HomeMy WebLinkAbout2752 LA GRAN VIA; ; 83-492; Permit., z 0 ~ a: .. ~ 0 ... 0
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~ereby affirm that I am licensed under
provlaion11 of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Profe11alons Code, and my license is in
lull force and eflect.
L,c N~ (la,, 6-1?'9
I hereby a!!irm that I am exempl from lhe Contrac
!or's lrcense Law tor lhe follow,ng ·eason !Sec 7031 ~ Business and Proless,ons Code Any c,ty or coun h,cr, re
quires a perm,t to construct. alter, rmprove e ol,sh. or
repair any struclure pr,or to ,ts ,ssuance als eouires the ap-
pl,can1 tor such permit to file a sIqned s ement that he ,s
I1censed pursuant lo the prov,s,ons the Conl!actor s
License Law (Chapter g commenc,n 1th Sect,o~ 7000 of o,v,s,on 3 of the Business and Prole ions Code) o, that Is ex
emot therefrom and the bas,s 1or t alleged exemp1,on Any
vI0Ia1,on of Section 7031 5 by a applicant tor a perm,t sub
Iects the applicant to a c,v,I pe lty o1 not more than hve hun
dred dollars ($500)
-1 I. as owner o1 the pr erty. or my employees w1Th wages
as their sole compensa n, will do the work. and the struc-
ture Is not intended o ot!ered lor sale (Sec 7044. Business
and Profess1om, C The Contractor's License Law does
not apply to an o er of properly who builds or improves
thereon aM who s such work himself or through his own
employees. prov ed that such improvements are no1 intend-
ed or offered 1 sale. 11, however, the building or ,mprove-
ment ,s sold hin one year o! comple11on. the owner-builder
will have the urden 01 proving that he did not build or im-prove for th purpose of sale)
r:: I, as ner o! the property, am exclusively contracting
with lice ed contractors to construct the proJect (Sec. 7044,
Busines and Protass1ons Code. The Contracton license
Law d snot apply to an owner ot property who builds or im-
proves hereon, and who contrac!s !or each proIects with a
contra tor(s) license pursuant to the Contractor's License Law)
□ //Is a homeowner I am improving my home, and the 1ollow
mg condillons exist
1 The work is bemg perflll'med prior to sale 2. I _have lived m my home for 1welve months
pnor to completion of this work
I have not claimed this exemption durmg the
las1 three years
□ lame~emptunderSec ______ , B&P.C 1or this reason ____________ _
~fhrm thal l have a cert1t,cate of consen1
to sell-insure, or a cenr1,ca1e ot Workers
Compensation Insurance, or a cert,t,ed copy 1hereo1
!Sec 3800. Labo< Codel
POLICY NO
D Cert,hed copy ,s hereby tum,shed
CERTIFICATl OF EXE:MPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sec!1on need not t>e co;npleted ,t the perm,t
Is !o, one hundred do)l'a•s 1$1001 or IessI
0 I cert,ty that ,n lhe rlormance ol the work tor
which this permit ,s sued. I shall r.ol empioy any
person ,n ar,y ma er so as lo become subIecI to
the Worl<ers pensa1,on Laws ot Cal,fom,a
NOTICE TOAPPUCANT 11 al!er makIn-:, th,s Cert,
hcate ot Efempt,on you should become subiect 10
the Worl<e•s· Compensal•on orov,s,ons of 1he Labo,
Code you mus1 tor1h"'1!h comply w,th such
provIs,ons or 1h,s perm,1 shall be deemed revoke0
O I hereby att,rm that here ,s a ~onsttu, 1,0"
lend,ng ~ency lor th enorn,ance o' lhe "'Ori< •ur
wh,ch th,s perm,! ,s~ued ,Sec YJ97 C,,,, Cooe,
Lenders~------------
lendef'"s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
QTY.I
QTY.
CARLSBAD BUILDING DEPARTMENT .
APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989_J619) 438-5525
_ A'\f.S1'.RO.
~\flit . .
NEAflESTCflOSSST. ~AT. e .°F Aff. ·• ue~TIONI ~?~LICENSE# 11.8·8~ -; ~1<-_ I '1too
PERMIT NUMBER
6~+1-Z C1:tV1s10N
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 5 0 R MORE
EACH INSTA~--ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE!
-----
TOT Al PLUMBING
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP,'SWT BKR
I PH J PH
EX 1ST BLOG EA AMP/SWT '8 KR
1 PH 3 PH
REMODEl'ALHR PER CIRCUIT
TE MP POLE 700 AMPS
□VER 200 AMPS
TEMP OCCUPANCY f30 DAYSI
TOTAi ElfCTRICAl
Sc
~oD
YO ND
CONTRACTOA
vO r--.0
REDEVELOPMENT
AREA
vO NO
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS iJP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
801LER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
--~--~--ll--+I MECH EXHAUST HOOOiOUCTS
/ .!?,tf"C)
-
00
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTA[ SOLAR
TYPE
CONST
,;C) u
LUNE
PLAN 1.0. #
~.Aon
STANDARD PLAN#
EDU
OCC LOAO I F!RE SPP _, 'I~, t.c':, ul
\)Cl j~I "'I[ ' ,'-, vO NO Nor Valid Uiflffs~thffi'l!'l:e,llfied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
01 ·00·00·8220
01 ·00·00·8221
01 ·00·00-8222 -------
01·00-00-8223
01-00-00·8224
01 ·00·00·8225
fil:.00·
STRONG MOTION
FIRE SPRINKLERS
--~Q:n-3~-Q519 ur.....i-
01-00-00-8227
PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92·22·0519
San Die.2_uito 80·92·23·0519
San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
H•tJ-83
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TYPE ' DATE INSPECTOR
BUILDING ' FOUNDATION I /
REINFORCED STEEL I l'/•/,,·M I A' Ii')
MASONRY I
GUNITE OR GROUT I
' FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH6AR
FRAME I
' EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ;
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I ,/
GAS TEST I 1, \,-"" Y,n
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ µFFER
ROUGH ELECTRIC '
□ ELECTRIC SERVICE □ TEMPORAR,Y
□ BONDING R'.1 POOL T/d,· u ,, V."-' . ' I .
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPll'JG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
_ /I_EMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I
GAS I
BUILDING I r, ...
SPECIAL CONDITIONS l'ITD [~ 1../~ f '1/ -·, J
f, . I
,
-
~3~l.f'? d-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL fs
SPECIAL MASONRY
PILES CAISSONS
. .
. : ',~ -~ .. .1,0'
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PLAN CHEC K NUMBE R____,;:& ..... 3=--~--'¥}'--L-:'2-=---
PLANNING: ~oefL---
SCHOOL FEES: SAN DIEGUITO -------
CARLSBAD -------
% COVERAGE /-
BUILDING HE-IG_H_T~~~~~~~~~~,:g~--j~]f..-1-..:::L+-==-=-=--
"' { FENCES/WALLS ________ .:__ __
TWO CAR GARAGE ·----------
ENCINITAS
DATE tr /£-'/G
Tl
ZONE: -----
--------
SAN MARCOS -------
RE:;::~O SETBaz=
REAR ---------
;: ~ COMMENTS: _________________________ _
u.J <( c:: 0
)§ □ REOEVELOPttENT APPROVAL REQUIRED: ~] Pr' s ~ □ ----+1-......,,,..-------------
u.J -~~ □ LANDSCAPE PLAN COMMENTS: ____ ...... 'f\__,, ...... J----+IL-+--------------f V µ:_
ENVIRONMENTAL REQU IRED.c_: ---==----::----.,....._....-='---------------£ -f ~ /1;\ (JI
ADDITIONAL COMMENTS: ----------------------
OK TO ISSUE: ms DATE: I/ l I I q {¥fa TO FINAL: ___ DATE: ___ _
ENGINEERING GAL DESCRIPTION VERIFIED? • N.
P.F.F. N/Pc PARK IN rnu N { A ( ll.}4f" <be V c-,,..c
R.O.1~: Q .+<.., IMPROVEMENTS: -~~~--f-A~------------
S Ei-1 ER : ..1.AL...!.~.,;...i___:f!:ll.tJ.L~~--1.J~~---1...J...L___,~=.:W=-=-~=--f<...----=:.....i.._~-=-L
LATERAL: ---+--'---''---.-------
DRAINAGE: Mt\J:l~~
EASEMENTS: ____,;:O:;......,..;, K:.._.._, -------ADD IT ION AL COMMENTS: --------~ □ ;::8 □ --------,.,,:---=-------
ii~ OK TO ISSUE: ~OATE:-!...:tl:..........;:-'G=...:2~-~L--=::3,;.___ __ _
* ENG I NEER ING I NS PE CT ION REQUIRED: _L,\tO::!IL::=-------------------
PUBLIC i-!ORKS INSPECTOR: _____________________ _
FINAL OK: ----------DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAY S, CURB CUT, DRAINAGE, ETC.) .
UOO ELM AVENUE
CARLSBAD, CALIFORNIA 92008
atitp of atarlsbab
TELEPHONE:
(714) 729-1181
This document will certify that I am aware of the provisions of the
California Administrative Code, Titl.e 24, Section T20-1406 (c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at J.162-/Ae;124:u /1&
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with.a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown. without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6 •. Directional water inlets in pool for g6oq.mixing.
Print Owners Name:
Owners Signature: Date:
Print Contractors Name:_,_fl1~1=~5~u(O~Kl""-'fa:XS-"-'=·~·~/N'-'-"C~-'---~-----------
Contractors Signature: ~~~-,~-Date: 1#,.-j:_
Address: p::S-c{J.(d'R..4,</4:;J IJ,e;uu~ '?~b't,?~