HomeMy WebLinkAbout2728 LLAMA CT; ; 81-141; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am e,empt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con•
struct, alter, improve, demolish, or repair any
structure, prior to Its Issuance also requires the
applicant tor such permit 10 hie a signed state-
ment that he Is licensed pursuant lo the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
0 I, as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and !he structure Is not Intended or of-
fered tor sale (Sec. 7044, Business and Profes-
sions 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 employees, provided
that such Improvements are not intended or of-
fered 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
he did not build or Improve for !he purpose of
sale).
'.JI, as owner of the property, am exclusively con•
tractlng with licensed contractors lo construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property •ho builds or Im•
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law). I am e,empt under Sec _____ B. & P.C.
tor this reaso .. ~------------
Date Owner
WORKERS' COMPENSATION DECLARATION
f hereby affirm that I have a certificate of con-
sent to self-Insure, o, a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO ___________ _ COMPANY ___________ _
□Copy Is filed with the city.
0 Certllt8d copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars (S100) or less).
I certify that In the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: 11, after making this Cer-
11 · ate of_ Exemption, you~ould become subject
b t Workers' Compens Ion provisions of the
Labo e, you mustJort wllt:L comply with such
1s or t_hls perri)t s all tla'ceemed revoked.
I hereby affirm that there Is a construction len·
dl_n_g. agency for the performance of lh_e wo!k tor
CITY OF CARLSBAD-BUILDING DEPARTMEN T
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENU E (714) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
PERMIT NUMBER
Gl-1-4-)
€J-Lu 6/ I I /813336
00013335 ··s1111a1
F'D .
CENSUS TRACT GP LANO USE
BLDG USE
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP "° EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TOTAL ELECTRICAL
CONTRACTOR
ZONING
AMT.
~ao
oo
DESIGNER'S ADDRESS DESIGNER'S PHONE
111 ~IY~v.«1-~i) 69tf9'~
RES. UNITS PARKING SPACE NUMBER OF STORIES
pii~i y TYPE CONST
V-hl
OCC. LOAD
--Llo
MECHANICAL PERMIT AMT.
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU -DO
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER /COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
TOTAL MECHANICAL
CONTRACTOR
QTY. AMT. ELECTRICAL
MECHANICAL
PORCH MOBILE HOME
SET-UP SOLAR
FENCE OVER 6'
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ••APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS Ovt!fl
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
OF THE GRANTING OF THIS PERMIT. CONTRACTOR
. · ·----....
Not Valid Unless Machine Cartifi«J
6" I. B 1s1~.a
/188?0
0 Tt811
! ~ ~
~ i== ~ a. o.l)
~
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5588
04046
PERMIT FOR WORK ON CITY RIGHT OF WAY
,H . oATE frl l-81
~~=~__._-=--"-.......,-'-<-'-.:.....:..::..L--..c:..1,,L..___,.~ ___ _.VALIDATION ST AMP
ADDRESS
CITY LIC. NO.
DESCRIPTION OF WORK
STARTING DATE -----------------1
EST. DATE OF COMPLETION
I hereby acknowledge that I have read th Is application and state
that the Information given Is correct.
I agree to com Ith all appllcable City Ordinances and State
Laws and w l the r ulrements of thl permit.
ADDRESS
AUTHORIZED AGENT
ENDORSEMENT OF COMPLIANCE
I have examined this application and have found that It complies
with all requirements of the Carlsbad environmental protection
ordinance.
DATE Planning Director
6111 1e13 ~36 10.an
PERMITTEE CALL CITY ENGINEERING
DEPARTMENT FOR INSPECTIONS
CHECKED BELOW:
24 Hours Notice Required.
D EXCAVATION
D FORMS
D BACKFILL
D PAVEMENT
D PRIOR TO BACKFILL
D PRIOR TO CURB CUT
DATE
SPECIAL CONDITIONS
INSPECTOR
(A) ALL WORK MUST CONFORM TO REQUIREMENTS OF
CITY OF CARLSBAD STANDARDS, PLANS AND
A.P.W.A. SPECIFICATIONS.
(Bl INTERFERENCE WITH TRAFFIC MUST BE KEPT TO A
MINIMUM.
(Cl PERMIT EXPIRES SIX (6) MONTHS FROM DATE OF
ISSUANCE UNLESS EXTENDED BY CITY ENGINEER.
(DI OTHER
PERMIT FEE
INSPECTOR'S
SIGNATURE
/IJ, 00 $
TOTAL$ /0,.oo
APPROVAL FOR RELEASE
DATE
COPIES: BLUE-OFFICE YELLOW-INSPECTOR GREEN-FINANCE PINK.PERMITTEE MANILA CARD MUST BE POSTED ON JOB
C
I
'INTERDEPARTMENTAL INFORMATION SHEET "'!EC E IVE D
BUILDING DEPARTMENT
BUILDING ADDRESS:
PL~NING DEPARTMENT
DATE :APR 13 1981
,
CITY OF. CARLSBAD
Bulfdlng Department
ZONE __ ---4-{z__...,,.,_-__ l ____ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED A¥= PROVIDED ____ d_,_--\-jt..,...__ ____ _
% COVERAGE ALLOWED u PROVIDED -------------_______ _.,,__-=-----
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK:
ALLOWED ~t
~ROV IDED_-+-~-1--J,,~ ---~-
INTRUSIONS
SIDE SETBACK:
O(L
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK :
o(l
ENVIRONMENTAL PROTECTION REQ: -"'6~'f.~E"~WW'---4---1't----------------
E~~GINEERING DEPARTMENT Sf\)' 0~ ,r
R.O.W . ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION F-D (/ 'S DRIVEWAY LOCATIONS ------------
GRADING PERMIT -----=c---_EASEMENTS ________ --=-DRAINAGE ____ _
LEGAL DESCRIPTI~ '0' ;),,tS-1// 0 -/ 0 )_.c_ ~ ff=-1
FIRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP . ------------------
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
J TO ISSUE: _____ DATE. _______ OK TO FINAL ______ DATE __ _
WA_TER DEPARTMENT
♦-REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
31-l'II
.. ······-··----------------
PHILIP HENKING BENTON
BENTON ENGINEERING, INC.
AP'P'LIED BOIL MECHANIC■ -FOUNDATION■
11940 RUf'FIN ROAD
SAN DIEGO. CALIFORNIA 92123
June 8, 1981
.. IIIJ91D.NT · CIVIL It.NGIN••" T•Ll: .. HONI: (714) IJ88.181J8
1w, Arthur Hershman
9971 Aviary Drive
San Diego, Callfornia 92131
Subtect: Project No. 81-5-29M
Moisture Contents In Subgrade Salls
Lot 618 of La Costa Meadows Unit No. 4
Carlsbad, Callfornla
This is to report the results of tests to determine the moisture contents of the 1011s In the upper
three feet below finished grade In the proposed bullding area at the sub(ect site In Carlsbad,
Callfornla, .
The 10II samples were obtained on June 5, 1981 and the results of the moisture determinations are
presented as follows:
Approximate
Location of Samples
Southerly portion of proposed bulldlng area
Northerly portion of proposed bulldlng area
Depth Below
Existing Grade
(In Feet)
1. 0
2.0
3.0
1. 0
2.0
3.0
Moisture Content
~dry wt)
19. 3
22.5
17. 1
16.3
21.0
21.9
It Is concluded from the fleld obs.-votions of the various soll types and the final results of the
moisture det«mlnatlons that the soils In the upper three feet below finished grade at the
locations SCl'llpled have been sufflclently moistened to minimize the potential expansion of the
10ll1, as recommended In our report under Pro(ect No. 71-3-240 dated Septemb« 10, 1973,
It 11 recommended that positive drainage, 6 Inches of v«tlcal fall In 6 feet horlzantally, should
Mr. Arthur Hershman
Fto! ect No: 81-5-29M . '
-2-June 8, 1981
be provided around the p«lmeter of the house, Drainage systems should also be provided to
collect all rvriolffrom roofs and conduct the water In watertight pipes either Into l'he streets
Oft stO/tm drains, All surface drainage should be prevented from ponding ad(acent to or running
over the tops of slopes, Inlet boxes and v.atertlght pipes should be Installed when necesscny to
comply with the above requirements,
Respectfully submitted,
BENTON ENG I NEERING, INC.
By -rfl?C ~--HZ R, C, Ramer
Distribution: (3) Addressee
RCR/bh
BENTON ENGINEERING, INC.
' \
9/13/79
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
•
Owner's Name --~P~o=n-a 1~.d~E"'-. ~D=o=u""gh,,_,e..,_r...,,t.,_y~, ~M~·=D~. ___ _ Phone No.
Mailing Address _ _,,3"-'76"----"Hui.1..l llJt...,o"'p..JD"'r..1i.JLC. _______ _
Chula Vista, CA 92010
Service Address: llama Court
Tract Description: ' Jot 618, la Costa Meadows #4
Assessor's Paree l No. _.2c..J..i5.:,-4,r.;lu.Di::-.JJ1 n.,_ _________ _
420-9619 (Res.)
Type of Building single family No. Units · 1 Connection Fee $_1,500.00
Lateral Size: 4" _ 6" _ 8" _Saddle_ Easement Conn~ction ...(pre-pd 200.00)
Extra Footage: @ $ ___ Extra Depth: __ @ $ __ 1,300.00
Amount Rec'd$ 1300.00
Ck. No/Cash 11142
Date 8/5/80 Rec'd By SUf.
Lateral Fee
Prorated Sewer
Service Fee
Total $1,500.00
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant's plumbing to the point in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, AUST NOTIFY THE DISTRICT AT THE
TIME INSPECTIIJI IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
. INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. Jhere will be no
additional fee or refund if service actually commences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given
to the conditions as stated.
~correct an~ agrees
'~
12224
Account No.
··-·--··-···---· --
1200 ELM AVENUE
CARLSBAD, CALll'ORIIIIA 92008 Building Department
..
TELEPHONE:
17141 729-1181
•
..
qtitp of Qtarlzbati
RESID8'[IAL ENERGY DESIGN CERTIFICATION • .
Permit No._---'8=-'-f-_/4..:..L.J _
Issue Date·-----~--
.· CF.RTIFICL\TE DF CCT·12Lir~lCE WITil a/ERGY COUSERVfil:ION DESI.GU REOUIREMEfffS
aJNTAINED IN ARTIQ£ 1, PART 6, TillE 24, CALIFORNIA AD'-1. CODE
. ;,~IL ~~~ereby certify that I am famili~~
with the state energy.conservation standards mandated in
·. -CAC Title 24, Sect)on°T20~1401 through r20~1466, and that the
. .
· plans and other documents submitted in support rif the ippJicatfon
. for a building permit at L]L.B f._[4:w,0-tl
· Address·
'N!I&l~ ½&AJ\lr'-{ ~---'------.. Assessor's Parcel No. Dated
comply equirements of these regulations.
•
Submit to the Building Department with permi~ application.
. .
. :
. . ,.
Form 78-101
i • I-
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j [l'rtifiraie uf ®rrupuury 6"~~ I
~ c11·y OF CAflLSB;\[> \l;:0l;)il.J ~ 1 '\, ·-''':,,:··"/' ,,' ;ii;> ~ This Certificate issued pursuant to the requirements of Section 306 ' ;: _-::/ ~
~ of the Uniform Building Code certifies that at the time of issuance ~
<;( this structure complies with applicable ordinances of the City ~ 1 regulating building construction use. ; ~
3
: u Cl ·f· ,· Single Family Dwelling Bid P . N 81-141 ~t :.-. se 0ss1 1ca 1011 __ __:::_ ___ .....:.. ____ _..o:..___ g. erm1t o. ______ _
: Group _____ Type Construction _____ Fire Zone ______ Use Zone______ ~
~ Occupant Load __ ~~--~-~------~~~-...,....-~-----~-;ii;> /4 0 fB .1d. . A_ rthur_. I-lershma __ .n .. •u 9971 Aviary .Dr., San Dietro ;ii;> ~ wner o u1 '"9"., >· _ • · , · ,..adress · • • ~ • ~ ~ BuHd;ng Add,ess ?,,'.; ,12728··1'1:ilma:·Ct, Locality Carlsbad, CA. 92008 ;,. 3 _____ ·_,_.,.,_ .. _·-_· ··_·_·_•· _,_. _-· ___ ::. ~.:e~rr'_,, ~
~ NOTE: Alterc;itions, changes, additions or changes of occupancy nullifies this certificate. ;
~ (Past in conspicuous place) ►
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