HomeMy WebLinkAbout2721 MONROE ST; ; 86-538-130; Permit- .
2 r 0 - I hereby affirm that I am licensed under I
C.) I provision. of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
L. full force and effect.
Or - I hereby affirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit to construct. after, improve, demolish, or I repair any structure, prior to lie iccuance also requires lbe up'
plicant for such permit to file a signed statement that he is licensed pursuant to the. provisions of the Ccm!ractvr'c I License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Cods) or that is ex-empt thcrcf rum and the basis for the alleged exemption. Any I violation of Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than five hun-dred dollars ($500).
I, as owner of the property, or my employees with wages - as their solo compensation, will do the work, and the struc-ture is not intended or offered for sole (Sec. 7044, Business I and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own I employees, provided that such improvements are not intend-ad or offered for sale. If, however, the building or improve-
ment is sold within one year of completion, the owner-builder will have the burden of proving that ho did not build or im-
prove for the purpose of sole).
- I') I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cede: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). ,
13 As a homeowner lam improving my hsme, and the tollnw- iog conditions exist: I. The work is being performed prior to sale, I have lived in my home for twelve months I prior to completion of this work. I have not claimed this exemption during the last three years.
lam exempt under Sec. _. B & P.C. for this reason
thereby affirm that I have a certificate of consent .to
self-insure, at certificate of Workers' Compensation In.
surance. or a certified copy therCol fSec. 3000. Labor Code)
POLICY NO.
COMPANY
0 Copy is filed with the City -
O certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM.
WORKERS COMPENSATION INSURANCE
(This section need not be completed it the permit -
is for one hundred dollars ($100) or less)
I certify that in the performance or the work tor which this permit Is issued. I shall not employ any person in any I manner so Oslo become subject to the Workers' Compen-sation Laws of California.
NOTICE TO APPLlCANT:Ifl, after making this Certificate at Exemption, you should become subject to the Workers. I
Compensation provisions of the Labor Codn, you must Iorthwith comply with such provisions or this permit shall
be deemed revoked. -
sic [' 0 I hereby affirm that there Is a construction lending i agency for the performance of 1kg work for whir'h thin Ver-
mit is issued (Sec. 3097, Civil Code) Z - Ml Lender's Name_________________________________ -J --
Lender's Address
15 0 -j
m
Ml Z
31
ic Ml
0
C (0 C)
0, a
C
0.
0
USE BALL POINTPEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
"- CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859(619) 438-1161 ,( -
JOB ADDRESS0," AV. ST. RD. NE RESTCRSS 1, bATE OF APPLICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
c3à/ '/QM-\' I c I it ______
B IVIS N A CID 4 CONTRACTOR CONTRACTORS PHONE a oI BLOCK ZONE
OWNER'S NAME OWNER'S P ONE _________________________________ " 67J8 ________________
CONTRACTOR'S ADDRESS STATE LICENSE NO./ BUILDING SO. FOOTAGE jJ//oQ4 ? -lu",' 7' OWr4Cfl'O MAILING ADDflCCS
DESIGNER 7AS_XJr _c/_'Thmto t i/a
DESIGNEM'S PuNE
oP____
,ta,, DESIGNER'S ADDRESS STATE LICENSE NO.
-- F/P FLRELEV,I I NO OCCGP E I STORIF S
YO
- I - P A K INGSPACE RES UNITS GRADING PERMIT ISSUED I AREA _TV 0CCLOAD I_FIRESPR
-_I_ Ct Valid Unless Machine Certified Yor k Not
- o e
-
QTY. PLUMBING PERMIT - ISSUE 7_Sd QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP S - INSTALL FURN. DUCTS UPTO100,000BTU - BUILDING PERMIT 001-810-00-00-8220
I EACHBUiuLDINGSEWER .., 4 OVER100,000BTU L71 , SIGN PERMIT 001-810-00-00-8221 -
EACH WATER HE'ATERAND/O31VENT BOILER/COMPRESSORUPTO3HP
BOILER/COMPRESSOR 3.15HP -
-
.
PLAN CHECK
TOTAL PLUMBING 001-810-00-00-8222
001'810-00-00'8821
EACH GASSYSTEM1T04OUTLETS
EACH GAS SYSTEM 5 OR MORE' '
,' METALFIREPLACE .':' ELECTRICAL '001-810-00-00-8223
EACHINSTAL..ALTER, REPAIRWATERPIPE - VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACHVACUUM, BREAKER. _- -. _5_..
MECHEXHAUST -HOOD/DUCTS MOBILEHOME 001'810-00-0O-8225
WATERSO.FTNER - - RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIIE)
.
DRYER VENT . STRONGMOTION 880-519-92-33
V •.\s....,,,,., - TOTAL MECHANICAL I I 17_.
FIRE SPRINKLERS 001-810-00-00-8227
\-TO TALPIUMB1NG.t' ,Ø PUBLIC FACILITIES FEE 320-810'00-00-8740
- BRIDGEFEE _360-810-00'00-8740
QTY' ELECTRICAL PERMIT- ISSUE - QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA
NEW CONSTEAAMPSWT!BKR /.4y4)1JO -'-- CARPORT - . TIF 134-810-00-00-8835 '
I PH, \_ 3PH , AWNING . LA COSTA TIF 133-810-00-00-8835
EXISTB1-'6dEA_AMP/SVT/BK14__- - GARAGE ' - FMF
1 PH 3 P ' - . LICENS 81 62
REFbOE4AL.TR PER CIRCUIT ' . MFF 99257 TEMP POLE.-,2,Q0 AMP___Le,., '' - - . . --NUV_2_1
OVER 20 _AMPS.,____________
TEMP OCCUPAN'CYI3O'DiYS) - City o _cARLSBAD
CRENT PROCFSSIN _k S.
TOTAL ELECTRICAL I .' TOTAL
-
TOTAL FEES PAYABLE
—
I HAVE CAREFULLY EXAMINEDTkE COMPLETED -'APPLICATION AND PERMIT" AND DO HEREBY I Expiration. Every permit issued bythe Building Official under the provisions of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER Code shall aspire by limitation and become null and void lithe building or work CERTIFY UNDER,: PENALTY-OF ,.PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I 5'0" authorized by such permit is not commenced within 180 days from the dale of such DEEP AND DEMOLITION OR CONSTRUCTION OF
UE(LAHAI IONS ATIEJ'AVE AND CORIILCT AND I rURTHEll CERTIFY AND AGREE IF A PFRMIT I pormut, or if Iho building or work authorized by much permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON. abandonedatanyIi_aftertheworkiscomWencedfora period 01180 days. - - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AF`51f~N`T'S SIGN RE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ______
a
GRANTINGOFTHISPERMIT.__
cNER\
BY PHONE 0
CONTRACTOR 0 APPROVED BY _- ___0A1E1.f
(\
M Pl. _Yciz
0
0
an CL in C
I . I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
INSPECTORS NOTES - I
F'
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME 0 FLOOR 0 CEIJNG
SHEATHING EfROOF E7'S0EAR
FRAME ______
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL (,4441
PLUMBING
O SEWER AND BL/CO 0 4L/CO
UNDERGROUND FeMASTE DIWATER 1.23,97
TOP OUT ;WASTE jVATER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR VATER
t
ELECTRICAL
ELECTRIC UNDERGROUND UFFER ,7 ROUGH ELECTRIC I_______
ELECTRIC SERVICE 0 TEMPIDRARY
O BONDING 0 POOL 4
1
MECHANICAL
DUCT & PLEM., 0 REF. PIPING /7
HEAT — AIR COND. SYSTEMS I_____ ______
VENTILATING SYSTEMS
I PILES CAISSONS I I I I
CALL FOR FINAL INSPECTION WHEN ALL.APPROPRIATE - - -
ITEMS ABOVE HAVE BEEN-APPROVED.-
FINAL
PLUMBING - -
ELECTRICAL
MECHANICAL 1
GAS
BUILDING
SPECIAL CONDITIONS
:
CITY OF CARLSBAD LOT /3O
INSPECTION RECORD
I ADDRESS: ??, tAJ,2OL -
BUILDING
FOUNDATION ' /1-724
REINFORCED STEEL
MASONRY
GUN!?! OR GROUT
SUB PRPJII ( ) FLOOR C) CEILING
SHEATHING f.4OF vc HEAR 4'-?? 7
FRAME
INSULATION -.
EXTERIOR LATH
INTERIOR LATH & DRYWALL &
FINAL
PLUMBING
) SEWER & BL/CO C ) PL/CO
UNDERGROUND (-1 WASTE ( ) WATER ./--v3
TUB & SHOWER PAN
GAS TEST
C ) WATER HEATER C ) SOLAR WATER
FINAL
ELECTRICAL
) ELECTRIC UNDERGROUND ( ) UPPER
BONDING ( ) POOL --
FINAL
MECHANICAL
C ) DUCT & PLEM., ( )REF. PIPING,
HEAT - AIR COND. SYSTEMS 7)
VENTILATING SYSTEMS -
FINAL
COMPLETE BUILDING
DATE: I I
CLEARED WITH GAS AND E CTRIC
DATE:______________
NOTES ON REVERSE SIDE......
••-
FINAL BUILDING INSPECTION
PLAN CH NUMBERS 86-53843O DATE: 101-87
PROJECT NAME: Los Arboles
ADDRESS: 2721 Monroe St
PROJECT NO.: 772 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: sfd NUMBER OF UNITS: 1
)
CONTACT PERSON: Steve
CONTACT TELEPHONE:
INSPECTED
INSPECTED BY:
I
INSPECTED
BY:
DATE NOV. 02 1987 INSPECTED: APPROVED DISAPPROVED
DATE
INSPECTED: ____________ APPROVED ______ DISAPPROVED
DATE
INSPECTED: ___________ APPROVED ______ DISAPPROVED
Costa Real Municipal Water District
COMMENTS: Engineering Department
(619) 438-3367
Rev. 1186 WHITE: Suspense :ter Dstrct EEN: Engineering CANARY:Utiiities PINK: Planning GOLD: Fire
I
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-538-130 DATE: 10-1-87 1.
PROJECT NAME: LOO Arbolco
ADDRESS: 2721 I'lonroo St
PROJECT NO.: 772 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: ofd NUMBER OF UNITS:
CONTACT PERSON: Steve I "
CONTACT TELEPHONE:________________
all dent
INSPECTED DATE
/.'fE7 BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ______ INSPECTED: APPROVED ______ DISAPPROVED ±
1
Rev. 1186 WHITE: Suspense BLUE: Water District Planning GOLD: Fire
'- • -- ve
- FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86338130 DATE: 1O-l-87
PROJECT NAME: Loo Atbolea
ADDRESS: 2721 Notir*4 St
PROJECT NO.: 77"2 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: ofd NUMBER OF UNITS:
CONTACT PERSON: Steve
CONTACT TELEPHONE:
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: _______________________ INSPECTED: ____________ -APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: INSPECTED: 1) . APPROVED- DISAPPROVED -
. - - - • 4 ...
COMMENTS:
/
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Uti PIN K: Planning OLD: Fire
- .-----.---- '...- - ".- '--
r'
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-538-130 DATE: 10-1-87
PROJECT NAME: LOB Arbolco
ADDRESS: 2721 1onroo St
PROJECT NO.: 772 UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: ofd NUMBER OF UNITS: 1
CONTACT PERSON: Stave
CONTACT TELEPHONE:
All diot
INSPECT? DATE
BY: INSPECTED:/ ?7 APPROVED DISAPPROVED
INSPECTED DATE
BY: _______________________ INSPECTED: APPROVED ______ DISAPPROVED
INSPECTED DATE
BY: ______ INSPECTED: ____________ APPROVED ______ DISAPPROVED
COMMENTS:
Rev. 1186 WHITE: Suspense BLUE: Water Distric=EglneeringCARY: Utilities PINK: Planning GOLD: Fire