HomeMy WebLinkAbout2892 LANCASTER RD; ; 84-473; PermitIll z 0 ~ <( a:
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I hereby affirm tha1 I am licensed under
visions of Chapter 9 (commMcing with
t Ion 7000) of Division 3 of the Business
and Proteas!on:s Code, and my license 1s m
lull force and effect.
~.c No _______ CIJJ,
I hereby affirm tllat 1 .:im 13::i:em~~ ~ram tr~ Cc.1t·ac.-
1a-r· s LiCeflse Law for the following re~son : Sec 7031 •1
Bu-s~nes.s and .Pr□1ess1ans Code An·!' :1ty or c~unty wh1U, re-
cu1res a tierm1t to cc:ns,ruct a.l·er 1rn:i-o·~~ demo11sh ar
·eoair any Slructure ~r1or TO 1~-s issuance al::.o reau1·es (heap-
ol1cant for such permit t□ fi1,e a ~1q1e-j -c;1at-em-ent that he ,s
11censed pu(s-.,ar.t lo the orn111s1or.s of tne CcrHraCTJr :;.
1...1cense Law ICha::i!er 9 commenr.1ng with. Sef.t1□r 70CO c:-t
Q1~'1'S1:::in 3 or the Business aM Prof€'.:,Sl0ffS Code1 or 1ha~ Ir) e~
empt therefrom and the basis for the 111 eqed e:i::empt1on ~.nv
·~1olatl(]ll □' Section 7031.5 by an app 1cant ror a 8err,n,1? sub-
1ec1s the app1,ca.nt to a c1vd pena1··1 ol not ..... ore than five r1Jr1
d'ed do'lars. i$500;
1 as owner of the Jroperty. or my employees w1'h wages
a-s th-e1r sol~ compensation. wrll do the mrl\.. ;ind · he siruc
lur-e 1s no! intended' or oflered for sale-1Sec 7044 Bus·ness
and .Pr□iess1on!i Code The Contractor"s License Law does
no-t apply to an owner or prooeny wh□ Dwlds or 1rrpro1,1es
thereon and who does such work h1mseH or through hl'S owr
e'llplo~ees. pro',11ded that S1JCh improvements are not in1erid-ed or 0l1ered ror sale. If. however. trie building or 1mpr□'IP.·
ment 1s sold w1tnin one year of completion. the owner-builder
will have the bur-den of pro·,ii,ig that he did no, build or 1m-
oro1,1e for 1he purpQs.e al sale/
I. iJS owner of tile propert~, ;im exclusP.rely con1rac\1ng
with licensed contractors to construa;;t the project (Sec. 70.:14
Bi..:s.117ess ano Professions Code The Contractor's ucense
L~w does no1 apply to an -owner of property wtio bu1l-ds or im-oro-ves ttl-er-eon. afl(l who contracts lor each proiects with a
contractor/s} license pursuant to lhe Co111rac1o··s ucense
law)
As a homeowner i .am 1mpro·~ing my home ana the !ollow
ing c1Jndi11□ns exist
1 Ttie work is Deirig perlormed prior to -sa:e 2 I ha·.,re lived 1n my J7ome for twelve <non1 h::.
[lr1or ,o complet10r"J of This worK
I helve not cla1rred this ~xempt1on dw1ng ;~e
!ast thre~ ye-itr~
B&PC L I am e)(empf under Sec.
1or lhis re.ason -------------
D I hereby all,rrn 1haL I ri,;h't: 3 r.ert1t•cate 01 c-:::insen!
10 self ,nsure or a cend1c.ate 0• Wor"4.ers
Cornp.ensa1ion lnsuri;i.nce_ 01 a ::end1-ed ui~~'I' ~t;!:'reo1
rSec la)), Labor Code)
POLICY NO
COMPANY
0 Copy tS !,led w1Ui the cit:;-
□ Cer1d1ed copy ,-c; h,eretiy h.nrw,hed
CERTIFICATl OF EXtMPTION FROM
WORKERS COMPENSATION INSURANCF
fThLS ~c:f1on need not tie-com1)lete(! ,, r11e ~e-rrr11t
1~ !m one hundred dol,ars ,s,001 or le"SS\
D I cert1ty that 1f' 1he per1orman,:ie of me wo-1. '-:,r wruch this ,perm11 1s issued I 5-h;;1II not emµ10,-dl"'1 pefson in any manner -s.o as ;o t:.eror11p sutie, t 't,
!he Wori,;ers. VJmpens..at1on La .... s o• CaIi1-cw11.c1
NOTICE TO APPLICANT It. alter ma~wi:J trll'; Cert,
lie.all!;' of Exernpt1ofl yOL.J shoufd become sub1en t·-.-
n1e WoM<.ers CornpensalnJn pro,.,1-,,1ons of the l,;i.t}or Code you m·..;st forth~1it'I ,:ompty -...,n-, -s.,..,cr,
prov1s,ons or lh1s Detml1 sri,;11 b~ C!,pen1ed •e~o;,,,p1:
O I 11,er,eby al'·rm thal there '$ ~ ".ll' 5!r..i,:t,:w
1end,.-.~ a,;iency 'o' ,r,,p perturr"an'._e 01 rri.,. ,...on,: 11..,r
wh,cr" tr>j-s p,ermI1 :, •'>Sued 1$er 1097 c,.-,1 Codt:-
t enOer,;; Narn-e ___________ _
Len.der-<_; A.1Clr,e-,;s. __________ _
, USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008•1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEARESTCSS ST. I DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
:J.%'li. k,..wc.a. 5 i--e e.. Rd G' ·swo .. -1'-ftJ c;t-f'.
~!~LOCK 1se,z1~ I ASSESSOR PARCEL NO. ¥ CONTRACTOR CONTRACTORS PHONE • ZONE _,~73 ~\ ~ 's --Q..j2_ p-
0 ?;::;~tLd l::=",\\-tnf-L 17 ;;-;:~:/4? CDNTAACTOR"S ADDRESS LICENSE NO. PLAN 1.0. /t BLDG uSf CODE
OWNEA"S MAILING ADDRESS
?-!9).. ~c...et. s--t -V\ Pd CCt..t~---J DESIGNER LICENSE" SIANDARO PLAN# 8UILDtNG SQ FOOTAGE
~
DESCRIP,ON OF WORK X I .., u..itr e-A 9c.. ~(• (_\r C_c} U--.o /\ ,,.. OESIGNER"S ADDRESS DEStGNE R'S PHONE -· 91,.ljlf ~-·----··---·----.•. ---·· F :P FLR ELEV NO EDU OCC GP
$TORIES ,o ,O --~
CENSUS TRACT
I
GP LAND USE I PARKoNG SPACE I RES UNITS
I
GAAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE S:PP.
AREA CONST ,o N 0 ,c ,□ ,□ r..O Not Valid Unless M.;Jchine Cert//1ed
I
QTY. PLUMBING PERMIT· ISSUE ' 7_'5{) QTY. MECHANICAL PERMIT -ISSUE ... -~-SUMMARY/ACCOUNT NUMBER Ii
EACH FI.XTURE TRAP I INSTALL fURN DUCTS 'JP TO 100 000 BTU BUILDING PERMIT 01 00 00·8220 / p v.,;...-
I
--
EACH 8UILOING SEWER I OVER 100 000 BTU SIGN PERMIT 01 ·00-00·8221 ~·~ ·-····---+--· ------------· .. _ ..
EACH ,',ATER HEATER ArHI OR VENT : BOILER.COMPRESSOR UP TO 3 HP PLAN CHECK 01-00 00·8806 ----·---------·+--. --
EACH GAS SYSTEM l TO 4 OUTLETS BOILER·COMPRESSOR 115 HP TOTAL PLUMB•fJG 01 00-00 8222 ----------.. .. -t ----------------------------·---~r -·. --
EACH GAS SYSTEM, OR M!lRf. ; METlL FIR"PLACE ELECTRICAL 01 GD 0D-8223
~~ -+ ---------~--+ . ----· ------
EACH INSTA~ .ALTER R~PAIR WATER PIPE I VENT FAN SINGLE DUCT MECHAl"CAL 01 ·00-00·8224 ---· --·-+· -·---------.. ··---·-
EACH VACUUM BREAKER I ME CH EXHAUST HOOD DUCTS MOBILrnOME 01-00-00·822:,
l'/AIERSUFTNER RELOCATION OF EA FURNACE HEATER MOBILEHOM E PARK INSP -, ---·-I Ft,CY R~~.'~F r:~,:i, \ ',S .ll ! SOLAR 0° ·00-00·.8225 ---· --j TOT/;L MECHANICAL
i STRO~G MOTION 80-92·33·0519 -... ----
![)!Al Pl 1Ht81N(, FIRE SPRllli<LERS 01-00·00·8221 .. ---.·
QTY. ELECTRICAL PERMIT· ISSUE S-:1 QTY. SOLAR · ISSUE :i
r-PUBLIC..£.~ILITIES FEE 32.:_DO 00 89:JJ_ ~ .. -__ ...
BRIDGE FE!: r -----C•••
NEW CONST El\ AMP SWl [;KR i 1----L' c.-l'·•,R~ SCHOOL FEE· DISTRICT -· I 0U LLd '' ". -··------·· ---
I PH ·,: PH l i! STORAl,r -,,'IKS Carls baa B092-21 0519 ·---
E \ 1S r BLOG EA AMP·SWT 8KR I ,I RCCK STGRM;[ Encinitas 80-92-22-0519 ·--------·------I PH 3 PH I :-"'I_Jr/P San D1egu1to 80-92 23 051 g ,-----
RE\HIDEL AL Tt R PtRCIRCUIT 0 LMJ C~cc•: 0 Ec San Marcos 80·92·24-051 g ---··--·-_., .. ---. -
TE.MP POLE JUU ,'\MPS -· -----·
OVf R 700 AMPS LICENSE TAX 01-00-00-8162 ·----•
I
TEMP OCC~f\NCY ·3U DAYSI i MFF 80-92-57-0519 .. -
! CREDIT DEPOSIT -
l fl TA I f L l 1. IR 11. id i ' TOT~I SOLAR TOTAL FEES PAYABLE I (bSo-I I I
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERM It·· ANO DO HEREBY Exp~rat1on. Ev,ery permit issued by the Buildmg Offtoa~ under the provisions of this * AN OSHA PERMIT 1S REQUIRED FOA EXCA'IATIONS O'IER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaU exptre by fim-ltation and be-come nuU and .,,,o,d If the building or work 5· o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S authonzed by such perm ,t is not commenced within 180 days from the date of such STRUCTURf:S OVER 3 STORIES IN HEIGHT permit ~r if the bw:1-dtnft or work .alithorizad b~ such pemut 1s suspen-dad or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any time a \er !he work 1s commi!nced for a oenod -;_,:.;;;,;; ,:tavs • .
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , ~1 ;Y..,-APPROVED BY ~ Dr/ 1/rt KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND~~ \ -. OWNER CONTRACTOR D
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • A'-1: BY PHONE 0 I ,, GRANTING OF THIS PERMIT. .. •· \, , • ~ --· -~ '
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEiAR
FRAME I
EXTERIOR LATH j
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BL/CO □\PL/CO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
I
□ WATER HEATER D SOLAR WAlER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND D 9FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM ., D REF. PIPIN~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ve BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
---------------·------------
S Y -t.f2 '3t
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR s DATE CHECKED APPROVAL
. -----.
SOILS COMPL:ANC:f
PRIOR TO
fOUNDATIOr-; INSP I
------i-STRUCT·,1F,.A.1 CClNCREl E
OVER 200C-PSI I "---PRESTHESSED ! CONCRETE i
POST -=-ENSIC-1\JE(; I
CONCRETE ' -
FIEc.D WELDING I
-~--•--------~--------t --~--HIC;H 51 RENGTH
rlO, TS
~~
SPECl-'IL rv1.ASONRY I
!-----
PILES CAISSC-r-..::
------· --·. ---·----------~---
I
.. -------
------------~---~----
----. --
-----
·------·---,__ ____ ~
--~----
I
i I
I I
I j ___ ----I __ ____l _________ .
....
....
·.-· P7AN CHECK NuMBER //73 ADDRESS »f r:R ~ DATE~&"fL ' I I
.,
PLANNING: TYPE OF STRUCTURE /~~-ZONE: -----
SCHOOL FEES: SAN DIEGUITO ENCINITAS ----------------
CARLSBAD SAN MARCOS ----------------
% COVERAGE ----......+-"t--+-+------REQUIRED SETBACKS -+-+----
BUILDING HEIGHT __ -+-4-+-~-----FRONT --1---1--1--+-+-----
FENCES/WALLS ----+--+-+..,.-1,------S IDE -~-+-+--+------
-TWO CAR GARAGE REAR _________ _
~ □ -c □ I-LU ua:: ~;; □ a:: O'
OLU ua::
a::
LU 2 LU -> LU a::
I.a.I I-;§
Vl ··□ --! -~·o ua: ~;□ ci::c:r OLU ua:
-----------
COMMENTS: ---------------------------
REDEVEL0~1ENT APPROVAL REQUIRED: --------------------
LANDSCAPE PLAN CQt,91ENTS:
ENVIROMitENTAL REQUI REP~: ---;M~~.;.,_;,._.+---------------
-----·-------------------------
AOOITIONJ.\L COMMENTS: ------------------------
0 K TO ISSUE:_~--DATE: $1 l010K TO FINAL: ___ 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:
DRAINAGE:
EASEMENTS: ADDITIONAL COMMENTS:
OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _________________ _
PUBLIC ~!ORKS INSPECTOR: ____________________ _
FINAL OK: -----------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
{DRIVEWAYS, CURB CUT, DRAINAGE, ETC.}