HomeMy WebLinkAbout2769 Glasgow Dr; ; 81-503-69; Permit., z 0 " : :'l u "' Q
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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
full forcz;f:Zi'~ct. Lie No ti6 Class B-l
I hereby affirm that I am exempt from the Cori ~~~·~~~~:;:: ~;' i7~1~~1~~l~~r~~gi,
county which requ,res a permit to cons!ruct
aUer, ,mprove, demolish, or repair any structure prior to ,ts issuance alS<'.l requires the applicant for
such permit to hie a signed s1atement that he ,s
licensed pursuant to the prov1s1ons of the Con tractor's License Law (Cl'lapter 9 commencing with
Sechon 7CO) of o,v,s,on 3 of the Business and Pro-fessions Code) or that ,s exempt theret,om and the
bas,s !or the alleged exemption Any v1olat1on ot
Seclmn 7031 5 by a,n appl,cant tor a penmt subiec1s tne appl>c-,nt to a c1v1I penalty of not more than love
hundred dollars ($500)
C I. as owner of the property. or my employees
,.,,th wages as the1r sole compensat•:in, will do the worlt, and the s1ructure is no! intended or offered !or
sale (Sec 70.U, Business and Pro!ess1ol'ls Code The Contractor's License Law does no1 apply to an
owner o! property who builds or ,mproves thereon
and who does such worlt himself or through his own
employees. provided that such 1mproverne.,1s are
no1 1ntende'l 01 ottered for sale If, however. the
bu,ldmg or ,rnprovement 1s sold w1th,n one yea, of
completion. the owner-builder will have the burden
of proving that he did not build or ,rnprove tor the
purpose ot sale)
D I, as owner ot 1he properly. am exclusively
contracting w11h hcensed con1ractors to construct
the pro1ec1 (Sec 7044. Business and Professions
Code· The Contractor·s L,cense Law does not oipply
to oin owner of property who builds or ,mproves
thereon. and who contracts for each pro1ecls w11h a
contractorts) license pursuant to the Contr.;c1or's license Law)
D I am e~empt under Sec
!or this reason
B ~ PC
0 I hereby afl,rm that I ha•e a cef11hco,te ot consent
lo self-insure or a ceri1f1ca1e of Workers
Compensation lnsuroince. or a cert,t,ed copy thereof
(Sec 3800. labor Code)
,OUC,NO KWP 265 92 50
coM~N, Fireman 1s Fund
0 Copy 1s tiled w11h the city
0 Cert,t1ed copy ,s hereby turn,shed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed ,1 the permit
,s !or one nundred dollars 1$HXJI or less)
0 I certify thoit ,n the per1ormoince of tne worl<. 1or
wn1cn 1h,s permit ,s ,ssued. 1 shall not employ any
person ,n any manner so as to become subrect to the Worl\ers· Cornpensat,on Laws ot Cal,torn,a
NOTICE TO APPLICANT If. after moikin~ tn,s Cert,
t,ca1e of Exemption. you should become sub1ect 10
1ne Wor\o:.ers· Compensat,on prov1s1ons ol the Labor
Code. you mus1 torthw1th comply with such
prov,s,ons or tn1s perm,1 shall be deemed revoked
D I he,eby aff,,rr 1na1 1nere ,s a coristruc1,on
1end,ng a.iency tu, tr>e per1ormoince ol !Cle wori< fur wnicr, 1n,s per,r,•t ,, ,~~ued 1Sec 3097 C,v,1 Code1
LendersNan,e Union Bank
LendersAd,J·e,, 525 11B11 St.
San Diego, CA 92101
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL, N INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS AV.ST. DA TE oF APPL 1cAT1 oNI BUSINESS LICENSE# VALUATION PERMIT NUMBER
AO. 2-14-83 ~5:,5~5" 2769 Glasgow Drive I 7Hl_ Sl-5bp-C,c, CONTRACTORS PHONE If ZONE OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR
Treetops Unlimited 299-5100 Pacific Scene, Inc. 299-5100
OWNEA"S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO.
272686
PLAN 1.0. # BLDG USE cooe
11223 3900 Harney St., San Diego, CA 92110 3900 Harney St., San Diego
i"'n I BLOCK -1-sueo1v1s10N l ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
rn-r r:;ii lbvPr~ Hi 11 !;;. /765" Tr,ort 71';-1? c-472~ Buzard/Henninq & Assoc. OESCRtPTION OF WORK ~inqle F~mily Detached
PLAN "tRT>
crnsus TRAC, I Ge CANO use 14Go'ACC
QTY. PLUMBING PERMIT -ISSUE
DESIGNER'S ADDRESS DESIGNER'S PHONE
488 Ronson Ct. San Die o CA
-------F/P FLA ELEV NO Of'.f". r:;p ----EDU
""/"~'J GRADING ~EAMIT ISSUED
YO ND
vO NO
1 REDEVELOPMEN-T
AREA V
vO "'~ ,
"7411 QTY. MECHANICAL PERMIT -ISSUE
STO,IES f::::-3
TYPE OCC LOAD FIRE SPA CV'IJ -4(0 ,g_,J( Not Valid Unless Machine Certified
,?A? SUMMARY/ACCOUNT NUMBER
01 ·000·4220 15'11
01-000·4?.2_1_
INSTALL FURN DUCTS iJP TO 100.000 BTU ""°A.-BUILDING PERMIT
-------+--',,{.;_J.~;:,,"4----Jr-f.-' OVER 100,000BTU ..... SIGN PERMIT T EACH FIXTURE TRAP
EACH BUILDING SEWER
>---~
f-----L-
EACH WATER HEATER ANO:OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 0 R MO RE
t·~CH_!NSTAL.. ALTER. REP~~~ WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
--------· -------
BOILER/COMPRESSOR UPTO 3 HP • PLAN CHECK 01-000-4806 ---·----.. ---01-000-4222 B01LER/COM~~~SSOR3-15 HP . TOTALPLUMBING -· __ _
METAL FIREPLACE ELECTRICAL -+ ------------------01-000·4223
01._:Q00-4224
I ' MECH EXHAUST -HOOQ:QUCTS '5 -MOBILEHOME 01·000-4225
_, _______
soLAR 01·000·4226
---
--
65·640-0519 I 5,!f!l_
-+---_· ~VENT FAN SINGLE O~~! /.... -MECHANICAL
_:~---~.-RELoCATIO~ OF EA FURNACE1HEATER MOBl~~OME-,-,-R,-IN-s-,----
- -TOT.C.L MECHANICAL I STRONG MOTION
TOTAL PLUMBING _j ~ ~1/i. Jb . ....-,p FIRE SPRINKLER__§__
t=...t.E~CH ~OF DRAIN (1NS1DE1
__ I
P.1 ·000-4227
1.?-o_op-4933
E_LE~TRICAL PE~MIT~ss ?• -~ QTY. ___ _so LAA_: 1ss~---__ BRIDGE FEE t:l QTY I +--==f
,--. t,Q PUBLIC FACILITIES FEE
NEW CONST EA AMP SWT BK R ! -COLLECTORS SCHOOL FEE· DISTRICT
fpf_i) --_3 PH _ --'Z,G,oq:=.__ S10RAGE' TAN~ --___ ..____ __ · ___ . ~lsbad _ -~..=_§~-0519
EX1sTBLDGE_!-AMP/SWT'BKR ·----_-_ -_-1-----------l-·-ROCKSTORAGE Encinitas .~~~--0519 ·--+-
[ltiOl ,.
'---"--'-'"-_______ 3 PH ·--_ __ -·--+·-PUMP San D1eguilo
San Marcos -IL-REMOOEL:ALTER ---+----PER CIRCUIT LI TEMPP-~20_~_"_ PS OVER 200 AMPS
t--TEMP-o-cCUPANcY 1io DAYS!
--~' ----------
PLAN CHC.CK 1-1::\:. ----
---+------41---+-·--·
. ----+--·-
----11-----
i - -+-
--
t:iti·625-0519
65-626·0519 --------j
---
---------f----
----1------
TOTAL ELECTRICAL 1:J~oo TOTAL SOLAR ----+----11 I I :z 4:5,"'4 I TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'" AND 00 HEREBY Expiration. Ellery per.mi_tissuedbytheBuildingOffic1alunderlheprovisionsofthis
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by hm.1t~t1on and become null and void. If the building or work
* AN OSHA PERMIT IS REQU1RED FOft EXCAVATIONS OYER
5· O'" DEEP AND DEMOLITION OR CONSTRUCTION OF
STAUCT\JAU OVER 3 STORIES IN HE'6HT DECLARATIONS ARE TRUE AND CORRECT ANO t FURTHER CERTIFY AND AGREE JF A PERMIT IS auth~nzed ~y such permit 19 not commence_d within 180 days from the date of such
ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-permit, or if the b~ildi or ol1i: authorized by such permit 18 suspended or
STRUC°TION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND l-:8;:bac"c"°;;:'-,"'',8c1C8!!"~1C'm"=',;',:i,~,,.w~o~<l<!..!!"C'e!0~m~m~on~o~e~d!.!!lo~,J•!.J?,~';,ioo&2of!...!Jl80!Q.d!!!,<L_-=4.,.""'""'""''"',---------------------4
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST. All UABIUT!ES. JUDGMENTS, COSTS AND APPLICANT'S SIGN OWNER O CON-TRACTOR i?9 APkR VED BY Jt DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /J • -. ,;// 1'1 t}~
GRANTING OF THIS PERMIT. ( /~ -oa-Y ~HONE D I J,,-I , '&) ~
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INSPECTION TYPE
M.9::68PJA'I'
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING -~r
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABO VE HA VE BEEN. APP RO VEO.
JOB SITE FINAL
PLUMBING h'x
ELECTRICAL J\A \.§'I;.'
MECHANICAL '(\!
GAS ~ t\
BUILDING .v
SPECIAL CONDITIONS "'
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
-STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE --~--POST TENSIONED.
CONCRETE '
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I 1------------~----
! PILES CAISSONS
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INSPECTOR'S NOTES -
DATE """' ·-· -""--'LlW'i _-1_~~~ -~
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