HomeMy WebLinkAbout2715 GREENOCK CT; ; 83-11; Permit"' z 0 ;:::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full for3y§e.J!"F.HA _ r 3 Lie No ~+ Class _c;,,;_~~-~
I hereby altirm that I am exempt from the Contrac· tor's License Law fo, the lollowlng reason (Sec. 7031.5
Business and Professions Code: Any city or county which re· quires a permit to construct, alter, improve. demolish, or repair any structure, prior to its Issuance also requires the ap-
plicant for such permit to Ille a signed statement that he is
licensed pursuant to the pn:wisk>ns at the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and ProtesstOns Code) or that is ex· empt therefrom and the basis tor !he alleged exemption. Any
violation of Section 7031.5 by an applicant for a permit sub· jects the appltCanl to a civil penalty of not mo,e than five hun•
dred dollars ($500).
D I, as owner of the property, o, my employees with wages
as their sole compensation, wtll do the work, and the struc-
ture is not intended Of otlered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does
not apply lo 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 Intend-
ed or offered tor sale. It, however, the building or improve-ment is sold within one year of completion, the owner-builder
will have the burden of prOVing that he did not build or Im-prove tor the purpose at sale).
D I, as owner of the property, am exclustvely contracting with licensed contrzctors to construct the project (Sec. 7044,
Business and Professions Code: The Cootractor's license Law does not apply to an owner of property who builds o, im· proves lhereon. and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's license law).
• As a homeowner I am improving my home, and the follow· lng conditions exist: 1. The work Is being performed prior to sale.
2. I have ltved in my home for twelve months
3. rr-:: ~~:i~of t1:i~ :X~ption during the last three years.
g ih~: ::.:::i under Sec. ______ , B & P.C. ----------
D I hereby affirm that I ha'ie a cert,hcate ot consent 10 self-insure. or a certificate ot Workers·
Compensation Insurance. or a certified copy thereof
(Sec 3800. LabOr Code)
POLICY NO.
COMPANY
• Copy IS flied With the Ctty
0 Cen1hed copy 1s hereby furnished
O~ CERTIFICATl OF EXEMPTION FROM :;: WORKERS' COMPENSATION INSURANCE a: (This sec11on need not be completed 11 the permit w ,s tor one hundred dollars (S100) or less)
><: Cl: I cen,ty lhat 1n 1he pertormance ol lhe w()f1( lor 0 ~ this perm,t os ,ssued. I shall not employ any J: person 1n any manner so as to become sub1ec1 10
lhe Work.ers· Compensation Laws ol Calltorn1a
il
NOTICE TO APPUCANT If. after makmJ this Cert1-
t,cate of E•emphon. you should become subJect I? the Workers· Compensation prov1s1ons of the Labor
Code. you must for1hw,th comply with such
provisions or this permit shall be deemed revoked
D I hereby affirm that !here 1s a construchon
tending agency tor lhe pertormance of the work lo,
wtuch ttu5 permit lS ,ssued (Sec 3097, C1v1I Code)
Lender's Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD 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 AOORESS
A~i_T.
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DA,: ,4:ir~ON1
BUSINESS LICENSE # VALUATION PERMIT NUMB,ER
2., I< Ae1=1=~ t83q ,z.' ll\--'2,..-, '33-\' nNE.p;.:;E 14 35w.:;4i°-~ 1ei~lr✓A6tf\ ~ CONTRACTORS PHONE -ZONE
~, I ,Ar" D ~A.'lt;:-qq(--34',C) .
OWNER'S MAILING ADDRESS CONTRACTO~'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
~f\.J\'\£ 111 A UJ \Jl~A \JA~. \/1t;f A 3t'l.~i4~3 ~Tli)c'-lc::>J"" ft I BLO~ ~,.2 ,oN I A-u5g~Rl1~~
DESIGNER ' LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
.,l_J\ l 11.1 1 ..... -A-, it., t\:l DESCRIPTION OF WORK .._ ' n--' ,.~
DESIGNER'S •ooRESS OESIGNE R'S PHONE
-~ ~-no _CnV~$ ---F/P F LR ELEV. NO EDU OCC GP 4,~ Ql STORIES
vO NO I / 1 U / •.::~~;:. ;; X ,; ---r.,~f ,.,... ~ .. 1 CENSUS TRACT I GP LAND USE I PARK ING SPACE I RES UNITS I GRADING ".ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR -. . . AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machine Certifit!d
QTY. PLUMBING PERMIT· ISSUE 7.5"o QTY. MECHANICAL PERMIT -ISSUE 3,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 '3a. ,::::,..,
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00·8221 -EACH WA TEA HEATER AND/0 R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 .,,<,n~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 --EACH tNSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225 -
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226 S::tr'J
TOT.t.L MECHANICAL STRONG MOTION 80·92·33·0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT· ISSUE .£o QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00-8923
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TAN KS Carlsbad 80·92·21 ·0519
EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80·92·23-0519
REMODEL/Al TEA PER CIRCUIT PLAN CHECK rEE San Marcos 80-92-24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ----
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I &4-06
i HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Expnalion. Every permit 1aaued by the Bu~dmg Off1c1al un-1he prov1S1ons ofth11 * AN OSHA P£fNIT IS REQUIAEO FOfl EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tation and become null and void If the building or work 5' O" DEEP AND DEMOUTlON Of! CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authortZed by such pe1~·• not commenced w1th1n 180 days from the date of such STRUCT\JAES OVER l STOAIES IN HEIGHT permit. or if the build, or work authorized by auch perm,t II suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any bme a r the worJ IS commenced for a ""'"od of 180 Aau•. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER• CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND (p~ ~TS SIGNjUR • J ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "-~ -BY PHONE 0 l• 14~ GRANTING OF THIS PERMIT. I' --V l \~ \ . I ......... -~
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INSPECTION TYPE DATE -· . -INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL .
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING L
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL -
TEMPORARY POWER .
ELECTRIC UNDERGROUND
ROUGH ELECTRIC I
ELECTRIC SERVICE l .
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
" DUCT & PLEM., REF. PIPING ,•r
HEAT-AIR COND. -SOLAR SYSTEMS
,
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
\
..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
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
.
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INSPECTOR'S NOTES
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INTERDEPARTMENIAL INFORMATION SHEET
BUILDING DEPARTMcNT DATE : t . l9:-@3
BUILPING ADDRESS: Q...1, ~ A~oe...K c r
A. P. N: __________ C. T : ________________ _
************************************************************************
PLANNING DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS CARLSBAD ------UNITS REQ'D: __________ PROVIDED: ___________ _
% COVERAGE ALLOWED: .PROVIDED: -----------
PARKING SPACES REQ'D: PROVIDED: -----------
BU IL DING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK
ALLOWED:
PROV-I DED-: ~~~-----+D::/:::_
INTRUSIONS: tJ ------
SIDE SETBACK REAR SETBACK
(JtL
RE-DEVELOPMENT APPROVAL REQ'D: ---------LANDSCAPE & IRRIGATION PLAN COMMENTS: ----------------
ENVIRONMENTAL PROTECTION REQ: -------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE: ,M DATE: OK TO FINAL: DATE: ---------
************************************************************************ ENGINEERING DEPARTMENT
R.O.W: IMPROVEMENTS: ------------------------
PUBLIC FACILITIES FEE:· SEWER CONNECTION: --------------
DRIVEWAY LOCATION(S): ___________ ..:-----
GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION:
ADDITIONAL COMMENTS: -----------------------
• CHECK IF ENJ NEE RING IN SPE9': IO! REQ' D • ON FINAL : ·
OK TO ISSUE: (_ DATE: ((LV/13 PWI:' OK TO FINAL: ___ _
DATE: ----
Ji.*************;~********.~********* * * -ktt * * * * * -illl * * * * * * * * * i~
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTION.
<ltitp of <ltarl.sbab
REQUEST FOR INSPECTION RECORD
' ' .
, '
\) yo t TIME: _____ _
~?f,_,___,..J~~~---DATE· /-IL,
-----f,.L--J,L>.Ll.&;l-f-1,'"'6-J.A""-f--::-PHONE NO. --------f.1-tH'----'7fclf-6
• FOUNDATION
U REINFORCING STEEL~
• MASONRY l
• GROUT· GUNITE
• FLOOR AND CEILING SUB FRAME
• SHEATHING • ROOF • SHEAR
• FRAME
• EXTERIOR LATH
n INSULATION
I: INTERIOR LATH OR DRYWALL
U FINAL
PLUMBING
n UNDERGROUND PLUMBING
• SEWER AND PL/CO
U TOP OUT PLUMBING
1:, TUB OR SHOWER PAN
[] GAS TEST
lJ WATER HEATER
• SOLAR WATER
Cl FINAL
PERSON TAKING REPORT
ELECTRICAL
• TEMPORARY SERVICE
LI UFFER GROUND
• ELECTRIC UNDERGROUND
• ROUGH ELECTRIC
LJ POOL BONDING
• ELECTRIC SERVICE
D FINAL
MISCELLANEOUS
n CONDITIONED AIR SYSTEMS
• SOLAR HEAT
I 7 PATIO
n POOL lJ SPA
lJ SIGN
n GRADING
n DRIVEWAY
D FINAL
----------------------~------~=--------e•;} ReioJ For Inspection: D Monday
D ~ • P.M.
• Tuesday [J Wednesday D Friday
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