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HomeMy WebLinkAbout2803 FOREST VIEW WAY; ; 80-513-B; Permit"' z 0 !ii <C .. ~ u w Q .. i[ 0 u "' w Q ~ 5 ~ w z ~ 0 z 0 ;:: .. "' z w .. :,; 0 u "' "' w " "' 0 ;t L i[ ' ,J,, hereby affirm that I am licensed under ~visions of Chapter 9 \commencing with Section 70<Xl) of Division 3 ol the Business and Professions Code, and my license is in !ult force-.anq t'ffif._ /""• ,._ --~ L,c No ;_? (10 J Cla1, '',.,,_.._ -~--~ I hereby att1rm that I illT1 exempt from the Con ~~1~:'B~~~:;:; ~; ~~1~1:s.~~1tC:~l/~~.\~, county which requires a permit to construct alter. improve, demolish, or rep;m any s1ruch.1re. prior to ,ts issuance also requires the apphcant for such perm,t to file a s,gned statement that he ,s hcensed pursuan1 to !he prov,smns of the Con tractors License Law {Chapter 9 commencing with sect,on 7000 of o,~,s,on J of the Business and Pro tess1ons Code) or that ,s exempt therefrom and tht! bas•!. tor the alleged exemption Any v1olat1on of Section 7031 5 by ~t tor. a permit sub1ects me applicant 10 ac1 1\pe~not more than five hundred dolla ( ~ D I, as owner t ropeny, or my employf!l!S •nh wages as th ol compensat•on, will do !he work,~d<~!ru re 1s t mt ended or offered for sale 7 , Busmess and Pmfess10'1s Code The n acto License Law does not apply to an owner I ro y who builds or improves thereon and wn s s4Ch work himself o, through his own employ , ~C?J1ded that such 1mproveme;,ts are no! 1nl or oflered for sale 11. however, the building improvement 1s sold w1th,n one year of complet,o the owner-builder will have the buroen of p,ovmg that he did not build or improve for the purpose of sale) D I, as owner ot the property. am exclusively contractmg with 1,censed contractors to construct the pmJect (Sec 7044. Busmess and Professions Code The Contractors License Law does no1 apply to an owner ot property who builds or 1mp,o-.es thereon. and who contracts tor each proJecls w,th a contract0!1s) license pu,suant 10 the Conlractor"s License Lawl 0 I am exempt under Sec for th,s reasor, ________ B &PC CJ I hereby afhrm that I ha.-e a cert1f1cate of consent lo sel!-msure. or a cenit1cate of Workers Compensation Insurance. or a cert1t1ed copy thereof (Sec 3800. Labor Code) POLICYNO~-z.-~) :2.:7/ ;,~·_,_-:' :JMPA,(,.rl{A f'--i. J /)+ _, (7 (_ ~Copy ,s !,led with the city 0 Cen,t,ed copy 1s hereby !urn.shed CERTIFICATE. OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE .s section r,ee<J not be completed ,1 the perm,t tor or,e hundred dollars iS100J or less) 0 I cert, at '" me per101mance o! the work for wn,cn 1n1s pe ! 1s issued. I shall r,o1 employ any person ,n any m er so as to become sub1ec1 to the Workers· Compe t1on Laws of Cal1torn+a NOTICE TO .APPLICANT 1f'w.!.1e, mak,n~ 1h1s Gerti hca1e at E.empt1on. you shou~ !he Workers Comper,sat1or, pro., Code. you must torthwrth com prov,s,ons or tn1s oerm11 shall be dee D I nereby afl"m tnat ', Jhere 1s a construc1,on 1enQ,r,g age'),111 t9r th~(mar,ce ol lhe work lor wn,ch th,s ~~~ 1Sec 3097 c,v11 Code, \ \ Lender s USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 J08 AOORESS APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS APPLICATION & PERMIT BUSINESS LICENSE# VALUATION PERMIT NUMBER w LL -e/e,, ii mo~ tbtUsrv,~lL~T DAG o: z:q·~,1 f.VJC13 ~o-5/3-$>[ E .::vJr. :)3;)~ 3 L 0 {)I n Till: J:::YP CONTRA TORS PHONE# J_ ZONE r/ 3-ZhO.\ r:i)rc';A~ mct.r Horne-~ r _ zr;;:~::a PRlfut;;;<J), Poob OWNE3cittGs;;&Jt> ValleM blvd~~ "tie!!cl1z1i1 co75SW-fu";n(J..~ £~ -L'S:/C/J(£;() r~;: S/3' B BLDG USE CODE f'COL DESIGNER ----S o--::,; _ TATE LICENSE O STANDARD PLAN # BUl~G3. FOOTAGE wr 1 SUBDIVISION ASSESSOR PARCEL NO. • BLOCK OESCRlP'tiON-OF WOR.C:~ 0£St~ Al>Off , °9tlGNER'S PHONE . U5'r'\~f. toh'mLucul,1 Vcol<i; Sto:1:. 1339 ··~ -'16s. 'MD.Mi)..f!ti..e.. 8 · 11../3-;;ir,, o . ....,,~,.~----~ --~ _,_ --~· -'I F/P FLA ELE J ._ "'"".:;>---~-z-*"-,--V. ] Nb EDU OCC GP ' CENSUS TRACT G,CANO USE l eAAK 'NG SPA CC YO ~ D RES UN,TS I GRADING ~EAMIT ISSUED vO NO I REDEVELOPMENT AREA TYPE OCC LOAD FIRE SPR vO NO 6/'di!/6 i 1,,;;..;c': ::·:.14Cc~ e,~-°'-~_./ ,~' Not Valid Unless lhchine Certified QTY. PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE • SUMMARY/ACCOUNT NUMBER . -7,1:jaJOTY. EACH FIXTURE TRAP_-----INSTALL F BUILDING PERMIT / B'O ,50 EACHBUILOINGSEWER SIGN PERMIT _ _ -~ '") _EACH WATER HEATER ANO/OR VENT ---· ____ PLAN CHEC~ u;E~'V'.:;)J_C._____:_r. ~~~----1 EACH GA~~YSTEM 1 TO 4 OUTLETS i-TOTAL PLUMB __ N_G ______ _ 1----l--EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL EACH INSTAt.. .. ALTER. REPAIR WATER PIPE MECHANICAL ------ 1 EACH VACUUM BREAKER MECH EXHAUST -M0B1LEH0ME r·---EATER _~OFTNER RELO~~l?N Of T~-MoslLEHoME PARK INSP EACH ROOF DRAIN (INSIUI::) I---+----1--------JI----I I SOLAR _____ _ TOT"L MECHANICAL I I sTR-oNG MOTION i ---~~-l1 ;51 __ ™_AL PLUMBING~ r ~s~TY. -.5£2.Q ~ QTY.I 'J-COLLECTORS ------#--~T~~~TANKS ELECTRICAL PERMIT· ISSUE NEW CONST EA AMP/S0W.cT:.:'.cB:.:K:.:R ______ -I- 1 PH 3 PH FIRE SPRINKLERS PUBLIC FACILITIES FEE 1--· BRIDGE FEE SCHOOL FEE -DISTRICT ----- Carlsbad t EX!ST BLOG EA AMP/SWT/BKR 3 PH IPH -,.. -. REMOOEL.'ALTER PER CIRCUIT ---------------- ROCK STOR-_A_G_Ec_ __ [', PUMP ·--- -----11--~-AN CHE~~EE -L Enc1111tas San_g~~-- San Marcos L TEMP POLE 200 AMPS --------- -+-------+-- I---OVER 200 AMPS _ r,~~P-ociuPANCY {30 DAYSI -------41------ -JI--~--+-- --- I I-~-= ---+--· --- - - -- __ __L' --1--I I I lf14, Sc;' I l 100 TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDtNG THE OECL.AAATtONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS * AN OSHA PEAMrT IS REQUIRED FOR EXCAVATIONS OVEF1 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEtGHT --------............. ,.,----_., w f- l u 0 CJ c ~ .~ Q. ··;r • I ~ C a: 0 "' "' " "' "' <( I " .Q <D ,.. 00 "' " 0 e a. rn <ii 0 ~ w 0 C rn C LL s C w " i'i 0 u " 0. "' C 2 .2 ,; INSPECTION TYPE DATE INSPECTOR -BUILDING FO.UNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING - SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER 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 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ' ' \ ELECTRICAL ' ~'\,. '\ ,. ~ MECHANICAL ..i' ,,\\ .~ \ GAS "\ \' J \. \' l BUILDING V \ ,, ' I SPECIAL CONDITIONS ' ' CERT OF OCCUPANCY ISSUED Fsn -51S -6 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ----·- SOILS COMPLIANCE PRIOR TO -~ FOUNDATION INSP STRUCTURAL CONCRETE ·---- OVER 2000 PSI PRESTRESSED CONCRETE ·-·-~ --~--------POST TENSIONED CONCRETE ----- FIELD WELDING HIGH STRENGTH --------------------------- BOLTS I--------------------- SPECIAL MASONRY. \ ~---------~ --PILES CAISSONS . ~-- I --·-· ------------------ ---·- ·------------ ----------------------- ·---------------~ ·- ----------- --------------- -·------- ------------- ("' ' '-------- ·---------------- -- LICENSED CONTRACTOR'S DECLARATION t hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION ~ I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason {Sec. 7031.5.Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) C-1. 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 of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who buHds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment 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 con- tracting with licensed contractors to construct the project (Sec. 7044, Business .'lnd Professions Code: The Contractor's License Law does not ap- ply to an owner of property '•ho builds or im· proves thereon, and who contracts for such pro- jects with a contractor{s) license pursuant to the contractor's License Law). I am exempt under Sec. , 8. & P.C. tor this reason _ _ _____ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code) POLICY NO COMPANY __ _ ::::JCopy is filed with the city. ::JCertified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). I certify that in the performance of the work for which thi~ 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: !f, after making this Cer- tificate of Exemption, you should become subject to t~ Work'ers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len· ·--... _ --··-·------· •h-···-·" ·-· CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY I LUU CLNI AV Cl'IUL \I l"'t) "'t.JV-.J.J~.J 11 I ,.,'( _;:.,o ./J ,., I I I J JOB ADDRESS AV.~ • DATE OF APPLICATION . -. J /Li?Jl),'3, .~ /),., r:-r -r \/;. Cl.1 "f. 3/17/81 I OWNER -' u I OWNER'S PHONE PRIME CONTRACTOR Broadmoor Homes 455-6200 Broadmoor Homes OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES BUS. L lCENSE PERMIT NUMBER 20785 i, .-qi STATE LICENSE 370443 CONTRACTOR'S PHONE 3911 Sorrento Vallev Blvd .. S.D .• 92121 Sarne 455-6200 1 crr?~:u #9540, I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE ';I: f,/H' '77 ·; ---co, BLOCK 31 l · 5, 6, -, 3, l , n, -, 3, 1 , ' ML{\/Architects ci : '.:-) ; ... I /" ., i I ~ .. · ... DESCRIPTION OF WORK Pno l Eaui nrrient Storane Roam/Restrooms 0 n1f4~'~1z"f'i:lark Blvd. DESIGNER'S PHONE Irvine, A 92714 556-6610 CENSUS TRACT GP LAND USE ZONING l RES. UNITS I PARKING SPACE l NUMBER Of STORIES Not Valid Unless Machine Certified ,coo so.t~ / BLDG USE occ. GP I STANDARD PLAN ft I 't'; D..:. 9 i> I TYPE CONST I occ. LOAD I ~ QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. -. I EACH FIXTURE TRAP I U.-/ INSTALL FURN. DUCTS UP TO 100.000 BTU I EACH BUILDING SEWER r. -OVER 100.000 BTU EACH WATER HEATER ANO/OR VENT --z--BOILER/COMPRESSOR UPTO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS "7/. -BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP ,. EACH INSTAL., ALTER, REPAIR WATER PIPE --v-VENT FAN Sl~)GLE DUCT ,,..,. ....... Valuation ?--v f.J...,.. EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . Ii ,,, /_ ...J.- issue '7. n.,., .: -C'-1---::. nn SIGN PERMIT I ,'i I TOTAL PLUMBING -. -TOTAL MECHANICAL PLAN CHECK I I~ ,I ~-ll.,_0 CONTRACTOR -yb . ..-CONTRACTOR 7. ,,. ALL INCLUSIVE PERMIT I I . I TOTAL PLUMBING -r7 A• -- QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I ~ -'- NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I 1 • . -'- 1 PH .25 3 PH PORCH MOBILE HOME I I . I EXtST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I .jVl PH .25 3 PH -~ RAMADA. CABANA I I I I .I REMODEL/ALTER PER CIRCUIT _r. ,,. FENCE OVER 6' I I I I r TEMP POLE 200 AMP$ TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I ' I I ~ C! ~ ....... 7, (1 Strano-Motion I ' I I TOTAL ELECTRICAL // TOTAL FEES PAYABLE I I -;'J,r/,.-•J_-f CONTRACTOR I I School Fee I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" DEEP AND OEMOLITJON OR CONSTRUCTION Of FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WlTH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-1/ LESS THE CITY OF CARL SBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND • EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 1/1~ OF THE GRANTING Of THIS PERMIT. APPLICANT'S SIGNATURE" OWNER0 CONTRACTOR0 l~,VED BY ~.~_V----"-~-~c<.."--· AGENT::@) BY PHONED ~ ' , " ! ~ ~ i5 ;:: V = a. V, ;;:; 'I '/ SITE ADDRESS- INSPECTION WOOD FLOOR FOUNDAT!ON • FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL !NSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP I GAS METER-PERM-TEMP I I L CER_~ OF OCCUPANCY ISSUED OWNER· PERMIT NO· <;;' I J11;' -FIELD INSPECTION RECORD DATE INSPECTOR I INSPECTOR'S NOTES \ ' ' -: / (l, ,, <, I II• 'l --, ii . .. I REQUEST FOR INSPECTION TIME: ______ _ INSPECTOR __ _L_L/~=:::... ____ PERMIT NO. _______ DATE: ______ _ OWNER-------------------------------- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL ~ FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER ~ FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR ~ FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING ~ FINAL READY FOR INSPECTION: D MONDAY 'j. TUESDAY DWEDNESDAY D THURSDAY D FRIDAY DA.M. D P.M. ?bpi,, Pl,.,.~ SPECIAL INSTRUCTIONS-------------------------- REQUESTED BY _________________ PHONE NO. ____ D ____ _ PERSON TAKING REPORT_~?}~----- .. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT 1&03 Fo/!.$1 Vlt"N Wf\YnitiCEIVED ADDRESS: flt# W,,., I~ JUN 241981 BUILDING ( ~__.._~~~.::........,/~) ------,c-,r-v--o,~c~A-e+Rt-v1se~AFI-D - eulldlng Department PLANNING DEPARTMENT UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED ----------- % COVER~GE ALLOWED PROVIDED ------------- BU IL DING HEIGHT ALLOWED PROVIDED FRCJ.NT SETBACK: ALLOWED------- PROVIDED ------- INTRUSIONS ------ SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: REAR SETBACK : ADDITIONAL C;,.MENTS: ~ ~ OK TO ISSUE:~-DAT;f/:i:f. OK TO FINAt _______ DATE ____ _ ENGINEERING d-JO'f 3, - R.O.W. IMPROVEMENTS --------------------- SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT LEGAL DESCRIPTION ________________ ......,..... ___________ _ ADDITIONAL COMMENTS__.di'"""""""'~"""'-"'---"~=-c;;;..... _...._7"t--=;;;t__=-=~:;....;.....,:=·=·~;_)-' c.__p.f;__.&-"'-'/""'"~=/ _________ _ OK TO ISSUE:;:Jd,tk: DATE 6--21/,.8/ PW! OK TO FINAL DATE -------- FIRE DEPARTMENT SPRI NKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS----------------~------------- OK TO ISSUE: WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _