HomeMy WebLinkAbout2808 LA DUELA LN; ; 81-278; Permit., z 0 ~ "' ~ u .. 0
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D I hereby affirm that ! am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is 1n
full force and effect
L,c No Class
I hereby aft,rm that I am exempt from the Con
~t,;'B~~~~;:: a~: ~~,~~.1i~~~e'~~1\~,
co•mly which requires a perm,1 10 construct
alter. ,mprove, demolish. or repair any structure.
pnor 10 ,ts ,ssuance also requires the apphcan1 for
such permit to Ille a s,gned statement that he ,s
110,nsed pursu.lnt 10 the prov1s,ons of the Con
tractor's License Law !Chapter 9 commencing with
Section 7000 of D1v1s1on 3 of the Business and Pro-
fessions Code) or !hat ,s exemp! therefrom .Jnd the
bills•~ tor the alleged eiemp1,on Any v1olat1on ot Sect,on 7031 5 by an applicant for a permit subJects
ine applicant to a civil penalty of no1 more than f,ve hundred dollars ($500)
~ as owner ot the propeny, or my employees wages as their sole compensal•on. will do the
. and the structure Is not mtended or otfered tor sale (Sec 7044. Busoness and Pmless1ons Code The Contractor's L,cense Law does not apply to an
owner of propeny who builds or improves thereon and who does such work himself or through h1s own employees. provided that such ,mproveme:its are not ,ntende1 or oiler~ for sale. II. however, the
bu1ldmg or improvement Is sold w,th,n one ye.ar of complet,on. the owner-builder will have the burden
o! proving that he did~ b!jfflpr ,mprove for the purpose of sale) \ , ~
□ I, as owner at t property. am exclusively contrachng w,th lice contractors to construct !he pro1ect (Sec 7044. Busmess and Protess,ons
Code The Contractor's License Law does not apply
10 an owner of property who builds or improves
thereon, and who COf1trac1s tor each pro1ects w,th a
con!racto11sI license pursuant to the Contr..ctor's License Law)
0 I am exempt under Sec
tor this reason
. 8 & PC
D I hereby a!ltrm that I ha,e a cert1t1cate of consent
to selt-msure. or a cert1l1cate ot Workers
Compensation Insurance. or a cert1hed copy thereof
ISec 3800. Labor Code)
POUCY NO
COMPANY
□ Copy IS hied Wllh the city
0 Certified copy Is hereby furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 lhe perm,t Is for one hundred ()()liars 1$100) or less)
D I certify that ,n the performance of the worl< tor which th,s permit ,s issued. I shall not employ any person In any manner so as to Decome subject to
the Workers· Compens.Jt1on Laws of Cal1torn1a
NOTICE TO APPLICANT It, alter makm~ !his Cert, f,cate ot Exemp1,on. you should oecome subIect 10 the Workers· Compens.J11on provtsIons o! !he Labor
Code. you must !onhw11h comply w,th such provIsIons or th,s permit shall be deemed re~oked
0 I heretJy aflirrn that there Is a construc1Ion ,endong agency tor 1he per1ormance ol The wor1< to, which this perm,t ,s 1ssued (Sec 3097. c,,,I Code1
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONL PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND r -~LARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
Jd8 ADbRESS t,..;,, T)l/~ In Ln AV. ST. 0 7//437i7" BUSINESS LICENSE 4'-VALUATION PERMIT NUMBER
·2~oi RO. IJ..A,' 9-, 9, eJ\-Z78 ,_aw;-;, 7,""V\.r!:f) Ir~ d/ MO ll d ( ~.3[-J.197 .)' .. ;,~:;:;:;~,:, 1J,,~ CONTRACTORS PHONE If ZONE
OWNER'S MAILING Ac50RESS
-----
"CONTRACTOR'S Aoo,i,ess LICENSE NO. q;':;;_ 7J> BLDG USE CODE
~<3:l..~~
~ ~LOCK I ?'.J':."J'J:J I ~·F"?".:'·,i I -ti ~ 'f-o I
DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
OESCFIIPTrON OF WORK
OESIGNEFl"S AOl;)Rl:,SS DESIGNER'S PHONE
l ' ,,i;/2. /:f/(1 6 ' l/i';-./r . -rA7, ,,, ..... .JI .. . .,, .. i .,,,, ,1, FLA ELEV. NO CCC GP EDU C ':. ~ . ' . ' Vw/1. V STORIES .. _.-~ -( -COP 1.~v I"'", vO NO
CENSUS TRACT I GP" LANO USE PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
¥ □ ND vO NO vO NO Not Valid Unless lhchine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT .0'0,'">l, ... -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -. --------~ --. -'/ ..... , C/._'7 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
----------------
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING --------------· -
EACH GAS SYSTEM 5 0 R MORE METAL FIREPLACE ELECTRICAL
--------------~--·~ --------------------
EACH INSTAI,. .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL .
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME --------------------
i WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ~-f _E,~~H ~l~IN~~DE)-__ SOLAR
----TOT.t.L MECHANICAL STRONG MOTION • '-fl T -~-
TOTAL PLUMBING FIRE SPRINKLERS ----
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR · ISSUE --------------
BRIDGE FEE ----------. ------
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 1-------------------------
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE EncIn1tas
-I PH 3 PH PUMP San 01eguIto --------. ------------------
REMODEL.1ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
-------------------··------·
TEMP POLE 200 AMPS
~ . -----. -. -----------------
OVER 200 AMPS ------------------~----------
TEMP OCCUPANCY (30 DAYS)
----------------------------I-------.
----·---. ~----·---
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I C-4.vs I
I HAVE CAREFut.LY EXAMINED THE COMPLETED "APPUCATION AND PERMIT" AND 00 HEREBY Expiration. EV90'<perffiit iMued bythe8uNdtng Official under the provitiOII• °' this * AN OSHA PEAMfT IS REQUIRED FOR EXCAVATIOM& OVER
CERTIFY UNDER'PENALTY OF PERJURY THAT Al.l INFORMATIO~ HEREO~ fNCLUDING THE Code shall 8ltptre by limitatkm and beeome null and void, If the building or work -5' 0" DEEP .\ND DEMOLITION 0A CONSTRUCT10N Of authorized by sueh-perMit is not commenced within 180 days from the date o:f 9UCh DtCl.ARATIONS ARE TRUE ANO CORRECt AND I FURTHl:lrCERTit=v AND AGREE IF A PERMIT IS P8fmit. ~ if the tiuUdi::'" -work aUlhofized by such permit ,~~ or STRUCTUR£S OVER 3 STORIES IN HEKiHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandcm at anv time · --work i$ con,menoed for a -·•-"' 180 .
STRUCTtpl,l. WHETHER SPECIFlEO HEREIN OR NOT. -1 ALSO AGREE TO SAVE INDEMNIFY ANO ~ OWNE;o CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABtLITIES, JUDGMENTS, COSTS At{~J:l!'N7 '1''7.tz _ ia,\,1-<;J,oL'+ EXPENSES WHJCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY tN CONSEQUENCE OF TH ~ ,
'.JI"\ BY PHONE 0 17~/5-£',\ GRANTING OF THIS PERMIT. /7'"""--
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INSPECTION TYPE DATE INSPECTOR
BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
MASONRY INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
--------
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO -
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE ------
FRAME OVER 2000 PSI -------PRESTRESSED EXTERIOR LATH lNSULATION CONCRETE -----··-----POST TENSIONED INTERIOR LATH & DRYWALL CONCRETE
PLUMBING FIELD WELDING --
SEWER AND BL/CO HIGH STRENGTH ------
PLUMBING UNDERGROUND BOLTS ---·· ------· ----------
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN
-
GAS TEST PILES CAISSONS
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 HA VE BEEN APPROVED. ---------
JOB SITE FINAL -----
PLUMBING ----ELECTRICAL -IJ ./ -----v-MECHANICAL \' ..I'-./ ,,,, ---------
GAS /I .,.,,,.:, r r ) ,
< ~
BUILDING -, '/ -: }/ ,., ,t' ,./ I.I ./ V -----
SPECIAL CONDITIONS • ,v 1../ ------------------
CERT OF OCCUPANCY ISSUED ·----. -
·-(:•
• INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
JOL l 3 f98f
CITY OF CARLSBAD Building Department
ZONE p..-t, LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED A~ PROVIDED ___ c~~rlti+--------
% COVERAGE ALLOWED U PROVIDED J -----~-+----------b'+--------
B U IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -----=c\---l----
PROVIDED_--+A/~'----
INTRUSIONS _U{" ____ _ OF
~LANDSCAPE & IRRIGATION PLAN COMMENTS:
\
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ~N~~~&.e_ ____________________ _
OK TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT f1~
R.O.W. _____ ~INDUSTk{~L WASTE
~ ' ',
_______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION ;2_ S:::s=~ / 0 I-Q ;J
ADDITIONAL COMMENTS __________________________ _
OK TO ISSUE: MW PWI ____ OK TO FINAL. ____ DATE. ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
,FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
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