HomeMy WebLinkAbout2727 LYONS CT; ; 82-245; Permit"' z 0 ;:: .. "' ..
~ ~ Q
"' i[
l
"' "' Q ~ 5 ~ "' z ~
z
0 ;:: .. "' z w .. ,.
0 u
"' ir w "' "' 0 ;l
![
,USE »I'll POINT PEN ONLY & PRESS HARD ____________________ _.:.:Ac.Pc.P.:.Ll:.:Cc.Ac.N:..:...T T" "ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
,UILDING DEPARTMENT D I he. s.fflrm that I am licensed under;tl CARLSBAL
proYlslom, _, Chapter_ 9 (commencing with 1200 Elm, Carlsbad, California 92008
Section 7000) of Division 3 of the Business
(714) 438-5525
AP, ..!CATION & PERMIT
and Professions Code, and my license is in ~ A~gT, DATE OF APPLICATION ~,,___ •e .
Le No Cla,s ',,) I
BUSINESS LICENSE # VALUATION 4,ooo PERMIT NUMBER
~-zef I hereby afl,rm that I am exempt from the Con rOJtt~uL~~:;:: a~; ~7~1~~~1~~li~e'e:~~~,\~~'
county which requ,res a permit to construc1
alter. ,mprove, demolish. or repalf any structure
pnor to ,ts ,ssuance also requires the applicant tor
such permit to !,le a s,gned statement that he ,s
licensed pursuant to the prov1s1ons ot the Con
tractors License Law (Chapter 9 commenc,ng wrth
sect,on 7CXXJ of D,v,s,on 3 of the Busoness and Pro
fess,ons CodeJ or tha1 ,s exempt 1heretrom and the bas•s tor the alleged exemption Any v,ol<1t•on of
Sect,on 7031 5 by an appl,cant for a perm,t sub1ects
tne appl,cant to a c,v,I penalty of not more than f,ve
hundred dollars !$500)
~~-w~~:~:\i;ir
1
~~1~rig:~n~\~~ ~~f~0ci~!
wor1<. and the S1ructure ,s no! rntended or otfered for
sale /Sec 7044, Bus,ness and Profess1011s Co<le
The Contracto<s l•cense Law does no\ apµly to ao
owner ol propeny who builds or improves thereon and who does such wor1< himself or through his own
employees. prov,ded that such ,mprovemecits are not ,ntende'l or offered for gale If. however the
bu1ldmg or ,mprovement ,s sold w,1h,n one year of
complet,on the owner builder will have the burder
ot provmg that he d•~jtb~d o, ,mpro,e lor t'1e
purpose of sale) ~,,._v
D I, as owner ot the property, am exclus,vel,
con1ractmg wa!h licensed contrac:ors 10 cunstruct
the pro1ec1 !Sec 7044. Business and Profess<ons
Code The Con1ractors License Low does not apo,y
10 an owner o! property wno bu,lds or ,mproves
thereon. and who contracts 'or each proJeC1S w,th a
contractorts) l•cense pursuan1 1n lhe Contr~ctor's
License L.awl
0 I am exempt under Sec
Tor \h,s reason
B & PC
O I hereby affirm tnat I na,e a cert,!,cate of consent
to self-insure or a cert1f,cate o• Wor~ers
Compensa1ton Insurance, o< a certd,ed copy Thereof {Sec 3f:O) Lat.x:>r Code,
POLICY NO
COMPANY
O Copy ,s filed w,tt, ttie c,ty
0 Certified copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(This section need not be completed 1f 1he permit
,s tor one hundred dollars ($100! or less)
0 I cerl1fy that ,n 1he performance ot the worl< !or
wh,cr, th,s permit ,s ,ssued. I sha.11 not employ any
person ,n any manner so as to become subrect to
1he Worl<ers· Compensation Laws ot Cal,torn1a
NOTICE TO APPLICANT 11. atter mak1n;i 1h•s Cert
tocate of Exemption you should become sub1ec1 •0
the Wor1<ers Compensation pro~,s,ons ol !he Labor
Code. you must torthw,th comply with such pro~1s1ons or th,s pe,m,1 shall t:,e deemed revoked
D I hereby affirm that there ,s a conslruc11o'l
lending agency •or the perlormance of the "'ork 'Qr
wh,ch lh•5 perm,T ,s ,ssued ,Sec 3097 C,vd Code
Lenders Name ___________ _
OWNER'S NAME PRIME CONTRAJTOR
6'flw!.-V 73 ~~~ ... --~~~ n1'f3
OWNER'S MA1TNG A~S ---~o I CONTRAcTo/·s ADDRESS
LOT l BLOCK l SUBDIVISION I ·7t,'3/:."'!)11 -~ n DESIGNER
OESCR1PTION OF WORK
DESIGNER'S ADDRESS
~ ----~IF•-F iP FLR ELEV
"c .... u
C)P L_Ar-,,;; , GRAUi NG "'.ERMIT ISSLJED
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE #
LICENSE NO.
STATE L!CENSE 1t
DESIGNER'S PHONE
ace GP EDU
ace LOAD FIRE SPA
ZONE
PLAN 1.0.;;
STANDARD PLAN#
,-,.
[J
7 Ii:: I.,, -).
i ),
!S
BLDG USE CODE
BUILDING SQ. FOOTAGE
/ / !
,_J
""'" rnAO 1 l CARK<NG S'AU RCSU"TS I
YO ~ 0 I
REDEVELOPMENT
AREA
vC -...□ vO NO Not Valid Unless Machine Certified
QTYI PLUMBING PERMIT -ISSUE
I
1
7. 5 0 :1 QTY MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
L--+ EACH FIXTURE TRAP
I EACH BUILDING SEWER _L-J EACH-~AT_~_R_H_E_A!_~-R-M,LJ OR VH,T
_ / _ _j_ -~~ ~S SYSTEM 1 l O -1 OUT. ETS
'EACH GAS SYSTEM 5 OR MORE
1--
.
f---I ! EACH INSTA~ ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
---f
~~~TE R ~-~NE R
, EACH ROOF nR:AIN 1:'.1S1"JE:., ._ r·
TOT AL PLUMBING
I ----+ . -·-j-
'
~ ------~~
QTY.1 ELECTRICAL PERMIT -ISSUE
------
NEW CONST EA AMP SWT ilK~ ._~---
I PH ·, PH
-------
i EXIST BLDG EA AMP,·swr BKR
I PH 3 PH
/µ-?:i,
r--SC-
INSTALL FURN DUCTS UP TO 100 000 BTU --------------OVER 100 000 BTU
I BOILER·COMPR[SSOR UP TO 3 HP I so1LER-.:c□MPRfrs □R-]-15 HP -+---____ ____,__ -
METAL F REP< ACE
'i MECH EXHAUST HODO DUCTS
,z._---~ ___
1
t_vENTFA-Ns~_~G~~~-~~.!
---~----TOThL ME-.
'
BU!LDING PERMIT
SIGN PERMIT
--~--i-_P_L~~ CHECK
--TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE.HOME
MOBILE.HOME PARK INSP
----l SOLAR
STRONG M-□-Tfd°r'.f
------:J_-_.11_·-.-RELOCATIO"_D~ _ _E_A__F_URNACE,HEATER
-t-. I _ ~~~~~ ~~~~~~~J-c~~---~......jll rmi::: ;:irr
2 • o_o_j QTY [ ·--_s·a_LAR -ISSUE ---!------II[
I-rtnr ""nlNKLERS
PUBLIC FACILITIES FEE
· t COi LECTORS ·--+--t STORAGE TM~KS
-·---
ROCK STORAGE
PUMP
BRIDGE FEE
SCHOOL FEE -DISTRICT If---·
Carlsbad
Encinitas
San Oieguito
I / ! REMODELALHR PER CIRCUIT --r -r--(;1.,
-. --~-----~AN CHECK FEE _ce.__ __ San Marcos
T TEMP POLE 200 AMPS ---------t-.. --
I----OVER 200 AMPS _,.. ----+-
i
TEMP OCCUPANCY i30 DAYSI
---~--
-----;t---
-
-+-------------+----------111 II
01-000-4220
01-000-4221
01-000-4806
01-000-4222
01-000-4223
01-000-4224
01·000-4225
01-000-4226
65-640-0519
01-0Q0-422_7 _
~~000·4933
65-623-0519
65·624-0519
65·625-0519
65-626-0519
TOTAL ELECTRICAL
"1_I~
TOT Al S01~AR TOTAL FEES PAYABLE I ,
_(__
4=_4-..~
'7 _C<,JJ,(
/ ~---t1f2_
,,(7(2
-
-
---
• !;10
-
----
--
-
----
-----
--
()&,Q('
I
1 HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permi_t issuadbytheBuilding Official undertheprovisionsofthis
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by tim_itation and become null and votd. !I the building or work
DECLARA_TIONS ARE TRUE AND CORRECT ANO! FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is n o menced within 180 days from the date of such
ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-permit r 11 the uildmri or ork authorized by such permit 1s suspended or
* AN OSHA PERMIT tS FIEOUtRED FOR EXCAVATIONS OVER s· O" DEEP 4ND DEMOLITION 0A CONSTRUCTION Of
STRUCTURtS OVEA 3 STORIES IN HEIGHT
srnucT10N, WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND '-;'~'~·;;·~~~~'l;f;~m~;-~·;;;':t,l'~•;;:w~o,"~"~';;:!m!!!!!m~•~•~c':ed~lo~,;:''~~•~iode,!.~0:'~180~~···=·=~::;--t::e~:;:~;-;;~------------;:-:--:::------'"'
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UAB!LITIES, JUDGMENTS, COSTS AND OWNER CONTRACTOR O APPROVED BY
~ u::
>-:. a Q_
E "' >-
I
D
0
CJ
C ro -~ Q_
Q_
<(
I
~
C
0::
a w w "' w w
<(
I
~ _Q
" >-
"" w "' 0 e Q_
ro "iii 0
~
"' 0 C ro C
u..
C "' "' "
a 13 "' Q_
00
C
I
~ .c ~
Lende< s AOdress ___________ _
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. X BY PHONE D ·,,,.:c...-71<"1 -~
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING ---
SEWER AND BL/CO
PLUMBING UNDERGROUND h.1;.m f.H
PLUMBING TOP OUT •
TUB AND SHOWER PAN
GAS TEST , ,~-m tJ+
ELECTRICAL 'I
TEMPORARY POWER
ELECTRIC UNDERGROUND 1--J · i 2,, 9,7 i'.ll.-
ROUGH ELECTRIC :r
ELECTRIC SERVICE
BONDING
G. F. I. -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 -,.J-.,, ~ ·-. ... ---, "
BUILDING -A' ~\N' ·u/l'ro:? (:;fr'
SPECIAL CONDITIONS V ,, fJ
CERT OF oc· "ANCY ISSUED
• --.... R;). -';;2}-f ..::-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
i SPECIAL MASONRY
PILES CAISSONS
-------------
-
·------
-----
' -----------··
--
. .
I NTERDEPARTMEN ·1 AL INFORMATION SHEET
BUILDING DEPARTMENT DATE: 7 · ('L -0 2/:
B uI LP I NG ADDREss : _-,_,z;;z"'--'-_..,Z:'=':7.,_---""l-=,};,..l-"o.'-'-tJ"'--"'-~,__->C=r ___________ _
A.P.N: /(g7 -3CJ/ -'?;O C.T: ___________ _
************************************************************************
PLANNI~ DE~ARTMENT
ZONE: t.-I . SCHOOL FEES: SAN DIEGUITO ____ _ SAN MARCOS ---
ENCINITAS _____ CARLSBAD ______ _
UNITS REQ'D: ___________ PROVIDED: ___________ _
% COVERAGE ALLOWED: _________ .PROVIDED: __________ _
PARKING SPACES REQ'D: _______ PROVIDED: ___________ _
BUILDING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK
ALLOWED: /.I.-
PROVIDED-: --~o~+,<tC'-___
INTRUSIONS: t7
REAR SETBACK
0~
RE-DEVELOPMENT APPROVAL REQ' D: ________ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: _______________ _
ENVIRONMENTAL PROTECTION REQ: ___________________ _
ADDITIONAL COMMENTS: _______________________ _
OK TO ISSUE: M DATE: 7/4i.;)...oK TO FINAL: ____ DATE: ___ _
-m * *** i· * * * * *******❖a****** t-* *** * ** * ** * * ** ** * * * * *** * * * * * * *** * * * * * * * * * ** ENGINEERING DEPARTMENT
R.O.W: _____ _ IMPROVEMENTS~: ________________ _
PUBLIC FACILITIES FEE:_· __________ SEWER CONNECTION: ___ _
DRIVEWAY LOCATION(S) : __________________ _
GRADING PERMIT: _________________________ _
EASEMENTS: __________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: ________________________ _
ADD'ITIONAL COMMENTS: _______________________ _
FINAL: __________ _
Ji*** k ** t ¼ t t *~* ·•; * * t * * * t t *****LL**** t * * n i * t, ** t t t t t * ** * ** * *** * * * t * t * *
* IF THIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE
FINAL IN SPECTION.