HomeMy WebLinkAbout2733 FOREST PARK LN; ; 86-664; PermitG
i
h-
'Z
8
OC
g
s
UJ
z
o
p
3
o
o
t-
3
C
O
a
z
UJ
- ^I^^wrebv affirm that I am l!c»n»ed under
provislona of Chapter 9 (commencing with
Section 7000) of Dlvlelon 3 of the Business
' and Professions Code, and my llcen^ Is In
full force and effect,
uc Hnyt^ /cuss
I hereby aftirm ttal I am otampt from ttw Corttrec-
tor's License Law for the fbSowirtg reason (Sec 7031.5Buslneu and Professwns Coda: Any crty or county whi^ require! 1 permt to construct altar, anpriM, demolish, or
.repair any ftructixo, pna to tts tmance also requires the applicant for such perrnrt to file a 8»pned statement that he ts
iHrensed pursuant "^to the prbmuDns ot the Contractor's
License Law (Chapter 9 commencing wrth Section 7000 of
Ovaion 3 of the Business and Professions Code) or that ts «x-empt therefrojn and the basts tor the alleged exemption Any
vfoation of Section 7031.5 by an applicant tor a permt sub-
jeds the applicant to a ctvif pena^ a ru3( more than five hun
dred dollars ($500)
□ I, 88 owner of the property, army employees with wages
as ther sole compensahon. do the worX, and the structure is not Intended or offered for sale (Sec. 7044, Business
and Professions Code. The Contractor's License Law doesnot apply to an owner of pnDperty who buidi or impfovesthereon and who does such work himself or through tis ownemployees, provided that such mprovements are not intended or offered for sale If, hosvever. the building or improvement is'sold wfthfi one year of completion, the owner-buitderwip have the burden of pming that he did not buld or an-prove tor the purpose of nie)
I. » owner of the property, am exdusrvely contnctingwith hcensed contractors to construct the proved (Sec. 7044,Buiinets and Professions Code The Contractor's UcenseLaw does not apply to an owner of property who burids or im-prtrves thereon, and who contrKts for each prof^ with a^ractar(i) hcense pursuant to the Contractor's Ltoahse
□ As a homeownsri'am improving my home, and the foltow-ng conditiDns exist'1. The work is bang pertonned pnor to sale.2. 1 have bved hi my boma w twelve monthespnor to completion of. ttas work3. . i have not dafmed 'this exemption dunrio thelast tlvet years.
□ I am exempt under Sec..tor this reason .04 P.O.
^ 'l horetiy effirm tfiat I have a certificale of coneentto seff-inture, -or. a cerlificate of Workers'ComperiMiKXi Irtsurooce. or a cenified copy (hereof(Sec 3800, Latwf Code) ^ ^ ^
POUCY
D Copy a filed with the
G Certified copy ts hereby furnished
CERTlFlCATt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE' (This section need not be completed if the permitts for one hurxlred dollars (StOO) or less)
Q I certify thel in the pertormence of the work forv^ich this permit is issued, I shelf not employ anyperson m any manner so as to tiecome sobfect to
the Workers' Compensation Lews of Celifornie
NOTICE TO APPLICANT If. after making this Cehiticete of Exemption, you should become subject tothe Workers' Compensation provisrona of the Labor
Code, you must forthwith comply with such
provrsions or this permit shall be deemed revoked
O I hereby affirm that Ihere is a construclKjnicrxJing agency for the pertormarKe of the work forwhich, this permit is issued (Sec 3097 Crvil Code)
Lender's Name
Lender's Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT1200 E|m. Carlsbad, Califoj;nla 92008-1989 (619)438-5525
■CROSS ST
APPLICATION & PERMIT
BLOCK SUBDt \/i£lON
OWNER'S NAME OWNER'S PHONE
a<A>i I Af-ir-»ocoo ■' •- ^OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK
^ /==2> -
CENSUS TRACT
QTY.
GP LAND USE PARKING SPACE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM S OR MORE
EACH INSTAL.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER.
WATERrSOFTNER
EACH ROOF DRAIN (INSIDE)
TDTAL PLUMBING
QTY.
DATE OF APPLICATION
-i^V-
'BUSINESS LICEI4SE #
CO CONTRACg
,CONTRACfOB'S ADDJIESS-
c rt , t
/A&euA::.DESIGNER'S ADDRESS . , / . ^ /
//J7 %&
NOF/P FLR ELEV.
yD nO
RES UNITS GRADING PERMIT ISSUED
Y □ N □
■ ■ ELECTRICAL-PERMIT - ISSUE
NEW CDNST EA AMP/SWT/BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMDDEL/ALTER PER CIRCUIT
TEMP.POLE 200 AMPS
DVER 20fl AMPS
TEMP OCCUPANCY (30 DAYS)
TDTAL ELECTRICAL
5^
QTY.
z
~r
REDEVELOPMENT
AREA
yD nkL
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 315 HP
METAL FIREPUCE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION.OF EA FURNACE/HEATER.
TOTAL MECHANICAL
STORIES
TYPE
/4.
QTY.SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PEHMIf AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDINaTHE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMfT IS'
ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-STRUCTION. WHETHER SPECIFIED HERBN OR NOT. J ALSO AGREE TO SAVE INDEMNIFY AND
KEEP. HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS,.COSTS ANDEXPENSES-VVmCH MAY IN ANY'.WAY ACCRUE AGAINST SAID CITY IN (XINSEQUENOE OFTHE-GRANTING OF THIS PERMIT . ... ' -
%i
CONTRACTOftS PHONE #
UCENSE NO.
UfCENSE #
a9»'?<s
DESIGNER'S PHONE
2^
X- ier3
EDU
z
VALUATION
PLAN I.D. #
STANDARD PLAN #
PERMIT NUMBER
-JTi
BLDO USE CODE
BUILDING SO. FOOTAGE
33370^5
Not VtUd Unkss Mtdtint Certitiod
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-008220
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01-00-00-B806
TOTAL PLUMBING 01-00-00-8222
ELE(rrRICAL-01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOUR G1-OQ-00-B226
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-DO-00-B227
PUBLIC FACIUTIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Endnrtas 80-92-22-0519
San Dlaguilo 80-92-23-0519
San Marcos 80-92-24-0519
UCENSE TAX 01-004XF8162
CREDLT DEPOSIT
TOTAL FEES PAYABLE
Expf ration. Every permit oeued by the BoHdmg Official under the provisione'of thieCode shell expire by limitation and become null and void. If the building or-wofk'authorized t>y auch peymit ia not commenced wrtthin 180 daya from the dale 6f suchpermit, or If the tHjllding or work authorized by such permit it suspended orabandoned at any time afif the work to commenced for a period of 180 liava: '
APPLIC S SIQNATU .OWNEI CONTRACTOR O
BY.'PFrpNE □
^3J2X 'f9
* AN OSHA PEFIMIT IS HeoOlRED FOR EXCAVATIONS OVER
5' 0- DEEP AND DEMOUTION OR CONSTROCDON OF
STRUCTURES.CVEB 3 StORIES IN HEIGHT
APPROVED BY:
TYF»E DATE INSPECTOR
BUILDING y
FOUNDATION
REINFORCED STEEL
3 jij gt'
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF ' □ SHI^R..
FRAME
EXTERIOR LATH -
INSULATION
INTERIOR LATH & DRYWALL ' -
PLUMBING.x^^v
SEWER AND-WC0b>"T3jPl:/C0
UNDERGR0UNDr"^'S;WASTl^i;O WATEFV (JK
tOp out i^^waste—N □ wIaterTUB And SHOWER PAN ) jGAS TEST . ^ 1 :
□ WATER HEATER □ SOLAR W/sJtER , /
1
ELECTRICAL i
□ ELECTRIC UNDERGROUND □ jUFFERROUGH ELECTRIC ]
□ ELECTRIC service □ TEMPORARY-
□ BONDING □ POOL 1
1 .
MECHANICAL !-,x--
"V.
□ DUCT & PLEM., □ REF. PIPirjlG
HEAT — AIR COND. SYSTEMS I
VENTILATING SYSTEMS i -- '-
1
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN:APPRQMEDr^,\.-^^-^^:
FINAL i
PLUMBING 1 \K_V
ELECTRICAL !
MECHANIICAL 1 "X/J
GAS
BUILDING )'~7^- ^.SPECIAL CONDITIONS !b/
J 1
■V e % »
FIELD INSPECTION RECORD - ' '
REQUIRED SPECIAL inspections'- INSPECTOR'S.NOTES
■-'inspection req if
checked
INSPECTOR'S
APPROVAL DATE - - -Cv -T-
X - . - N ■
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP -
. X ^ ^ '^-r t ~
STRUCTURAL CONCRETE
OVER 2000 PSI '- -
\'i' v..\, . , • " t "
PRESTRESSED
-CONCRETE T " / • , . - . . ^
POST TENSIONED
CONCRETE
iplELD WELOrNG-'"'"-•V.. . ' . - '
HIGH strength"BQLfs , :• ■ ■ ' " ' y. "-'■". -X- -.L. ■ '
speciaE^mas'onry
\
>
c~
\ .v- ... .
PILES caissons ^ ;
■^
- . \'-- * ^ •
-.
■V"\ s.
. • J • I I. ' - .
^ • • m -'• \ ■ X .y-v
*v - T-.Tv !• '— XL. "v \ V — V ^ " T- - -X--, ,\ rr -.c-v ■.
tv;'v- \ V
>-.T-V v.\ .L""-. T
r-'.rx •«. V' *;•- V, y:.
XV,\.' ^ \ ^ \ X' ^ .. --r"
.x\-T y. - ■ ^
I
CITY OP CARLSBAD
INSPECTION RECORD
ADDRESS: ^^733
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME ( ) FLOOR ( ) CEILING
SHEATHING ( ) ROOF ( ) SHEAR
FRAME
INSULATION 1.7^
EXTERIOR LATH
INTERIOR LATH & DRYW
FINAL
PLUMBING
( ) SEWER & BL/CO ( ) PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL
ELECTRICAL
( ) ELECTRIC UNDERGROUND ( ) OFFER
( ) BONDING ( ) POOL
FINAL
MECHANICAL
( ) DUCT & PLEM., ( )REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL
COMPLETE BUILDING KNAL
DATE
CLEARED WITH GAS AND ELECTRIC
DATE:
NOTES ON REVERSE SIDE.