HomeMy WebLinkAbout2772 LOKER AVE W; MULTI-PERMIT FILE; CB960095; Permit, .
B U I L D I N G P E R M I T Permit No: CB960095
Project No: A9600157
Development No:
01/17/96 15:02
Page 1 of 1
Job Address: 2772 LOKER AV WEST
Permit Type: PLUMBING
Parcel No: 209-100-11-00
Valuation: 0
Suite:
Lot#:
Occupancy Group: Reference#:
Construction Type: VN
Status: ISSUED
Applied: 01/17/96
Apr/Issue: 01/17/96
Entered By: MDP
431-2439
Description: CONNECT EXISTING FLOOR SINK
: TO SEWER
Appl/Ownr : LEGGIO, JOSEPH
Fees:
Adjustments:
Total Fees:
2772 LOKER VAE WEST
CARLSBAD, CA. 92008
619
/
/
r ! 1 H·JSP.,u.-:...---
i CLEARAMCE ------1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION PI.AN CHECK NO.
City of carlsbad Building Department
2075 Las PalES Dr •• carlsbad, CA 92009 (619) 438-1161 FSr. VAL.,__ _________ _
1. PfiltMt't1YPR PLAN CK DEPOSIT _______ _
VAIID. BY ___________ _
DATE From Llst 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRGJECT INFORMATION FOR OFFICE USE ONLY
Address 7 c9.. L o l<e r-
~rZt Cross Street
LEGAL DESCRIP11oN Lot No. subd1V1s1on Name/Number Omt No. Phase No.
CHECK BELOW IF sOSMI l'l'EO:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE
DESCRIPTION OF WORK C.c:>nAc.e--.\-~,'::A-4'\ --\-" ~~~f2. S \"\, E._ PROPOSED USE
SQ. FT. # OF STORIES # OF BEDROOMS
3. WN l:AC'.l PERSON (1f different from applicant)
NAME (last.name first) ADDRESS
CI'IY
4. APPLlCANT D CoN IRACIOR
NAME (last name first)
STATE ZIP CODE
LI AGEN I FOR CoN'l'RACluR
ADDRESS
CI'IY STATE ZIP CODE
5. PROPEIUY oWNER L e. 9 3 i 0 NAME (last name first) :::ro serp ~
DAY TELEPHONE
DOWNER DAGEN'!' FOR OWNER
DAY TELEPHONE
ADDRESS cl.., 7 7 c9-I-. o I <er
# OF BATHROOMS
I/ ve lJes T
6_ fil:..n~l lshtcd STA TE (!_ }t/--ZIP CODE y ft. Q c) ? DAY TELEPHONE b / 7 lf J( /
NAME (last name first)
CI'IY
() (A_; tv,Q_--
STATE ZIP CODE
ADDRESS
DAY TELEPHONE
STATE UC.# IJCENSE ClASS CI'IY BUSINESS LIC. #
DESIGNER NAME (last name hrst) ADDRESS
CI'IY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. Woltl<ERS' COMPENSA'l1oN
Workers' Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to self-insure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m ~ny manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BOIIDER OEc!LARA11oN
Owner-Builder Declaration: I hereby afhrm that I am exempt from the ContradoPs Llcense Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense Law).
CJ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, a11d the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE 11-lts sEcl'toN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
CJ YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES LI NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCX!UPANCY MAY Nor BE~ AFfER JULY I, 1989 UNLF.5S THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICFS AND THE AIR POILUTION OONTROL DISI1UCT.
9. UJNS'IROCIIDN LENDING AGENCY
[ hereby athrm that there is a construction lending agency tor the performance of the work tor which this permit 1s 1SSued (Sec 3097(1) CIVIL Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APPLlCANT CEln:I.FICA'l'ION
I certify that I have read the apphcatlon and state that the above mtormat1on 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSf AIL UABILITIFS, JUDGMENTS, CX>S'l'S
AND EXPENSFS WIIlCH MAY IN ANY WAY ACCRUE AGAINSf SAID CITY IN OONSEQUENCE OF THE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep aqd demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abj ned at any time after the is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNA RE DATE:
,. ' CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960095 FOR 02/06/9,6
DESCRIPTION: CONNECT EXISTING FLOOR SINK
TO SEWER
TYPE: ,PLUM
STE:
INSPECTOR AREA TP
PLANCK# CB960095
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2772 ~OKER AV WEST
APPLICANT: LEGGIO, JOSEPH
CONTRACTOR:
PHONE: 619 431-243~'
PHONE:· /
OWNER: PHONE:
REMARKS: MW/
SPECIAL INSTRUCT: CALLED AT 2:30
INSPECTOR j( FRIDAY AND ASKED FOR --M-ON'1-"JlD~A~Y-AM _______ _
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
SE883325
SE900042
CB900655
CB951895
TYPE swow swow
SIGN
PLUM
STATUS
ISSUED
ISSUED
EXPIRED
ISSUED
ACT COMMENTS
22 PL Sewer/Water Service g_ _____________ _
29 PL Final Plumbing ~ _____________ _
~-----------P---------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
B U I L D I N G P E R M I T
12/28/95 09:58
Page 1 of 1
Job Address: 2772 LOKER AV WEST
Permit Type: PLUMBING
Parcel No: 209-100-11-00
Valuation: 0
Suite:
Lot#:
Occupancy Group: Reference#:
Description: RUN GAS LINE FOR WATER HEATER
: ALL PIPING INSIDE BLDG.
Permit No: CB951895
Project No: A9502759
Development No:
Construction Type:
Status:
Applied:
Apr/Issue:
Appl/Ownr : LEGGIO, JOE
Entered By:
619-431-0189
NEW
ISSUED
12/28/95
12/28/95
RMA
7325 LANTANA TERRACE
CARLSBAD, CA 92099--
\
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
------------
PERMIT APPUCATION PIAN CHECK NO.
City of Carlsbad Building DepartEnt
2075 Las Palll8S Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL ___________ _
1. PmtMl'l' 'IYPE
PLAN CK DEPOSIT _______ _
VAIID.BY __________ _
From Llst 1 (see back) give code of Permit-Type: ___________ _ DATE'-------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRUJECT INFORMATION FOR OFFICE USE ONLY
Address 'i 7. 7;;i, l.o Jc~ r 1-\ve.,
Nearest Cross Street
Bu1ldmg or SU1te No.
l/es.J-· Cc ,/f6ccl ../ C.A
LEGAL DESCRIPTION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF s0BMl'l"tEO:
0 2 Energy Cales O 2 Structural Cales O 2 Soils Report D 1 Addressed Envelope
-DESCRIPTION OF WORK Bas line or k,t;o+er ht ,d-tr. All /J'f°',..,o
SQ. Fr. # OF STORIES # OF BEDROOMS
1--o 6e conn12.c-.ft.J -ks lnff.rto < wel/5
# OF BATI:IROOMS
3. WN IACI PERSON (if different from applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
-=2 4. APPUCANT D CON I MCI OR LI AGEN I FOR CON'l'RACIDR JifbWNER O AGEN I' FUR OWNER
NAME(lastnamefirst) Le3J16 Toe ADDRESS 7 s;;is-C1.t,1ft:1r.Ci. Terroc.e
CITY c.,,._ ,..{sba.:: stTE CA ZIP CODE q ;).o O °' DAY TELEPHONE /i 4 9
NAME (last name first)
CITY STATE ZIP CODE
ADDRESS
DAY TELEPHONE
6. CXJNTRACIOR
NAME (last name first) ADDRESS
CITY STATE
STATE LIC. #
ZIP CODE
LICENSE CIASS
DAY TELEPHONE
CITY BUSINESS LIC. #
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WORKERS' CXJMPENsA'l1oN
Workers' Compensation Declaration: I hereby affirm that 1 have a cert1hcate of consent to self-msure issued by the Dlfector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection 'Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert1hcate of Exemption: 1 certify that m the performance of the work for which this permit 1s issued, 1 shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE _ s. OWNER-BUIIDER DECLARATION
-
CJ
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractofs license Law for the foliowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense I.aw does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License I.aw does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License I.aw).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects~ PJCa~ to a ci · . penalty of not more than five hundred dollars [$500)).
SIGNATURE 1/ P-,,,,,,~I{;-l 'L -. DATE Oe ~ -h v (;)__S1 1 9 s-
Is the applicant or future buildin pant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES ONO _
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES CJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATE OF ocx::uPANCY MAYNOf BE ISSUED AFfERJULY 1, 1989 ~ TIIE APPUCANT
HAS M1IT OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am POILUTION OONTROL DISfRICT.
9. CXJNsl'ROCl'loN I.ENDING AGENCY
1 hereby affirm that there IS a construction lendmg agency tor the pedormance of the work tor which this permit 1s issued (sec 3097(1) CIVll Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPUCAN r CERl1FIClrnON
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply wuh all C1ty ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS TIIE CITY OF CARLSBAD AGAINST AIL IJABIIITIF.S, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep aqd demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abando~~~Yti~:Jfter the work is commenced for a period of 180 days (Section 303(d) Uniform Buildjng c;6deJ. _
_.-APPLICANTS SIGNATURE ·~~ ~yq~ --DATE: /;;l./;21/ 'Ju
WHITE~e OW: Applicant PINK: Finance
0
01/03/96 15:02
Page 1 of 1
BUILDING
Job Address: 2772 LOKER AV WEST
Permit Type: PLUMBING
Parcel No: 209-100-11-00
Valuation: O
PERMIT Permit No: CB951895
Project No: A9502759
Development No:
Suite:
Lot#: f
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
12/28/95
12/28/95
RMA
Description: RUN GAS LINE FOR WATER HEATER
: ALL PIPING INSIDE BLDG.
Applied:
Apr/Issue:
Appl/Ownr: LEGGIO, JOE
7325 LANTANA TERRACE
CARLSBAD, CA 92009
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
27.00
.00
27.00
***
Entered By:
619-431-0189
Fees Collected & Credits
Total credits:
Total Payments:
Balance Due:
.oo
27.00 .oo
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
1
{l
/I
7.00
/l
20.00 Y
7.00
27.00
f
l d I
--~ .,_
' '\ c;
{ 1../
-\-----·--------. ~-----
\ ------·
111 t1 ~ -. . /' ----
. ~-fl;:_ ---=_· __ \·-··. ---. __ ·. ·-··-·-··
---'~-~---il--:, ---·-·------------·------.... -i::. Ci': ... --·-----\----
~~-¼ -< -,-fg--·· ----i f O ~ =--------------------\-;;j= ~ :. ~ : -. ~ ~ ~ -----· ----==----\:== --~-=::· ......... ·.. r"\ .
----U.J
.._ ----•-4 -----------------___ --· -------\ _t · t· E t
--,.. lb~ ------------------------. _u ~ ,__,
~"'·"'"' (j" J .. r-·-··------r -·-·,;z· ' '"I?~~ ~ ---------+ . V
~;;,() i~ ~
Qrr-r ~ ~
ti) z 0 ~ ~ frl 0
-~ . a: I hereby affirm that I' am ·llcehsed under
.0 [ revisions Qf ·Chapt~r 9 (commencing with
1-Section 7000) of Division. ·3 of the Business
~-and P,rofesslons Code, and my license Is In
z Lie No. __ Class V ·I!; full fo~ce effect. C.l9' .
8', . '2.f,,o,<f. -.
I llereby;/filrm that I am exempt from the Contrac· tor's ,License Law for the foliowlng reason (Sec. 7031.5
Business and.Professions Code;-Any city or county which re· quir~s a permit to construct, _alter, improve, demolish, or
repair any structure, prior to its issuance also requires tbe ap· plIcant for such permit to file a signed statement that he Is
licensed pur~uant to lhe provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Oivision 3 of the Business and Professions Code) or that Is ex· empt therefrom and the basis for tnealleged exemption. Any violation of Section 7031.5 by an applicant for a permit sub· jecfs the applicant to a c1'11I penalty of not-more·than five hun• dred dollars ($500).
a: w 9 5 I· w z· ;,;
0
D I, a~ owner of·the•property, or my employees with wages as their sole compensation, WIii do the work, and, the struc-
ture ,snot intended or offered tor sale (Sec. 7044, Business
and Professions Code: The, Contractor's License Law-does not apply to an owner of property who builds. or Improves.
thereon and whO·does such work hlmselJ or through hIs own employees, provided that such imprciveinents are not Intend· ed or offered tor sale. If, however, the building or improve· ment Is sold within.one year of completion, the owner-builder will have the burden ·of provmg that he did not bufld or Im·
prove for the purpose of sale). • ·
· D I, as owner of the property, am exclusively contracting with.licensed contractors 10 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of property who bufids or im· proves 'thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law).
O As a· homeowner I am Improving my home, and the follow· Ing conditions exist: 1. The work Is being performed prior to sale. 2. I have lived In my home for twelve months
3. · rr~~v~ ~~r pcir~i~~gt ,tri1: ~~!~plion during the
_ last tttree years.
D I am exemptunder Sec.----~--, B & P.C. for this reason ____ · _________ ,...
~ hereby affirm that I have a certificate of consent lo 1
'Self-msure, or a certificate of Workers'
Corripensat,on Insurance, or a certified copy thereof
. (Sec. 3800, t.;,oor CodW0'677 . . .
z, . POLICYN0.2.,<;:_~------
~ -COMPANY -~JtL!Y-· :i -.,,( Copy ,s filed with the city. -z ,,... '
~ . O Certified c~py rs tietetiy furnished
:E o·
0 II> ir w :.: a: o•· 3
CERTIFICATEc OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section n~d not be completed .if the permit
rs for one hundred dollars ($100) or less)
D I certify that in the performance of the work for
which lhts permit Is issued. I shall not employ any
person in any manner so as to become subJect to
the Workers· Compensation Laws of California
NOTICE TO APPLICANT 11, after makrn, this Cert1-
f1cate of Exemption. you should become sub1ect to
the Workers' Compensation provIs1ons of the Labor C9(1e, you must forthwith comply with such
provIs1ons or this permit shall be deemed revoked
l D 'I hereby 'affirm that there Is a construction ffi . lending agency for !he ,p,erformance of the work for
0 which this permit 1s issued (Sec 3097, C1vII Code)
ffi l:ender's Name ... -------------
Lender's Address ___________ _
'
'
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADE:D AREA AND DECLARATIONS. "
-cAR.LSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
..
1200 Elm, Carlsb~c!. California 920013-1jl39 (619) 4~13-~5;!5
JOB ADORESS
,Lo1$,1<.. llue-"'~Ld B A~g_T,,DA30~&$tONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
277P.... ~os-90 Cf>i~o:i.73 ~~:e~~ u~--?AF.-TN/G£<:, 1717'~ t;:sfl~t
CONTRACTOR CONTRACTORS PHONE#> ZONE
<pA--JeArn.oui!CT" -:'/. -\ l{f&-ll~/C/ -----. ~, 1-.,-.r [.,,
OWNER'S MA1LING ADDRESS CONTRACTOR'S ADDijESS ~r' ~"t:ICENSE NO. PLAN 1.0. # BLOG .USE COOE
· l{/qq Ca'tv'()ue !Jr z/t/uo :::r/!th/1/C, Cit ;;;..;:o_o /J1 Ir' /'O 'PL.~ L/3,07(/
LOT BLOCK '1 SUBDIVISION I ASSESSOR PARCEL 1--lO. DESIGNER
~~e. ~'v~ifo LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE .
DESCRIPTION OF.WORK.
. . DEStGNER'S•ADDR0ESS ·DESIGNER'S PHONE: .
e::z.et.r ~ ~ 0005 03/03 0101 02£:ldPmt 30a0•)
F/P FLR ELEV. NO OCC GP EDU
-30 SDA.lf.,S. ()1.//y STORIES
vO NO --
CENSUS TRAcCT I GP LAND use I PA1RKtNG s~ ~~UNITS I GRADING i::ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA . CONST
YO ND vO NO vO NO Not Valid Unless Machine Certified
PLUMBING PERMl'S:{S~ '0,-"
,.
~~ ,~<)O QTY. ,--.,,)-0°' QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
'\V,
EACH F!XTURE TRAP l }>"' ,. c~. -~ ff,~,... ~~")· INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER .. t':<~ ..• e_;.:_\.}" '(;·.~ OVER 100;000 BTU SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER AND/OR VEN{.
-~~~--.,.:-~\~'::;~~· , BO.ILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 ,. ' ..
EACH GAS SYSTEM 1 TO 4 OUTLETS ~~ ... ,. ,"' ... BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 ~ •'\."" ' -;"-~""
EACH GAS SYSTEM 5 0 R MO RE Gt}:~ .--!:::-~~ METAL FIREPLACE E~ECTRICAI:. 01 ·00·00·8223 ,<:<(\...-
EACH INSTA~ .. ALTER, REPAIR WATE~JNJ\P~. VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER ~v MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EAE_URNACE-/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ' SOLAR OH0·00-8226
TOT,l;L MECHA~IC'AL STRONG I\IIOTIDN 80·92·33·0519
rdTA,L PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
.. -PUBLIC FACILITIES FEE 32·00-00-8923 · QTY, ELECTRICAL PERMIT: ISSUE 0,od QTY. SOLAR · ISSUl; ~12 3-~ BRIDGE FEE
NEW CONST EA AMP/SWT /Bi<R ; COLLECTORS /~o--..... a:,."\. SCHOOL FEE • DISTRICT .. l PH 3 PH STORAGE TAN KS /Pl -:. ' ~~\ Carlsbad 80·92·21-0519
E~IST B·LDG EA AMP/S\"!TIBKR ROCK STORAGE ,~ MAO 1DDa -~' Encinil<!S 80·92·?2·0519
1 PH 3 PH '' PUMP .t,;.j ..... -v ·-~ San Dieguito 80·92·23·0!)19
REMODE UAL TER PER CIRCUIT PLAN CHECK FEE '~ /f#,1',.tREA~ Utn:-i;, ·~ San Marcos 80·92·24·0519 . \~ CARl~t~~ L~eyAD TEMP PO LE. 200 AMPS . .z:tJ
OVER 200 AMPS \~ ·-"'' (i:) I lc'11 .,. /"""
I TEMP OCCUPANCY (30 OAYS) r;~ ~?.>,.. AC?)/ ~. ,,. ~coz 3\,~-' .
TOTAL ELECTRICAL I --a.{)~ TOTAL SOLAR TOTAL FEES PAYABLE I ~~-..
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued by the Building Official under the provisions of' this * AN OSHA PERMIT IS REQUIRED-FOR EXCI\VATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. ff the building or work ·5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRt:JE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ls not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit, or if the building or work authorized by such permit is suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv time after the work is commenced for a oeriod of 180-davs ..•.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND 2 , OWNERD CONTRACTOj¢ : AP_f'~_ovEI~:Bv rf71 DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLI ~~~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CJTY IN CONSEQUENCE OF THE BY PHONE 0 -~0.-8"i GRANTING OF THIS PERMIT, . . .
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GC -' ' I g[,·'~ O I hereby affirm that 'I am licensed under · I o provisions of Chapter 9 (commencing with (
: Section 7000) of Division 3 of the ~uslness I
1-. and Professions Code, and my license is In 1 ~ full force and effect. 1
(.) 1 I hereby aflirro that I am exeropt from the Contrac· I tor's Ligense Law tor the following reason (Sec. 7031.5 I
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repair any structure, prlorto its Issuance also requires !heap· I plicant for such permit to file 11 signed ·s1a1ement that' he 1s I licensed pursuant to the provisions of the Contractor's license Law (Chapter 9 commencing with Section 7000 -01 • f D1v1s1on 3 of the Business and ProfesS1ons Code) or that is ex-I
empt therefrom and·the baS1s tor the alleged exemption. Any ' violation of Section 7031.5 by an applicant tor a permit sub-· l
jects the applicant to a CIVIi penally of not more than.five hun-f dred dollars ($500).
I I I, as owner of the property, or my employees with wages
as their sole compensatmn, w1li do the work. and the struc-ture is not intended or offered for salo·(Sec: 7044, Business
and Professions Code. The Contractor's license law does not apply to an owner of property who bmlds or improves thereon and who does such work himself or thrQugh his own
employees, provided that such improvements are not Intend· ed or offered tor sale. If, however, the.bmlding or improve-
ment is sold within one year ot completmn, 'the owner-builder will have the burden of proving that he did not build or im-prove for the purpose of sale).
O t, as owner of the property, am exclusively contracting w1th·llcensed.contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an ownerof property who bmlds or im-proves thereon, and who ·contracts tor each projects with a
contra'ctor(s) license pursuant to the Contractor's license Law).
D As a homeowner I am improving my home, and the follow· mg conditions exist:
1. The work is bein.9 performed prior to sale. 2. I have lived. in my home tor twelve months
3. pr~!v~ ~~r P~f~/~~gt l~,I; :~!~ption duri~g the last three years.
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D la,ne><emptunderSec. ______ ~, B&P.C. I
for this reason-'-~ __ . . · I
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0 I hereby affirm that I haye a cert1flqate of consenrto
.self-insure; or a certificate of 'workers· Compe,nsation In-
surance. or a certified copy thereof (Sec. 3800, Lc!bor Code)
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POLICY NO.
COMPANY
0 Copy 1s ftled with the city
~0 Certified•copy is hereby furnished
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wii~;~~?~6~~~N~XA\t;'6%'?NNS~=~~CE j
(This Section need not be completed If the permit i
-is for one hundred dollars f$100J or less) I
D r certify, that in the performance of the work for Which l
this permit 1s Issued, I shall,not employ any person in any f
manner so as to become subject to the Workers· Compen-
sation Laws.of California, I
NOTICE TO APPLICANT:.!!, after making this Cerl11icate I
of Exemption. you should become subject to the Workers· i
Compensation provisions of the Labor Code, you must I
forthwith comply with.such provisions or this permit shall l
be deemed revoked. : , . l
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D I hereby ~ffirm that there is a construction lending i
agency for the performance of the work for which this per-I
mit Is Issued (Sec. 3097, Civil Code) . I
Lender's Name _____________ I
l Lender's Address·-----~-------I
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USE BALL POINT PEN·ONl:Y & PRESS· HARD
277?--CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Or., Carlsbad, CA 92009-485,9 (619) 438-1161
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
.A (/
J'!;AboR ESS . cqq. Mt<eL A;Ji' . ELCL~LE ID<tlf!Z5NI
LOT BLOCK
BUSINESS LICENSE #
/&7/Lf
VALUA'TIO~-,..-y .,,,,,,...,, -·"-'"
'--57B~
ZONE -~~~;;;~IY
BUILDING SO, FOOTAGE
---:-------... ---·. F/P FDll
QTY.I
l l PARKING.SPACE I RES_Ut,JITS GRADING PERMlf ISSUED
YD N 0
vO NO
I REDEVELOPMENT
AREA
YO NO
PLUMBING. PERMIT -ISSUE Sl)IIQTY. MECHANICAL PERMIT -ISSUE
EACH FIXT°URE TRAP INSTAL_LF_URN. DUCTS UP TO 100,000 BTU
EACH BUI LO ING SEWER OVER 100,000 BTU
. EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
TYPE
CONST
3ob
OGG LOAD FIRE SPA 000S 04/03 010102BldP1Dt
YO NO Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00-00-8220
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001 ·810-00-00-8821
16-50
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
TOTAL PLUMBING
ELECTRICAL
001-810-00-0~ Rec SP]
EACH GAS SYSTEM 5 OR MORE
EACH INST Al .. ALTER, REPAIR WATER PIPE __ 1-_ ~ 5v
EACH VACUUM BREAKER
WATER SOFT-NER
EACH ROOF DRAIN (INSIDE) ·-. -TOTAL PLUMBING T /(;\~ Lt
QTY. ELECTRICAL PERMIT -ISSUE SI)()
NEW CONST EA AMP/SWT1BKR
1 PH 3 PH
EXIST BLDG EA AMPJSWT /BKR
1 PH 3 PH
REMODEL:ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL 1
VENT FA:N SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER-
DRYER VENT
TOT!<L MECHANICAL
QTY. I MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOTAL
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION.AND PERMtT" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATJON HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMlT IS ·
MECHANICAL
MOBILEHOME
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
PARK-IN-LIEU (AREA
TIF
LA COSTA TIF
FMF
LICENSE TAX
MFF
CREDIT DEPOSIT
001-810·00·00:8223
001·810-00-00·8224
001·810·00-0Q-8225
001-810-00-00·8226
880-519·92-33
001 ·810-00-00-8227
320-81o:oo-oo-8740
360-810-00·00-87 40
)
134-810-00-00-8835
133·810-00·00-8835
001-8.10-00-00·8162
880·519-92·57
TOTAL FEES PAYABLE~ . !~fr;()
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-1 .!!~=~=,.;.;ft..!!=~~~~~~===~~~=~~~!!!l'..i"---:::--l~~~~~~..,{"""---------t-1---,i-o-~ STRUCTlON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND -
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT. ---~ I
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