HomeMy WebLinkAbout2721 Glasgow Dr; ; 81-503-57; Permit.. z 0 ~ a: ~ u w C
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0 I h"'"'-'Y affirm that I am licensed under
prov:~tona of Chapter 9 (commencing with
8«:tlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
fu!I force and effect.
L,c No --272686 Class B-1
I hereby atlmn !ha1 I am exempt from the Con
1,m~~·~~~~:;i:: ~; ~~f~:,~~li~r~~,\~r
county which requires a perm,t to constfl.lc1
;1lter. improve. demolish, 01 repa,r any structure,
prior to its issuance also requires the appllcant for
such permit to !,le a s,gned stalement that he ,s
hcensed pursuant to tl'1e prov,s,ons ol the Con
tractor's License Law (Chapter 9 commencing •,,11th Sect,on 7000 ot O,v,s,on 3 of tl'1e Business and Pro
lessions Code) or that ,s exempt therefrom and the
basis tor the alleged e:<empt1on Any v,olat,on ol
Section 7031 5 by an ~pl1cant !Of a perm,t sub1ecls
tne applicant to a c1v11 penalty o! r.ot more than five
hundred dollars ($500)
[J I, as owner o! the p,operty, or my employees
-.,th wages as their sole compensat,on, will do the
woril, and the structure ,s no! intended or altered tor
sale (Sec 704-4, Business anO Profess,ons Code
The Contractor's License Law does not apply to an
owner of property wno builds or improves thereon
and who does such work h,mself or through his own
employees, provided that such 1mproveme:1ts are
not intende1 or offered for sale If, however. the
building or 1mprovemen1 ,s sold w,th<n one year o!
completion, the owner-builder will have the burden
of proving that he did not build or improve tor the
purpose o! sale)
D I, as owner of the property, am exclusively
conlractinQ w,th licensed contractors to construct the proteet (Sec 704-4. Business and Professions
Code. The Contractor's License Law does no1 apply
to an owne, of property who builds 01 ,mproves
thereon, and who contracts for each projects with a
contractorts) license pursuant to the Contr;;;ctor's
License Law)
D I am exempt under Sec
for this reason
.B &PC
[J I nereby a!ttrm tha1 I ha·~e a cert1t1cate of consen1
10 self-insure. or a cert1t1cate at Workers
Compensation Insurance. or a cert1!1ed copy thereof
(Sec 3800. Labor Code!
POLICY NO
COMPANY
KWP 265 92 50
F-ireman' s Fund
0 Copy 1s flied with the city
D Cert1hed copy ,s hereby turn1shed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,t ,s tor one hundred dollars ($100) or less)
D I certify that 1n the performance of the work tor
wh,ch this permit ,s issued. I shall not employ any
person in any manner so as to become subiect to
the Workers· Compensation Laws of Ca1,torn1a
NOTICE TO APPLICANT If. afte, mak1n1 th1s Cert, hcate of Exemption, you should become sub1ect t'J
the Workers· Compensation prov1s1ons ot the Labor
Code. you must torthw1th comply with sucti
provisions or th,s permit stiall be deemed revoked
0 I tiereby at!irm ttial there 1s a cons1ruct10"
,er'd,ng agency tor the pertorrnance ol lhe wor1< to,
wh,cl' 1ti,s oe'"''' ,s ,ssued 1Sec 31:Nl C,v,1 Code,
Ler,der s Name Tln + on Bank
Le,,ce,·sAddress 525 11 B11 St
San Diego
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT T" FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBA~ JUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
Al-r'LICATION & PERMIT
..toe ADDRESS AV. ST. DATE OF APPLICATION ISUSUtESS LICENSE # VALUATION PERMIT NUMBER
2721 Glasgow DriVe RO, 11/19/82 1710 S5535
OWNER'.S-NA~ I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE ii ZONE Bl-5':3-57
TREETOPS. UNLIMIT:i;:D 299-5100 PACIFIC SCENE, INC. 299-5100
OWNER'S MAtLtNG ADDRESS • CONTRACTOR'S ADDRESS UCENIEHO. PLAN 1.0. # BLOG USE CODE
3900 Hi;!.rney street, San Diego, CA 92110 3900 Harney St., S.D. 27_2686 .
LOT Bt.OCI( . I SUBDIVISION uL ASSESSOR PARCEL NO, ~\ DESIGNER . S7Ac_;ffj"~~· STANDARD PLAN# BUILDING SQ. FOOTAGE
c;7 ---l""alav-ra lls (C.T. 76-12 Buzard & Henning 1705 DESCRIPTION OF WORK , ·
...... -......... , .~ .1!__.:......_.1 , ---· • -. DESIGNER'S AOOflESS DES~'SPHONE
-4883 Ronson Ct.; :Jir:o. . · ·J?&'..6855-Plan 3BR. •' -.. m FLA ELEV NO ace GP EDU -. , f '".~ , :<: 4-fo·".'.,r~ -..
,tf•',/". __ · \ ' s;RIES ~-3 I ·"--:rs '" ,.,. ' i ' vD r-.0
CENSUS TRACT I GP LANO USE
iAsOACE
RES U/NITS I GRADING PERMIT ISSUED I REDEVELOPMENT \~f\j ace LOAD FIRE SPA
AREA ':!hi,._ T .-t::. to vO ~ y D ND ,o Not Valid Unless M•chine Certified
1150 •• ' QTY. PLUMBING PERMIT -ISSUE QTY_ MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP 'L-, . ..-.r. I INSTALL FURN. OUCTS UP TO 100.000 BTU .A. -BUILDING PERMIT 01-000-4220 ...,., ' ---
I EACH BUILDING SEWER .e.. _ • ., OVER 100,000 BTU SIGN PERMIT 01-000-4221 -
EACHWATERHEATERAND/OR-vEITT-__ : 1-JIJ __ ,,,. -------
I BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 '7"Yf' -, ..,
LL __ EA.CH GAS SYSTEM 1 TO 4 OUTLETS t--· _ n_ .J '...~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ~ •l,,50_
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223 , "7 -- ----------~ ---,:;. . ---/;. EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 -
EACH VACUUM BREAKER ? MECH EXHAUST -HOOD/DUCTS ~.--MOBILEHOME 01-000-4225
---e
WATER SQFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ----
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
---STRONG MOTION TOT/..L MECHANICAL 65-640-0519 .., . ~...,
----i -"---'A,&. •.1vi-lh ------
TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE ~-QTY_ SOLAR -ISSUE
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
y.. ---. -.... -e---~-
'· !
--------
NEW CONST EA AMP.'SWT.'BKR J-""1 • /J&:-COLLECTORS /l . ~ SCHOOL FEE -DISTRICT
l/1 PH) 3 PH STORAGE TANKS c/ /., , -~ Carlsbad 65-623-0519 -1------~--
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -4 y ,l Encinitas 65-624-0519
---------,___ __
!PH 3 PH PUMP San Oieguito 65-625-0519
----------~-h/" -----------
REMOOEUALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
--------------------~. -_/,, ----------
TEMP POLE 200 AMPS ~ I - ----------~--------~--~-IIY.? OVER 200 AMPS --- ------------
TEMP OCCUPANCY {30 DAYS) -------------------~ ~----------~--
_____l - -I --------..__ ___ --------------------l ----
TOTAL ELECTRICAL 1-7 oo TOT AL SOLAR TOTAL FEES PAYABLE I 7Ao.b4
I H~AJ:.'1FUL.t. Y EXA,f.llNED THE 0QMPLE!EO:•'APPLICATION ANO PERM Ir' AND 00 HEREBY Expiration. EwrypermittuU9dbytheBuildingOtticieiundertM=:~ * Aft OSHA PERMIT 1$ fEQUflEO FOR EXCAVATIONS OVER
CER OEfr·PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lffllltation and beeome nufl and voM:t If the :e.-wott· -·5' 0" odP ANO DEM!lLJl'ION OR CONS110JCTION Of authoriZed by sucti permit is not commenced within f80days from the of $UCh
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or it the buildi' or work authorized by such permit is or STAUC1uflfs ~ 3 STORIES IN HENJHT
ISSUED: TO COMPLY WITH AU CtTY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandone(I at anv time er the work is commenced for • --'ocf ot 1 •
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLl~ANf'S SIGNATURE Jf. OWNERD CONTRACTOR 0 APPROVED l:h"-
1
~ i-DATE
KEEP HARMLESS THE CITY OF CARLSBAD .AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ~ ~ 4i___ '!/J·'""' i,.,,
1
u,zz,B:z. EXPENSES WHlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 GRANTING OF THIS PERMtT, .4 -1 , t • ... ... . .. ..
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INSPECTION TYPE DATE INSPECTOR -------8' I . S03 -51 _-,..,<.---.---~-1 BUILDING -~~~'..'.:'.~------+----+------FIELD INSPECTION RECORD
FOUNDATION .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL --·--
MASONRY-¥\<eFE'!OCE RrfI\1'¥2 IIZc2a·BZIQft: I INSPECTION-REO IF INSPECTOR s CHECKED APPROVAL
GI IPIITE OR GROUT I t,,\$\ll/l\1}ots.J j ,7,:;,, ,R='; f.1J.J-------------
DATE
SOILS COMP·_IANCE
I ~~~~;o:~10N_1NSP __ ·-_____________ _
A STRUCTURAL CONCRETE
FRAME l•t.l·B3 t:. OVER 2000 PSI _ --'-----l------------
EXTERIOR LATH lNSULATION I,?,-~, j'1i ' e ~~~sz:iiirn
FLOOR & CEILING SUB FRAME I I '1
SHEATHING f2a,£ I• LL 02,.. ::Pr<r°
INTERIOR LATH & DRYWALL I,;,' "' ' POST TENsio,rn --------------. . ~Ji
1 CONCRETE --------------. PLUM Bl NG . ~IE! D WSLOING
SEWER AND BL/CO . ,,.. n IJ,, .,,. r;-;;-;_,, S1RENGTH _ • ---==t
-7 ' ~ , I BUL TS PLUMBING UNDERGROUND r ----.. ---
f----------------· ----------------------· --------·----
·--~. ---------------------------_J
PLUMBING TOP OUT , A ~ -mJ
w
1,z_-4.~~IM
SCECIAL MASONRY. j . j I I ---~?_-~--~
-4-------------1 TUB AND SHOWER PAN
' -------GAS TEST I PILES CAISSON~-
BONDING I I I I
MECHANICAL -' ----=-=-:-:-:-:------:;
DUCT & PLEM., REF. PIPING ··--------------.. ____ -·,
HEAT -AIR COND. -SOLAR SYSTEMS ~' <----------------------------VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -----~---. . , -. . ---. -·----·---1
I . ------------------'
JOBSITEFINAL ! --------------------1 PLUMBING '
, N'"' I ' ELECTRICAL , ___________ -------~
MECHANICAL ./'V I -. ·,_j_,
GAS i..,;J, ~ --1--7----------------
BUILDING I' '\'~ ____ _ __ _
SPECIAL CONDITIONS ~ . . .
CERT OF o_cr.uPANCY 1ssuED C--___ __ _ ~ I _ -----------
ITEMS ABOVE HAVE BEEN APPROVED.