HomeMy WebLinkAbout2856 NANTUCKET LN; ; 85-397; PermitUSE BALL POINT PEN ONLY & PRFSS NARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS,
0. I hereby affirm that I am licensed nder
-provisions of-Chapter 94c0mmenc1ng with I Section 7000) of Olvlolon 3 of tho Buslnots
and Professions Code, and my license is in I ' fuii force and effect.
L iuc No, -Class
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I hereby affirm that I am exempt from the Contrac'
— torn License Law for the following reason iSec. 7031.5 Business and Professions Code! Any city or county which ru u quires a permit to Construt. alter, improve, demolish, or
I : repair any structure, prior 10110 issuance also elluiles tlw jy'
plicanl for Such permit to tile a signed Statement that he is
- licensed pursuant In the prxvisinus of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 o the Business and Professions Code) or that is cx - empt therefrom and the haute for the alleged 000mption. Any
violation at Section 1031.5 by an applicant for a permit sub-jects thu applicant to a Civil penalty of net Marc than IjyC hull
dred dollars ($500).
I. as owner 01 the property, army employees with wages
ac astheir sole compensation. will do the work, and the struc' lure is out intended or offered for sole (Sec. 7044, Business _J and Professions Coda: The Contractor's License Law does' 5 noi apply in up owner, nl properly who builds' or improves m thereon and who duos such work himseli or through his own.
'employees. provided that such improvements are not intend- UI 7 ml or offered for sale. II.' however, the building or improve- Z ment is sold within one year 01 completion. the owner-builder
mitt pave the burden of proving that he did not build or im- 0 prove for the purpose of sale). •,, ,.
I, as owner 01 the property, am exclusively contracting
with licensed contractors 10 construct the project (Sec. 7044. - Business and Professions Code: The Contractor's License
- _ a Law does not apply loan owner of property who builds or im- proves thereon, and who contracts for each projects with a
Z U) contractor(s) license pursuant to the Contractor's License
2 I.- 0 As a homeowner turn improving my home, and the follow- 44 lag conditions exist:
19
' 1. The work is being port ormed prior to sale.
-.2. .1 have lived in my home tar twelve months prior to completion at this work. UI 3. I have not, clairnedthis exemption during Ike O ' last three years.
0 'tam exempt under Sec. . B & P.C. for, this reason
"-:..:-- - —-I
0 I herebjaflirrn that IIà.e acertilicate 01 consent to' sell'insure, or a certificate Of Workers' Compensation Insurance, or a Certified Copy thereof. -
. (Sec. 3800.-Labor Codel..
POLICY NO '
COMPANv,
4 • -w,-
U) 0 Copy is tiled with the City
-
- 0 Certified coiy is hereby furnished1116 '
.. 0 • . ', CERTIFICATE OF EXEMPTION FROM , p o S WORKERS COMPENSATION INSURANCE,
(This section need not be Completed if the permit Iz islor one hundred dollars IS!00I or tess)
Dl Cerlity thaiin the performanCe of the work for
- 0 which this permit is issued. I shall not employ any
.- person in any manner so as to become subject to
the Workers Compensation Laws 01 California
Al'NOTICE TO APPLICANT It. after making this Ceni.s I ..licate 01 Exemption, you Should become subject I') the Workers Compensation provisions Otthe Labor
Code.! you must forthwith comply with such provisions or this permilshall be deemed revoked
0 I hereby alfir'l -,that there is a - construction
I iei.diiog uonC', -51 the per$xrmaeso of the wur" is, us ,whiCh this permit is issued ISeC 3097. Civil Code),
UJII Lender's Name'
, re Lenders Address -
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CARLSBAD BUILDING DEPARTMENT 'v
' :ApPLICATIONv& PERMIT -. '. •_ . -
1200 Elm, Carlsbad, California 92008-1989 (619) 438.5525 4 .
JOB ADDRESS AV.ST.RD, NEAREST CROSS ST; .' - DATY OF AfPLiCATION -BUSINESS LICENSE it VALUA lION PENMI I' NUMBER
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR , CONTRACTORS PHONE a ZONE . I .
flWNP R S 4AMF nWNFR,q
—, PLAN I.O#
,
BLDG USE - LKNSENO. . ) CONTRACTOR'S
•. .
UWNEIO S MAlLtNI., AUUHE'S fir "-
- — -•'•- -••--- - -••-•• ••' •'• .
• ...- - .• - --
i'-'eA— Li IJt
0E51t7NFR I lCENSF U STANDARD PLAN # BUILDING SQ. FOOTAGE ,
OECCflIPTI o wnp . ..• . . . __________________ a- DESIGNER'S ADDRESS DESIGNER'S PHONE . . .
- •. .
'n.—, j4 _____________________________ _____________ 6/O/Ub'75L,
F/P FLR ELEV. NO OCCGP EDU - /P4/VU375
- - - /' 7 --Y-ecS . .-.
' STORIES
' - yU NO . fJ(/637bL4 17? 00 011013759-064/ 85 _11;00 CENSUS TRACT GP LAND USE
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PARKING SPACE RES UNITS GRADING PERMIT ISSUED . REDEVELOPMENT TYPE 0CC LOAD FIRE SPR
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. - AREA - . CONST ' -.
' - vO ND
. r'.'*..
iO No
YO NO Not Valid Unless Machine Certified
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QTY.
T
PLUMBIF'iG PERMIT'- ISSUE ' • - QTY. ;MECHANICAL PERMIT- ISSUE --. . • SUMMARY/ACCOUNT NUMBER
'. EACH FIXTURE TRAP I . . INSTALL FURN. DUCTS UP TO 100.000 BTU . 01-00-00-8220
EACH
, BUILDING PERMIT
BUILDING SEWER . - .T . . . OVER 100,000 BTU - * .,. - SIGN PERMIT - - ...-'. -- 01-00-00-8221 - - -o
-- EACH WATER HEATER AND/OR VENT - , .
- BOILER/COMPRESSOR UP TO 3 HP - , - PLAN CHECK - , 01-00-00-8806 - -
- -EACH GAS-SYSTEM--I.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 01-00-00-8224
SEACH VACUUM BREAKER * - - MECH-EXHAUST - HOOD/DUCTS . . , MOBILEHOME • - 01-00-00-8225
-WATER SOFTNER - - ,
- RELOCATION OF EA FURNACE/HEATER INSP...,. .. - . - - . - -.-• • -
EACH ROOF DRAIN (INSIDE) - , . . -. . ' SOLAR' '- - 0E00'00-8226 - -
TOTAL MECHANICAL..' -
' . •
. , .. -------MOBILEHOME.PARK
- STRONG MOTION ' - '80-92-33-0519
- TOTAL PLUMBING'- - . 'I FIRE SPRINKLERS - - - 0100-00-8227 - • -
QTY; . ELECTRICAL PERMIT- ISSUE -. i .' • 0Th'. - SOLAR-ISSUE - • ' -
-, PUBUCFACILITIESFEE ' 32-00-00-89
, • BRIDGE FEE.
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NEW CDNST EA AMP/SWT/BKR - • - - COLLECTORS . - - - SCHOOL FEE- DISTRICT
1 PH ' , 3 PH - - - . - • STORAGE TANKS - • i- - • Carlsbad •. - 80-92-21-0519
EXIST BLOC EA AMP/SWT/BKR .' -,
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ROCK-STORAGE - '- • - - - - . - Encinitas 'n-
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1 PH 3 PH • - - PUMP - • San Diegui(o - - 80-92-23-0519 - - • ' - '-
REMOOEIJALTER PER CIRCUIT - -. -- , . PLAN CHECK FEE - • - 'San Marcos - 80-92-24-0519
TEMP POLE- 200 AMPS -' - - 5 . , ' . .- 1. .. -- - - : -, . ', . - - -. , .. , . -- . - _• .. •.
--80-92-22-0519-----......-
,- . - -
- OVER 200 AMPS, LICENSE TAX O1-OO-OO-8162
r: TEMP OCCUPANCY 130 DAYS) - . - . ' . I ' - - , MFF8O-92-57-0519'--
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- - -. - CREDIT DEPOSIT -. .. -- - . - - - -•-.
- TOTAL ELECTRICAL
TOTAL SOLAR'
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. TOTAL FEES PAYABLE
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I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT' AND DO HEREBY - Expiration. Every permit issued bythe Building official under the provisions of this * AN HA p IS RE E EXcAvATNS OVER Code shall CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ire such permit is not commenced within log days from the date e.), 0 - 5'"
R
. EPA EMOL N STRUCTN OF ch
• DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IFA PERMIT IS permit, or i11the buildin or work authorized by such permit is ;uspneciJ r ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- UH '0 "H 3 I - EIOHI"
abandoned at any time ofler the work is commenced for a eerio&od'180 days. - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGM NST ALL LIABILITIES, JUDGMENTS COSTS LICANT'S SIGNATURE * . OWNERCONTRACTO
WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE
0 ROy BY • DATE
GRANTING OF THIS PERMIT. rflLL tV - A"v' BY PHON
' A I -
:" .
FIELD INSPECTION RECORD \
REQUIRED SPECIAL INSPECTIONS • INSPECTORS NOTES -
REQ. IF INSPECTORS I INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED ./
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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,•_ •jV
I . . .
TYPE DATE INSPECTOR
BUILDING I
FOUNDATION
REINFORCED STEEL I
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING 0 ROOF 0 SHAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BLICO DIPLICO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN I
GAS TEST
O WATER HEATER 0 SOLAR WAtER
ELECTRICAL
ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND. SYSTEMS -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE. BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
EASEMENTS: : ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: Fj
PLAN CHECK NUMBER 7 ADDRESS _ DATE
PLANNING: TYPE OF STRUCTURE ZONE:
SCHOOL FEES: SAN DIEGUITO
ENCINITAS_____________________
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS_____________
BUILDING HEIGHT__________________________
FENCES/WALLS
TWO CAR GARAGE_____________________________
CCMENTS:
FRONT h
SIDE
21T .
REAR
REDEVELOPMENT APPROVAL REQUIRED: H. I-LU
LANDSCAPE PLAN COMMENTS:____________________________________________________
ENVIRONMENTAL REQUIRED:
ADDITIONAL COMMENTS:
OK TO ISSUE: /4-777~~TE:_TOFINAL: ___DATE:• _-
ENGINEERING LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED?-
P. F. F. PARK IN LIEU
R.O.W: IMPROVEMENTS:
E.D.U:
SEWER:
LATERAL: DRIVEWAY:
GRADING PERMIT: LUI IW
uj
I I- u,uINAGE:
* ENGINEERING' INSPECTIONREQUIRED:___________________________________________
PUBLIC WORKS INSPECTOR-:___________________________________________________
FINAL OK:_-
*..IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
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