HomeMy WebLinkAbout2855 NANTUCKET LN; ; 83-135-22; PermitAPPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
---CARLSBAD BUILDING -DEPARTMENT' T"' - APPLICATION'&PERMIT:
1200 Elm, Carlsbad, California 92008-1989 (619) 438.5525
JO8 ADDRESS . AV. 3T. RD. NCAflCGTOflOSSST. - . . OATf OF APPLICATION BUSINESS LICENSE 0 VALUATION - ' PERMIT NUMBER
2855 Nantucket Lane. - - 12/16/83 1710
LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. cONTRACTOR
22 :1t- '.. Ca-lavera Hills -Ct'82- . Pacific'Scene , Inc '
CONTRACTORS PHONE N
299-5100
ZONE
OWNER'S NAME ' ' . OWNER'S PHONE
13'500.Harney
PLAN :0. # BLOGUS'E CODE - - - - ' CONTRACTOR'S ADDRESS' LICENSE NO. -.
Tre±óps unlimited ''299-5-100 SD CA S'l" - 272686 OWNER'S MAILING ADDRESS '
STANDARD PLAN # BUILDINGSO.FOOTAGE
-. -
3900 'Harney St/ SD',-.CA 921 1.0 DESIGNER LICENSE 0
- - .-----
- ' - -
" L.O. 'Chris&P /Architect C 92-39.
DSCRfPTIOf OF WORK Duplex wwith lot line DESIGNER'S ADDRESS - - , , DESIGNER'S PHONE
Plan- -3B 9939 Hibert St/SDk CA
.
695-3830
1.537sq_f,t,living_59...5, ,s.tQr,age,_. NO ' W -- - 'I'63.09 F/P IFLR ELEV. - STORIES - . '
' - - - 2 YO NO .
. EDU
R3 -
,
- ' - ' ' --
CENSUS TRACT GLAND USE' PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE' 0CC LOAD FIRE SPA
- --. •. -- AREA -L .- -. - V/V CONSJI 1.-----
--
tO NO' - vO -
YO r Not Valid Unless Machine Certified
---'5.-. - - - -- -. - - ' -. - - ''' '' ' '' ' '' - " ' • ' -
OTY. PLUMBING PERMIT- ISSUE , QTY. MECHANICAL PERMIT - ISSUE , — -. - SUMMARY/ACCOUNT NUMBER
"- EACH FIXTURE TRAP, - . .
' '7, 5t INSTALL FURN. DUCTS UP TO 100,000 BTU • BUILDING PERMIT - 01-00-00-8220 '3S
— EACH BUILDING SEWER' - ' - - . '.' .OVERI00,000BTU - -, -.SIGN PERMIT. - - 01-00-00-8221. . -
-' EACH WATER HEATER AND/OR VENT' . - ,s BOILER/COMPRESSOR UP TO 3 HP - ' • PLAN CHECK " 01-00-00-8806 I-2
EACH GAS SYSTEM'I'TO 4'OUTLETS - 1• -' BOILER/COMPRESSOR 3-15 HP - , - TOTAL PLUMBING - - 01-00-00-8222
-EACH GAS SYSTEMS OR MORE-'-"-'-"- - -. METAL FIREPLACE - -- -
-- •'- 1— - - _3 - — . .ELECTRICAL.... . - 01-00-00-8223... . - - , O•, -
EACH INSTAL.. ALTER, REPAIR WATER PIPE -, ' VENT FAN SINGLE DUCT , &. 1.4 . MECHANICAL 01-00-00-8224 1 t
EACH VACUUM BREAKER - ,.. - - MECH EXHAUST - HOOD/DUCTS - ' . MOBILEHOME 01'00'008225
WAER SOFINER i.,., , RELOCATION OF EA FURNACE/HEATER I MOBILEHOME PARK INSP
- EACH ROOF DRAIN (INSIDE) ' • , ' - -: - )" - — SOLAR - 01-008226_
. • TOTAL-MECHANICAL -
. .
0"- ' - - - ' -
•
' STRONG MOTION 80-92'33-0519 - - - —
'TOA1P'1J PLUMBING - - . - '. - £.jg: FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 3200008933 / 262 -
QTY ELECTRICAL PERMIT ISSUE - - QTY.-- SOLAR ISSUE - - BRIDGE FEE
NEW CONST,EA AMP/SWT/BKR_,, JO ,'5'' — ' COLLECTORS . , Z'"'"s, SCHOOL FEE- DISTRICT
— I PH 4 3 PH t STORAGE TANKS
, Carlsbad 80-92-21-0519
EXIST BLDG EA AMPISWT/BKA • ' r - ' .....ROCK STORAGE -'--, , . ' • . - •-- --- I' . Encinitas — 80-92-22-0519' -- -- • -- . :.
'- 3 P . , PUMP , - / , . •/ San Dieguito 80-92-23-0519 -
REMODEL/ALTER PER CIRCUIT -
-
:.
--
, - PLAN CHECK FEE ( ' U 7 San Marcos -. -- 80-92-24-0519 - -
'-TE,MP POLE' 200AMPS - ''- -- • "-- -- - -••
t1 - /•. - _..'. . ___________
--OVER'20b AMPS -T'i ,,'•'a -,' • 'rn - - - ,
• \ I ' , LICENSE TAX O1-00-OO-8162
TEMP OCCUPANCY (30 DAYS) l i' , I i - - - - •
-• - ___________
TOTAL ELELTRICAL
- ' '
TOTAL SOLAR
-CREDITDEPOSIT
TOTAL FEES PAYABLE j J 32 O 7
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY ' EiPiratiolEverypermltiosuedbytheBuiIdingOfficialunderfheprovuslonsofthis * *RMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY-OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE •ce spIre by lImItation and become null and void if the building or work - AND DEMOLITION OR CONSTRUCTION OF euthorized by such permit is not commenced within 180 daysDECLARATIONS ARE'TRUt AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS Permit, or building by such rn'i1"is suspendesducar STRLpI'URES OVER 3 STORIES IN HEIGHT
-ISSUED: TO COMPLY WITH ALL CITY, COUN1 Y AND STATE LAWS GOVERNING BUILDING CON- abandoned at any timeAfter the workoinommenced for a period
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGAE *7A, owNER D CONTRACTOR :APPRBp
01180 days.
- KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITiES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE BY PHONE 0 NE - GRANTING OF THIS PERMIT- .
USE BALL POINT PEN ONLY & PRESS HARD
" Dl hereby affirm that lam licensed under
..
"
provisions 'of, Chapter 9 (commencing with I
,I_,GoCtlon 7000) of Division 3 of tho BuolnoeO l ,viñd Professions Code, and my license in in
full force and effect: — - - -
[Llc.No 7776R6ass _R-.1
.1 hereby affirm that I am. exempt from the Comm-.L - - br's License Law for the following reason (Sec. 7031.5' Business and Professions Cede: Any City or county which re-
a, permit to conStruCt, alter.' impreve, domnlish, or 1
I ' repair uny Slruotare. prior Ic its issunnco alcv "yquiroc )Pq p I'
-- - piicant in, ouch,permit to iile a signed statement that he is I. licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 commencing with Section 7000 of I
- -' Division 3 of the Duol000s and Prefesnivos C0401 or 'l's' 1c os' - empt therefrom and the basin for the alleged exemption. Any - . violation at Section 7030.5 by an applicant for a permit sob-i
jecto the applicant tea civil penally of not more than five hun- dred dollars ($500). -. - - - • . -
-0 I, as owner at the pfoperty, or my employees with wagon I - 'as their sole compensation., will do the work, and the struc- - Isle is not intended or of lered for sale (Sec. 7044. Business and Professions Code: .The Contractor's License Law does I
not apply to an owner of properly who builds or imprnves thereon and who deco such work himself or through his own - - employees: provided that such improvements are not intend-' I ISO ,od or offered for sate., II. however, the building or improve- 'I - Z mont is sold within one year 01 completion, the owner-builder will have the burden of proving that he did not build or rn- I
prove for the purpose of sale). -- - -- '
0 I, as owner of the property, am exclusively contracting
,., With licensed contractors to construct the project (Sec. 7044. I Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or !in-proves thereon, and who contracts for each projects with a 05 . contractor(s) license pursuant to the Contractor's License. Z 'Law). o
I- 0 As a homeowner lam improving my home, and the 10110w' 4 -i ing conditions exist: . .;.. • e. . ...., It, I. 'The work is being performed prior to oale.'_ 2. I have lived In my home mr ' twetve months prior to comptetion of this work.. "' ' ISO - 3.' I have not claimed: this exemption during the I - O last three years. -
0 Jam exempt under Sec. - - '.B & P.C. , ,lorthis.reason . , • I. •n
--'I
_14
- - ' I hereby am firm that I have a certificate of consent I ' . to self-unsure, or a .cerlufucate of Workers .i Compensation Insurance: or a certified copy thereof
-
(Sec. 3800, Labor Code). -.,,,. . '
--POLICY NO.' iKwp,,265!:92 50.
'r ' r I COMPANY .Fir"emen' s.... Fund.
ign • 0 Copy is filed with the , ' I
0 Certified copy is hereby furnished
:n'-,''j; CERTIFICATL OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed it the permit I
--is to, one hundred dollars i$lOOi or less)-us - 4r,1"fJ '4 1 I certify that in the performance 01 the work for I ,.which this permit is issued. I shall not employ any -
39 il 'person in any manner so as 10 become sublect to , *
the Workers Compensation Laws 01 California ' I - ''v , ' r-
,' NOTICE TO APPLICANT If. after making this Certi- - I icate of Exemption, you should-become subtect 1) I tthe Workers.Compensation prOvusuons,ol the Labor
- Code, you. must fOrthwith 'Comply wuth"-such - provisions or this permit Shall be deemed revoked I
D.Ihereby:a!Iirm 'that'lhere is a construction ' I
- lending agency' 10, the performance of the work to," which this permit is issued (Sec 3097. Civil Coctei
Z Lender'
L Lender's Address a 7 1" ST I
TYPE I DATE INSPECTOR
BUILDING
FOUNDATION - 4eB4 f- REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING t ROOF J S1jEA Ld
FRAME 4-V4 EXTERIOR LATH
INSULATION 3- m-84 çf-
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO DPL!CO
UNDERGROUND 0,WASTE DNATER
TOP OUT 0 WASTE 0 WATER '?s4 (- TUB AND SHOWER PAN
GAS TEST C-
O WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND DIUFFER
ROUGH ELECTRIC ?.'t-&4
ELECTRIC SERVICE 0 TEMP4RARY
O BONDING 0 POOL
MECHANICAL if
0 DUCT & PLEM., 0 REF. PIPING 4. 4 iW-
HEAT - AIR COND. SYSTEMS vj
VENTILATING SYSTEMS
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
8OL1S
SPECIAL MASONRY
PILES CAISSONS -
CALL FOR FINAL INSPECTI
ITEMS ABOVE HA
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
EN ALL APPROPRIATE