HomeMy WebLinkAbout2812 EL RASTRO LN; ; 84-528; Permit"' z 0 ~ "' "' ~
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I hereby 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 1s in
lull force and effect
L,c No _____ _ [101,
I nereby a!f,rm lhat am exemol fror,i tre Contrac
tor's License Law •or The f81'ow,na 'eason rSec 7G31 5
Bus,ness and p,otess1ons Code Any' ~,I'/ or county wr,c~, re
quires a perm,t lo co~s1ruct. alter. mpr8ve demol,sh or 'eoa1r any structure pr or to ,ts ,ssua~ce also rer.u,res '~e ap
:il1cant lor such perrrnt :o file a s1Gned state"lent that he,~
:icenseo oursuant to The orov,s,ons ot t'le Lonrrcicior s
L,cense Law !Chapter g commenc,1g w,t'l Sect,on ?COO o'
1;,w,,on 3 o' 'he Business and Profess,o~s Co~e, or t'la' ,sex emo: tr.ereirof'l anC the basis lo-the a1legea exe'fpt1on Ar.y
·.io:a•,an ot Section 7031 J b1· an aopl,canr for a oe,..,.,,r sub ,ects :he app1,cant to a c1v11 penalty of not "'are than :we h·"r
d'ed do lars :$JOO!
I as owner o! the p,o;ierTy. or my employees w :n woges
as :heir sole compensation will do the work. anci 'he struc-
tu<e ,snot ,ntendea or altered lor sale ,.Sec /044 Bus,~ess
and Proless,ons Code The Contractor's License Law doe;
not apply to an owner of property who builds or ;mproves
t~ereon and who does such work himself or throug~ h:s owi employees, provided thal such 1mp,ovemen1s are not ,mend-
ed or otfered for sale II. however the bu1ld1ng or ,rrprove ment ,s solo w,th,n one year of cample1,on the owner-builder
w1'I have the burden of prG\11ng that he did not build or ,m-
prove ror the purpose of sale)
I. as owner of lhe pro;ierty am exclusi,ely contracting
w,lh '1censed contractors to conslruct the pro1ect !Sec 7044,
Business and Proless,ons Gode The Contractors License Law does nol apply to an owner ol property who builds or ,m proves thereon and who conlracts for each pro1ects w,th a
contracrnr(s) license pursuan\ lo me Contractors license Law)
l As a ho<neowner I am ,mp~ov1ng my home. and the follow
,ng cond1t1ons exist , 1 The work ,s being per1wned prior 10 sale
l 2 I have loved 1n my home for twelve mantl1s
orior TO completion of th,s work I have not c'a1med rh,s exemptio", dur,ng the
Idol tliree years
lamexemplunderSec ------B&PC
for lh,s reason-------------
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D I heret>y af!,rm Thal I have a ceri,!,cale of ~on sen I
1o sel! ,nsure o, a cerT,T,cate ol Wor~ers Compensation Insurance O' a cerid,ed copy lhE"rPoT
(Sec 3800 Labor Code!
POLICY NO
COMPANY
O Copy ,s hied w,1n the c,ty
0 Ceri,t,ed copy ,s hereby turr,she<l
CERTIFICAH OF EXf:MPTION FROM
WORKERS COM PENSA TIOt-. INSURANCf
(This <;ec1,on ne,ed no! tie completed ,1 •ne ~e,m,t ,5 tor one hundred dollars ,;S100, or ,es~,
;·K) I cert,!y~h ~~rmance of !he NO~ '"' ;;;l;,ch th,s ~-ed~· I sha•I nol emplo, an,
person ,n ~r so as tc tiecom" ~ublf'CI •:,
lhe Wo~e, Compe.os...1,or Laws ot Ca1,tor...,,a
NOTICE TO APPLICANT If. atter mak,,·.~ tn,s Ce<1
f1ca1e of E•empt,on you sn0uld Decome sub1er: 1,, the Worl<e•S Compens3t1on prov,~1ons ol the <..3t,or
Code you must lorlh..,.,th '.ump1, w,tn such
pro.is,ons o< th,s perm11 shall De deemed ,e,o"''<l
0 I he<etly atf,rrT' 1nat t•w•e ,5 a ~,,r5i,uct,ur
1endrng agency tor 'he pPriorcra ".e c,1 the "''-'"' •,,,
,..n,ch th,~ perrrnt s ,,>ued ,St>, !091 C." cw~,
Lende<sName ___________ _
Le"<le, ~ 400,ess -----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
I
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, Calilorn1a 92008-1989 (619) 438-5525 I
I JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. ? DATE OF APPLICATION! BU ~~LICEN'1 t;., VALUATION ('' PERMIT NUMBER
I .2fs-lf'_ EL i?h, 1 ico L1.; 10-).4 -8''1 I /6£' g__ rr,,5Y1 I
,
I COT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CO' TRACTORS PHONE # zot(E
.t-3. . /2. ~A 71<:f-'D/CO I OWNEA"S NAME
i/;./virls 1436w~?J:iy ; -
I ~ flr>· ...... .,.,, LICENSE NO. PLAN 1.0. # BLDG USE CODE
..JIM ..J.
CONTRACTOR'S ADDRESS
I /)7r;'~~ 6!-38'6fc;o I OWNER'S MAILING ADDRESS
I DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ Ft:P'GE
I ~ ,0-~ 2?-
I OESCR!PT!ON OF WORK
I DESIGNEA"S ADDRESS DESIGNER'S PHONE
I _cl~~ /.17>" ~~ 72'f-f?t00
I __ __J-/J/} ..A.J.1 () CJ I), Ff>~µ.f S'Tt,CQ8
I ~ ---u F LR ELEV NO DCC GP EDU
I 'Tc, r::' 'VJ1 .f n -0 C (? IJ ot-e, STORIES
I
,c ,o
I CEl'sSUS TRACl I GP LANO USE I PARKING SPACE RES UNITS \ GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE DCC LOAD FIRE SPR
AREA CONST
I ,o ' D ,c ,o vO NO Not Valid Unlen Machine Cerr1f1ed
I
! I QTY. PLUMBING PERMIT ISSUE ' 7,.fo QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMB_E~
I I
3.,.,11'
I EACH FIXTURE:. TRAP I INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT 01-00-00-8220 /' ;' ,.., so_
I EACH BUILDiNG SEWER ! OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 7
I~ -------------+ -------->----------< ------- -
;LAN CHECK ftl=__;4 /i'/i~D 00 8806
-------
I~_ EACH WATER HEATER Ar,.[] OR VENT ~--~EUOMPRESSOR UP TO 3 HP -------------
I EACH GAS SYSTEM 1 TO 4 OUTLETS 801LER,COMPRESS0R 3 15 HP TOTAL PLUM NG f lo1-oo-oo-s222
-----------' -----·· ----------------- - -----
I EACH GAS SYSTEM 5 OR MORE MtTAL F'REPLACE ELECTRICAL 01-00-00-8223
I ---------j ----+-----.,---~------------
I EACH INSTA~ Al TER,REPAIR WATER PIPE ' 1 VENT FAN SINGLE DUCT __ · -MECHANICAL 01-00-00·8224
iE-ACH "VACUuM sR·E-AK-ER ------• ----- -----------· ~ ------
I MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-822] -~
I ~','ATER SO~TNER I RELOCATION OF EA ~URNACE·HEATER MOBILEHOM E PARK lr~S;,
I -·-I EAC~ RCJllr: j;;c,,'.;"J' .,,;·:,[ SOLAR 01-00-00-822.f: __ ---- -----
I -I _J__ TOTi'..L MECHANICAL I STRONG MOTION 80-92-33-0519
I l --------; --i -----
I TDT Al PLUMHINL -' FIRE SPRINr<LERS 01-00-00-8227
QTY SOLAR -ISSUE
PUBLIC FACILITIES FEE -----32-00-00·8~3') ----
QTY ELECTRICAL PERMIT -ISSUE .~4,J I ! BRIDGE FEE
I r\JEW CONST EA AMP SWT CK R i COL' r.c-n:::s SCHOOL FEE .. O;STRICT
I
11
I -------
I PH 1 PH SlCRAGt. -A'J~.S Carlsbad 80·92-21-0519 --
EXIST ~\OG EA AMP SWl RKR RUCK s-o::;,l_,JL Encinitas 80-92-22-0519 ------~-------
I PH 'l PH PL I} P -~D1e9u1to 80-92-23-0519
REMODEL A\ TtR PE'R CIRCUIT P _;',IJ "·ilC-: H:~ San Marcos 80-92-24-0519 --,~-~---------~
TE',1P POLE lllU AMPS '
I -------------
OVER LOU AMPS LICENSE TAX 01-00-00-8162 --------
' TEMP OCCUPANCY '30 DA YS1 MFF 80-92-57-0519
--------------
I
CREDIT DEPOSIT
I --
i T1lTA\ Elt(.TRICAI Hi-Al SOlAR TOTAL FEES PAYABLE c?-tJ~ ;i I
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Bu!ldmg Official under the prov1s1ons of this * A.N OSHA PEAM:t IS REQUIRED FOR EXCAVATK>NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work 5· O" DEEP AND DEMOLITION QR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT JS
authorized by such permit 1s not commence_d w1thH1 180 days from the date of such STRUCTUR!S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON·
permit. or it the bu1ldmfl dr work authonzed by such p&fm1t ,s suspended or
abandoned at anv time a ter the work 1s commenced for a -erwd of 180 da -~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APP 1 , OWNEAD CONT,flAGTOA B:_ APPROVED BY fl" DATE
KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~TS ~IGNAT~
EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE · ~ ~ BY PHONE 0 -;.. ,0Jr;~ I / z/r,i f-4. GRANTING OF THIS PERMIT. "" . j' ,/ " / ,
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TYPE '
I DATE INSPECTOR
BUILDING > I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR A
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
/ .
PLUMBING
SEWER AND BUCO DIPL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WA'-TER
TUB AND SHOWER PAN
GAS TEST
••
-----------------------------·--------------------------------'-------------------
-.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
-
INSPECTION REO IF 1 INSPE'CTOR S DATE
CHECKED! APPROVAL 1--------------------------------1 1==-----~~-cccj--~~1--~--~-~--~p=-~
SOILS COMP!_.A",CE
PRIOR TO
i
~OuNOATION i~SP I ~---------_i __ _
STRUC r URA.I_ CC'NCRE:-~E:
OVER 200Q PSI + f---PR~f~S7T~RE~S~S-ED~---+----+, ---------
CONCHETE +
POST TEN5.,,()r-..ED --+------~---·--COr-..CRETE ----
FIE'.[) V\/E:LDING
r•IC~H S! "lEr,.,;GTH
BOLTS
r --r----------
f----------+----+------+-----
i SPECIAL ')ASUN;:.'y
~-------------+------------~
i ~--------+----+-----+---~ ~-------------------------------1
\ 0 ,, ,s CA1os0,, , +
:--~-:-:-:-:-~-c'_:=~=~=~=~~TG~~~l~~s;~N:~A-D_R_:_A~:~:-:-E-R-+----+---A--~ ~-------------------------~~+_--_--__ -_---:~~-----~~-----------~~~-----1------------~--------------i
ROUGH ELECTRIC ' //#'9/8~ 'T f-------------------------
D ELECTRIC SERVICE D TEMPOli!ARY f--------------------~--------------
D BONDING D POOL '
-------------
MECHANICAL ----·--------~ ----t-----------.--------\ 1-------------------------------s
D __ D_U_C_T_&_P_L_E_M~·• __ D_R_E_F_._P_IP_I_N_~---+-----+-----~ ~----------+-----~------+-----
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS t--~----~-~----~~-~-~----~---~~,
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV6 BEEN APPROVED.
FINAL, I
PLUMBING "-. I
ELECTRICAL "-I fl
MECHANICAL "" : , ,
GAS "' I• I IF
BUILDING ,, ~ .
SPECIAL CONDITIONS I ' I ' I L____________ --~l ______ l__ ----~
I
PLANNING:
0:: ..... :a: .....
rYPE OF STRUCTURE ~ -~«
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD
IGHT ri '
s \ \
\..,
% COVERAGE
BUILDING HE
FENCES/WALL
TWO CAR GARAGE ·-----------
ZONE: -----
ENCINITAS --------
SAN MARCOS ---~----
REQUIRED SET ACKS -++----
FRONT __ !-+-+-+-----
SIDE ___ =-------
REAR _________ _
;: ~ COMMENTS:
~ ~
~ D
;::8 D u 0::
u.J -~5-o 0 u.J UC::
REDEVELOP!1ENT APPROVAL REQUIRED: __ Q_~---------------'-----
LANDSCAPE PLAN COMMENTS: ___ __.~-~-:,----------------
off
ADDITIONAL COMMENTS: '------------------------
OK TO ISSUE:~
A A J
.
***********************************"1i**********************************************
ENG lNEERING
P.F.F. )4
R.O.W: I -
SEWER: G7/.S.T
LATERAL: F/;IST
~--LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
PARK IN LIEU /1' k -~7-rL-'---------------
IMPROVEMENTS: ---·--------------
DRIVEWAY: ~T --'-''------------~ u.1 GRADING PERMIT: 1k---------------------
~ ;i§ DR/l.INAGE: _.:crr}<__J-.::a-,'-------------------------
EASEMENTS: -----------ADDITIONAL COMMENTS:
OK TO ISSUE: ---,'-+,<-='-------
* ENGINEERING INSP CT.
PUBLIC ~10RKS INSPECTOR: ______ ,;......---------------
FINAL OK: -----------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR1l'1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)