HomeMy WebLinkAbout2725 GALICIA WAY; ; 82-47; Permit::! 0 ~ a:
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f1r ! _ 1by affirm that I am licensed under
jjfbvtsi"on"s of Chapter 9 (commencinQ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full for5t and ~iaf.' I,, ~) r· i . C
Lie No(___-~_":)_ Class \ L,._ LL-,
I hereby af!,rm !hilt I am exempt from the Con
!ractor's License Law tor the !ollow1n11 reason (Sec
70,31 'i Bus,ness and Pro!ess,ons Code Any c,ty or
county wh1cli requ,res a perm,t to cons!ruc,
alter, ,mprove, demolish. or repa,r any structure.
prior to ,ts issuance also requires the applicant !or
such perrmt to Ide a signed statement that he ,s
licensed pursuent to the prov,s,ons of the Con
tr~lor's License Law (Chapter 9 commencing with
Section 7000 of O,vrs,on J ol the Business and Pro fess1ons Godel or tha1 ,s exempt therefrom and the
bas•s tor the alleged exemption Any v1olat1on of
Section 7031 5 by an applicant tor a perrmt subiecrs
tne 114)pllcant to a c1v1I penalty of no! more than five
hundnKI OOllars ($5001
D I, as owne, of the propeny, or my employees
with wages as then sole compensat•on. will do the wort<., and the structure 1s not intended or ottered !or
sale (Sec 7044, Business and Proless1ons Code
The Contractor's License Law does not apply to an
owner of proper1y who builds or ,mproves thereon
and who cloes such wort<. himself or througr. his own employees. prov,ded tha1 such improvements are
not in1ende1 or olfered for sale If. however the
bu,iding or improvement ,s sold w1!hin one year of
completion. the owner-builder woll have the burden
of proving tha1 he did not bu,ld or improve for the
purp0se of sale)
O I, as owner ot 1he property, am exclusively
contracting w1!h licensed contractors to construc1
the pro1ect (Sec 7044. Business and Professions Code The Contractors License Law does not apply
to an owner of propeny who builds or improves thereon, and who contracts !or each proiects w,th a
cOfltrac1011sJ license pursuant to the Controoctor's
L,cense Lilw)
0 lamexemptunderSec
for th,s reason
, B & PC
D I hereby a!firm that I ha~e a cer11!1cate of consent to self-insure, or a cert1f,cate ol Workers
Compensat,on Insurance. or a cen1!1ed copy thereof
(Sec 3800. Labor Code) _,.,.
POucrn<{,i,J:,. \ ':? .~ -L ~ "C '4-~·;i. COMPAN>-r~Jlru ~ lcckS.
$. Copy IS !oled w,th the city i.J~
D Cert1!ied copy IS hereby furn1shr--
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s se.:t1on need not be completed 1f the permit
1s !or one hundred dollars 15100) 01 1ess1
0 I certify thal on the performance ot the worl< for
which this perm,! 1s issued. I shall not employ any person ,n any manner so as to become subiec! to
lhe Workers· Compensation Laws of Calitom,a
NOTICE TO APPLICANT I!. after mak1n1 this Ceri,
!icate ot Exemp11on. YD'-' should become sub1ect l'J !he Worl<e,s· Compensation prov,s,ons ol the Lat>Or
Code. you must lor1hw1!h comply with such prov1s1ons or this perm,1 shall be deemed re~oked
0 I hereby afllfm that there ,s a consHuct,on
1end1ng agency to, the per<o,mance of lhe worl< lor
wh,ch 1h1s permit ,s ,ssued 15ec 3097 C,v,1 Code1
Lenders Name_·_-__________ _
Lender s Address _c· -~---------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT-'FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBJ . BUILDING DEPARTMENT Al""PLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
~ •:_/;~ G t1 ti(I ; L\ WAv •"si.T ;aT:;;,~·;;~"l ?J.1/2()~ .. • /;2,•L;:';0953-~ """" N"""'"
owQ";~;,;rt n._,,. kmoV\l I I OWNERSPHONE 'if.'~~"T:~c:,o"PoAis
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~°";•;:~'Z/ii' zoNE <f,2-rf /
ow~7~SGA<SEAL;e,iA-llA-./ r111o[<L-csiorr;~~ss()-\0\),vt $_!")_ ,'qE;El~9 PLAN0.0.# BLOGUSECOOE
~BLOCK IEADl~.'~<;i"A < ';:/f/SSOR !'ARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING so. FOOTAGE
OESCAIPTION OF WORK r\.. ~ ~ ,.-, . 1 vv-,... o oo L ....i... '-~ A , , ~ O l'1J. OESJGNEA'S ADDRESS DESIGNER'S PHONE
1 I I •
-------------------F.'P FLA ELEV. NO ace GP EDU I • STORIES ,_1 -,~I:_-;, ,::
,• NO
CENsus TRACT I GP LAN• usE I PARKING SPACE: RES uN1Ts I GRA•1NG PERMIT 1ssuEo I REDEVELOPMENT TYPE ace LOA• F1AE SPA . AREA CONST
¥ 0 N O , 0 r-.. 0 v O NO Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7 ,S1" QTY. MECHANICAL PERMIT· ISSUE / SUMMARY/ACCOUNT NUMBER _
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU /. BUILDING PERMIT ~i,, ;_.------------1----~----,c-------------------·--+---,,~~-•~ --------•-W -----
1----+.cE~A.cC~H ,BUILDING SEWER _ _ _ _ ',C 1 __ _____ OVER 100,?_00 BTU ,/ SIGN PERMIT ,,-_ _!__
/ EACHWATERHEATERANO.ORVENT t__:_2~ BDILER/COMPRESSDR_LJP_T_D_J__HP__ -V PLAN CHECK (, 'f">,.__(-;;t;_~-,n
I EACHGASSYSTEM1 T040UTLETS i ~-~1--_ ~~~~R_!__C~M~~ESSOR315HP / TOTALPLUMBING { / /-S,.. d'
1 EACH GASSY_S!_E~5_0_~ MORE 4__ ______ . .._'7)_ META__l:___'.'_IREPLA~~ / ELECTRICAL _ _____ ✓y-
/ EACH INST AL .. ALTER, REPAIR WATER PIPE _ __??--VENT FAN SINGLE DUCT / MECHANICAL --+---------l
EACH VACUUM BREAKER MECH EXHAUST HOQD.:•uCTjl" MOBILEHOME -----------------+---: 1 >--------ccc--c-c----c,,_-=cccc-----sc----0-~11--------------------+---
1---+~W"-A"T ,ER SO FTN ER ---+----'--II-R ELOCA T 10 N OF EA FURN Alt iH EA TE A MOBILE HOME PA_R_K_I_NS_P ____ _
i EACH ROOF DRAIN (l~JSIDE) ---~ / SOLAR ______ /'I, "~--'I_-_ ----------..----/"1:!, 1..-TOTAL MECH,mlCAL L~!RONG MOTION --------------:--p ~
TOTAL PLUMBING I /.:> . FIRE SPRINKLERS ---+--------
,,-.,,c.1 PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE• y< . 'QTY. SOLAR· ISSUE ____ _.' BRIDGE FEE ----~---.
/ NEW c•NST EA AMP:sw~ BKR /_Vt.1.-t-Ak' ~--COLLECTORS ----------_-_-_-_-i,_-_-____ __._scH00LFEE:-•1srn1cT -_-_-_-_-_-_-_-_-_-_-_-_-_-_-_~---=-= ---·
1 PH 3 ~ ---ll----STORAGE TANKS Carlsbad ~+------------------------------+-------'--11---------------1------
EXIST BLDG EA AMP.,SWT-'BKR ----1----ROCK STORAGE ---------+-------" Enc1n1tas
1 PH 3 PH _ _J[_ __ _l_.PUMP --------+--------IC--~1!0 --________ ---
REMODEL'ALTER f'E-RCIRCun -------PLANCHECKFEE ~ SanMarcos --
------------------------r---------------------------+----------
TEMPPOLE 200_~~~--___ ________ ___ ________ _____ '-.~--J _____ ~ ·---
<----+--O __ VER 200 AM~?_____ ___ ___ _ ---~-----r--___ _ ________ '--___ __ _ __ _ __ _
TEMP OCCUPANCY 130 DAYSI _____ '--~; -rn,:: ,,,-,~:,:AL -i ---J ,i;, ~:__ 1--:::-_:__ ~DTAI SOIAR ---P-.._~:c· --.--+--TO=-~EES PAYABLE -I / 7~ !£--~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY EJ1piralion. Everype".ffli_ttS~uedbythe8uildingOffic1a!underthepr~vis1onsof'this * AN OSHA PERMIT ts REQU1AED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall eJ1pire by hm_i~tion and become n~lt and void lf the budding or work 5' o·• DEEP AND 0EMOl..fTK)N OR CONSTRUC:TlON OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulh~nzed by such ~rmit is not commence_d wilhm lBO days lr?m the date of such STRUCT\JftES OYEA 3 STORIES IN HEIGHT
lSSUED: TO COMPLY WITH All CITY. COUN~ AND STATE LAWS GOVERNING BUILDING CON-:~::On~
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~1sr~a~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNA~M: ,,_, 0 , N.,, APPROVED BY D¾TE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO · ,,,. OWNER CONTRACTOR 7'--• ,(/44-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ '..._L .I_ BY • I ' IP-V
GRANTING OF THIS PERMIT / //. • •...,., _ • PHONE .,,/J /0
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION "--
REINFORCED STEEL "--7•4.R-1 ...,
' MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND 3-6 -82-ii
PLUMBING TOP OUT
-
TUB AND SHOWER PAN
GAS TEST ~-4-IJ], I ,(I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND l'?-/~-82. l"Y d/>Jl,I'
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING !, 't-4-h 1-f ,, . G. F. L -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF O: .-.JPANCY ISSUED
'zj~-L/7 ... ~~--...... ,-. . .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS DATE .l? . A:_ V r-lJJ/J lj.lllJ~tF 2 CHECKED APPROVAL tJe,e/Jr • ,,,, ,,_ Al{, . Ji '3 JI SOILS COMPLIANCE • ' PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE -----
OVER 2000 PSI
PRESTRESSED --·--
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
, SOL TS --c----------
SPECIAL MASONRY
1-----------
PILES CAISSONS
'
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~----·------
·------
----
~
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INTERDEPARTMENTAL INFORMATION SHEET
~ECEIVED
FEB 2:l.1982
BUILDING DEPARTMENT
BUILDING ADDRESS:
DA TE: e,r· _ ~ t.A·r OF CARLSBA do-7.;i ..$ ~ ¼~ldin~ De,oortmenP
c:Q /~-~O -I;;)_
PLANNING DEPARTMENT }? ZONE __________ LOT SIZE _________ LOT WID TH _______ '2f-~..;-,.-
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED -----------
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK : SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL S: o/),/4 /22 9
ENGINEERING DEPARTMENT ~
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
________ DRIVEWAY LOCATIONS ____________ _ SEWER CONNECTION
GRADING PERMIT _______ EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS ,6L-64 ~ # -</
OK TO ISSUE :..D.UZ DATF2-22-,,,. 82-PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP . _______ _
FI RE ALARMS EXITS ________________ _
FIRE HYDRANTS ___________ LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
' ' \, ,..
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
etitp of qzarlsbab
TELEPHONE:
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at , S / ,'t-,· A
(site address) I certify that all~o~fµ,t~h~e~f~o~l~l~o~w~i3n_g!....!.r~e~q~u~i~rLe-n-,e~natt-.:.s.?....;;J-
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand ~eriods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature: Date:
Print Contractors Name: ~"' 't L..1 f\lj ~Ill C, ( $
Contractor, Signatur~~~--~·EC.-·--~----~D~a~t~e~=~'f:._~--,y':~f,::...:Z.
Address: ~ ~,vT E'l<t, $. D,