HomeMy WebLinkAbout2850 Pio Pico Dr; C; 81-437; Permit"' z 0 ;:: .. rr :l i.l 0
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D 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 is in
lull force and effect
Lie No Cras1
I hereby at!mn that I am exempt from !he Con-~~o;·~~~~i;:: ;;; ~~~f~~~1~~1i~/8t:~i'1~,
county which requires a perm,t to construc1
alter. improve, demolish, or repa,r any structure
pr,o, to ,1s issuance also requires ttle appl<cant for
such perm,t to tole a s,gned sto1tement th.lot he ,s
hcensed pursuant 10 the pro~1smns of the Con
tractor's License Law !Chapter 9 commencing with
Sec!1on 7000 ot Di.,s,on 3 o! the Business and Pro
fess,ons Godel or !hat ,s exempt therefrom ,md the bas1~ tor the alleged exempt,on Any ~,ola1,on of
Section 7031 5 by an appi.cant for a perm,t sub1ects
tne appilcant to a c,111 penalty ot not more than five
hundred dollar.; ($500)
D I, as owner of the property, o, my employees
..,,,th wages as their sole compensat•on, w,11 do the
won<.. and 1he structure ,snot mtended or offered for sale (Sec 7o«. Busmess and Professions Code
The Contractor·s License Law does not apply to an
owner ot property who builds or ,mproves 1he,eon
and who does such won<. himself or throug~ h,s own
employees. provided that such ,mpmYeme;its are no1 intende1 or offered for sale If. however, 1he
building or 1mpro..emen1 1s sold w,!h,n one 1ear ot complet,on, !he owner-builder will have the burden
of proving that he d,d not build or ,mprove for the
purpose of sale)
Cl I. as owner of the property. am exclusively
contracting with licensed contractors to construe\
the protect (Sec. 7o«. Susmess and Profess,ons Code The Contractor's License Law does not apply
to an owner ol property who bu<lds or ,mproves
thereon. and who contracts for each proiects with a
contractor1s1 license pursuant 10 the Contr.,c!or's
License Law)
0 I am exempt unde, sec
tor 1h,s reason
. B & PC
D I hereby a1flrm that I ha~e a cert,!1cate of consent 10 sell insure. or a cert1!1cate ot Workers
Compensat,on Insurance. or a certrf1ed copy thereat
(5ec 3800. Labor Code)
POLICY NO
COMPANY
D Copy 1s t,led with 1he city
0 Cert1hed copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This se<:t,on need no! be completed II the perm,1
1s tor one hundred dollars ($1001 or less)
0 I cert,!y tha1 in the pertormance ot the work tor
wh,ch th,s permit ,s ,ssued. I shall not employ any
person 1n any manner so as to become sub1ect 10
the Workers· Compensation Laws ot Ca1,torn1a
NOTICE TO APPLICANT If. alter makrn-;i this Cert,
hca1e of Exemption_ you snould become sub1ec1 l'J
the Workers· Compensat,on prov1s1ons o! tne Labor
Code. you must !ortnw,th comply with sucn
provisions or tn1s perm,1 snail oe deemed •e,oked
0 I hereby aff,rm thal there 1s a cons1ruct10~
,ending agency tor !he per1ormance ot the "'ork !or
which this permit 1s issued 1Sec 3097 C,vil COde,
Lenders Name ___________ _
Lender's Address -----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT Tn FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
-~~~~~~~~~~~~~~~~~~~~~~~-
CARLSBA-BUILDING DEPARTMENT Al-t"LICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JQB ADDRESS ,....,,....._ -
VALUATION PERMIT NUMBER
['/ ~,j.· R ") P,n PtUJ 506
OWNER'S NAME CONTRACTORS PHONE!,. 4-71 t.J_-z..;; -'.,_,-I
ZONE
PLAN 1.0. # BLDG USE COOE OWNER'S M~~LING AOOAESS
,,';':'f:b !'.),,,, ~ lb ,,L.Jl '(E 1: -raJ. il'Vlf,
DESIGNER STATE LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
O~AlPTJON~WORK.-._-. •-~ &.-'--" ·-. ...-~\I . ·.rr -,... i..\l -0,,
~1-t_,___ l_t-~ •
CE"JSUSTRACT l GP LAND USE IPARKINGSPACE AES UNITS I
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
DESIGNER'S ADDRESS
F,P FLA ELEV
GRADING f:ERMIT ISSUED
I
REDEVELOPMENT
AREA
,-[J NO
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
NO
STORIES
TYPE
CONST
. I , ,.
DESIGNER'S PHONE I .
OCC GP EDU
OCC LOAD FIRE SPA
Not Valid Un/1!$s ~chine Certified
SUMMARY/ACCOUNT NUMBER
--'----~-_.__,u_,0L001NG PE_RM_,_T _______________ -+_ tr 1 .. uv -t OVER 100 000 BTU SIGN PERMIT ~
BOILER;COMPRESSOR UP TO 3 HP +-------+-cP~LA_N_C_H_E~CK--+----,~,-.• -_~t:;~,0~----l
-R-----. -.. -----+---------'-----+=-=:----------+-~~
EACH BUILDING SEWER
1-----------twH WATER HEATER ANO:(lR VENT 1 ----
I...--. ~H GAS svsTEM 1 To 4--ou-rLETS· : '---+---~~------··------+-----JC---8_~1-~~R'.C~MPRESSOR 3-15 HP TOTAL PLUMBING _____ _
EACH GAS SYSTEM:> OR MORE METAL FIREPLACE ELECTRICAL
VENT FAN SINGLE DUCT . ---_____ ___j___j __ _c.__-1--. MECHANICAL
MOBILEHOME ::~HHl:~Tc"uLu;~T::~:::AIR WAHR !'PE -_ -_f ~ · ____ --_-----+_M_E_CH EXHAUST HOOO.'OUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP '---+------------. --.
: EACH ROOF DRAIN !INSIDE) SOLAR =-J TOTAL -P~UMBING -------__J-. _J..-__ L__~T-0-r-,-L-M_E_C_H_A_N-,-,A-L _______ ...1. ___ _:_ _ ___jJ--:-~::..Eo-~-:-R~-No:L-'~-:s--
--~~-~ ==r= -~~-------~~~--~-daa--~------~f-
ELECTRICAL PERMIT. ISSUE ;;; • OA
------.. -----1----
QTY. SOLAR -ISSUE QTY.
--1,...... ------------------------+--------
L---+-N_E_W----'--CO_~T __ ~!'_ AMP 'SWT BK R COLLECTORS ----+---------
STORAGE TANKS 1 PH 3 PH
EXIST BLDG EA AMP.1SWT/8KR ROCK STORAGE -------------------t----------+-----------
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE· DISTRICT
Carlsbad
E11c1n1tas
1 PH 3 PH PUMP ---+---+-'-----------------------'------SL_ San D1egu1to ---~-----
PLAN CHECK FEE San Marcos
----11----------------------
TEMP POLE 200 AMPS I----!------------___ .__ -------------------------------1----
-----------
-----------
.
I..-----
--.
~:-f,i~: }~;~!_cvGO oAvs,----~-~---____ -r-:=_ . ---------------+----'-___j,e----------------------+---
-____J____ ______ -
TOTAL ELECTRICAL l
I
----
- ------------------1---------1'---
TOT Al SOL AR TOTAL FEES PAYABLE I
-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
Expiration. Every penrnt issued bythe8uildin90flicia! undertheprovisionsofthis * AN OSHA PERMIT IS EXCAVATIONS OYER
Code shall expire by limitation and become null and void. If the building or work 5, O" DEEP AND CONSTRUCTION OF
authorized by such permit is not commenced within 180 days from the date of such STRUCT\JftES OYER 3 •)P"'ies IN HEIGHT permit. or 1f the building or work authorized bv such permit is suspended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-l...!'c'c"'Cd<>~a~ed~a!lca~n~vt~im<!!!!JO!!!!ft"'!!..!th~e~w~o~,k!._!!i•cc~o~m~men!!!!!!£°"!d!!.!,fo~,J'l~-,,eiodQ!l_~Of!._!180!!!/_~d!>J""""L----::A"!'~~~~~--"'l!.,.-~;._"I' ____________ ~ ~~~~C~~~~L~;SE~~~Rcf:yeg~~f Rr~=!~N A~:I~~~-AIL~i~fs~3:i~~.TJ~6~~i;~~~i~~; :~:~g1 PLl~ANT'S SIGNATURE 1f. OWNER O CONTRACTOR !if AWtP OVED BY f J ~ '>--1f _ DATE
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 1/_ ,,. // _ ~ ,,,.. .... A BY PHONE O ·'1AA Ji, A'.· r ~
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GRANTINGOFTHISPERMIT. ~ /~ /,. V~"\,\.NV\I
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INSPECTION TYPE DATE INSPECTOR . BUILDING •
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GRClUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A
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 ---t PLUMBING ' '( ./'\ / ' IA\ (~
ELECTRICAL ,Iv\ }./ 1-\l''-..... i '
MECHANICAL /.\~y, "' GAS ,..-
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED •
8 I -r.t-37
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR ro
FOUNDATION INSP .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE -·-POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS . -
SPECIAL MASONRY
'
PILES,CAISSONS
..
..
.
.
. ------
l
SHEET
BUILDING DEPARTMENT 'ECEIVED
1
/) DATE:
,2~So '1::[; ~ £4 ,C!..,,, OCT 15 1981 BUILDING ADDRESS: ;.;;,
,At,?# /st:, -/(q c/ ,_n CITY OF CARLSB;,\D
t================================================B=u'='d=ln~g::::De=p~a~rt~m~e~n~t====
PLANNING DEPARTMENT
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED __________ _
% COVERAGE ALLOWED _____________ PROVIDED-----------
BUILDING HEIGHT ALLOWED PROVIDED-----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ______ _
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITI~~L COMM
. ____ DATE /6"{L"""'d ~K TO FINAL _______ .DATE ____ _
ENGINEERING DEPARTMENT
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
________ DRIVEWAY LOCATIONS ___________ _ SEWER CONNECTION
GRADING PERMIT _______ .EASEMENTS DRAINAGE ____ _
/m i 21 ~bu; 7/tl}J;; &':J)
OK TO ISSU TO FINAL ____ DATE
}',_,aE DEPARTMENT
S!'RiliKLING 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 __ _
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