HomeMy WebLinkAbout2856 Englewood Way; BLDG 13; 83-502-16; Permit.. z 0 : ~ !rl Q
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0 I hereby affirm that I am licensed under
provtalona of Chapter 9 (commencing with
Section 7000) of D1vlsl0n 3 of the Business
and Professions Code, and my license is In
~~II ~~rc~,~~if6· Class ..,Rx-~J __ _
I hereby att,rm that I am exemp! 1rom the Contrac-
tor·s License Law lor the following reason (Sec. 7031.5 Business and Protessions Code: Any city or county wh1ct, re-quires a permit !o construe!, al!er. improve. demolish. or repair any structure. pnorto its iss.uance also requires 1he ap·
pl1cant for such permit to file a s,gned statement that he is
licensed pursuant to the provisions or the Conuactor·s License Law (Chapter 9 commencing with Section 7000 of Division J o11he Business and Proless1ons Code] or that is ex-
empt_1herelrom and the basis 1or the alleged exemption Any
v1olahon o! Sec11on 7031 .. 5 by an apphcant for a perm11 sub-iec1s the applicant to a ctv1I penalty of no1 more than 1rve hun-
dred dollars ($500)
0 I, as owner 01 the property. or my employees with wages
as their sole compensation. will do the work. and 1he s1ruc-
1ure is not intended or of1ered tor sale {Sec 7044, Business and Prolessions Code: The Contrac1o(s License Law does
not apply 10 an owner of property who tluilds or improves
thereon and who does such work himsel1 or through his own employ1,ies, provided 1hat such improvements are not_ intend-
ed or ottered tor .sale. If, however, 1he building or improve-ment is SOid wrthm one year ot complehon. the owner-builder will have the burden of pr011ing that he did not build or 1m-pr011e lor the purpose of sale)
D 1 .. as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (Sec. _7044,
Business and Professions Code: The Contractor's License Law does not appt,, to an owner of prcperty who builds or im-proves thereon. and who con1rac1s for each projec1s with a
contrac1or(s) license pursuant to the Contrac1or's License law)
D As a homeowner I am improving my home, and the !ollow 1ng conditions exist
1 The work_ is befng perlormed pnor to sale
2. I .have li'lfld 1n my home !or twelve months pnor to completion of this work.
I have nol claimed this exemption during the last three years
D I heiet>y affirm that I ha-.-e acert1!,ca1e of consent to sell-msure. or a cer1Lf,cate of Workers·
Compensa11ori Insurance. or a cert1f1ed copy 1hereot
(5ec 3800. Laoo1 Code)
POLICY NO 251544
coM""' Errployee Benefit
O Copy 1s 111ed w111'l the city Insurance
0 Cert,t1ed copy 1s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need not be comple1ed ,1 the permit ,s !or one hundre<I dollars 1$100) or less)
O I cen,!y tha1 1n the perlormance ol the work !or which this pe,m,1 1s rssued. I shall no1 employ any
person m any manner so as to become subJecl I,:, the Workers· Compensation Laws 01 Ca1olorn1a
NOTICE TO APPLICANT If. alter mak,nJ 11l1s Ceri, locate o! Exemption. vou should become sub1ect t')
the Won<.ers Compensation prov1s1ons o11he Labor Code, you mus1 !onh.,..·111'1 comply w,th such
prov1s1ons or th1S permit shall be deemed revoked
D I hereby a!f,rm 1hal there 1s a cons1ruc11on
lending agency 1or the perlorrnance ot the work lo, wt,,ch th,s permit ,s •ssued [Sec 3097 C,v,1 Code1
Lender s Name T JNJQN BANK
Lende•'sAdd•ess 525 "B1·1 Street
San Diego, CA
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
J'&&l,, ,c,1-tJ:::.v, ;.~~ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT J.ff /4 J.; _J I. p;. I '.} g, 1:,--g 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
2854 Enulewood Wav 7/19/85 1710 '--t '---\ '-\ Q7 -_C; y.1-,-r::J--I G A-LOT I 0CALA~UHmS0
N I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE 11 ZONE 16 C.T. 82-16 299-5100
.._;; "...t I
PACIFIC SCENE, IOC. OWNER'S NAME I OWNER'S PHONE
TREETOPS UNLIMITED 299-5100 CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
3900 Harney st.' San Diego, Ci 272686 OWNER"S MAILING ADDRESS
DESIGNER STAN DA AO PLAN# BUILDING sa. FOOTAGE 3900 Harney st. , San Diego, CA LICENSE#
0 ~U'¥f :OIW ME Buzard/Henning & Assoc. C4729 C1 l:7C
#1 -8 Plex DESIGNER'S ADDRESS DESIGNER'S PHONE (\ -.JJ \<\;\ l, ~l~t;. 13 4883 Ronson Ct.' San Diego, C 278-6855 2-A, 2-B, 2-C, 2-D rP' r ete FLA ELEV. NO DCC GP EDU
STORIES ,o ,o 2 R-1 8 Hl/30/654 7li2 f8M1;Jg ----
CENSUS TRACT I GP LANO USE / PAAKIN~SPACE RES SNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE ace LOAD FIRE SPA
AREA CONST ,o ' D YO NcX VN ,o ,Xi Nor Valid Unless Machine Certified
.
QTY. PLUMBING PERMIT -ISSUE 17, q-,, QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
7 2. EACH FIXTURE TRAP \ 3 (.:, .c~ Q. INSTALL FURN DUCTS iJP TO 100.000 BTU " :;,L. .Ct-BUILDING PERMIT 01-00·00·8220 \ 2-'\.5 rt
'3 EACH BUILDING SEWER 5z.. -DC OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
'1 EACH WATER HEATER ANO/OR VENT 2-c . C1C BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 '34<'-. l.:,
',( EACH GAS SYSTEM 1 TO 4 OUTLETS ' "z.L ue BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 21'1 So
EACH GAS SYSTEM 5 OR MORE s METAL FIREPLACE z-t u (' ELECTRICAL 01-00-00-8223 2a:, c1::
EACH INSTAl. .. ALTER. REPAIR WATER PIPE ~-
\ ·-· VENT FAN SINGLE DUCT 2.0 (' 0 MECHANICAL 01-00-00·8224 , 'l .::--c --~ -~--
EACH VACUUM BREAKER MECH EXHAUST HOOQ.'QUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DR..'\IN (INSIDE) SOLAR n1-oo-nn.n""" ,,,,t,:,
TOTi'.i.L MECHANICAL STRONG MOTION 80-92-33·0519 ·:::, \ ,k"'
TOTAL PLUMBING I -z..1"\ .Sc /c\_ C 0 FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE () -y' 32-00-00-893) ':3~"\b.C-C s-BRIDGE FEE s NEW CONST EA AMP/SWT 1BK R \ C,c, h 2c:c: cc.: COLLECTORS SCHOOL FEE -DISTRICT
I PH J PH STORAGE TANKS Carlsbad L,"-80-92-21-0519
EXtST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
IPH J PH PUMP San Oieguito 80-92-23-0519
REMOOE L.'AL TE R 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 130 DAYSI MFF 80-92-57-0519 s ,< '3 s...;., 7 () '-\ (: . ,""0
CREDIT DEPOSIT / rll
TOTAL ELECTRICAL I 205.C'C' TOTAL. SOLAR TOTAL FEES PAYABL"~ ....--\3 lol,l~
! HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permi_t issued by the Building Official under !he provisio~s 0'1 I his * AN~~ PERM IS REQUIRED FOR EXCAVATK>NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exl)ire by limitation and become null and void. If tfilfbuild_iqg or W<>rk ' 5' 0" DEEP A.N DEMOUTK>N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoriz:ed by such permit is not commenced within 180 days from the dale of such ST 7 OVER 3 STORIES IN HEIGHT permit."'~ if the buildinPi ~(~ work authoriz:ed by such permit is susl)&nded' or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandon at any lime a te the work ts commenced !or a =nod of 180 da.,s. .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND ~T·ss,GNATf/11/ .~ OWNER,, CONTRACTOR 0 APPROVED 7 \\ or~#. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ )Ir.-~ 'le;{J..A i!fl BY PHONE 0 I 1/...r GRANTING OF THIS PERMIT.
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL .
PLUMBING
SEWER AND BL/CO DIPL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
GALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL •
PLUMBING !/_,.., -.
ELECTRICAL )\. Q *' MECHANICAL ,11'''-I, r,
GAS h:y ).f: 11
BUILDING ,~ 'l./
SPECIAL CONDITIONS ' ' .. ,
~---· -----·
~3. -sod. -I (LI
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION 11'.SP
-----·----· STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE . POST TEN'.:',IONED
CONCRETE . .
FIEL[) ~VELOING
·-----HIGH STMENG-H
BOL_Ts
SPECIAL MASONRV ' ! i
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Pll_ES CAISSON~: ' ·-t=+ ·-
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