HomeMy WebLinkAbout2801 ESTURION ST; ; CB881484; PermitI affirm thai I am llcansad under
(laiona of Chapter 9 (commencinQ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
lull force and effect.
I KereOy jttirm inai i am eiempi Irom the Conlracisr s License Law loi the loHowmg reason (Set 703t i
Business and Proiessions Code Any city or county wnicn re
quires a perrmi to consltucl. alter imprqve Oemoitsh orre<)ait any structure prior to iis issuance also requites'^applicant lor such permit to liie a signed siaiemeni ihaTse is
licensed pursuant to iite provisions oi the LomraJor s
license law (Chapier 9 comntencutg with Section 7wO oiDivision 3 01 me Business and Proiessions Code.orit^isev
empt ineretrorn and the liasis lor ine alleged esempti/n Anyviolation Dt Section 7031 b Qy an applicant tor a D^it sub-
lecis me apphcani loa cunt penalty ot not more ma/hve nun
died dollars (SSOOi
. I 1. as owner Dl me property , or my empfoyeaS witn wagesas trieir sole compensalion will do me wory^nd me structure is riot intended or olieted ic sale (Sec /Oea Business
and Proiessions Code lie Cortiracw s Ulenst law does
nol apply to an owner si properly who Uiids or improvesthereon and who does suci> work himseilZr mrougn nis own
employees proyxMd thai such improveiAnts are not intended or offered for sate if. however m/ouildmg or improve-
fTwnt IS sow wilhin one year of compirfon the owner Ouildei
wiH nave the burden oi proving iha^e did not buiW or im
prove for the purpose of salei
I as Owner of the propertyam exclusively contractingwith licensed conlraciors locoAirud the protect (Sec 70a4.
Business and Professions One The Contractor's licenselaw does not apply to an owher of property who builds or im-proves thereon, and wno/oniracis tor each projects with a
coniiaclorisi license punuani to the Conlracior s License
law)
I 1 As a homeawneg
ing conditions exi9
1 The I irk
am improving my home and the foiiow
IS tMing performed prior to sale
(e lived in my home lot twelve months
P'A to compwiion this work
nave not claimed this exemption during the/asl three years
U la^exemptunderSec
(or ttgC reason .B&P.C
I hereby affirm ihsl I have a certificate ot consent to
il-insure. or a certificate oi Workers' Compensation In
surance. 0' a certified copy Ihereot (Sec 3800. Lattor CoOel
POLICY hO
COMPANY
f^Copy is tiled with the City
in Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be comoieled it me permit
•s tor one hundred dollars iStOO) <
' ! I certify that in ttre performance oCiffe work for which
this permit is issued. i enaii not emflSy any person in any
manner sO aS to become Subie^Ho me Workers Compen
saiion Laws ot CaiHomia
NOTICE TO APPLICUK^f. aher making this Certiticale
of Exemption, youdfwuld t>ecome subieci to the Workers
CompensaliOpkVovisions of the Labor Code, you must
forthwith comply with such provisions or Ihis permit shall
be deeiTtdB revoked
□ I hereby affirm ihafTfiere is a construction lending
agency tor ihe petlprmance of the worfi for wliien this per
mit is issuediflM 309?. Civil Code)
Lender ..
Lander s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, OA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS
LOT BLOCK SUBDIVISION ASSESS'
AV
ASSESSO
. ST.RD, THOMAS BROS NO.
OWNE R'S NAME
R PARCEL NO _
Pev-e^<^ ^-i^i-ngnOWNE R
OWNE R'S MAM. I NO ADDRESS
'S PHONE
DESCRIPTION OF WORKlON OF WORK , , ^
9on\ A ^
QTY
CENSUS TRACT PARKING SPACE
PLUMBING PERMIT - ISSUE
EACH HxrURf TRAP
EACH BUiLUiNG SEWER
EACH WATfRHEATEHANDCIR VENT
EACH GAS SYSTEM 1 TO 8 OUTLETS
EACHCASSVSTEMSQRfklOHE
EACH iNSTAL ALTER, REPAIR WATER PiPE
EACH VACUUM BREAKER
WATER SOFTNER
FACH HOOF DRAIN cMSillEi
CONTRACTOR
DATE OF APPtlCATtON BUSINESS LICENSE *
CONTRACTOR'S ADDRESS
"T5S' CO o.vc€gL..iDESIGNER «'
^r-h-rrg-v Vigr
DESIGNER'S ADDRESS
rO nD
GRADING PERMIT ISSUED
rO N □
7 <5D
TOIAl PlUMBlNL
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP SW1 BKR
1 PH :j ph
EXIST BLOC EAAMP SWT BKR
1 PH 3 PH
REMOOEl Al Tt R PER CIRCUIT
lEMPPOlE y'OB AMPS
OVER ."UU AMPS
TEMP OCCUPANCY <30 DAYS)
2
S.CfZ>
Tf)TAt ELLLlRli.Al
REOEVELOPfyfCNT
AREA
> □ nD
QTY MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER-COMPRESSOR 3 IS HP
fVETAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOO OUCTS
RELOCATION OF £A FURNACE-HEATER
DRYER VENT
TOTAL MECHANICAL
NO
STORIES
TYPE
CONST
1Z.HS"!
CONTRACTORS PHONE -
STATE LICENSE NO.
DESIGNER'S PHONE
STATE LICENSE NO
OCC LOAD
15'OD
QTY.MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
'OlAl
EDU
FIRE SPR
vQ nQ
VALUATION
/5.55"2u
ZONE
PERIkllT NUMBER
BUILDING SO FOOTAGE
3037 11/10/88 0001 01 02
202.0<
Not Valid Unless Mac/tine Certified
SUMMARY/ACCOUNT NUMBER
BUILDINC PERMIT O01-815-OS-SO-S556
SIGN PERMIT 001-810-00-00 8?2l
PLAN CHECK 001-810-00-00-8891
TOTAL PLUMBING 001-810-00-00-8222
ELECTRICAL 001 BlO-OO 00-8223
MECHANICAL 001-810 00-00-822<l
MOBILEHOME 001-810-00-00-8225
SOLAR 001-810-00-00-8226
STRONG MOTION 3-519-92-33
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 320-810-00-DO-8740
BRIDGE FEE 360-810-00-00-8740
PARK-IN-LIEU (AREA
TIF 312-810-00-00-8835
LA COSTA TIF 311-810-00-00-8835
FMF
LICENSE TAX 001-810 00-00-8162
MFF 3-519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE
JUT
■axH
{ >
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENALTY QF PERJURY THAT All INFORMATION H£HEON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COIylPLY WITH ALL CITY CGUNIY AND STATE LAWS GOVERNING BUILDING CON
STRUCTlON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TQ 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
GRANTING OF THIS PERMIT
Expiration Every permit issued Dy theBurlding Official urtder tfhe provisions of ihisCode Shalt expire by iimiisiion arrd become rtuii and void if the buiidmg or workauthoriied by such permit 14 no! commence<3 wilhtri 18O days from the oate ot sucnpermit, or if the buildinp or work authorized by such permit is suspended or
aturidorted «i any time a»er the work is commenced for a period of iflO days
AN 06HA PERUfT IS REQUIRED FOR EXCAVATIONS OVER
5 0' DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPLICANT'S SIGNATURE »OWNER n CON TRAC T OR
By phone n
TYPE 1 DATE INSPECTOR
BUILDING :
FOUNDATION |
11
REINFORCED STEEL i
MASONRY ,
GUNITE OR GROUT |
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ Sh EARFRAME [
EXTERIOR LATH iINSULATION \
INTERIOR LATH & DRYWALL !
1
PLUMBING ;
□ SEWER AND BUGO □ PL/CO
UNDERGROUND □ WASTE DlWATER
TOP OUT □ WASTE □ \i/ATER
TUB AND SHOWER PAN |
GAS TEST 1□ WATER HEATER O SOLAR w!^TER
»
1
ELECTRICAL <
□ ELECTRIC UNDERGROUND q UFFER
ROUGH ELECTRIC 1 1
□ ^ECTRIC SERVICE □ TEMPORARY
B^BONDING □ POOL !
1
MECHANICAL ■
□ DUCT & PLEM., □ REF. PIPllNG
heat - AIR COND. SYSTEMS '
VENTILATING SYSTEMS i
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL i
PLUMBING 1
ELECTRICAL '
MECHANICAL i r\GAS !r 1
BUILDING >\P \
SPECIAL CONDITIONS i
1
1
-
FIELD inspection RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REO IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
/- \ A/ \
STRUCTURAL CONCRETE
OVER 2000 PS!
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS . -
special MASONRY'
PILES CAISSONS
* ■ V
* •
::: '■
• - .
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And Fill In Shaded Area Only
JOB _ADDRESS \ E U r PLAN,. NO. ^
Mier 111.m
ASSESSOR'S -7 N r-
PARCEL NO. ~ PQO-'/o
owNEH Pet^rir
VALIDATION AREA
OWNER'S
MAILING
ADDRESS JjO^vnrv^ —
CITY A ZIP • tel. ^^\-n50
CONTRACTOR • fc , — .FRTMATFn UAI IIATinW ^6
CONTRACTOR'S
MAILING n CL r 1 [
ADDRESS (-^1) LUi UCO^Tvd O.^PI AN nMFr.K FFF 001-81000-00^821 ///
IF THE APPLICANT TAKES NO ACTION
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.CITY C.!>U>^\io ZIP '\2oZ^, tel.
STATE ^ BUSINESS
LICENSE NO. ^^67/^0 LICENSE NO. J C ' T ^
ciiBniuicsinw inT(«)
LEGAL DESCRIPTION
CHECK IF SUBMITTED:
□ 2 ENERGY CALCS
n 2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
DESCRIPTION OF WORK ^Cr\ ^ "S 'pa □ 2 STRUCTURAL CALCS
6ns □ 2 SOILS REPORTS
□ 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/ hate
SENT TO APPLICANT
CONTACT PERSON |f\K i -7'^ O l\ 5 LA COSTA LETTER
ADDRESS 75c; ( 0. (xm k\ A C'-Ut'SCHOOL FEE FORM
CITY f5Ci zipq,7 07z; tel. 775-?P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
APPLICANT'S SIGNATURE DATE
White ■ File Yellow - Applicant Pink • Finance Gold - Assessor
1200 ELM AVENUE
CARLSBAD. CALIFORNIA .97003 I )
dLitp of Carlj^bab
certify that I am aware of the provisions of theCalrfornxa Administrative Code, Title 24, Section T20-1406(c),
Heating", as shown on form DPL #297 . I understandrie.ther a swimming pool building permit using a fossil-fueled
nor a plumbing/electri-cal permit for a new or replacementOSS -^ue_ed heater will be issued until this certification is
sxecuted.
For the swimming p6ol located at T-QClK ? -S+i. r;
1 certify that all .of the toii'^Tng requirements fbriuele.u (or electric) swimming pool heaters will be met;
1. Outdoor pools shall be equipped with,a pool cover.
outside of heater to allow shutdown withoutacousting thermostat and start-up without relighting pilot light.
j .
4.
5.
3d minimum length of plumbing provided between filter ^d
header to allow future solar installation.
1982 , new heaters installed must have 75%
tnermal efficiency. •
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 good mixing.
Print Owners Name:
Owners Signature: ' V . Date: ///->?$:»,
Prrnt Contractors Name:_ fA\i'.<OCK
Contractors Sig.naturo: Date:|V-7t-;
75^ tu, />rnnA o f . ^ c-.ft,