HomeMy WebLinkAbout2806 La Duela Ln; ; 85-607; Permit,
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O I hereby affirm thal I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s 1n
lull force and effect
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I hereby aftirm That I am e,ernpt 'r-r ih~ :0°t'Cc
·o, s Lrcerse Law tor t~e fol'ow,ng re:isor 'Sec /031 5 Business and Pro'ess·ons Code Ary c,11 w ,,oun·, wh c,, -e cu,·es a ~errr11: tc ~onstrul.' a ter "7pro·,e r1e~~1 ,h o" •e:iacr any structure pr,o, la 11s 1ss·"ance as:; -e~u,,es The er;
p ,cant tor 1uce, :;e,..,,, To ',ea s,q~ed s•ateoient !Oat he .c;
, censed pu,want 10 tne pr:i,,s,ons :;f :he o
uce~se law ,Cha:iter Y C0"""1enc,ng w11h Sec on of
Div•sron 3 cl !he 6us,ness ano Prote,~1ons Coe~,~· '",ill,,"'
empt 'he·elram a~c •ne bas,s for :he al P:Jed e,e.,,r:1,vn An•,
, olalI0~ ol Secticn ~C31 5 ~y an app ,cart 'c,r a per·,,II >Ub.
IeC\ ttie applicant io a cI,•I, per,aII•1 01 not more Iran trve hun
crec o~l,ars 1,$SDO
1 as oMnw al t~e J'0Der:y or my errD·~1ees 1,,·n ,1•;;ges
rre,· so,e compersatI0n will oo lhe wo·k ,rd H,e srruc e is nG! ,rrended or ottereo for sale ;Sec ntc H·,,
and Pr8fess,ors l.ode The l.onTractor s Lrl.ense I aw
~ot a~oly :o an owner oi propert\' ·,iho hJIICs or rr11wo·1es
the'eon ard who does s~ch work ti,mselt or lh'O'JQh h,s own €''1playees prav·ded ihaI such ,mwo-,emects a·e nvt ntend
ed or ottered ior sale If. howevP.r the bu1'ding or ,rnprove-'lle~\ ,s soid w't~,n one year of completion the owner-buI•de,
w,II tia,e lhe Curden ot pro;ing t~at ~e did nol build or'"'-
r,·ove tor lhe Jurpose :;f sale,
i. as owner of The prope·ly om enlusi·,ely contracting
w,t~ I,censed cort,actO'S to conslrucT the proIect !Sec 7044
Business and ProtessIvris Code Tne Conlraclor s ucer,~ Law does ~ot app!y '.o an owner ot wooerty wM bu·lds or ,r
pcoves \hereon. and Mho contracts for eac~ pco·e~ts wIlh a
rnntractor(S'1 liren>e pursuant 10 The Co0t,;ictor s License Law)
As a homeowne· I am :mpr8vI~q -\' ho~e and tre lo low
ng cond1t1ons e"s: 1 The war• Is be,o.g pert~rmed w,or to sale
2 I have lived In mi home lor twelve mon:n;
0rror •o compIetIon cl tr,s worK
I ha·1e no: claimed I0,s exemptI00 durrrg lhe
last three yea,s l I am exempt under Sec B & PC
for lh,s reason ____________ _
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I hcrehy aftrrm that I have a certrf1ca\e of co~sent to
sel' Iasure or a cert1f1cJte of ,·,'o·~ers CornpeosaIIon In
surancc. or J cer; f1ea copy Thereof 1Scc 3800 Labor Code>
POLICY NO
C0\1PANY
Copy Is t, led with \he city
Cc:t1f.ed cop,-,s ~ercby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1T~,s sect,on need r.ot be completed ,, the permit
Is lor one hundred dollars 1S700i or lessl
-4-j I cer11fy that ,n the performance of the work for wh,ch
P,.oerm1t Is issued. I shall nol employ any pe,son In any
manne, so as '.o become subject to theWo,ke,s Com pen
sa1Ion Laws of Cal1lom1a
NOTICE TO APPLICANT If. after making th,s Cert1'1cale
of Exemption vou should become subIect to the Workers
Compensation prov,s,ons or the Labor Code. you must
fortnw,th comply with such provisions or this permit shall
::ie deemed revoked
~ I hereby aff;,m that \he,e os a construction lending
agency tor the performance of the work for which this pe,
m,t Is ,ssued (Sec 3097 Civil Code)
Lenders Name_
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 (619) 438·5525
JOB ADDRESS AV.ST.RO. NEAREST CROSS ST. ,, ;2.'to
COT ASSE?OR PARCEL NO. ·'S"'S \0 o~OLJ CONTRACTOR
'I OWN!rJ;,~AMTA-I OWNER'S PHONE
CONTRACTOR'S ADDRESS
I OWNER.$ MAIL1//G ADDRESS
''=-~~~~'.!'::::::~::::..-----------~
DESIGNER
DESIGNER'S ADDRESS
~_-s ,...,-, _A-U...-,.r,J_sc> ~ TO
fir~ /!,-. FP FLRELfV
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u,su, rnAu I Ge ,.ANO use I >AR<'NU SCACC ReS u"TS I GRADING PERMIT ISSUED
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RlDEVELOPMENT
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APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
BUSINESS LICENSE #
CONTRACTORS PHONE •
l LICENSE NO.
DESIGNER'S PHONE
LICENSE NO.
ace GP EDU
OCCLOAD I F-IRlSPP
YO"'□
VALUATION PERMIT NUMBER
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ZONE jf _,too'?
J PLANI.D.# BUILDING SO. FOOTAGE
I0/26ilB5ueB7
00ffl48B7 -,□/2B/ ee
Nor Valid Unless Machine Certrfred
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55~00
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.::..-i QTY MECHANICAL PERMIT. ISSUE .3-:lmvT PLUMBING PERMIT. ISSUE SUMMARY/ACCOUNT NUMBER ....-1 I o ~·~A I j 1 fACH ~IXTURt:. TRA_P____ INST Al L FURN lJUCTS VP TO 100 000 BTU BUILDIN~PE.RMIT _ 001-810-00_-□~~-=-_2?
I EACH BUILlJING SEWER SIGN PERMIT 001-810-00-00-8221 ' ,__ -,------·+-
-----_ -+_sO_IL_E_R_,C~MPRESSOR UP IO 3 HP7"c_---+-----'----t-PL~_•_c_Hf_.CK 001-810-00-00-8806 ,.,
E.ACH GAS SYS I EM l TU . BOILER.COMPRESSOR 3 15 HP TOTAL PLUr>.'BING 001-810·00-00-8222
1 j \'1E''A_ F'~EP'_ACE ----~--ELECTRICAL 001-810-00-00-8223 1 J---+ -----------_--------,----+ +---___&---J I • I
1 ___ + V~NT ~AN SINGLE -"--MECHANICAL 001-810-00-00-8224-+--
: J---+=.c.,,,;-._c_c.c _____ ____ ' MECH EXHA HOOD DUCTS ~~OBILE'"10ME ____ 001-810-00-00-8225 --l
MOBILEHOME PARK INSP -------1 ---------. ----
1 -,f-1,:-, ·.s .il ____ -+ --ll----½.?-=~~====~----~--'---------11 SOLAR 001-810-00-00·8226 ' --· ---. -I. TOTMMECHANICAL STRO~GMUTIUN -880·519-92-33
:lTY
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ELECTRICAL PERMIT. ISSUE .s--'j
I QTY
~~~~~~~~~I
SOLAR· ISSUE
FIRE SPRl~JKLERS
PUBLIC FACILITIES FEE
NE:W CONST EA >IMP SWT~ ____ _,___. . __ _,.__ 'eel. rc·c:Rs ____ +----.. ~L _SCHOOL FEE _ 01srn1c~
SIO.lA(;r Tt.t,KS -11.---'-----
EXIST bl DC EA AMP·SWT flKR_____ I ROU• S'CR.4GE
\ PH 3 PH = . =4------+PT,'1P ----------+-----~l SanD1egu1to
REMOnE~l_l_ui PFR C'R[Ull --=-~L-JP-1:..~.-~~[~-_____ ____ ! San-Marcos
I PH \ PH +-----· --Ji--Ce,lsbad
Enc1n1tas --JC-
H~PPOLE ?OOAMPS
OVER 2llll AMPS 1i ---.-----
LICENSE TAX
_ ______QQ_J -810-00-00-8227
332-81 0-00-00·89~Q
001 ·81 0-00-00-8162
TEMP Q[[UPANCY ,JQ DAYSI MFF 880·519-92-57
----------------'-----.----t----CREDIT DEPOS_i_T ____ _
lilTAL FLFLTRl[:A\
0 _, 'j r-HF>, SCl'R -·---.-t TOTAL FEES PAYABLE
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• ! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
I DECLARATIONS ARE TRUE AND CORRECT AND! FURTHER CERTIFY AND AGREE lF A PERMIT IS
Exptral100. Every pertn1t issued by the Building Official under the provIs,ons ofttus
Code shall e)(pire by hmitat1on and become null and void If the building or work
authorized by such permit 1s not commenced within ,so days from the date vl such
permit. or tf the building or work authorized by such permit Is suspended or
abandoned at any ltme after the work Is commenced for a period of .180 days
* AN OSHA PERMIT IS REOU~EO FOR EXCAVATIONS OVER
5' -0" DEEP ANO DEMOUTK>N 0A CONSTRUCTION Of
STRUCT\JRE.S OVER 3 STORIES IN HEtGHT
ISSUED. TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON
! STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPUCANrs SIGNATURE Jf-OWNER D
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ', ,~ \-_ ~--
: GRANTING OF THIS PERMIT. • ~~ \'\...\..-&~\'\\._ ..._
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CONTRACTOR 0
BY PHONE 0
APPROV\D BY
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEll:ING
SHEATHING □ ROOF □ SHEAR
FRAME '
EXTERIOR LATH
INSULATION
INTERIOR LATH /1. DRYWALL
PLUMBING
□ SEWER AND BL/CO Pi:'CO
UNDERGROUND □ WASTE '--WATER
TOP OUT □ WASTE C WATER
TUB AND SHOWER PAN _,
GAS TEST
□ WATER HEATER ::::, SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND
ROUGH ELECTRIC
I
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□, UFFER
□ ELECTRIC SERVICE □ TEMPC!lRARY
DATE INSPECTOR
FIELD INSPECTION RECORD
REQUIRED SPECIAL !NSPECTIONS
INSPECTION
S01LS CCMF" A'\J."E
Pf~IOR TC
;:OUN[•A-:-1c~ 1'\JSP
REO IF I INSPECTORS
CHECKFO APPROVAL
STRLCTl RAL c(:1N-C:PE>-~I----7--
OVER 2CJ':J'.J.PS1
DATE
-
CCCSTRESSEC -+ ·-s !I cnr-,cPE:-E
POST TE/\J::-'-10,\J_E_ C C(Jr,.CRETf
"ELD w,,o,w, _ _ ___ --I
,1_,--,rl :-,--.,-9ENGTI-'
tJU '. TS
,,f-·c;-t1" f,-1/1,:' (;N:::ic·
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r;:;--~:-;:A: SC. ' _ _ _t_ _ -+' _ t i----. -. '
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-------□ BONDING □ POOL I r---------+-----+---1 ----,------
MBCHANICAL r---------· ---------
□ DUCT & PLEM., D REF. PIPl)IIG _
HEAT -AIR COND. SYSTEMS I I t I ----I --+-
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA'/.E BEEN APPROVED
FINAL I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I II
GAS ' II I .
BUILDING I /J. -= I.✓ -, CJ ..
SPECIAL CONDITIONS I ' -_J...._ __ -----------'-I
-&~-&:::/7
INSPECTOR·s NOTES
City of Carlsbad
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 .
r Job ht~~'\ , .. ~\.\i.-\l\. \. Address --. • ~'I..'(\<~,\\..~
Owner
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Mailing -'\ Address '-"-~ ,l'
City l Zip Tel.
~:' ...... ~ ~~ ... ~-C\~\."\ ~
Contractor
Address
City l Zip Tel.
Stale Lie. City
S. Classlf. Lie. No.
COMPLETE FOR PLAN CHECK ONLY
LEGAL DESCRIPTION
ASSESSORS PARCEL NO ?S-5-IDl--02.
DESCRIPTION OF WORK . -~\.~ \. ""'~ ~ \~s....~-...~ ..
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PLAN ID NO. 'S'-lD07
DESIGNER ADDRESS
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, ... ,~ ~'(\\t> -~" }-. "~' .v
PHONE .,\ (}.. ~~f;-\\ob~
CONTACT PERSON \L'<"',.t~\ ~.\'.t'.\\~
S>'-~ ... ~~~ ,~ ... ~q
Signature of Applicant ate, · '·
I..~ '
....
MISCELLANEOUS
RECEIPT
MISCELLANEOUS FEE RECEIPT
□ • PLAN CHECK FEE 01 ·00-00-8806
□ VALUATION ' ~-',A" ~,
□ DEMOLITION
□ HOUSE MOVING
□ PARKS AND RECREATION FEE
□ PUBLIC FACILITIES FEE
□ SCHOOL FEE · DISTRICT
□ Carlsbad
□ Encinitas
□ San Diego
□ San Marcos
□ CERTIFICATE OF OCCUPANCY
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TOTAL FEE $ ~c>?
•WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
COMMENTS:
1-i~
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
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PL~~ ~H~K NUMBERl"'.r-~~7 AD~RESS~G 4 /1-«4 L DATE :;ryd.s-
PLANNING: TYPE OF STRUCTURE 14-, ,a.dd,_ ZONE: ____ _
~ SCHOOL FEES: SAN DIEGUITO ENCINITAS
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS
BUILDING HEIGHT FRONT
FENCES/WALLS SIDE
~--n10 CAR GARAGE REAR a: .... 3 .... -~ COMMENTS: > .... ~ a:
OK
ENGINEERING ____ A.P.N. CHECKED?_
P.F.F. ____ _..,__ PARK IN IE
R.0.14: IMPROVEM NT : ______________ _
SEWER:
LATERAL: DRIVEWAY:
a: .... GRADING PERMIT: 3 .... -.... > I-DRAINAGE: .... ~ a:
~. □ EASEMENTS: ADDITIONAL C0"'4ENTS:
26 □ . ' ..
I-..... ua: ...,_ == .
0:0' □ o ..... ua: OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC 1-!0RKS INSPECTOR: __________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)