HomeMy WebLinkAbout2266 PLAZUELA ST; ; 82-221; PermitIll z 0 ~ a: ~ (.) w 0
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O I hereoy 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 llcen9}ij
full for~dJ!SfKk t3b.s:r, lie No.;.i'!fJLfL"l__;.,L_ Class .
I hereby affiim that I am exempt lrom the. Con-
~~o;';~!f:':: ~w ~.=:~~~i~
county which requires a permit to construct
alter, improve, demolish. or repair any structure,
prior to its issuance also requires the applicant for
such permit to file a signed statement that he 1s licensed pursuant to the p,ovisJOns ol the Con-
tractor·• License Law (Chapter 9 commencing with 5ection 7000 of Oiv1st00 3 of the Business and Pro-
fessions Code) or that 1s exempt the~from and the
bu•s tor the alleged exemptk>n. Any vK>lation of Sect10n 7031.5 by an applicant for a peimit subjects
tne 111PPhcant to a civil penalty of not more than five
hundred dollars (S500).
0 I, os owner of the property, or my employees
~•lh waoes as their sole compensation, will do the
work, and the structure 1s not intended or offered for
..ie (Sec. 70ol-4, Business and Professions Code: The Contractor's License Law does not apply to an
owner of property who builds or ,mprOYes thereon and whO does such work himself or through his own
employees, provided that such 1mproveme:its are
not intende-1 or offered for sale. If. however. the building Of improvement IS sold Within one Y&M of
completion, the owner-builder will have the burden of proving lhat tte did not build Of improve f0< the
purpose of sale).
C I, as owner of the property, am exclusively cootrac-hni with licensed contr~tors to construct
the project (Sec. 704', Business and Professions
Code: The Contractor's license Law does not ~ly to an owner of property who builds or improves
~:~ici~ ~~"~~~!~~ ~~r~r~~~:::.:
License Law)
D tamexemptunderSec ______ e &P.C
forth,s reason ___________ _
0 I hereby altirm that I have a certificate of consent
to self-insure. or a certificate of Workers· Compensation Insurance. or a certified copy lhereot
(Sec. 3800. ~bor~J":l
POLICY NO
COMPANY I I It,\ YQI • l' )(IV"! u II • JI.
0 Cen,hed copy IS hereby lurnoshed ~
CERTIFICAn OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This sec11on need not be compleled 1f the permit
1s tor one hundred dollars (S100) or 1ess1
0 I cert,ty that m the per1ormance of the wo,1( for which this permit 1s issued. I shall nol employ any person m any manner so as to become sub1ect to
lhe Wor1(ers· Compensation Laws of Cahtorma
NOTICE TO APPLICANT 11. alter malun1 this Cen,.
ftcate ot Exemption. you should become subJecl 1-:i lhe wooers· Compensation provisions of the ubof
Code, you must forthwith comply w1lh such
provisions or this permit shall be deemed revoked
0 I hereby affirm tl"lal lhere ,s a construchon lending agency lor the performance of the work for
wh1ct1 this perm1t:m1ssued ( 3097, C1v1I Code)
Lender"s Name 0 ~ • h I f&
Lender's Address ------"-1#---"-4-----
USE BALL POINT PEN ONLY & PRESS HARD ~------------------A_P_PL_I_CA_N_T__.·fc,1,;lLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS:
CARLSBAD ..,.lJILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
LOT
, DUIGHl!R'II AOORUi I ?"X I A rn I~ r ,. I
CENSUS TRACT GP LAND USE PARKING SPACE
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl.. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY. I ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT/BKR
1 PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
RES UNITS
7.50
F/P F LR ELEV.
vO NO
GRADING f'.ERMIT ISSUED
YO ND
REOEVELOPMENT AREA
vO NO
! QTY.I MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TD 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTJ.L MECHANICAL
2. 00 I QTY.I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINEO,THE COMl'f.ETEO -~ ANO PEAMtr AND DO HEREBY
CERTIFY UNDER PENALTY OF Pe1UURY ~T ~ . . . T10N Hl!iREC)N INCLUDING THE
DECLARATIONS ARE TRUE ANO c:oRIIEQt . ..-..0 I FUlmtER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH AU CITY. CClGN1'Y AMO STAff LAWS GOVERNING BUILDING COH-
STRUCTlON, WHETHER 8f'fCIFISI ~· JtOF. I At.SO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE COY OF CAiJiillM,-~ M.I.IJABIUTIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH •v If IMY WAY ~ . ..,..MO CITY IN CONSEQUENCE OF THE GRANTIN(3 OF THIS..... . . . . .
AP\--... iCATION & PERMIT
~~IT NUMBER ~).,
BLOG USE COOE
STANOARD PLAN # BUILDING SQ. FOOTAGE
DIBIGN£ft'S PHONE
NO I occ GP I EDU
STORIES 6/28/62560 0001!35□1 . 5/28/ B~ J6,0 1e;.or TYPE I occ LOAO I FIRE SPR • d '' ' CONST
3.00
vO NO Not Valid Un~s Machine Ctrtifitd
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-000-4220
SIGN PERMIT 01-000-4221
Pl.AN CHECK 01 ·000-4806
TOTAL PLUMBING 01-000-4222
ELECTRICAL 01-000-4223
MECHANICAL 01-000-4224
MOBILEHOME 01-000-4225
MOBILEHOME PARK INSP
SOLAR 01-000-4226
STRONG MOTION 65-640-0519
FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
SCHOOL FEE -DISTRICT
cartsbad 65-623-0519
Encinitas 65-624-0519
San Diegui1o 65-625-0519
San Marcos 65-626-0519
TOTAL FEES PAYABLE
* AN OSHA PEAMfT IS AECIUIAEO FOR EXCAVATIONS OVER
5' O" DEEP AND DElllOUT10N OR C0NSTRUCTION OF
STIIUC1\IIIES 0Va 3 STONES IN HEIGHT
fAPPROVED BY
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INSF'l:CTION TYPE i DATE INSPECTOR \.i , ' • . . . <g;), ~ d \ '
BUILDING I FIELD INSPECTION RECORD ,
LF~O~Uc!.cN!..!:D~A~T..!..IO~N ________ .,..· --+----t-----
~EINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS l======IN=S=P=E==C=T,;.O==R.;;"S==N==O~T==E~S=====~-~==============oj <' I REQ. IF INSPECTOR'S MASONRY r INSPECTION CHECKED APPROVAL DATE ~~ .
GUNITE OR GROUT I SOILS COMPLIANCE t----------------------------------1
FLOOR & CEILING SUB FRAME I PRIOR TO • I FOUNDATION INSP
SHEATHING , +
I
STRUCTURAL CONCRETE
FRAME . +--o_vE_R_2_o_oo_P_s_1 ___ ---1----+--------1------1
PRESTRESSED
EXTERIOR LATH lNSULATION I CONCRETE C 1------------------------------------1
INTERIOR LATH & DRYWALL I POST TENSIONED CONCRETE
PLUMBING ~, I FIELD WELDING
SEWER AND. BL/C0 . ' ·, ( q• i5~ i t--H---:IG:-H-S::-:T-R-E-NG_T_H----+-----1------+---4
PLUMBING UNDERGROUND 'l BOLTS .. '------------------------<
PLUMBING TOP OUT I SPECIAL MASONRY +------------1----+-------+------1
TUB AND SHOWER PAN I
I GAS TEST I PILES CAISSONS
ELECTRICAL !
TEMPORARY POWER I
El,.ECTRIC UNDERGROUND r _______ _,
ROUGH ELECTRIC t
ElECTRIC SERVICE I
BONDI NG ~ I i------------1----1---------1-----I ' G. F. I. -SMOKE DETECTOR ( t-------------------------------1
MECHANICAL I 1-----------1----1--------1-----1 1---------------------------------1
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS , _ , , . .... .,. 1-',---'-------'-------+----+-------i---____j
VENTILATING SYSTEMS " \ \ '. \ \ \ \ \
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED.
-• ' :. '~""'\ :-' ' --\\ •. .. T' \ \ \ ~ ._ .. , t t . ~' ...--.... JOB SITE FINAL . , "' , · -' , ,, -, . , , , -, ·, r -., , "· -• , , , \. •
PLUMBING ._S~L. .--4' ?-~-y;.._ "#'
ELECTRICAL ' '/ • \_ ', ' l • ,I\ \' ,• .-' ~' ' \\1,\_)\1 '~\\_4 \\\..-. )· •• Y ))
MECHANICAL \ ' t----------+----1------....._-----. '--. l
.. f -... -•-\,.. -• ....,__. • ' t-"' '\. ..., ' "t--r GAS -..-, ~,.......) r"r:I;.,.\ ,.\.r·• ' ... _ r C' ' · .-_ rt-!:' •.~t .,,........ .-"''-~ ,,. \ ~ {' · ~ ~ ~ _·--. ,.. r --------'-'----=--..c..:......:..:.-=-----+-------+---'-'---~-r,---:-----:-'----:-;_;;_----+----+-------+,------1 " ·~. 1 -BUILDING . ' I \. ' • · · t --• \ '.. .__ , "7 '-_ -<""-~""'"J-~-.-----1
SPECIAL CONDITIONS f----------+------+-----4-------1 f---------------'-" ---------------1
CERT OF ocr-• •PANcv 1ssuED , [-•, ~--~ ,' .__ __ ...i_ ___ L__ ____ _.__ __ ___, -l;--___________________ __J