HomeMy WebLinkAbout2734 Glasgow Dr; ; 81-503-21; Permit., z 0 ~ .. .. J u w 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
'"" to, • ..,.~i'!lt,01. B-l Lie No L/.2JJ_Jjtl__ Class __
! hereby c1llirm that I am e•empt Imm the Con•
~~o;•~~~~~;:: ~; ~~f~~l~~l~~~~i(~f
coonty which requires a permit to construc1
alter, ,mproW!, Ol!molish, or repair any structure, prior to its issuance also requ,res the apphcant lo,
suct1 penn,t to rile a s,gned statement that he ,s
hcensed pursuant to the pmv1s1ons or the Con tractor's license Law (Chapter 9 commencing w,th
Section 7000 or O,v,s,on 3 of the Business and f>fo-
less,ons Code) or that ,s exempt therefrom and the bas•s !or the alleged e~empt,on. Any v1olahon of
Section 7031 5 by an appl,cant !or a perm,I subJects
tne appl+Cilnt to a civil penally of not more than five
hundred dollara ($500)
0 I, as owner o! \he property, or my employees ,.,th wages as !heir sole compensat•on, w,11 do !he
wor1<, and the structure ,snot intended or offered for
sale (Sec 7044, Busmess and Proless,oflS Code
The Contractor's License Law does not apply to an
owner ot p1operty who builds or improves thereon and who does such wofll himself or through h,s own
employees, provided that such ,mproveme;its are not intende-J or offered !or sale If. howeve1. the
bo1ldmg or improvement ,s sold w,!h•n one year of
completion, the owner builder will have the burO!ln of proving that he did not butld or improve lo, the
purpose of sale)
• I, as owner of the property. am exclusively
contracting w,th licensed contractors to construct
the pro1ect (Sec 7044, Business and Pmfess,ons
Code. The Contractor's License Law cloes no1 apply
to an owner o! property who builds or improves
thereon, and who contracts to, each pro1ects w,th a
contractO!'(S) license pursuan1 to the Contr..c:tor's
License Law)
0 I am exempt under Sec _
tor th,s reason
8 & PC
• I hereby af!,rm that I ,"<a~e a cert,t1cate of consent to self-insure, or a cert,!1cate ol Workers·
Compensation Insurance. or a certr!1ed copy thereof
(Sec 3800. Labor Code)
,OUC,NO KWP 265 92 50
coMPANv Fi r~m_~n~'.:i-_ fun9
D Copy 1s filed with the c,ty
D Certrhed copy ,s hereby lum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed ii the permit
1s !or one hundred dollars ($1001 or less!
O I certify !hat 1n the per1ormance of the work tor wh,ch th,s perm,1 1s issued. I shall no\ employ any
person m any manner so as 10 become sub1ect to
the Workers· Compensation Laws of Ca11!orrna
NOTICE TO APPLICANT If, a.lier makm;i !hos Cert,
f,cate of Exemption. you should become sub1ect t-:,
the Workers' Compensation prov,s,ons of the Labor
Code, you mc,st lorthw1th comply with Sc,Ch
prov1s1ons o, m,s perm,1 shall be deemed revoked
0 I hereby aff>rm !hat there ,s a cons1rc,ct1on
1endmg agency tor 1he per1ormance of the work lor
wn,ch th,s permit ,s ,ssued 1Sec JIE7 C1v1I Code!
Lenders Name Uni on Bank
LenOersAddress525 8 St
San Diego, CA
USE BAll POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
#. ,AV, S1'.I DATE OF APPLICATION
RO.
()WN~f!:'$ P,HON'E
299-5-100
"' !_
PR~ME CONTRACTOR
i'ac i fi c Scene, Inc
CONTRACTOR'S ADDRESS
_3900 ijarney St, SD CA
R p RCl;J.. NO , I oE~tGNER
·< ,_# 1 :~ I rai:t 76('1'2 --Arch j tects; Lori mer: Case
O~SJGNER*S ADDRESS
!)_ CA.
"' FLR ELEV. NO
v• f\,D ~s
GRADING f'.ERMIT ISSUED
BUS•NESS LICENSE #
1710
CONTRACTORS PHONE #
299-5100
UCENSE NO. PLAN 1.0. #
272686
STATE LICENSE# STANDARD PLAN#
c-9037
DESIGNER'S PHONE
291-0660 t~ EDU
I
OCC LOAD j FIRE SPA
~;;:;;;,
BLDG USE CODE
BUILDING SO. FOOT AGE
7---otfr
v • ~ D YO N' Not Valid Unless Machine Certified
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP I _,~ / INSTALL FURN. DUCTS UP TO 100,000 BTU
QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
---1 BUILDING PERMIT __ 01-000-4220 _ I 'l-7 )I --EACH BUILDING SEWER I ,_ OVER 100,000 BTU SIGN PERMIT 01·000-4221
DI A~I f'UC:/""L<' 01-000-4806 EACH WATER HEATER ANO/OR VENT --L.--...... :r.... BOILER/COMPRESSOR UP TO 3 HP --r-I r,_,..,. ""'-""
1-------sc+-EACH GAS SYSTEM 1 TO 4 0 UTLETS _, -801 LE R /COM PR ESSO R 3-15 HP ----.,.".,.., '" ""n,.,,. IUIAL t'LUMClll~\J 01 ·000-4222 ---------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223
-EACHINSTAt..,ALTER,REPA1RWATERP1-PE----------/ VENTFANSINGLEDUCT -z--MECHANICAL 01·000-4224
EACH VACUUM BREAKER ~ MECH EXHAUST -H0 ••.1oucTS .... M0BILEH0ME 01·000-4225 t----+ -----M0BILEH0ME PARK INSP WATER S0FTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMPISWT.1BKR 0
I PH J PH
EXIST BLDG EA AMP/SWT/BKR
I PH ____ JPH
REMODEL/ALTER PER CIRCUIT -----
TEMP POLE 200 AMPS
~•~~~JOO ~M~~-
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL
TOT.t.L MECHANICAL
QTY. I SOLAR -ISSUE
COLLECTORS
.JI--~ TO RAGE TANKS
ROCK STORAGE
----
PUMP ~·------.
PLAN CHECK FEE
TOTAL SOLAR
SOLAR 01·000·4226
STRONG MOTION 65-640-0519
I~_:_ -! FIRE SPRINKLERS 01 ·000-4227
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 65-623-0519
Encinitas 65·624-0519
San 0ieguito 65-625-0519
S:-1n Marcos 65·626-0519
TOTAL FEES PAYABLE
• ,,, ,, , + "~ration. Every PMmitmued,bythe BuffdingOftieial unct_erthepro\l•S'ionsofthis * AN OSHA PEAlilff 1S RE0U1RED ~ E)(CAVA~ OVER ;no~ AND PERMIT-~ND QO HEREBY, (;ode :sfiaR expire by limttat/00 and become null and void. If the bui:lding or work .5• 0" 0UP Affl) DEMOUflON dft-O()NSTfWCTION Of:
RllotATION HEREON' INCLUOtNG THE ~lzed by such permit ia not commenced wltt'lin 180 days h'om the date of such STRUC1'UA!S OVER 3 STOAIES 1N HEIGHT CEtrrtFY AND AGREE IF A PERMIT IS petfflit, m it the building or authotized by such permtt ie suspended or E LAWS GOVERNING BUILDING CON• abandoned at iln tinw aft w k iS commenced for a riocl of 180 da ~-
SO 'AGREE TO S_AVE lNOEMNfFY AN_ O, AH\,~A , SJGNAT lf, OWNER• CONTRACTOR(X APP~OVEDBY "I ·Lfl\Blt.lTlES, JUDGMENTS, COS'tS ANO f ~ ~ , -~ / ,
/sAJo;crrv IN C9NS~NCE OF THE , ·,, ~' . ? ' -BY PHONE • t:)J(_~ "' ·« «"" -
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION 1,11A,R -z. 4/l..
REINFORCED STEEL 'I
MA58Pd R'f •• •~ " A,-,,-,. 1 :3.t,7:4. ?,", !'..It-,.
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING ¢,,f3·8'3 fl+
FRAME i,,91,A~ (2j 1
EXTERIOR LATH lNSULATION •
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND J,7J.el-::: /_
PLUMBING TOP OUT ~,/P«M ('
TUB AND SHOWER PAN
GAS TEST ~-i~·fl3 lt'M-
ELECTRICAL "
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC '3•/1\,~3 l'..u-
ELECTRIC SERVICE IJ
BONDING i,
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING 3·~~·S3 61-
HEAT -AIR COND. -SOLAR SYSTEMS "
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABO VE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL A'
GAS ~ .
BUILDING ,,.~, h ,\ I-~:,; r:..it
SPECIAL CONDITIONS ' 11
C''-'>T OF OCCUPANCY ISSUED =-----.....
.. -QI ,SV'3-d\
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION -REQ IF INSPECTORS OATE 1-__ ..,, ~.J"'C e).};, t.•/5·83 (qr-CHECKED APPROVAL f'ou~Df'mON '.
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
----STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED -
CONCRETE ··-------POST TENSIONED
CONCRETE
FIELD WELDING
-· HIGH STRENGTH
BOLTS --~ --------------------
SPECIAL MASONRY
-·
PILES CAISSONS
I
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-··-----
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