Law does
no! apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
employees. provided that such improvements are not ,nteM-
ed or offered !or sale If, however. the building or improve-
ment ,s sold w11h1n one year of completion, the owner·tiu1lder
w,I1 have the burden of proving that he did not build or im-
prove for the purpose of sale)
-J I. as owner of the property, am exclusively contrachng
with licensed contractors to construct lhe proiect (Sec 7044,
Business and Professions Code. The Contractor's License
Law does not apply to an owner or property who builds or im-
proves thereon_, and who con1racts lor each pro1ects ~•th a
contractof(s) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my Imme, and the follow
mg cond1!1ons exist
1 The work 1s being performed prior 10 sale
2 I have lived ,n my Mme for twelve months
prior to complehOn of this work I have not claimed this exemption dunng the
last three years
~r i'n~:r~~;~it under Sec _____ _ B& PC
~e,eby afflfm 11lat I ha,e a cert,11cate of consen1
to self 1nsu,e. o, a cemf1cate of Workers
Compensa1,on Insurance. or a ceri,fied copy 1hereot (Sec 3800 Labo• Code)
POucrno WP 233-02-48
co~ANv Fireman' s Fund
c,'eoov ,s 111ed w,1h the c,1y
D Cef11hed copy Is hereby turn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sectron nee<:1 no1 be completed .J tne perrr11t
,s !or one hundred dollars 1s1001 o, les~I
D I certify tha1 ,n the performance of the worl< •or wh,ch !h1s peffflt! ,s ,ssued. I shall not employ an,
person ,n any manner so as to become sub1ect lo
the Worl<.e,s Compensat,on Laws of Ca1,torn,a
NOTICE TO APPLICANT If after ma~,n~ th,s Cert,
!,cate of Exemploon, you should become sub1eo ,,_
lhe Worl<.ers Compensa1,on pro,,s,ons ol the L.at>o•
Code. you must torth .... ITh comply w,tn sue~
provIs,on5 or this perm•1 shall be dPemed re,o.,ecJ
~reby altrrrn that T'1e,e ,~ a r,on<lr.,, t,on
lending <lgeric y tor \rip pprto,manc" c,1 Irle wo'" tc,,
wh,n, 111,s pem"t ,s ,ssuea ,s,., llfli c,,,. :::ooe,
Lende, s Name Crocker Bank
Lender'sAddress S.an Diego
C ,,., , L,. u••L• a rl\!;.J;) nl"III\U APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDA ESS Av. ST. RO. NEAREST CROSS ST, !DATE OF APPLICATION l BUSINESS LICENSE # V ALUA Ti ON PE AMIT NUMBER
2705 Medford Court 3/19/84 I 3681 89968
\o~? BLOCK . bs~!DIVIS~ON l)f-j ASS,,:_~R~~ ~ )."5?('r) CONTRACTOR • CONTRACTORS PHONE, ZONE 84-43-19 2
owNER's NAME·: . -
1
owNER'SPHoNe Standard Pacific of San Diego 279-2042
; , CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
~ ' ' n-~«'<~ of San Diego 279-2042 ( ) 294215
OWNER'S MAI LING ADOl'IESS, sam.e . ·-1-0-,-s-,Gc-N-ER----------------f----,-,-c-,-N-SE-,--t-S-T_A_N_O_A_R_D_,C_A_N_# __ +.-u-c,-,o~,c-N,cG-,S"ac-:c,oo=-r~,-cGccEc--l
7290 Clairemont Mesa Blvd., SD 92111 Buzard-Henning & Associates NR 8
OESCAIPTIONpF WORK 158
DESIGNER'S ADDRESS DESIGNER'S PHONE
1------------------------4883 Ronson Ct., SD 92111 278-6855
SFD"-Plan 320 ----------------------·~---c-~c---~---F:P FLRELEV. NO OCCGP EDU
STORIES -,o ,□ --2 R-3 1
AREA CONST
CENSUS TRA:o4T GP LAND USE I PARKIN(., SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
C,,\ f 'f~ 616 1 y □ N □ , D ~ VN vO ~ Not Valid Unless Machine Cerofted
QTYC PLUMBING PERMIT C ISSUE : / f!!.-QTYC MECHANICAL PERMIT C ISSUE .3'-SUMMARY/ACCOUNT NUMBER
1? EACHFIXTURETRAP ' 30 .. 00 1 INSTALLFURN OUCTSUPT0100,000BTU 4.00 BUILDINGPERMIT 01-00-00-8220 403.00 ~~-----j
1 EACH BUILDING SEWER h-. c;Q _____ OVER 100,000 BTU SIGN PERMIT 01-00-00-B221
-1 EACH WATER HEATER AN□:□R VENT 2-. i;r BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 261. 95 >-~-+-------c ----c-----+---~C.,.C'L!---+--'------~--------{----C---¼----------c-------,-~==~~----
1 EACH GAS SYSHM 1 TO 4 OUTLETS ______ +------?. c;_r BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01_-00-00-8222 ---~9 • Q0 __ _
EACH GAS SYSTEMS OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~'=(\~=(\(\~----!
EACHiNSTAl.ALT~R.REPAIRWATERP~~E-____ l 1 VENT FAN SINGLE DUC_T __ . =--~~---?-nn MECHANICAL 01-00-00-8224 9.00
EACH VACUUM BREAKER 1 MECH EXHAUST HOQOiOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER / RELOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN ,:1N:C,IDE1 SOLA_R _______ Ql:..Q_Q-MOit0"""""°""'-"+---------1
~~------c-----~--L --•---= TOTI.LMECHANICAL 9.00 >--STRON_GMOTIO~---80~~2-~~~JJ!_ ___ 6.30
TOTAL PLUMBING i 49 .. 00 FIRE SPRINKLERS 01-00-00-8227
QTY" ELECTRICAL PERMIT C ISSUE ~ QTY" SOLAR C ISSUE PUBLIC FACILITIES FEE 32COO"OOC8933 1 ~ng_=nr,'----1 ✓-BRIDGE FEE
NEW CONST EA AMP SWT·8KR 10QA 25 • 00 COLLECTORS SCHOOL FEE -DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 ---
EXIST BLOG EA AMP'SWT·BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP /.,,-,-'\. San Diegu1l0 80-92-23-0519
REMODEL ALTl:R PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
HMPPOLE 200AMPS / ', \\ .. ---
OVER 200 AMPS / \---' _")( ) LICENSE TAX 01-00-00-8162
TtMPOCCUPANCY 1300AYS) .11/J:..~ J .,~£-,,✓~ 400.00
i ch '/ r. J J, I CREDIT DEPOSIT <..300 0 00 /
inTAlFLELTR•CAl ! 30.00' \ VrnTAl~OlAR / TOTALFEESPAYABLE / 2658.25
't.HAVECAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREa\'--Expi;_tion. fc~r_rni.t-ssuedbyfheBuifdingOtticial~nderlhepr?v1~icif'!softhts 1r A~ .._;r IS REOUIREO FOA EXCAVATtONS OVER
ccRT'FY UNDER PENALTY, OF PERJURY THAT ALL fNFORMATION HEREON INCLUDING THE "'.' ·-· _o-xpire by hm_itation and become null ~nd void. 111h8 buddmg.or work. !CU" OEfanu,m 0£MOLITK>N OR CONSTRUCTION OF ...,, 1 , • . authonzed by such permit 1s not commenced within 180daysffomthe date of such ~, ·--OECLARAJIONS,AAE \RUE ANO CORRECT AND J FURTHER CERTIFY AND AGREE JF A PERMIT !S permit, or if thtt bUj/diha or work authorized by such permtt iw'"suspended or STHIJYIUAES OYER J STORIES IN HEKlHT ~
ISSUED· 10 COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GO'ilERNJNG BUILDING CON-at:,andoned al anv t4 l.:li-r lhe J!.,1c. is commenced for a r...r:J"o1· 1M dav.« / 1
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SI .,. , ' .fP! □ APPR01V~ l ,;lmllE ~( , KEEP HARMLESS THE CITY OF CAA~$BAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS ANO / I/ _,,,, O~NER Ll CONTRACTOR .,,.-I_
EXPENSES WHICH MAY IN AN'..WA,Y ACCRUE AGAfNST SAID CITY IN CONSEQUENCE OF THE ~ t:.,::, \-r,;. BY PHONE O L~'?.,.., (/ -I
GRANTlNG OF THJS PERMIT. .,r 'I v I ~ C, -~ '--r J 1 f.J f
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TYPE ' DATE INSPECTOR
BUILDING ' /
FOUNDATION , A .1 C, ~ ~-x;
REINFORCED STEEL ' / ' '
MASONRY '
GUNITE OR GROUT ,
FLOOR & CEILING SUB FRAME '
SHEATHING \!!!I ROOF □ SHE!AR
FRAME , , , v .;i.I..JLi r 1~ -,
EXTERIOR LA TH : '/ '"' /
INSULATION 1 1'7.11,9,n_ -,1 ,.-·y 1
INTERIOR LATH & DRYWALL 1
I
PLUMBING 1 /
SEWER AND BUCO □IPUCO I ....... A _, o -~ A A 1
UNDERGROUND □ WASTE □ 1/VATERI ' '' • '
TOP OUT c::, ·.:· .• □ WATER
TUB AND SHOWER PAN '--._ : .
GAS TEST "-....1.__ ~-1/-,r~ ~--
□ WATER HEATER □ SOLAR WATER
' I
ELECTRICAL 1
□ ELECTRIC UNDERGROUND D WFFER •
ROUGH ELECTRIC : ~., '...h. \J.A:,C.-
□ ELECTRIC SERVICE □ TEMPOll!ARY VJ
□ BONDING □ POOL 1
' ' MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS 1
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVF BEEN APPROVED.
FINAL I -J;
PLUMBING I A. 't:?"' I
ELECTRICAL : ,... ~ -' r,II
MECHANICAL ' ., " \Y"(f\ ll,..7
GAS : \:I,; r,," ,,.(J · ll
BUILDING ' / 1 -I/
SPECIAL CONDITIONS ,
'
.. ' . . . 2 -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
--1-----------·· ---------I-----
STRUCTLJRAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-HICiH S1 RENGTH
BOLTS
SPECIAL MASONRY
Pll.ES CAISSON'.::
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