HomeMy WebLinkAbout2777 JEFFERSON ST; ; 85-585_misc; PermitIll z 0 j::
C a: C _,
(.) ... C
C
i[
(.)
a: ... C _,
:5 ID ii: ... z ~ 0
\
z 0
j:: C Ill z ... CL
2 0
(.)
Ill ~ :..:· a: 0 3
!l
O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfeHlons Code, and my license is in
full force and effect.
L,c No Clas,
I hereby affirm !hat I am exempt from the Contrac· tor" s License Law lor the fottowmg reason (Sec 7031 5
Business and Proless1ons Code Any city or county wh,cti re-
quires a perm,1 to construct .. alter. improve, demolish. or repa,r any structure, prior to its issuance a1so reqwres the ap· pt1can1 tor such permit to Ille a s1Qned statement Iha! he 1s
licensed pursuant to the prov1si0ns of the Gontraclor' s license Law (Chapter 9 convnencmg with Sec1,on 7000 of
Otv1st0n 3 ol the Business and Professions Code) or that is ex empt therefrom and the basts tor the allegea exempt.on Any
v,01atmn 01 SecllOn 7031.5 bv an apphcant lor a perm11 sub· 1ects the applicant to a c1v1I penalty of not more lhan hve hun·
dred dollars (SSOOJ
r, I as owner ot the property. or my employees w11h wages
as the,r sole compensa1t0n, will do lhe work. and the struc·
lure 1s not intended or offered for sate (Sec 7044, Business al"id Prolesstan~ Code The Con1rac1or s license law does
not apply to an owner al property who builds or improves
thereon and who does such work himself or through his own
employees, provided that such improvements are not intend··
ed or offered !or sate. II, however. the building or improve .. ment 1s sold w1th1n one year of comptet1on, the owner-buHder
will have lhe burden al proving thal he did not build or im-prove for the purpose al sale}
~ I as owner of the proper1y. am exclusively conlractmg w11h hcensed conlractors to construct lhe proJect (Sec. 7044
Business and Professions Code The Conlractor's license Law does not apply lo an owner of property who builds or 1m· proves thereon. and who contracts tor each pro1ects with a
contractor(s) hcense pursuant lo lhe Con1rac1or's license Law)
D As a homeowner I am 1mprovmg my home. and the lo11ow
mg condthons ex,st. 1 The work 1s being perlorrned pnor to sa1e
2 _ I have hved in my home lor lwelve months prior to completion of th,s worM.
I have not claimed this exemption dunng the last three years
[' I am exempt under Sec B & P C
1or this reason ·
0 I hereby affirm that I na .. e a cen1t1ca1e ot consent
to self ,nsure or a cer11f1ca1e ol Workers
Compensa11on Insurance. or a ert1tieci copy thereof
(Sec 3800 ubor Godel
POLICY NO
COMPANY
D Copy 1s hied with tne city
0 Cer11l1ed copy 1s hereby lurrnshed
CERTIFICATl OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit
1!) fOf one hundreo oollars (S HX>l or less)
0 t cer11ty that '" !he performance ol the wor1o. tor wh1cn 1h1s perm11 ,s issued. I shall no1 employ any
person 1n any manner so as to become sub1ec1 hJ
the Workers Comoensation Laws ot Ca11torn1a
NOTICE TO APPLICANT If al1er makm3 this Cen1
hcate ol Exemp11on you should become sub,ec:1 I'> the Workers Compensation prov1s1ons ol the Labor
COC1e. you must tonh~1th comply with such provisions or 1h,s permit shall be deemed revokeO
0 I hereby athrm thal !here is a cons1tuc11on
end1no ~ency tor 1ne perlo,mance ot 1ne won.. to, wh,ch this perm,1 ,s issued 1Sec 3097 c, ... 11 Cooe1
Lenders Name ___________ _
lender 5 Address -----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008·1989 (619) 438·5525 APPLICATION & PERMIT
JOB ADDRESS
r:Ji~&te Sory
AV. ST.RO. r;r;;;;~K/c) I DATE OF APPLICATION I BUSINESS LICENSE tt VALUATION PERMIT NUMBER
~777 Si . ~o---;{5,,.' /
Lf4T? I BLOCK I SUBOIVISION I ASSESSORll~EL NO' 2.., CONTRACTOR CONTRACTORS PHONE • ZONE -5/5 ·10">--2. (t) ( lh-!.-_ o~;.\t '{ e,,\<.eS I ~3.°':~~·;HbE e'T\:\ \ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE COOE
OW .... ER'S MAIL1"'G AODAESS
;).C\ ~l-~,r°t:)t\f\O, st. C fif.,\..) ~\) CA 1k1!)8 DESIGNER LICENSE a STANDARD PLAN# BUILDING SO FOOTAGE
DESCR\\O~G~, ~-" ~' N'Xl\, \~ s w~ wv-c ~ DESIGNER'S ADDRESS DESIGNER'S PHONE
.J t;/l.;;;'./. .L 'I u ,'l l.
~ F1P FLA ELEV NO OCC GP EDU I.;,.:.., it } fl, L/l I I •.1 I e! STORIES
vO NO ---
CENSUS TRACT I GP.LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Ft RE SPP AREA CONST .
y O N 0 vO NO vO NO Nor Valid Unless Mach,ne Cerrd,ed
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER -d -EACH FIXTURE TRAP INSTALL FURN DUCTS tJP TO 100,000 BTU BUILDING PERMIT 01·00·00·8220 ,r-() ---EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 ----·---
EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 -
EACH GAS SYSTEM I TO 4 0 UTLETS I BO I LEA 1COMPR ESSO R 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 ~~ I ----EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 0 l-00·00-_8223 ,_ ----. -- ----
EACH INST Al ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT M ECHANJ,lltW. 01-00·00·8224 ,. ----
MOBI~~ -EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS 01 ·00·00·8225
WATER SOFTNEA RELOCATION OF EA FURNACE HEATER MOBILE ~ PARK INSP A~·
FACH ROOF DRAIN I NSIDE I .6 ~OL~ ~ -:t,f/t ~l-00·00·8226. I l.P dJ., ~ 3~~ TOTM MECHANICAL -... ----~ ST~ MOTi~ tj ~ 80·92·33·0519 -~
TOTAL PLU BING I hJ s:!: O~SPRINKtOS ~ & 01-00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR • ISSUE L f\lBLIC Ft.r,i~~IES(/", J,~_:32·00·00·89ll_ -
j l'BRIDGEtit-.. ~
NEW CONST EA AMP SWT BKA COL LECTOAS -SCHOOL -FEE · [Or~~ -~
l PH 3 PH STORAGE TANKS Carlsbad .A ... / 80·92·21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Enc1mt,(t ' .. )' 80·92·22·0519
I PH 3 PH PUMP SanD,egu~' 80·92-23·0519
REMODEL 'ALTtR PER CIRCUIT PLAN CHECK FEE ~ San Ma~ 80·92 24-0519 -TEMP POLE 200 AMPS
OVE A 200 AMPS LICENSE TAX 01·00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 ----
CREDIT DEPOSIT
TOTAL £llLTAICAL I TOTAL SOLAR TOTAL FEES PAYABLE I so~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Expirahon Every per_m1t issued by the Bwld1ng Oft1c,a1 under the prov,s,ons of th,s * AN OSHA PERt,t:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PER.JURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tat1on and become null and void If the bu1td,ng or work s· O" DEEP ANO DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180 days from the date of suet'\ STRUCT\JR£S OVER 3 STORIES IN HEIGHT permit. or 11 the bu1ld1nH or work authorized by such permit ,s suspended or ISSUED TO COMPLY W'fTH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON abandoned at any tome a ter the work ,s commenced tor a oertod of 180 devs A
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEM"l.!.rT ""LI A ~TmArn Jf,
...,.,..CM lf'. CONTRACTOR C APPROVED BY IJ-IDAT~5·
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. C--" I~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE &-t--~ BY PHONE,lqj GRANTING OF THIS PERMIT .,
~\ , (
----
Q)
> ~ 0 0.
E Q) ~
'O
0
(!)
co ~
0. 0.
rJJ rJJ Q)
0 0 a:
co co a
~
Q)
0 C co
C
ii:
C Ql
Q)
t3
0 ti Ql 0 rJJ C
2
C ~
TYPE I DATE INSPECTOR
BUILDING I .. -f s--s-a::;--
FOUNDATION I
i FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT i
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
--
INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE SHEATHING 0 ROOF 0 SHB:AR PRIOR TO
FP.AME I
I
EXTERIOR LATH I
FOUNDATION INSP
STRUCTU RAL CONCRETE .~ OVER 2000 PSI ····-l~ULATION I
I
INTERIOR LATH & DRYWALL I
I
PRES TRESSED ':·~~ . CONCRETE -POST TENSIO NED .,."lJ .
CONCRETE ,;> "•
PLUMBING I
SEWER AND BUCO DIP UCO ' I
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 W-1'TER
' :. . " FIELD WELDING ,----~ . ~ .-.. --
HIGH STRENGTH .. {"'} .;.·
BOLTS -(..
,·. ~ ./ ' SPECIAL MASONRY ', ,"IA_. / .• ~ ..
TUB AND SHOWER PAN I
GAS TEST I
0 WATER HEATER 0 SOLAR WAtrER
.. <~ r• ~ (') tJ ,:\
~ _.;1, ,,.,
...... ,:) ... -,c . PILES CAISSONS '-... ....
""'' I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 l;JFFER .. .
ROUGH ELECTRIC I
e:J ELECTRIC SERVICE 0 TEMPO$ARY
0 BONDING 0 POOL I
I -
MECHANICAL I
0 DUCT & PLEM., 0 REF. PIPIN1G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT!2N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED.
FINAL I
PLUMBING .1
ELECTRICAL I
MECHANICAL .
I
.
·-· GAS I ' ·-,,..
BUILDING I
_I
SPECIAL CONDITIONS I
I -I
.. . ...
,
fsiii!i' SAN DIEGO GAS & ELECTRIC COMPANY ~ P.O. BOX 1831 , SAN DIEGO, CALIFORNI A 92112
Notice of Service Discontinuance
PERMIT DEPARTME NT
CITY GR COIHH..Y@ CM::l~~AD
ELECTRIC~ GAS SERVICE TO .,,
735 "'-751 AR.BU Ck:Lr;: t Z'lr7
ADDRESS
WILL BE DISCONTI NUED. AHO ALL SERVICE LINES WILL OE REMOVED
THIS BUILDING CA N BE MOVED OR RAZED AFTER THE ABOVE DATE.
SAN DIEGO GAS & EL ECTRIC COMPANY
FORM 106-2152A
APPLICATION FOR BU 111 DING PERMIT 5342
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
?Pi:::e ~~i~:) _z.?1..~s-t·--·-·~Mailing
Contractor --·----~':}::~~------------------Mailing
( Please Print)
To Construct O To Ad~ To Alter O To Repair O To Convert O To Move From ·-·--·····································-·-········--····--·
Typo of Const, .:iJ&.~ Kind of Foundation ....... ~-.. C-.c.No. of Stories-...... / ... _ To Bo Used for ... L'::Z.:::::..~~--...._
(Framo, Masonry, Etc.) (Ono Family Dwelling, Store, Etc.)
""' Floor Spaco of Proposod Construction (sq. feet) -J .LJ . .U .... :-··-····-·-·Const, Valuation $ .... ,,3.,. .... tJ~O .... -.. -·······-···················-·····-··-·-·-·-·--··
attached 0
Floor Space of Garage {sq. feet ) ················----···-··------·-····-··---·--·· detached OConst. Valuation $·--·------------·-··-----------·-----------------·-----------·---·---·-·-------·-----------------·----
LEGAL DESCRIPTION
Lot Block Subdivision
::oolod ,t ~;'z'f. 21~~ .s:d. ' :::::: Noo, ........................... T:::·."~······················ R••:•_ ----· Assigne~-~se ~-i:
LAND AREA -···-··-··--·-·-··-···-··---··-·--·---NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE -·-·-·-·-···-····--·--···--···---····--·---·-·--···· (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES_·--···--··-·-·-NO_.f ----·
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIOV D
tt/eri/1/ ~ I <-trE":JN If II check is tendered for payment of the above fee and the check is · ~ .f7 _ -~
i:~ohdi:~:i; r:tike:,resented fo r payment, your Building Permit will be SIG~t~~~ifE~F -.;.-~~·-~-----·-··----·-··-
Front Y ord Set Back ---·-·-·-·-·--··---·---··--·-·------··----·-·----···--·--·--------·-Driveway Permit Required Yes ( No ( J Fee ---·········--·-·--·--------··----··
Side Yard Set Back ---------------···--·---··-·--· --·-·-··------·-------·-··-·--------·---Grading Permit Required Yes ( J No ( J ····-----·--·-----·--·------···---·--·-·---···------..
Roar Yard Set Back ---------·---·-·····-··-··---------·-------·--------·--··--··--·-·---Sewer Disposal Plant Capital Cont. Fee ---···-··--·-------·----··-··---·---·-.. -·---·----·---·--·-··-......
Distance Between Bldg. -·-··-·-------·--·---------·--··-----·------··------·--·------Sewor Pumping Station Capital Cont. Fee ------·-------·-----·-----·····-·-··----··--·--·-----·---------··
Off Street Parking Spaces -·---····-·---· --------··---·-···--··--·-·-·---·-·------.. Sewer Main Line Cost -·-·················-·······--··--··-···-------·····-····-·-.. ··---------·--···---·--------·---.. -·---
Sewage Disposal System --------·-·------·-----·--··-----·-------·---·--·------··-----Sewer Lateral Connection Charge ··-··-·-·---·-·"·······--------·---·---...... -----·-·--··-···-·---·----··-··-··
Zone -Residential ( Water Stocked Lands Charge ---·---·---·---·---·---·---·-·----·-·-----·-----·-···-·-------·---------·-------·---··--·
Zone -Commercial Water Main Pipe Line Fee ___ -·-·-·---·-·--·-·--·---·-----··---------··-------·--·-·---·--·---.. -------------·-·---·-
Variance Water House Service Charge -------·--··--·---·-·--··· .. -·-·-------·····--· ----··. --·-----·--·---·--.. ··-·· .. -·-
Eng. Check By ____ .... ·---.. --·---·--···--·-------·-----·---·--·-·-----····------·---·---·--·· Water Meter Charge ---.. -·-·--·-·-·------------······-··--·----------·---·----·--.. ---·-·-.. ·----------·----------------·--
Sub Total ---·-------··-······------.. ---·-··-·-·---··--.. --·------·-·---·--------·---------·--·