HomeMy WebLinkAbout2850 PIO PICO DR; G; 84-263; PermitLjW,J l,)reby affirm that I am licensed under
f prw4Ione of Chapter 9 (commencing with
lion 7000) of Division 3 of the Business
and ProfessIons Code, and my license is in
full force and effect.
lic No ________________ Class
I hereby affirm that I am exempt from the Contrac-
Or's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit to construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires the ap-
plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) of that is ex
empt therefrom and the basis for the alleged exemption. Any
violation 01 Section 7031.5 by an applicant for a permit sub-
jects the applicant to a civil penalty 01 not more than tine hun-
dred dollars ($50D).-
0 I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc'
tore is not intended or altered for sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does
not apply to. an owner 01 property who builds or improves
thereon and who does such work himself or through his own employees, provided that such improvements are not intend-
ed or Offered for sate. It, 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 im-prove for the purpose 01 sate).
tJ I. as owner 01 the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's License
Law does not apply loan owner 01 property who builds Or im-provesthereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law).
As a homeowner I am improving my home, and the 10110w'
ing conditions exist:
The work is being performed prior to sale. I have lined in my home for twelve months
F to completion of this work, I haCe not claimed this exemption during the
last three years.
0 lam exempt under Soc. _________________ . B & P.C.
- tar this reason -
thereby affirm that I have a certificate 01 consent
to setl.insure, or a certificate 01 Workers'
Compensation Insurance, or a certified copy thereot
(Sec. 3800. Labor Code).
POLICY NO. -
COMPANY
C] Copy is tiled with the city.
C3 Certified copy is hereby tarnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sectron'need not be completed it the permit is for one hundred dollars IStOOl or less)
O I certify that in the performance 01 the work for
which this permit is issued. I shall not employ any
person in any manner so as to become subject to the Workers' Compensation Laws Of California
NOTICE TO APPLICANT It, after rerakin3 this Ce,.
trcate of Exemption, you Should become subject '3
the Workers' Compensation provisions Of the Labor
Code, you must forthwith comply -'with such
proursions or this permit shall be deemed revoked
r 0 I hereby affirm that there is a construction
I lending agency !or toe perlOimance 01 the work to, Lu which this permit is issued Sec 3097, Civil Code)
LU Lender's Name -
L Lender's Address
USL bALL YUINI ,I'LN UNIT & 1"11111:55 1IAKU MP'P'LILAN I IV NLL IN INIUI1MMI IUN Wit MIN SMAULD AKA ANL) ULAHAI IONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619)438-5525
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE OFIAP~PLICATIONI BUSINESS LICENSE # J VALUATION PERMIT NUMBER
ç:— -.
LOT I BLOCK SUBDIVISION
OWNER'S NAME
ot Vic-rojpar,sj /fU 1
OWNER'S MAILING ADDRESS
PARCEL NO. CONTRACTOR
_DWNER'S PHONE _ ___ ______ a_ I'tkQ CONTRACTOR'S ADDRESS
CA
DESIGNER
CONTRACTORS PHONE C zo1'
- LICENSE NO. PLAN I.D. # ' ' , BLDG USE CODE
LICENSE a STANDARD PLAN-# BUILDING SO. FOOTAGE -
TION OF WORK
DESIGNER'S ADDRESS
F/P .. F LR E LEV. ' ' -__NO
vOO -]:
STORIES
DESIGNER'S PHONE
0CC OP EDU
-.
Not Valid Unless Machine Certified
71 9011 6ort
CENSUS TRACT GP LAND USE
_
' PARKING SPACE RES UNITS GRADING PERMIT ISSUED~EDEVELOPMENT
N 0
REA
Y 0 NO
I
-
0 0
I TYPE
CONST
0CC LOAD FIRE SPR
v 0 ND
QTY. PLUMBING PERMIT -.ISSUE I QTY. MECHANICAL PERMIT -ISSUE ' - SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP , . INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 ,
EACH BUILDING SEWER ' . ' - OVER 100,000 BTU - -' . - . SIGN PERMIT .- 01-00-00-8221 -
- EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UP TO 3 HP - ' PLAN CHECK 01-00-00-8806 _____________
EACH GAS SYSTEM 1 TO 4 OUTLETS , BOILER/COMPRESSOR 3.15 HP -. . TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEMS OR MORE - METAL FIREPLACE ... ELECTRICAL 01-00-00-8223
EACH INSTAL,. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT . MECHANICAL 01-00-008224
EACH VACUUM BREAKER . . MECH EXHAUST - HOOD/DUCTS ' . MOBILEHOME - - 01-00-00-8225
- WATER SOFTNER - . RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226
TOTAL MECHANICAL . ' I STRONG MOTION 80-92-33-0519 -
TOTAL PLUMBING FIRE SPRINKLERS 01-00'00'8227
QTY. ELECTRICAL PERMIT. ISSUE
e5
oy, SOLAR -ISSUE . -
-
PUBLIC_ FACILITIES 32-00-00-8933 _FEE
BRIDGEFEE - -
NEWCONSTEAAMP/SWT!BKR COLLECTORS - SCHOOLFEE -DISTRICT
1PH 3PH , STORAGE TANKS - - Carlsbad 80-92-21-0519
EXIST BLDG EA AMPISWT/BKR - ROCK STORAGE - ' Encinitas 80-92-22-0519
1 PH 3 PH PUMP - San Diego (to 80-92-23-0519
REMOOEL.ALTER PER CIRCUIT . PLAN CHECK FEE _-------- - San Marcos 80-92-24-0519
TEMP POLE 200 AMPS"
OVER 200 AMPS ' LICENSE TAX 01-00-00-8162
"TEMP OCCUPANCY (30DAYS)
. 11 IT DEPOSIT
TOTALELECTRICAL _- _. _TOTALSy./ TOTAL FEES PAYABLE _I7
labancloned
fptrEtEverypermiIissuedbytheBuiIdingOtfrc;aIunderftteprovisionsouIhis * AN OSHA P€RMIT IS REQUIRED FOR EXCAVATIONS OVER I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"AND DO HEREBY Code shalt eopire by IimiIabion and become nuII)diidid It the building or work 5• 0"DEEP AND DEMOUTION OR CONSTRUCTION OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEuthorized by such permit is not commenced within T80 days from the date at suchSTRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT ISermit, or it the building or work aulhorized by,such permit is suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNA URE * WNERr CONTRACTOR 0 APPRO ED BY DA KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
ISSUED: TO COMPLY WITH ALL CITY. COUNtY AND STATE LAWS GOVERNING BUILDING CON-at anylimeslIertheworkiscommenced Iona pçtod01180dave.
EXPENSES WHICH MAY LN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOLIENCE OF THE _BYPHOt _ GRANTING OF THIS PERMIT'. ______
2
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH -
BOLf S
SPECIAL MASONRY
PILES CAISSONS
-. - + -, -
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING 0 ROOF 0 SHAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BLICO DIPUCO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT D WASTE 0 VATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WkJER
ELECTRICAL
0 ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE 0 TEMPORARY
0 BONDING 0 POOL
MECHANICAL
0 DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS I
ESGIL CORPORATION
9820 CHESAPEAKE DR.. SUITE 122
AN DIE(O, CA 91.3
(619) 60-146M
pziqiz) -,9iJ77,c/Ltf C'an1p'
&1l-L .Z7d O17 -?--e72 77 5,'d-4
-/J cQ
De7 czP
i&1 t& iW . /v'ô i
ME
94 Date z______
Prepared by:
Jurisdiction C1 1ZL33J_
C3 Bldg. Dept.
VALUATION AND PLAN CHECK FEE E3 Esgil
PLAN CHECK NO.____________
BUILDING ADDRESS
APPLICANT/CONTACT PHONE NO.______________
BUILDING OCCUPANCY ,5-2 DESIGNER PHONE____________
TYPE OF CONSTRUCTION 1'/\/ CONTRACTOR PHONE___________
BUILDING PORTION
•
BUILDING AREA VALUATION
MULTIPLIER
VALUE
_________
Air Conditioninz
Commercial 2.80
- Residential 2.40
Res. or Comm.
Fire Sprinklers -
1.50
Total Value • '
Fee Adjusted To Reflect
Building Permit Fee.$
Plan Check Fee
o Energy Regulations (FeeKee 1)
0 Handicapped Regulations x 1.065)
5-0
COMMENTS:
8/4/82
PLAN CHECK NUMBER £243 ADDRESS Z15D DATE
'PLANNING: TYPE OF STRUCTURE IzA 11j1 ZONE:
SCHOOL FEES: SAN DIEGUITO
ENCINITAS_____________________
CftDI
% COVERAGE
BUILDING HE
FENCES/WALL
TWO CAR GARAGE_______________________________
COMMENTS:
SAN MARCOS_____
REQUIRED SETBAC
FRONT_________
SIDE
REAR LJ
U4
E REDEVELOPMENT APPROVAL REQUIRED:2 cz ________________________________________
_
_
_
cr
LANDSCAPE PLAN COMMENTS._______________
_
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ENVIRONMENTAL REQUIRED:
ADDITIONAL COMMENTS:
A I 'i OK TO ISSUE:vr--- .DATEqd'II
b
I OK TO FINAL: — DATE:
******* **** * *** ** **** *** ***
*
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ENGINEERING LEGAL DESCRIPTION VERIFIED? )1 A.P.N. CHECKED?______
P.F.F. PARK IN LIEU
R.O.W-. IMPROVEMENTS?' oli
E.D.U:
SEWER:
LATERAL: cci- DRIVEWAY ';,;'r
GRADING PERMIT:
DRAINAGE: Sr-
EASEMENTS: )J57k!_A-'PflJ''JT ADDITIONAL COMMENTS: 7E24.7V'
OK TO ISSUE: DATE.:
* ENGINEERING INSPCTJION REQUIRED:
PUBLIC WORKS INSPECTOR:
FINAL OK: DATE: * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTM
E
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(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
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APP VED
sy
MAY 1984
City of CARLSBAD
, •• BUILDING DEPT.
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7 4-21"
E CHRI S CHRISTAKOS ENGINEERING
- . STRUCTURAL DESIGN
456 E. Grand Ave., Suite 0200. Escondido, Calif. 92025 (714) 489-1139
SHEAR .. WALL SCHEDULE
lx D.F. diagonal sheathing ----------------------------300 # /1
per USC Sec. 2514 (b) 1 &(as
__1/2" drywall with Sd cooler nails .8 7" o.c. edge &
field (Table 47-I USC) 1004/1
A 5/8 0 drywall with Gd cooler nails 8 7" oc. edge &
field (Table 47-1 USC) - 100/1
drywall with Sd cooler nails 8 4" o.c. edge & field (Table 47-X UDC) 1251/1
drywall with 6d cooler nails 0 4" o.c. edge &
field (Table 47-I USC) -- -- - ----•••---•-- - 1251/1
blocked drywall with 5d cooler nails e 4" o.c.
edge & field (Table 47-I UBC) --- - --•----- 1501/l
blocked drywl1 with 6d cooler nails 8 40 o.c.
edge & field (Tab].o 47-1. UDC) - 1751/1
stucco over paper backed lath w/16 gauge staples
at 6" 'o.c. at top & bottom plates, edaø of shear wall
and on field (ICBO Report No. 1823, Feb. 1977) 1801/1
or (ICBO Report No.1318, Feb. 1973) stucco over paper backed lath w/i6 gauge staples ___--7/8"
at 3" o.c, at top & bottom plates, edqe of si.aar wall
and 6" o.c. on field (1CB0 Report No. 1823, Feb. 1..77) 3254/1
or (ICBO Report No. 1318, Feb. 1373) o --3/0" Structural U Plywood with Sd nails 6" o.c.
- at edges & 32" o.c. field (Table 259 UBCj 2604/1
Structural XX Plywood with Sd nails 8 4" o.c.
at edges & 12" o.c. field (Table 25K UDC) 3804/1
A-3
/8 Structural IX Plywood with Sd nails 0 2's" o.c. at edges a 121 o.c..field (Table 25K USC) - 5701/1
--3/8" Structural XX Plywood with Sd nails 8 2" o.c. -
at edges a 12" o.c. field (Table 351 USC) 0 6404/1
" Structural Plywood with. dnaila 013 0.0e
at edges a 12" o.c, field
-- " Structural Plywood with d nails 8 0 o.c.
at edges a 12" o.c. field
.4