HomeMy WebLinkAbout2810 ELMWOOD ST; ; 82-147; Permit,c i[
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0 I heret.y affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
foll force and effect.
Lie No ____ __ Class _
l hereby .itflrm th.it I ¥TI exempt from the Con·
~J~t~~~~i~s: !;;1; ~~1~':1~~~~:J.tt~~.',~;
county which requires a perm,t 10 construc1
alter, improve, demolish, or repa,r any structure. pr,or to ,ts issuance also requires the applicant tor
such penmt to hie a signed statement that he ,s
licensed pursu.int lo the prov,s,ons of the Con-
tractor's License Law (Chapter 9 commenc,ng w1!h
Section 7()(X) of O,v,s,on J of the Busmess and Pro
tess1ons Codef or that 1s exempt therefrom and the
basis for the all8Q8d exemption. Any v1olat,on of
S&ct1on 7031 5 by an ;1ppllcant !or a. permit subJecls tne apphcant to a c1v1I penalty of not more than !,ve
hundred dollars (S5(())
0 I. as owner o! the property, or my employees
,,,.th wages as their sole compensat,on, will do the
wofl<., and the structure 1s not intended or ottered lo,
sale (Sec 7044, Business ;ind Prolessiohs Code
The ContrKtor's License Law does not apply to an owner ol property who butlds or ,mproYes thereon
and who cloes such wOl'k himself or throug~ h,s own
employe&s. provided Iha! such +mproYeme;i1s are
not mtende1 or ottered for sale. If, however. !he
building or improvement 1s sold w1th1n one year of
completmn, the owner-builder will haYe the burden
of proving that he dod not build or improve tor the puf])Ose of sale)
O I, as owner of the property. am exclus,vely
con!rKtmg w1lh licensed con!rKtors to construct
the proJecl (Sec 7044, Bus,ness and Pro!essmns
Code The Contractor's License Law does not apply
to an owner of property wno builds or improves
thereon, and who conlrKts !or each pro1ects w,th a
contractorisJ license pursuant to the Contr&ctor's
License Law)
0 I am exempt under Sec
lor th,s reason
B & PC
C] I hereby a!lirm that I ha~e a cert1t,cate of consent
to self-insure, or a cert1l1cate of Workers
Compensation Insurance, or a cert,f1ed copy thereof
(Sec 3800. Labor Code)
COMPANY ----POUCYNO ~
D Copy 1s filed with the c,t~--
0 Cert1hed copy ,s hereby !urn1shed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sectron need not be completed ,t the permit 1s to, one hundred dollars ($100) or less)
0 I certify that m the performance ot the worl< for wh,ch this permit 1s issued. I shall not employ any
person ,n ar,y manner so as 10 become subiec1 to the Worl<ers· Compensation Laws o! Cahlorn,a
NOTICE TO APPLICANT t!, alter makm~ this Cert,
l1cate of Exempt,on, you should become subJect 10
the Worl<ers· Compensation prov,s1ons of the Labo,
Code. you must forthwith comply w,th such
prov1s,ons or !his perm,, shall be deemed •e~oked
D I he,eby al!•rm lha1 1he,e ,s a construc!,or>
1end1ng agency for the performance of the work lor
which this perm,! ,s ,ssued (Sec XF.H. Ci.ii Code1
Lendl!f s Name ___________ _
Lenders Address-----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO ~'LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -------------------------CARLSBAL UILDING DEPARTMENT APt -•CATION & PERMIT
CENSUS TRACT
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY.
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR vENT --_1-----.
t---t-E_ACH GAS SYSTEM 1 TO 4 OUTLETS -----+---------1t--
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~. ALTER. REPAIR WATER PIPE
YD ND
F/P F LR ELEV
vD NO
REDEVELOPMENT
AREA
vO NO
MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100,000 BTU -----
BOILER/COMPRESSOR UPTO 3 HP ------BOILER/COMPRESSOR 3-15 HP
NO
STORIES
TYPE
CONST
3.00
PERMIT NUMBER
&z-111 -~ORS.PHOf1E_•
~,..:,$d"~i
ZONE
PLAN 1.0. # BLDG USE CODE
STANDARD PLAN#
DCC GP EDU
I
DCC LOAD FIRE SPR
vO NO Not Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK -
METAL FIREPLACE -------------t-------...-ELECTRICAL
EACH VACUUM BREAKER
WATER SOFTNER
VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 --+--f-----------j------lf-----: ----· =--+-----------1
MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
I
EACH ROOF DRAIN (INSIDE) f--+-------~--------------+----
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT1BKR
lPH J PH
EXIST BLDG EA AMP/SWT/BKR
1 PH J PH
REMODEL/ALTER PER CIRCUIT
l--+-TE_M_P_OCCUPANCY (JO DAYS)
TOTAL ELECTRICAL ,(JO
-ff----j---------+---~--\'-~CCC""CCCC.CCCCCCCCCC -----RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
QTY.
TOTti.L MECHANICAL
SOLAR -ISSUE
-----------------+----------
SOL.AR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
COLLECTORS SCHOOL FEE -DISTRICT
01-000-4226
65-640-0519
01-000-4f..Z.7c_-+-------------<
25-000-4933
----
STORAGE TANKS Carlsbad ----------------t-------11-=
ROCK STORAGE Encinitas
PUMP
PLAN CHECK FEE
San Dieguito
San Marcos
------~-+-----+-------
-----------------+-
65-623-005~1 g--+-
65-624-0519
65-625-0 c5c1~9---t
-----65-626-0519
TOTAL SOLAR TOTAL FEES PAYABLE
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INSPECTION TYPE DATE INSPECTOR
' BUILDING •
FOUNDATION I,, .rr-m (_
REINFbRCED STEEL
MASONRY
GUN/TE 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
GAS .\yy
BUILDING . ' "'"''.....a.I ... l\•1.'.7 .y,1.., r.Jl.
SPECIAL CONDITIONS \ .
CERT OF OCCUPANCY ISSUED
--.... ~------FIELD-JNSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNOATIO~ INSP
REO IF INSPECTORS
CHECKED APPROVAL
-~=~-~,~-------STRUCTURAL CONc.f:E'TE
DATE
OVER 2000 PSI .. ".:.,. .. -------+------+ -PRESTRESSED
CONCRETE ------~ -· -.. ------------+-----, POST TENSIONED
CONCRETE
Fl El O WELDING
! 1 •,l_1H STRENGTH
~T~S"---------+----+---------
SPECIAL MASONRY
i
-------
'---------------- ---------------+-------,
Pi:_ES CAl:3S0Nt·
---t--·------1---
INSPECTOR"S NOTES
&'°d---)'-:1'~'-----------------~
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: ~--------------· -·----------------------------· ---I
~-------~----r---------------==---~-~~--.--. _--~=--j
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~--------------1----------->------+---------i
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----~-~---------~~--~----1
>---~----------=---=---=--=--====--=---~-------=-~ ~--1
1------------------------------_-_-_--__ - -~--~~=--·· 1
f----------------------------------1
f------------------------------------___j
t=:~-~=~:--:--==--=~~=--=-:~=~-~--=-~~--~~-~-~=--~~-----~-~:~~--+:~--~~--~~--_ _,.., I ____ ·-==--------------------~-=~--_---j
INTERDEPARTMENTAL INFORMATION SHEET
.BTHLDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
ZONE __ ~--~-'-! _____ LOT SIZE _________ LOT
°!ECEIVED
CITY OF CARLSBAD
wIIT!J/ildlng Department
UNITS ALLOWED UNITS PROVIDED _______ .,____ ----+---------
PARKING SPACES REQUIRED PROVIDED ___ \'\-+~~l)-------
% COVERAGE ALLOWED PROVIDED "lji
BUILDING HEIGHT ALLOWED PROVIDED
FRONT.SETBACK:
ALLOWED-------
PROVIDED -------
. /f!TRUS10NS
----------
SIDE SETBACK:
~AM~SCA'.PE 1, I&RIGATION PLAN COMMENTS:
REAR SETBACK:
OK TO ISSUE: __.$..._ __ DATE i{o!-(f~K TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMEN~~
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------
________ DRIVEWAY LOCATIONS ___________ _
EASEMENTS DRAINAGE ----::--------~---------
LEGAL DES CRIP T ION_..,,,..4 ......... f:z..._-#_,/"'--""',&~~~~~;,.,,,z..:=..c..,, ...... ....,/~~"'6'~=.;;.;;oc=__;,,,,/.,,_,? ____ _
SEWER CONNECTION
GRADING PERMIT
ADDITIONt.L COMMENTS-----------------------------
OK TO ISSUE:jattDAT$• )1 ... b1PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI!lKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
fIRE ALARMS --~-------.-----EXITS _______________ _
fIRE HYDRANTS __________ LOCATION _________________ _
'iDDITIONAL COMMENTS
OK TO ISSUE: _____ DATE ______ ~OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _