HomeMy WebLinkAbout2755 JEFFERSON ST; ; 86-314; PermittJ'J z 0 ;:: < CIC < ... u w a
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Ill 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
full force an.;:,effec) . ~ ... //
Lie No 3 S:: .J.:J Clas• -V---!-
I hereby afhrm lhat I am exempt from !he Contrac· to(s lteense Law lor the following reason (Sec 7031 5
Business and Professions Code Any city or county which re quires a permit to construcl. alter, improve. demoltsh, or
repatr any slructure. prior to its issuance also requires the ap· phcant !or such permit to hie a s19ned s1a1ernent that he 1s
licensed pursuanl to the provisions ol the <;on1ractof s
License Law (Chapter 9 commencing with Secllan 7000 of 01v1s1on 3 of the Business and Professions Code) or that 1s ex
empt therefrom and the basis lor the anegeo exemption Any
v,01a11on of Section 7031.5 by an app11can1 for a perm,1 sub·
tfcts the applicant lo a c1v1t penalty of not more than live hun·
dred dollars ($500)
I, as owner ol the property, or my employees w,th wages
as their so:e compensation. wtU do lhe work. and !he slruc·
ture 1s not intended or offered tor sale (Sec 7044, Business
and Professions Code The Contractor's License Law does nol apply 10 an owner of properly who builds or improves
thereon and who does such work h1mself or through his own employees. prov'1ded that such improvements are not intend·
ed or offered for sale If. however. the building or improve· ment ,s sok:i w1th1n one year ot complehon. :he owner-builder
w,11 have the burden of proving lhal he did not build or 1m·
prove !or the purpose ot sale)
I, as owner or !he property. am exclusively contracting with hcensed contractors to construct lhe pro1ect {Sec 7044,
Business and Professions COCle The Contractor's license Law does not apply to an owner of property who builds or 1m·
proves !hereon. and who contracts !or each pro1ects with a contractor(s) 1,cense pursuant to the Contractor" s License Law)
As a homeowner I am improving my home, and the fOIIOw mg cond1h0ns exist
t The work ,s being perlormed prior to sale
2. I have Jived in my home lor twelve months pnor to complehon or this work
I have not claimed thts exemption during the last three years
D I am exempt under Sec -------B&PC for this reason ____________ _
8 I hereby atl,,m that I ha.,e a cen1t1cate ot consen1
to self msure or a cert1t,cate ot Workers
Compensation Insurance. or a cen,t1ed copy thereof
(Sec 3800 ~.~; Codel
POLICY NO \}JV~ l(-zz. '3\-l
COMPIINY ~ ._ ,.-\ <..,"' s+.4"'"'
• Copy IS filed •11th lhe City~
0 Cen,t,ed copy is hereby furnished
CERTIFICATl OF EXtMPTION FROM
WORI\ERS COMPENSATION INSURANCE
(Ttus secllon neec, nol be completed 11 ine perm,,
,~ f()f one hundred dollars 1$1001 or 1ess1
0 I cer11ty thal 10 lhe pertormance ot the wot11 tor
which 1h1s permit ,s issued I shall not employ any
person 1n any manner so as to become sub1ect 1 !he Workers Comr,ensat,on Laws ol Cal1tom1a
NOTICE TO APPLICANT II after makinJ th•S Cer1,
lica1e of Exemption. you should become sub1ec1 I?
the Wort1,ers Compensa1,on provisions ot the Lat>or
COde. you musl lonh't'.1lh comply with sue.ti
provisions or this i>erm11 shall be deemed revoke<l
0 I hereby att11m Iha! there ,s a cor,struction
ending agency tor ine pertormanc.e of the wort,,; !or
wtuch this permit ,s issued 1Sec 3097 C1v11 COde
LenoersName ____________ _
Lenc:ier s AOdress ------------
1 USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMI-
Cl)
'I CARLSBAD BUILDING DEPARTMENT
I 1200 Elm, Carlsbad. California 92008·1989 (619) 438·5525
I
LOT I BLOCI\ I SUBDIVISION
1/A~~~o: ro I ;~:'J";fl I ZONE I
r'.r.1~5 ~cPFEl?!So~ NEARESTLA;uNA-B S1N1SL:/~r ..... ' ---I ASSESSOR PARCEL NO. co TRACTORS PHONE. :zo'3~,(o-~.?.,..~, z58~7!¢ Cl) I-
PLAN IO. It I BLDG USE CODE I I
"
STANDARD,PJftf1 i e f}J\,l)LOING SO FOOTAGE I~ • ?Fil~ I,
R.l+(//GE/3Y 72-9-094/ S6L/ZZ/
-z, 7.5'5 J£.Fr£f:..<CJN .sr;
ClWNER 5 NAME
/(/GH!fg_l:>
0WNE R'S MA ING ADDRESS LICENSE :,
oEsc~T£oF wo~ c~ . ~X/Srl/\J::::, MOµr..,,,,,.,. ' DESIGNER'S PHONE 0fl0717B·J /' 61 C, ' BG 253~1 ~
J'A-/i!.TTtlON wA:us IN £X/$nl',l:'.;. orF,a: I "" '"'""I I ,o I occo, I ,o, 1
1
~ STORIES <(
'/31)/ LJ::,/Nc, vO "O -I
CENSUS TRACT I GP LAND USE PARI\ING SPACE RES UNITS GRADING PERMIT ISSUED l REDEVELOPMENT
AREA
IIQTY., PLUMBING PERMIT -ISSUE
EACH FIXTURE TDt.P
EACH BUI LO ING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM I TO 4 0 UTLETS
EACH GAS SYSTEM 5 OR MORE ------
EACH INSTA~. ALTER. REPAIR WATER PIPE ---·-EACH VACUUM BREAKER
WATER SOFTNER
FACH ROOF DRAIN 11NS1DE.1
7£!--QTY.
=1
y D ND ,o .... o
MECHANICAL PERMIT· ISSUE
BOILER COMPRESSOR UP TO 3 HP
801 LER COMPRESSOR 3 t 5 HP I -+---·~--+------
-~
. METAL FIREPLACE
---· ----11----+--VENT FAN SINGLE DUCT ·+ ---MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE HEATER
TOTJ.L MECHANICAL ---
TYPE
CONST
3'--
OCC LOAD FIRE SPR
vO NO Not Valid Unl~s Machine Cert,l1ed
SUMMARY/ACCOUNT NUMBER
-· ... -... , PERMIT
-----c;1r.N PERMIT --
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL -----
MOBILEHOME
MDBILEHOME PARK INSP
~OLAR
STRONG MOTION
01-00-00·8225
01-00·00·8226..
80-92-33-0519
15 ;?. 5C>
q![. 15
}.5:L
<IRE SPRINi<LERS
PUBLIC FACILITIES FEE
01-00-00-8227 ,r= TOTAL PLUMBING =c II I !1-~ I I I 32·00-00-89ll I __ .
QTY. ELECTRICAL PERMIT • ISSUE ~ QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
t PH 3 PH ;bad
11tas
-
EXIST BLDG EA AMP SWT BKR ---
. egu1to
IL--larcos
I I OVtR 200 AMPS I TEMPOCCUPANCYl30DAYSI II I I II LICENSETAX01-00-00·B162 I MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL [LECTRICAL '
I
TOTAL SOLAR TOTAL FEES PAYABLE l .;J.53 ,/7
I HAVE CARE'FLIL LY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY. I Expiration Every permit issued by the Building Oft1c,alunder the prov,s1onsot1tiis
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snail expire by hm1tat1on and become null and void If the building or work
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT .IS authorized by such permit ,snot commenced within 180 days lrom the date ot such . permit. or 1t the building or work authonzed by such permit 1s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at any time after the work 1s commenced tor a period of 180 days
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE JI.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ;"\,a ,,1' ,d Cl _ . 1,.._
GRANTING oF TH1s PERMIT · r YI ~<-"""""'.: ~
~ ~
OWNERD CONTRACTOR Iii
BY PHONE 0
* IIN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5· o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
A PPR OVA,~ DATE
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I I I TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION i
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I /"\
SHEATHING D ROOF D SH~AR I J
FRAME ?·d't-~ I ~ I ~
EXTERIOR LATH I r· I I I ~ ~
INSULATION •. I ~--&>& r lf)v
INTERIOR LATH & DRYWALL.: I -j . I
PLUMBING I
SEWER AND BUCO DIP UCO I
UNDERGROUND D WASTE D \!VATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
0 WATER HEATER D SOLAR WAtER
I
ELECTRICAL I
I /\
D ELECTRIC UNDERGROUND D WFFER I I
ROUGH ELECTRIC I 1""7~~ /~ I
D ELECTRIC SERVICE D TEMPORARY f
D BONDING D POOL I •
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE, BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
q, 1t.f
--I . . ~, \I I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
REQ IF INSPECTORS .,! •' " . \ . INSPECTION DATE "~... "' CHEC!(EO APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOuNDA TION INSP
STRUCTURAL CONCRETE:
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TEN',IONEO
CONCRETE I
FIELD WELDING ~ I ---·-I HIGH S .. RENGTf--f
BOLTS
';PECIAl. MASONRY \ .. ) ·-· ----.. ~
PI LES CAISSO"'S
--1----"--,___ _ -
~ ; \. '• ~ ...:,, l •
• I, ... ~. L-.~ ~' ,·_:__
1------
--· -----1----
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·7'-.t •
1200 ELM AVENUE
CARLSBAD, CA 92008-1989
<ttitp of ((arl.sbab
FIRE DEPARTMENT
PAGE 1 OF _
TELEPHONE APPROVED (619) 438-5523
DISAPPROVED
PLAN CHECK REPORT PLAN CHECK#
PROJECT ___ -=------------ADDRESS ___ __::. _ ___;;;_;__ ____________ _
ARCHITECT ADDRESS PHONE
----------PHONE OWNER ADDRESS
OCCUPANCY ------CONST. TOTAL SQ. FT. ______ STORIES
D SPRINKLERED D TENANT IMP.
__ 1.
__ 2.
__ 3.
__ 4.
_5.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
__ 6. The following tire protection systems are required:
D Automatic fire sprinklers (Design Criteria: -----------------------
0 Dry Chemical, Halon, CO2 (Location: -------------------------
0 Stand Pipes (Type: -------------------------------
0 FireAlarm~ype/Locatlon: ----------------------------~
__ 7. Fire Extinguisher Requirements:
D One 2A rated ABC extinguisher tor each ____ sq.ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel.
D An extinguisher with a minimum rating of ___ to be located:
D Other: ___________________________________ _
__ 8. Additional fire hydrant(s) shall be provided------------------------
EXITS
__ 9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
__ 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and doors ___________________________________ _
__ 11. EXIT signs (6" x 3,4" letters) shall be placed over all required exilts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
__ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet tor tires, plastics and some flammable liquids. If high stock pil-
ing i to be dnne, comply with Uniform Fire Code, Article 81.
__ 14. Additional Requirements. ------------------------------
__ 15. Comply with regulations on attached sheet(s).
Plan Examine<--------------------Date-----------
Report mailed to architect ___ Met with --------------__ Attach to Plans
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
Richard Ravreby
<ltitp of <ltarl.sbab
COMMUNITY DEVELOPMENT
Apri 1 29, 1987
2755 Jefferson Suite 200
Carlsbad, Calif 92008
2755 JEFFERSON STREET -YOUR LETTER OF APRIL 17, 1987
I asked the Fire Marshall,.Mike Smith, to examine the bid you
received from Vanguard Fire Protection. He states that Item 3,
an electrical flow switch, etc., is not required. That should
reduce the bid .
Carter Darnell suggested to you some ti me in the past that you
should get in touch with Mike because he is the one who can advise
you, and he will be checkina the plans you submit for a sprinkler
permit. Hi s telephone is 931 2121.
I have discussed your request for additional time with Mike, and
we both agree to grant you an extension to July 29, 1987. By
that date we expect you to have completed the sprinkler system
and obtained approval from the Fire Department.
If this office can be of further ass i stance, please contact
-~.e.l:.Jter Darne 11.
xc: Mike Smith
TELEPHONE
(619) 438-1 161
7/30
Tony: When you are in this area could you please check and
see if they have installed the sprinklers and let me
know so I can close file ~
Than x
Carter
J. II /)1.J/P /l£P __,,.w,,/1/ G;d 1/, 71 'pE
!kl).0.5 p.J EIJ c-lJ. fl.Jt~o~ --4,il/ .J /Jt~.r
J 17,;,;-, c7',-,