HomeMy WebLinkAbout2894 LANCASTER RD; ; 84-483; Permitr,~~/f I hereby affirm that I am licensed under \ l o provisions of Chapter 9 (commencing. with
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I hereby af11rm lhat I am e,er-0I from the Contrac tors License Law 10, lhe IrnIowmg reaso~ !Sec 1n1 5
Business and Profess,ons Code ~ry c,ty or county wr,c~, re qu,·es a perm:: tc :onstruct. a:ter ·mprove de..,ol sh ~r
re8air any slructure pr,o• 'Orts ·ssua~ce also requ res !heap
pl1cant for such perm,1 to tile a s,gned sta:emenl •hat ne ,s
11censed pursuant to the urov,slon, o' the Contrauor, License Law !Chapter 9 commenc,ng with Ser:1,on 7000 of
ll,v,>10~ 3 o' :he Business and Proless·ons Code, a, I hat 1s e,
ern~t 'here''Or'l and \he bas,s for :~e allegea exe"lpt,0n Ac•1
·,,olal,on of Section 7031 5 by an apol1cant lnr a ~ermI1 sub ects the appI1cant to a c1v1I penally of nor --nore than h,e ",un
dred dollars ($500'
I as owner ot lhe proper:y or my emoloyees ·;,·1th wages
as their sole compensation w1I ao lhe work ard the strur
ture Is not intended or olfered for sa•e !Sec 1044 Bcs1~ess
ana Proless1ons Code The Con1raclor s License Law does
nor apply 10 an owner of property who builds or improves
thereon and who does such work himself or through n,s owr employees. provided that sucn Improvemenls are 101 intend-
ed or ollered tor sale If, however. the building or ,mprove ment Is sold w1th1n one year o! completion. the owner-builder
w1II have the burden of proving that he did not build O' If"" prove lor the purpose of saleJ
I, as owner ol the prope,ty, am exclus,vely contracting w,tn licensed conlractors lo construct the pro1ec1 (Sec 7044 Bus,ress and Professions Code The Conrracror's Ltcense
law does not apply to an owner o' property who bu•lds or Im proves thereon. and who contracrs for each pro1ects with a
cort,actor(s) I,cense pursuant to lhe Contractor's License Law1
I As a homeowner I am IrnprovIng my home, and :he !ollow
·ng cond1t1ons e~Ist 1 The wor~ Is being perlor'lled ;nor ro sa:e
2 I have lived In my home lor twelve months prior to completion of this work have nol cla1rr>ed this e,emptIon d,n°g the Iasr tnree years
~ iamexemplunderSec _____ _ B & PC for lh,s reason ____________ _
D I hereby affirm that I ha,e a ce.-iil,ca\e of con sen•
to sell ,nsure or a cert,!,cate or Workers
Compens.at,on Insurance o, a, !"rt1!1ed cop, lh<crPo'
r~c 30C() Laoo, Code!
POLICY NO
COMPANY
D Copy ,s filed w,th the crty
0 Cert,1,ed COPY IS r,e,eb,-tu,n,shed
CERTIFICAH OF EX!::MPTION FROM
WORKERS-COMPENSATION INSURANCE ;z;h c1,on need not t>e comp•e1ec ,, t'1e :,e"'"'
tor one r,unCred dollars Is100, ,:,r less,
rt,ty mat In lhe performance of lhe work to,
which this perrn,1 ,s ,ssued I sh,11I <101 !"mp,0; an, person ,n any manner ~O as lo become sub•ec' 1,
1r,e Workers Gompens.at,on La.ws ot C,11,tc,'n•d
NOTICE TO APPLICANT Ir al1er m.-ik1n:. •h,s CE>n,
toca1e of E•ernpt1on you should t>ecome sut:>Ien ,,
lhe Workers Compens.-it,on prov,s,ons o• the L<lt>(H
Code you muSI torth,..,tr, comply w,tt, s~, r,
prov,sIons or lti1s perm,! sr.a.II c>e deemed •e,o~e,J
DI r,e,et>y alhrm !hat lt,t>re ~ a ,_,,,,.,1•u:1,o~
,end,ng a1,enn for 1t,e pf'rto,mar,-'.e c.,t Tht> w:Jt'I< 10,
,.,r,,cr-1r,,s pe,m,• ,., ~sueo ,S<c, "\091 C.,, coo~,
lender, Name ___________ _
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD 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:ze?4' L1tNS>cAirde_ N~S-:ROSSST{;,:./456oW J 1;z:..3·,:~?NI BUSIN~ VALUATION PERMIT NUMBER ~-oo ~-4is .-
LOT BLOCK I sueotv1s1or-..i I ASSESSOR PARCEL NO_ ;:s:ob~TH,oo~ ~~Tt!b~'
ZONE
OWNER"S NAME l-134w~•yo 2AUP..l.A CONTRACTOR'S ADDRESS UCENSE NO. PLAN 1.0. # BLOG USE CODE
3'-t't.. UA-\leLt -~82345 OWNER'S MAILING ADDRESS ":>I
2"iS14 /..,wt> (ks,.,-e-~ DESIGNER LICENSE ctr STANOARO PLAN# BUILDING SQ FOOTAGE Li ··-DESCRIPTION◊-... 1')1,;,. _.
•/'/0 ;A1"\ DESIGNER'S ADDRESS DESIGNER'S PHONE
·--------------' e F LR ELEV NO OCC GP EDU
STORIES
YO '-C
CENSUS TRACl I GP LAND USE I PARKING SPACE. I RES UNITS I GRADING PERMIT ISSUED l REDEVELOP.,,,ENT TYPE OCC LOAD FIRE SPF'
AREA CONST
,□ ' □ ,o .... o YO NO Not Valid Unless M•chme Certified
QTY PLUMBING PERMIT -ISSUE I '7. Sl'J QTY MECHANICAL PERMIT· ISSUE -3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FU RN OU CTS UP TO 100.000 BTU BUILDING PERM!T 01-00-00-8220
--~ .51:
EACH BUILlJING SEWER ' OVER 100.000 BTU SIGN PERMIT 01-00-00·8221
------~ -•-----II-------------------------:it.15 -
EACH WATER HEAfERANlJ OR VENT I BOILER:COMPRESSOR UP TO 3 HP PLAN CHECK 01 00·00-8806 ---------· ----
EACH GAS SYSTEM 1 l U 4 OUT LETS BOILER,·COMPRESSOR 3 15 HP ~---~ TOTAL PLUMBING 01-00-00-8222
-. ---~-' ------------------------
EACH GAS SYSTEM 5 OR MORE MEHL ~IRE'PLACE ELECTRICAL 01-00-00-8223 ------~ ~------+ -------·------
EACH INSTA(.. ALTER. REPAIR WATER PIPE · VENT FAN SINGLE DUCT --·-······
MECHAN:CAL 01-00-00-8224
~ -----------------------• ----} --------------------'-· ---
EACH VACUUM BREAKER 'MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225
'hAIER SOFTNER RELOCATION OF EA FURNACE-HEATER MOBILEHOME PARK !r~SP ----
~V.1· RCU' ''R.: '; ,. .~. ')F-SOLAR 01-00-00-_8.2.26_ _ ---------------~-----------TOTH MECHANICAL STRONG MOTIO"J 80-92-33·0519 ---------------
TUIAL PLlJMtllNC I FIRE SPRINKLERS 01-00-00-8227
ELECTRICAL PERMIT -ISSUE i QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-893.J -----QTY. ~-BRIDGE FEE
NEW CONST EAA',IPSWJ lJKR CO L~Cl(JR'i SCHOOL FEE -DISTRICT ------
I PH 3 Pt-l . STQHA(if' -;\"J~.S Carlsbad 80-92-21-0519
E:XIST f:JtOG EA AMP·SWT 8KR I RLJC"' S l URi'<,l;r Encinitas 80-92-22-0519 --------
I PH 3 PH ~l_,t,• ~ I San D1egu1to 80-92-23-0519 -------------
RE\100EL ALltR PE fl [lflt:UIT I Pi A'J ~:1--<F[K Fl::E San Marcos 80-92-24-0519 ---..__ __ ---------------------
THnPOIE ?ll(] A\iPS --
OVER !lJU AMPS . I LICENSE TAX 01-00-00-8162
TEMP OCCUPAr-.CY :30 DAYSI . Ii MFF 80·92-57-0519
I T ---. ---------
I CREDIT DEPOSIT
lillA! HtLTHl(.Al l 1 HF Al SOl AR I ,i TOTAL FEES PAYABLE S3, t:,.s
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY E)(piration. Every permit issued by the Bu1ldtng Ofl1c1al under the prov1s,ons of this * AN OSHA PERMIT IS REOUtRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e)(pire by hm_!latton and become null and void ti the building or work 5· o·· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit 1s not commenced w1th1n 180 days from the date 01 such STRUCTURES OVER 3 STORIES IN HEKiHT
1SSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~~~~~n':o 1
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1
~t'~~d~~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
AP~1§j .. OWNER□ ,..,,PPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND CONTRACT~i L EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE "7 /1,f $-;-/ it-31-g/ GRANTING OF THIS PERMIT ,n~ BY PHON -(/
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TYPE DATE INSPECTOR -...------'------------
BUILDING I ~'-l-t..t~3
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ---
GUNITE OR GROUT I INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEAR
so,LS COMP:_:ANCE
PRIOR TO
FRAME I
FOUNDATION INS;.:, I
·------------
EXTERIOR LATH I STRUCTt_;PAL CC r--:::i=iETE
OVER ;JC,0C PSI
INSULATION ·----1--'RfSTHESSED
INTERIOR LATH & DRYWALL I CONCRE'E
POST TE."-.'.:TJNED
CONCRET[ -----~-
PLUMBING FiE'. D 1/VE:_~ING
SEWER AND BUCO □IPL/CO ------------Hl:_:;i---i STHENGHi
UNDERGROUND D WASTE □ WATER BOL Ts
TOP OUT □ WASTE □ WATER S~'EC,Al ~,IAS )NC.:Y
----------TUB AND SHOWER PAN
GAS TEST ~'I'. ES Cf'IISSOr-..'.-
□ WATER HEATER □ SOLAR WA'rER ------
~
-~---------------------r-------
-------~-
ELECTRICAL
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC -------------~
~
□ ELECTRIC SERVICE □ TEMPOlilARY ~--· -----.. ·-"""'', , ... -----------□ BONDING □ POOL _;_ I
---------------·
MECHANICAL -------
□ DUCT & PLEM., □ REF. PIPIN,G
-HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTl(}N _w_HEN_ALL APPROPRIATE -----.. -·-..... ...... ·-· --· FINAL I .
. --PLUMBING ' I .. .
ELECTRICAL I
'
. MECHANICAL I . --GAS I ,{) • BUILDING ,._,:"I-)· q;r--r•M ~
i I ~----______ , -----~----I
SPECIAL CONDITIONS W'' . I\
I
·'
·-----------····--·----------------
PLAN CHECK NUMBER ADDRESS ,;J !Cf tf ~ ----DATE ------
PLANNING: TYPE OF STRUCTURE
SCHOOL FEES: SAN DI EGUITO
CARLSBAD
% COVERAGE
BUILDING HEIGHT
FENCES/WALLS
TWO CAR GARAGE « LU 3 LU ... LU COMMENTS: > I-LU < « Q
ZONE: -----
ENCINIQ.eceived
SAN MARCOSAUG 8 1 1984
REQUIRED SETBACKS-:-::-:--.hL--
CITY OF. FRONT ----r--r~f---.::---
S IDE __ _,._.-;__ ____ _
REAR ________ _
~ □ REDEVELOPt!ENT APPROVAL REQUIRED: ______ h....._} .... /J __________ ..:.-__
-c □ I-LU u«
LU-·7 ~~ □ LANDSCAPE PLAN COf,t!ENTS: ~; IF:
ENVIROM-IENTAL REQUIREQ __ : ----¥'2"'---'+---1--------------_____________ _._ ________________ _
ADDITION~IL COMMENTS: ------------------------
K 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:
« LU GRADING PERMIT: :3: LU ... LU > I-DRAINAGE: LU ;:§ «
~ □ EASEMENTS: ADDITIONAL COMMENTS:
-c □ I-LU u« cu-g§5 □ OLU u« OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC ~'ORKS INSPECTOR: _____________________ _
FINAL OK: __________ _ DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTT'IENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
-·----· r __ ._