HomeMy WebLinkAbout2895 LANCASTER RD; ; 85-252; Permit"' z 0 : .. ~ :rl C
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full force and effect.
Lie No ______ C1a11
I hereby afl1rm that I am exerr1ot from •he Conrrac tor's License Law tor the lollow,ng reasor ,:sec 7031 5
Bu_s,ness and Protess,ons Code Any c,ry or county wr,c-re
quires a permd to cor,truct. a!ter. l"'pr~ve Ce"lo! sh ~' repa,r any structure prior 10 ,ts :ssuance also requires !heap
nl,cant for such per11,r ro hie a s·qned sta1emen1 •hat oe s
,censed pursuant to the prov,s•ons ol lhe Contracm, s
License Law iChaoler g comrrenc,ng w11h Sec:,on 7000 o' D,v,s,on 3 o1 !he 8Js1ness a~d Proless1ons Coce, or Iha: ,sex-
empt therefrom and the tiasIs for the allegeo e,e-npt,on Any
v,0Iat,on ol Sect,on 7031 5 by an aopl1cant for a perrT1I' suo-
1ects the apol,cant lo a cIv,I penalty of no' more Than live run dred dollars ($'.>0Q.,
I as owner of the oroperty, or my employees w1'h wages
as their sole compensation will do the wori,-and :he slruc-
tu'e ,s not intended or of1ered !or sale !Sec 7044 Business
and Profess10ns Code The Contractor's L-cense Law does
no1 apply to an owner or property who builds or improves thereon and who does such work h•msel1 or 1hrough his own employees, prov,ded that such improvements are not ,ntend-
ed or o1lered for sale. 11, however, the building or ,mprove-
ment Is sold w1th1n one year of completion the owner·bu1lder
will have the burden 01 proving that he did not build or Im
prove for the purpose of saleJ
I, as owner of the properly, am e,clus,vely contracting with licensed contractors to cons1ruct the proIect (Sec 7044
Business and Pro1ess1uns Code· The Contractor's License Law does not apply to an owner ol property who builds or ,m
proves lhereon, and who con1racts lor each woIects with a contractor(s) license pursuant to the Contractor's License Law)
r__ As a homeowner I am improving my home and lhe follow
Ing cond1t1ons exist
1 The work ,s tJe,ng performea pr,or to sale
2 1 have lived In my home for lwelve monH1s
prior to complellOn ot this work
I have not claimed th,s exemp1Ion aur,ng the lasl thre~ yea,~
tor t'h~: r!:~~~1 under Sec -----~ B & I' C
0 I hereby alfrrm thal I ha~e a ceri,!,cale ot :o<isent to self ,nsure or a cert1l1cale of Worker~
Compensa1,on Insurance. or a cenihed cop; The•eo1
!Sec 380:J. Labor Code!
POLICY NO
COMPA.NY
D Copy ,s hied with 1he c,ty
0 cer1,11ed copy Is heret,y lurn,shed
CERTIFICA.H. OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANC:I: (Th,s section need nol be comple1ed ,f •r,e ;:,errr11t
,s tor one hundred dollars (S100i or ,esy
0 I cer11ty tha1 ,n the performance ,11 the ..,on, lor
which th,s perm,t ,s ,ssued I shall not en•;,IDy ar, person ,n any mannP< so as TO Df'corne subIect '"
the Worl<ers Compens.at,or Laws of Co1Idorr"a
NOTICE TO APPLICANT H al1er mak,n] th,s C!"rt,
1,cate ot E•empt,on you should become subIect •· the Worl<ers Compe~sat,on p,0,Is,ons ot th<" Lot>or
Code you must •orth,..,ih comply w1Th ~u• ~ prov,s,ons or \his perm,I shall be deemed re,o<ed
D I hereby all11m Thal there 5 a COflSl'UlllOr ,end,ng aoency to, !h<" pf>r1,Jr--r,a ice c,+ the wor. ''=''
which Jh,s per,r,,t ,s ,ssued :Sf>, J,097 c,.11 Code,
Lenders N.if'le ___________ _
Lenders Addf€S5 __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
, CARLSBAD BUILDING DEPARTMENT
1 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
: aoo::;;1q5""_t:At-:ict1>ssf~Yt.•vli:] NEAREST:;;:T •• ~s 10~;;·:~N ;o?#/ENSE# c99C()£S-: >eFWNU=EP
I LOT_, BLOCK • 1 SUBDiVIS!ON I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE. ZONE 1 ~ s-:, J/ s~ )--
, ZIF?! . Jc_ 7-4--i.: -?000 T. I S, i-./ J ( 7Zl"-3C\S"
1 owNER's NAME • owNEA's PHONE U O Vu\.\ ' l P ~IA.. --f ·
PLAN 1.0. # BLOG USE CODE , L).:)'51.;)d;,. "'::,-t-,~-1,.)Nt+f-e. 4-34--Z:is-3 CONTRACTOR·SAODRESS LICENSENO.
: owNeR-sM•1uNo•oosess' -• 27!7Ll/to<!.{1/fJ/¥ <;;(; R.t.lrf34-1 1 1
I 7 8 q s LA11v<!~-ft1A,. rzd. \ D:,:!NER , L!CENS-E # , STANDARD PLAN# 1 BUILDING so. FOOTAGE I
1 DESCRleT,ON o, WORK JDl,0 :5 · fJ-t .P{'t.,i. l R.Lt {, 4-34-1 1 1
I DESIGNER'S ADDRESS DESIGNER'S PHONE I I
I 5N-ie --F P FLR ELEV NO
STORIES
1Z9-3Ds.~
OCC GP EDU : 'b/~OM} S-fr:y,,,1 Dt'<!.k
I I ,CJ ,□ I
1 CENSUS TRACT I GP LAND use I PARK1Nc; SPACE: I RES uN1Ts I GRADING PERMIT IssuED I REDEVELOPMENT TYPE ace LOAD FIRE SPR l
I AREA CONST . .
1 YD N D • D "'O v □ r-..0 I Nor Valid Unlt!n Mochme Certified
I '":J "5 (j --::z_ I I I
1 QTY PLUMBING PERMIT -ISSUE 7 QTY. MECHANICAL PERMIT -ISSUE ~-1 SUMMARY/ACCOUNT NUMBER
I EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU g BUILDING PERMIT lll-11
1 EACH BUILDING SEWER I OVER 100.000 BTU B -·-· ---. -
I ---t -------------------
I EACH WATER HEATER ANO OR VENT I BOILER:COMPRESSOR UP TO 3 HP I . D , ~-, _r,
: EACH GAS svsTEM I TO 4-o-UTL~rs T·-_ • __ --I--_l_s_~_1Lrn,-c □MPRESS□R 3-15 HP 1 11 TAT" -
EACH GAS SYS 1 EM JO fl MD Rt. ] METAL FIREPLACE I ------. --+-
,;" :::0-00-8220 ~-
~lliN 1-'tHMI I 01-00-00-8221 -,.;;?_o--<~ Pl AN rHECK 01-00-00·8806
IIIIAI 1-'I IIMRING 01 ·00·00-8222 t ELECTRICAL 01 ·00-00-8223
----+--···--
j r,_,,,.,rT•• "Trn ---••-·•·•----•--
! EACH VACUUM BREAKER MECH EXHAUST HOOU DUCTS
EACH INSTA~ ALTEf,, HU'I-IIH 1";;.i.1 tH 1-'lr't ---+ VENT FAN SINGLE DUCT MECHANICAL 01-00·00-8224 --11 --
MOBILEHOME 01-00·00-8225
1 WATER SOFTNER i RELOCATION OF EA FURNACE·HtATtR I MOBILEHOME PARK INSP I 1
I EACH RUOF .v,w. I '.·iS rr~1 SOLAR I I ____ Ql:...00·00--82.2-6.
80-92·33-0519
01-00-00,8227
----
I TOT.4.L MECHANICAL I STRONG MOTION
1 --ruiAl PluMs1ri.c --I -i FffifsPRINr<LERs
1 5-' PUBLIC FACILITIES FEE 1 QTY ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE ----
1 BRIDGE FEE j. ----
1 NFW CONST EA AMP SWl HKR :::□~UC!ClRS SCHOOL FEE -DISTRICT
32-00-00·893)
I -·-
1 PH l PH ST[,tiAGF ·,\~JVS . Carlsbad 80-92·21-0519 I -------
1 FXISTBlDGEAAMPSWJBKR I ROCKS!CRAC:.F
I lPH ]PH I Pll\1P lj
--,f-__ E000c_ic_101a0s_
S~n D1egu_'.100 ______ _
_ _____ s_o_-s_2-22-_o_s_;s_t----
: __ REMODEL Al TtR PrR CIRCUIT J 1, Pl.A'J C:YECY FE~ ' ---------------+--------ll---"-----------+----
I TEMPPOLE /OOAMPS
I OVER /OU AMPS
San Marcos
LICENSE TAX 01·00·00·8162
ao-92·23-osi g
80-92-24-0519
I
11--TEMP OCCUPANr.Y :1n nAYS1 ,------------------l------~--+t---+------~-~-~-~-~+~--_ II MFFB0-92-57-0519 --------
CREDIT DEPOSIT
/ -' I 'I HJTAL fLflTHICAl ~ HJTAL sni ,\R I -, , : --· TOTALFEESPAYABLE i. s-o I< -;>;_5 -
1 I HAVE CAAEFULL Y EXAMINED THE COMPLETED ·•APPLICATION AND PERMIT"" AND DO HEREBY Expiration. Every per_m,lissued bytheBuildmg Off1c1al undertheprov1s,onsofthis
CERTIFY UNDER~PENAl,TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code ~ha/I expne by hm1tal1on and become null and VOid If the bu,lding Of work
I DECLARATIONS ;\BE TRiJE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such perm11 ts not commence_d within 180 days from the date of such
I ISSUED: TO.COMPLY-"'WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-permit, or if the bwld,n~ or work authonzed by such pe,m1t is suspended or
* AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER s· O" DEEP ANO DEMOLITION OR CONSTRUCTION Of
J)RUCTIJRES OVER 3 STORIES I~ HEIGHT
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.c I STRUCTtON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abendoned at an lime a er the work is commenced for a nod of 1 da s
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A 'S StGNAT E ~OWNER □ DATE :i.-s:
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAtD CITY !N CONSEQUENCE OF THE )<::Z:!;;;li:i"-._, JJ,f/1,,U/; r (' I
GRANTING OF THIS PERMIT BY PHONE D s ; j D -:_ 0~
TYPE I DATE INSPECTOR
BUILDING I . j:5°·d'b~ ..
FOUNDATION . I ~,JU.)(< ' FIELD INSPECTION RECORD
(\ T . REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I MASONRY ' REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
SOILS COMP~:ANCE
SHEATHING □ ROOF □ SH6AR PRIOR TO
I FOUNDATION INSP FRAME .
EXTERIOR LATH STRUCTURAL CONCRETE I OVER 2000 PSI
INSULATION I PRESTRESSED ' CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE .
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I HIGH STR;NGTH ' BOl Ts .... , .•
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
' PILES CAISSONf
□ WATER HEATER □ SOLAR WATER
.
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY ----• □ BONDING □ POOL I --\ ·· .. ... . -~
' -'·J
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' ' I
CALL FOR FINAL INSPECT!~N WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED.
FINAL I -
PLUMBING I
' /'.A.
ELECTRICAL I -A',._,
MECHANICAL I "l IJ -. ,_.,._
/ J GAS I -
BUILDING I """ f'-...V
SPECIAL CONDITIONS I 1....-'
I
CHECK NUMBER [J--.2.) ex., ADDRESS
. d .2/rcS-~R~gFive
PLANNING:
MAY 1-1985
TYPE OF STRUCTURE j)d-~ ZONE: ___ _
· (/ CITY OF.. CARLSBAD
SCHOOL FEES: SAN DIEGUITO_______ ENCINITAS. ______ _
. CARLSBAD ______ _ SAN MARCOS ______ _
% COVERAGE __________ _ REQUIRED SETBACKS. ____ _
BUILDING HEIGHT _________ _
FENCES/WALLS. ___ ...;._ ______ _
TWO CAR GARAGE. ___ . ________ _
FRONT ________ ..--_
SIDE___,z??.._,...-7"-/r-'-l~,----
REAR. _____ _;;_ __
COMMENTS: _________________________ _
~ □ REDEVELOPIIENT A?PROVAL REQUIRED: 6 ~ □ . ----------------'--..., _
=~ c.:o-o 8~ LANDSCAPE PLAN COMMENTS:. ____________________ _
EllVInCr:1'0,ENTAL REQUIRED.:.=---------------------
ADDITIONAL COMMENTS: pd( 9-,. #ia <FA C\).C.,; jg (?.L, F • /o C),,,,.,,,l, '1
OK TO ISSUE: e: _,.J)A+E: ..:f/4/rfoK 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:
a:: ... GRADING PERMIT: :3: ... .• ... ... > I-DRAINAGE: ... .§ a::
~-□ EASEMENTS: JtM+:: ADDITIONAL COl+IENTS:
80 □ . ' ..
I-..... u a:: ...,._
828 □ ~ • 0 ..... s--/;/8'J-u"" OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC WORKS INSPECTOR: __________________ _
FINAL OK: _________ _ DATE: ________ ,.
• • * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECra
' -_,
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)