HomeMy WebLinkAbout2824 LA COSTA AVE; ; 80-809; Permit~--C~~ CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT-_ APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions 01.cr.~"'• 9 (commencing with Section
7000) ot □',~i.':.,l .j 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 e11:empl 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 builds 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. 11, 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).
--:::1, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business @.nd 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. ____ _ B. & P.C.
for this reason ____________ _
----------~-----------· Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-insure, or a certific of Workers'
Compensation Insurance, or a erij copy
thereof (Sec. 3800, Labor Code).
POLICY NO·------~(\--J"'.~l\c~,
COMPANY ~,
lCopy IS filed With the city
--= Certified copy IS hereby lu I hed
CERTIFICATE OF EXEMPTION FR
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit is for orr6•hundred dollars ($100) or less)
I certify that in the performance of the work for
which this permit is issued, I shall not employ any
person in any manner so as to become subject to
the li>orkers' Compensation Laws of California.
NOTICE TO A<"PLIC.,l"NT: If, after making this Cer-
t1L f ,f Exe1 :11, you should become subject
tO !he Wor.,ed' t..Jmpansation provisions of the
Labor Co~,'yt 'i must forthwith comply with such
provisions or !hi~ permit shall be deemed revoked . ~ CONSTRUC'110N LENDING AGENCY
'-=•~hu ,.u;.~ +h<>+ lh<>r<> i~ " ----• ... -.:--, __
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5523---'., ,
NO. J08 ADDRESS AV.ST. ~2 OF A,f'PL1CATl0Nj BUS. LICENSf;:
a.,'Ra.1t/1 1L1A 1t".1aS1r1Ri iAViti 1 1 1 1 1 1 1 1 1 1 1 1 1 '~ s/so ;2(~:;-F
'-STATE LICE~
DESIGNER'S ADDRESS fl, DESIGNER'S PHONE
+.!..-""'---,,__,__ILL....l-----'=~=--<'-'---'--'--=,r--.."'-"""=~ 11.f Ql!; .{ CASCJllP,/B~ 'iC/'l-lziB
CENSUS TRACT GP LANO USE BER OF STORIES ~
PERMIT NUMBER
ll-;fbc
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ZONING I RES.SF/J 12:;: ~;;;, 7 _ Slv}!f _jl_ Not Valid Unless Machina Cartifiad
q/;/i~ ;st( f"'.l;;~, A/6 ~c:~:r I sgN;ARO p/?Q# q I q~ °:_ J' a! Tff PEO:)v OCC. LOAD
I
ClTY.
.✓ V(,,
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7
7,;
'?
PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER Pt PE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
... ;;}'A.A./.,,
TOTAL PLUMBING
CONTRACTOR
ClTY. ELECTRICAL PERMIT
N~T EAAMP/SWT/BKR
7 (1 PH .15, ' ~ ~,. 3 PH
b:ts'r1fLDG EA AMP/SWT(BKR
1PH .15 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 100 AMPS 7" P. /=>..~.
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
/1.A ... /,1/ ---
AMT.
;j;t2::lL
~7-~
AMT.
1.Q.=
/0 • v-"-
' ClTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
F//lo . 1/\ <!-c°j·OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN Sl~!GLE DUCT
MECH EXHAUST -HOOD/DUCTS
REU}CATION OF EA FURNACE/HEATER
.J ~ ... ..,, ,
TOTAL MECHANICAL
CONTRACTOR
ClTY. MOBILE HOME PERMIT
AWNING
PORCH
SET.UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
AMT.
·~
i-, -= 7
--z:;--v
~---,;rv
7£_g,,J~ ;~()/£'24~ I ?i: f,zU-. _
BUI LO ING PERMIT ·--. '--.(" I c ~9'f ,;{ ..\.£_
•tr'
._?7f?:S-~.:::,::,:=p~~~~Lf...:'L/-!!-~,+--_j_'-.IL.1,!'-'.__L__
AMT. TOTAL PLUMB1ru,
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
A¼........z.-_,., -'ls..., /7 ,
MICO-"FlLM
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TOTAL ELECTRl CAL
CONTRACTOR
d,ro
&Y71t=t=------+==I
-44-~
TOTAL FEES PAYABLE
I I I . I
I I I .§ITT.~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HERESY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING 8UILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
4-,A X7'-1< ----
"AN OSHA PERMIT IS REQUIRED FOR li",(c:A"VATIONS OVER
5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF \ =s~mi l>?EG ,://7?1 z: /S-7/a
e, /;J.7f'?JL STRUCTURES OVER 3 S'f':_RIES IN HEIGHT • e,11/V,{. ,(/; T ,AS :~rv
I ~
5 ,= u w "-"' :?;
OF THE GRANTING OF THIS PERMIT AmM SIGNfAAE OWNERrp,-' CONTRACTOALJ I epppg, ~ "{J. L, ,_,, ~ ~L •. ,~, //_ .:?1-X"'ZI
"<
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....
SITE 8n ;Sifl'7 ADDRESS: OWNER: PERMIT NO:
o,
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
.
WOOD FLOOR
FOUNDATION• 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 8: STEEL
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN . FRAME
• PAN
Fl NAL I NSP BY BLDG DEPT
OTHER DEPT"S REQ COMPLETED
ELEC METER-PERM-TEMP
i GAS METER-PERM-TEMP
I '
; s '
CERT CF OCCUPANCY ISSUED I 'it
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1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Building Department
<ltitp of <lCarlsbab
RESIDENTIAL ENERGY DESIGN CERTIFICATION
TELEPHONE,
(714) 729-1181
Permit No. _______ _
Issue Date. _______ _
CERTIFICA1£ OF ca1eLIANCE WITH ENERGY CONSERI/AIION DF.slGN REQUIREMENTS
CONTAINED IN ARTIUE 1, PART 6, TITI£ 24, CALIFORNIA All't CODE
I , 'rl!Ol,lAS MCLEAN , hereby certify that I am familiar
with the state energy.conservation standards mandated in
CAC Title 24, Section T20-1401 through T20-l406, and that the
plans and other documents submitted in support of the application
for a building permit at -=-2~82~4r-:L~A~C~o~s~T~A~A~V~E~-----------Address
__,_,:,?_.1,J 0-6 -=2C-<81l,J9=:.:.;?.5;,..._ ______ ,
Assessor sParcel No. Dated
comply with all curren requirements of these regulations.
Signature
Title GEN1':,,AL BUILDil'Vi CONTRACTOR
( Architect, Engineer, Contractor, Other.)
State License or Certificate No. B317397 ---"-"-'-"-"-'-----------
Date SEPT8MBER 5, 1980
Submit to the Building Department with permit application.
Form 78-101
PHILIP HIINICINe ■IENTON
NUIDaNT • CIVIL •N•tNl:1:11
Mr. Thomas Mclean
2886 Kolmla Street
BENTON ENGINEERING, INC.
A .. "1.IIED 801L MIECHANIC8 -P'OUNDATIONa
■■•o RU PP'IN ROAD
■AN DIIEGO, CALIP'OltNIA 9&1 a:I
October 28, 1980
San Diego, California 92104
Sub feet:
Dear Mr. McLean:
Profect No. 80-10-5M
Moisture Contents In Subgracle Soils
Lower Leve I Footing T renche1
Lot 354 of La Costa South Unit No. 5
Carlsbad, California
TAU'NOIIS C714> N ... te■a
This Is lo report the results of tests to determine the moisture contents of the 10111 be law
the bottom of the footing trenches on the lower level of the subfect site In Carlsbad,
California,
The soil IOlllplea were obtained at a depth of one foot below the bottom of the 2,0 feet deep
trenches on October 27, 1980 and the results of the moisture determinations are presented
aa follows:
Approximate Depth of Sample Moisture
Location of Be low Bottom of Content
Samples Trench in Feet (% dry wt)
Southwest comer 1.0 20,6
North side 1.0 16,9
Middle of East side 1.0 23,2
It Is concluded from the field observations of the various soil types and the final resulh of
the moisture determinations that the so tis below the bottom of the footing excavation• ond
to a depth of 3.0 feet below finished grade at the locations sampled have been sufficiently
moistened to minimize the potential expansion of the soils, as recommended In our repart under
Profect No, 70-1-50 dated October 19, 1970.
• i'~, ""-Mr.lean ;~~;CJ•:~ No. 30-10-5M
-2-October 28, 1980
;;-;r ;,,Olimmended that positive drainage, 6 inches of vertical fall in 6 feet horizontally,
shoult: bt pl'Qvlded around the perimeter of the building, Drainage systems should also be provided
to collect all runoff from roofs and conduct the water in watertight pipes either into the
streets or storm drains. All surface drainage should be prevented from ponding adfacent to or
running over the tops of slopes, Inlet boxes and watertight pipes should be Installed when
nec■-ary to comply with the above requirements,
Respectfully submitted,
BENTON ENGINEERING, INC.
By ~,ct~.
R,C. Remer
Rsvlewed by _,::;:;:: .-A;.::;;.~·~;::::;,..,=~~;!· ~"=----nuiiu, dvtifrJn7e;:
RCE No. 19913
Dt1trlbutlo1u (3) Addre11ee
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~ crrv OF CARLSBAD ►
"' This Certificate issued pursuant to the requirements of Section 306 ~ I ►
of the Uniform Building Code certifies that at the time of issuance "~
_ this structure complies with applicable ordinances of the City ,.
regulating building construction use. ,.
Use Clossiiicotior, Single Family Dwelling Bldg. Permit No. 80-B09 ►
E t
Group _______ Type Construction _______ Fire Zone ________ Use Zon•--------
i: Occupant Load .. ,~~.,. ~ = .,_,. ___ .. ---.. ~ Owner of Buildinv·•·_a_~S· 1•~-' ·-,··~ •-..... f <>, · 'Ad'dres_•_:· -'000 ~~ r:':9:......,_l l,A,1.U, ........... :,'W' ~ Bu;lding Address Jt ;'¼cl·~~! tye,., , ~ t -lLo·c•l1!¥,,~sbaii~;CA• ~2~'t
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