HomeMy WebLinkAbout2725 Jefferson St; ; 83-233; Permit"' z 0 ;::
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Loe No Class
I hereby afhrm that I am exempt from the Conlrac· !or's License Law !or lhe following reason (Sec 70315
Business and Protesstons Code Any city or county which re-quires a permit to construct, alter. improve. demohsh, Of
repair any struclure. prior 10 its 1ssuance also requires !heap· plicant fOf such permit to lt1e a s•Qned slalement lhat he 1s
hcensec:i pursuant to lhe prov1s1ons of lhe contrac10f·s license law (Chapter 9 commencing with Section 7000 of
Oiv1s1on 3 al the Business and Professions Code) or thal 1s ex-
empt thererrom and lhe basis for lhe allegea exemp11on Any ;~~1~i~ ~~gl:~t,t~3c~~~ ~n~~,:~r~~~: trfn',:~ ~~~~ dred dollars ( $500)
I, as owner of the property. or my employees with wages
as their sole compensa11on. will do lhe work. and 1he struc-
ture 1s not intended or offered fOf sale (Sec 7044. Business
and Profession!. 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 throogh his own
employees, provided that such improvements are not intend-
ed or offered tor sale. If. however. the building or improve· ment 1s ~d w1lhm one year of complellon. the owner-builder
wlll have the burden ol prov,ng thal he did nol build or im-prove 10< lhe purpose ol sale)
D I, as owner of the property, am exclusively contracting
w1lh hcensed confraclors lo conslrucl the prOfe<I (Sec. 70,44, Business and Professions Code The Contractor's license
Law does not apply 10 an owner of property who builds or 1m· proves thereon, and who contracts for each proiects with a
contractor(s) license pursuant to the Contractor's lteense Law)
0 As a homeowner I am 1mp!ov1ng my home, and lhe lollow-
1ng cond1110ns exist
1 The work is being performed pnor to sale
2 I have lived in my home lor twelve months pnor to completion of this work
I have no! claimed this exemption during the las! lhree years
0 1 am exempl under Se< . B & P.C lor this reason
0 I he,et>y affirm that I ha"e a cert,hcate or consent
to self 1nsu,e, o, a cer11l,ca1e of Workers
Compensation Insurance. or a cert1f1ed copy fher~, !Sec 3800 ut>or Code)
POLICY NO
COMPANY
D Copy IS flted With I
0 Certified copy •s he 1r/ushed
0 I certify U'lat ,n the perlormance of the wot1{ tor
which this pem,11 ,s issued. I shall not employ any
person ,n any manner so as to become sub1ec1 10
the Workers Compens,a11on Laws ol Ca11torma
NOTICE TO APPLICANT If. after mak1n1 this Gen, ru;;-te of E•empt,on. you should beeome sub1ect t'J
lhe Workers· Compensation prov,s,ons ot lhe Labor
Code you must forth\Jl.1th comply w1lh such
provisions or lh•s perm,1 shall t>e c>eemed re"'okeO
0 I hereby affirm lhal lhere ,s a con!=iruc11on
lending agency '°' lhf' pertormance of the woni ro,
wt'uch fi'us permit ,s issued 1Sec .3097 C1vll Code1
Lenders Name~-...:...--------~
Lenders Address _:.;_ _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
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''5.1~ r ..J~di'~ ST. RO. NEAREST CROSS ST PERMIT NUMBER
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'-'U~:!::~2!.,q.':-C,!'.l.!!;;2...l:;) ___________ LL~=C:..:::~IJ.~L-I co;;9,,R·,:~ /f.v'i_ BLDG usE cDoE
/~t:, ( nl=~lf":.NJ:a a ~ , ,,,...r._,,.,,.. -... _.. ··-. ---· • •. --·. -···------· --
OES~:s .. wi-. ~ BUILDIN~O. FOOTAGE
,
LICENSE # STANOARO PLAN #
DESCRIPTION OF WORK I
---,,-.:....----------------------.;_'------4 I DESIGNER'S PHONE
_......-.. Te:... ~ co FF J cc.... t---11!1'1 .. n.._ ... ,~. ~~-llllil. _ .... If-. --..--""!'!'!!!"'-+--..,...---~ I NO I occ GP I EDU ____ 7EJ//ltf/t-~ 1>,1111~1t1 e.ut c ,r r"LM tLtV., STORIES
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OO'C I tj~S B7 J 63
30:J,
23 • vO NO
REOEVELOPMENT I I TYPE I occ LOAD I FIRE SPR AREA CONST
vO NO _ YO NO Not Valid Unlt!Ss Machine Cuttfi«f
CENSUS TRACl l GP LAND USE -1 PARK ING SPACrl RES UNITS GRADING PERMIT ISSUED
YO ND
QTY. -:7.J· ~II QTY.
~ ..,,.,_ ~~ PLUMBING PERMIT -ISSUE MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
FT EACH FIXTURE TRAP I ""Z . .l{l j 1NSTALL FURN DUCTS iJP TO 100,000 BTU I -7 I BUILDING PERMIT 01-00-00-8220 ~XK -
j EAC H BUI LO ING SEWER I 1 OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -~ -
EACH WA TEA HEA TE A ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 '2..f'!z..
1
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EACH GAS SYSTEM I TO 4 OUTLETS TOTAL PLUMBING 01-00-00-8222 -+----EACH GAS SYSTEM 5 0 A MO RE MEJC HlM~PtM.11 -ELECTRICAL 01-00-00-8223 -
EACH INSTA~. ALTER, REPAIR WATER PIPE MECHANICAL 01-00-00·8224 -
EACH VACUUM BREAKER MECH EXHAUST MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOfATI~ OF EA~URN _ MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) -SOLAR 01·00-00-8226
STRONG MOTION 80·92-33-0519
TOTAL PLUMBING FIRESPRINi<LERS 01-00-00-8227 IYJf-
QTY. I\ ~ -t'On. I /50LAR . 1ssuE I I PUBLIC FAc1L1nEs FEE 32.00.00.8933
BRIDGE FEE
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT BKR ../'.J COLLECTORS I B SCHOOL FEE -DISTRICT
1 PH 3 PH V I STORAGE TANKS I n Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT 'BKR I 'i._ L ROCK STORAGE Enc1mlas 80-92-22-0519
1 PH 3 PH V I / , _/ -.r:,. ij / PUMP San Dieguito 80-92-23-0519 " REMODEL AL TEA PER CIRCUIT~~ L .J:rl-FY PLAN CHECK FEE . San Marcos 80-92-24-0519
TEMP POLE 700AMPS / 1 v;r \C,L \/
OVER 700 AMPS _,,, Y,/\ I c,/\" J :£1...A LICENSE TAX 01-00-00-8162 /7/YJ -TEMPoccuPANCY (30 oAYs, ~\~. A rTP
~£a) 7 I "1)\]"/ \'/\I\.V CREDIT DEPOSIT
TOTAL~,"-.),--I l(bVA TOTAL FEES PAYABLE ~f)~~-~ TOTAL SOLAR
r
* AN OSHA PERMIT IS REOUIAEO FOR EXCAVATIONS OVEM
5' O" DEEP ANO DEMOI..ITIOH OR CONSTRUCTION OF
I HAVE CAREFULLY Etf;;;NED THE COM~~;;~-~APP ATION AND P MIT' AND DO HEREBY Expiration Eve,ypermit1Uuedbythe8uildl1190ffic1elun-theprov1s1onsofth1s
CERTIFY UNDER PENALTY OF PERJURY THAT A FORMATION Hf EON INCLUDING THE Code shell expire by ltmrtet1on and beeome null andvood ti the building or work
DECLARATIONS ARE TRUE ANO CORR.ECT AND IF HER CERTIFY AN AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1th1n 180days from the date of such
1§UE~roOOM~W~A~~ncoomY~D~AfEUmG~ NING~~~OO~l~~!m~~!~~o!r~:!'~~!~~~ff~d~i!!o~r,~~a~u~~~~~~~~by•!w!c~h~pe!r!m~,~1L~~si~~pe~n~-~~o-rb~~~~~~~--~-----~--~~~--~--~
STRUCTURES QyEA 3 STORIES IN HEIG .. T
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ommenced tor 8 rood of !80 de
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COS.:JN~ A~ SI OWNER O ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE H ' •
GRANTING OF THIS PERMIT I
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TYPE I DATE INSPECTOR .. • --
BUILDING : ,.. " • 1 .,. t :-:, 8 3 ')..3 "=<. • ~". 1 . --' FOUNDATION I FIELD INSPECTION RECORD • ·•
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -•
MASONAY I REO IF INSPECTOR S ~ ~-• -...,
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE • ,,/ , .... ·
' ..c ., ,. '"T ~ /( FLOOR, & CEILING SUB FRAME I SOILS COMPLIANCE ' •
SHEATHING O ROOF O SHE~R PRIOR TO, , , \ ~--_ FOUNDATION INSP ' ' ··• • FRAME I
STRUCTURAL CONCRETE EXTERIOR LATH I QVER.2000 PSi' •• •
INSULATION I PRES TRESSED , ~~~~~~~~~~~~~~1~~-+~~~-;--~~~~--; CONCRETE !--~'~~~~~~~~~~~~~~~~~~~~~~~~~---,
INTERIOR LATH & DRYWALL I POST TENSIONED ••
I 1--co_N_C_R_E_TE~~~~-+~~~t--~~~~1-~-4 l--~~~~~~~~~~~~~~~~~~~~~~~~~~--1
PLUMBING : FIELD WELDING
1--~~~.......,r.-~'~~-+~~~t--~~~·---t----SEWER AND BUCO 0 \PUCO I HIG~ STRENGTH ,
BOLTS UNDERGROUND D WASTE O WATER , ,,. ,
• . . SPECIAL MASONA.Y , • . ' ~ ' ' ··, TOP OUT O WASTE O W,4TER -.. .._. ,.-: \', , -· ~-""i· "
TUB AND SHOWER PAN I . -• " ' •• ' : • \ .. {" '/ ' ' : , . ~ .. . V ~. -••
GAS TEST I PILES CAISSONS • / :
0 WATER HEATER O SOLAR WA:ER / ' , . \. .: _ ._,
ELECTRICAL 1 -•• ... / . -' ': • • ,.' ..:. • w
D ELECTRIC UNDERGROUND O l)FFER ; =-· . / ·\ .. . :···: ·~· \.
ROUGH ELECTRIC 1 . •. ·./ ..
0 ELECTRIC SERVICE D TEMPORARY ' ·/ -~°' ,· i' --·
0 BONDING D POOL : . ~ / ~ !· ' -l
MECHANICAL : / // j •• ·-
0 DUCT & PLEM., 0 REF. PIPINPn. ,1_./'--'. '---..ff-'111-/--+,_. --+----+-----+---, 1----------------------------1
HEAT -AIR COND. SYSTEMS I / ' ' .A).?'f ... I q ' I ~ . I ,;: • : ~,. ; I. j" ,.~ •
VENTILATING SYSTEMS t l ·' • -// JV/ . '] \ i '/ --. ·· '-J,} -{ -·.·"-. '"'\ '.~ ~..:'._ h ·1;·
' "'/:,, / c ....
___ C_A_L_L-FO_R_F_IN_A_L _IN_S_P_E_C_T_/Q_N_W_H_.E.._N_A_L_L_A_P_P .... R_m__,.9it-,,,l;..,_TE--1 (} • • '
ITEMS ABOVE HAVB BEEN APPRO~ED.,/ · . • / I If ~ '-.._ ,· , ' , ~
FINAL 1 / ~------"··;..;:;.'~-:-=---·---------------1
I / • "-l I I ~ . f .L ' ., • \ "· • • • ..
PLUMBING ! ,~· / f 4 . • • ~. •
0 = ~ · • • ~~~~~~~·-·~~~~~~~~~~~~~~~~~~~~~
ELECTRICAL t -/ ,. ~. -.. 0 .-J ,, ·_"'\. ,
MECHANICAL 1 / · ~',
GAS I /,. . ~ ~ .. :< • • .. ,, "-·~···· ·'
~~~~~~~~~~~~~;,<---~~t-~~~1-~-·~~--; .... •• ·• r
BUILDING /i · . -
SPECIAL CONDITIONS / ; ., I .
City of Carlsbad MISCELLANEOUS •
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 RECEIPT I ti
-
i' Job --~ "" Address :i '7/) ~ _rr; _,,, . p (c_ <%,1,. \ Sr MISCELLANEOUS FEE RECEIPT
Owner .) / \l!'{r: RAl?'Jtt~J/_,tun-l, fvf !'f:. ~ 0 01 ,00-00·8806 5).,,..,
• PLAN CHECK FEE
Mailing !i-vi/1. r-r I D A".~" t,--Vl:,J Address / /1=~ pr-t'1.-,, VALUATION
I City \'P.A. f\ I Zip k}t:f
Tel, 3(:!-5494, D DEMOLITION
Conlraotor
.AU C. ll..,J; fr (J)'
! D HOUSE MOVING
Address 1;i, Av1LA-/ D PARKS AND RECREATION FEE
D City I Zip Tel. .. _2wt/ PUBLIC FACILITIES FEE ~AA f'\. ~aa D SCHOOL FEE -DISTRICT State Uc.,V -~ City S Class,f 0 ( i' / Lie. No. D --I Carlsbad
COMPLETE FOR PLAN CHECK ONLY D Encinitas
,, r"I, ifY'. ~ ~ L3f ~ 1../?.,E! t/ 7 D San Diego LEGAL DESCRIPTION
f D San Marcos
...__; €(./ s r {)s t _A "-.) t\ s M <t I) t 7.J. ~ D CERTIFICATE OF OCCUPANCY "t
ASSESSORS PARCEL NO )(}_ 3,:, //,~-L/S-[l
D I
DESCRIPTION OF WORK n
I c-lJf o..Jrs ~~fu...c.. brwe tu,,,, ... J1"c D
'l-.. '\ D
J -0 ..S:::--F-t <-,;-., D
D
h-r:Js D
PLAN ID NO.
D
DESIGNER ADDRESS Rto AA.<: v-c,ur-..., (' r-D
' , I c, ';J. 4 ::J -f<.;:; x c./ D -PHONE so -TOTAL FEE $
CONTACT PERSON :,-::j p u J; f scl'f' ·WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
~o,,.
COMMENTS:
. -ix Sig,,ature of Applicant • ---
\.. .J
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
GRADIMG CUBIC YARDS ~ RUNNER NOTIFIED I
llillRDIP ARIM.Efill\.L WF ORMAII ON s~ EEI ~ E C E IV E IJ)
%* * * * * * i• * * * * * * ,;; * * * * * * * * * * * * ;') ;': * :~ * * ilD * * * * * * * * * * * * * * * * * * * * * 1: * * * *-'" i; f * * * ;'< * -}•
PLANNING DEPAR.Il1I.NI
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS CARLSBAD ------
·UNITS REQ'D: PROVIDED: ---·--------------------
% COVERAGE ALLOWED: PROVIDED: ---------~--~
PARKING SPACES REQ 1 D: PROVIDED: -----------
BU IL DING HEIGHT REQ' D: PROVIDED: -----·--------------
FRONT SETBACK
ALLOWED: ------
PROVIDED: ------
INTRUSIONS: ------
RE-DEVELOPMENT APPROVAL REQ'D:
SIDE SETBACK REAR SETBACK
--------
LANDSCAPE & IRRIGATION PLAN COMMENTS: ----------------
ENVIRONMENTAL PROTECTIO;~ REQ: __________________ _
t.NG ii·iE8UNG DEPARTMEN1
R.O.W:
PUBLIC FACILITIES PEE: SEWER CONNECTION: --------------
DRIVEWAY LOCATION(S) : ____________ ---·
GRADING PERMIT=---------·-----------------
EASEMENTS: DRAINAGE: -----------------------~--LEGAL DESCRIPTION: ____________________ ~----
. ADDITIONAL CO~!MENTS:
:11ECK IF EN~:ING J NSPECTION R[Q' D. ON FINAL:
K ro Issur: = DATE= 1(1=9-er~ Pwr = . oK TO FINAL:~--
DATE: Jll-q-6:,
* IF TIIIS ITEM IS NOT CIIECKED, BUl LDING D[PJ\RTM ENT WILL MAKE
PINAL INSPECTION.
... ~ ..
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
t.
EXISTING BUILDING
LEGAL DESCRIPTION
0 0 of ot 7, e id
REMARKS:
LATERAL LOCATION
ST.
,-.
LATERAL NO, _______ INSTALLATION DATE--------
N° SE 1468 BUILDING DEPT.
ISSUED BY -~-----'--"'"""'--L----------
DATE ISSUED-...&--=----=-----------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') _________ _
OVER 30' H. @ FT. _________ _
OVER 10' V . @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10'>----------
OVER 30' H. ___ @,__ ___ FT,----------
OVER 10' V. @ FT.----------
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTAL LATERAL CHARGE-------~--
LINE COST DATA
ASSESSMENT DIST. NO.--------------
FRONTAGE ____ COST PER FT. ___ TOTAL __ _
OTHER--------------------
CONNECTION FEE
NO. UNITS-~-COST PER UNIT-'t'......-.-1~-TOTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TQTAL---
TOTAL CHARGES (LATERAL ETC.) _______ .t-'--3l_·_~_