HomeMy WebLinkAbout2282 PLAZUELA ST; ; 87-521; Permit-
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O I llefeby affirm that I am licensed under t
pn,..,lolona of Chapter 9 (commencing with ,
Section 7000> of Division 3 ol the Business
and Profeaalona Code, and my license 1s in
lull fore• and effect.
IOf ! ~~=~ ~~~m t~ni:ti! fo:o!~~~a'~~ {~ cro~;-c; r
&s,ness and Professions Code Any c,1y or taunty wh<r. re ! ~~~ a~~~~~!u!~-:;,u,~~s ,~'!~~~~~eq~~::~: ,! I
peicant lor Suth permit 10 !tie a SIQned Statemem lhat he IS.,.
·~~:nS:: L~r~f~1pt~~ J~CX:,:~~ w~h 1~:C,~17: o~ I
0.v,soon 3 of the BuSJnessand Pro!ess,ons CO<le)O< that ,sex· I
~~i~'::1~1:' :~1~5t/~n1~:1~t~~~rr;t;:, s~Z-,i teels the appIan1 to a crv, penaIty of not more than fr!/! hurl·;'~ I
died dollars ($5001 f
I. as owner~ the property. o, my emplOyees wI1n wages
as thtrr solt compensattan wtft do !he work and !he strut·
lure Is not ,ntenoed or ollere:d tor sa'e (Sec 7044 Business and Professwns. Code The Con11K1or s license Law does
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I • nol apply 10 an owner 01 praper!y who buuas or improves 1 ~:;1e!snd ;;:J:~~~c~~or!;:=~1t;':'~:,~::"r:t I
!d or offered lor sale II. however. lfle buIk:hng or 1m0rove• I :r~~~~~t~~~,~~t~ov:~118~-~~~to ~•~: I
PfOYt to, lhe purpose of 5':le)
1. as owner OC lhe property am txcius1vely contrKt1ng
with hcensed contract01s 10 conslruct lhe pro,ect (Sec 7044
Business and Protes5.10ns Code The Conlfactor·s license
Law does not app}y to an Owner ot p<operty who builds or 1m provts thereon and who contrac1s tor each PH>tetls wit.ti a contr~tor(s) hcense pursuant to the Contractor s license law)
I As a homeowner I am Improvmg my nome and lhe lollow
mg con<hUons e1us1
1 The vr.ork Is be,ng performed prt0r to sale 2 I have hved ,n my home !or 1welve months
poo, to completion ot lhfs work I have not clauned ltus exemption durmg lhe
lasl three years
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l D I am exempt under sec _____ _ '°' this reason
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L.1 I hereby alhrm that I have a cert1hcate of consenl to
sell insure or a certificate ol Workers Compensation ln-
suriince or a ceruf•ed cooy 1he,-eof tSec: 3800 Labof Codel
POLICY NO
COMPANY
Copy ,s flll!C With lhe City
w Cetl1hed copy ,s nereby tu,n,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
tTl'Hs sectton need not be compteled 11 the petm,1
1s !or one hundred dollars \$100) CK lf'ssl
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l~s ~;r:/1'~s1~:~~~-~ ,:1~~:;;a::,:~1~~Y~:~S: ~h~: l
manner so as 10 become sub1ec1 to the WOfkers Compen C
sa11on Laws of Cahtornta I
NOTICE TO APPLICANT If. after making lh1s Cflrhftca1e of Exemption. you should become subJect lO lhe Workers
Compensation prov,sions of !he labOf" Code. you mllSt
tortttw1th comply with such pr0\l'1s1ons o, lh1s permit shall
be deemed revoked
,-, I hereby atftrm thal there ,s a consuuc11on lending
~genc;y tor the performance of the work for whK:h this per
m11 1s issued (Sec 3097. c,..-,1 Code!
Lender s Name
Lender s Address
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INt-u""'" ,,_,,. ,. .. ,,,,,, .• -····-~ -CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 -
JOB ADDRESS AV ST RD THOMAS BROS NO I DA;o1;;u g ~f I BUSINESS L ICENSE # VALUATION PERMIT NUMBER
-Z,L'd'Z.. /t..,A-z_VBLA .s,' -
LOT BLOCI( I SUBDIVIS ON I ASSESSO,R J>ARCEL NO ' I' CONTRACTOR CONTRACTORS PHONE • ZONE ~7-~~ ,.-! L'(:.• L,•• '-~ .//)',,,,.I ' ~
I t I/, <· Ii.. ~" J' .. •'
QWNE A"$ "'AME OWNE R"S PHONE .
)· ,,· r ~ , ,, -. " CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SO FOOTAGE
• .I -'·· _ _J -l~ ,' ,. .• / ;1" A <' ,...l;.... .. .JC OWNER'S MA L ·NG ADDRESS ·~ . --~ l --:J..... .. ~ ) /J.. -DESIGNER DESIGNER'S PHONE ,, , ' l ' -.
OESCRIP1101' OF W~ ct-:.S~ /A3'{) i;a. J'~ · 00 L, DESIGNER'S A.ODRESS STATE LICENSE NO l,;~b ' 't l ' ,t ..
,-
F P FLA ELEV NO DCC GP EDU
STORIES .
vO '-0 ---.. I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST . rO N D ,□ "<0 vO "O Not Valid Un/Mi Machin~ Ctrtd1«J
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE -SUMMARY/ACCOUNT NUMBER ,, . -.
EACH FI XTURE TRAP INSTALL FURN DUCTS iJP TD 100 000 BTU BUILUINl.i PtRMIT U01·8 lO·OO·OO·oau
EACH BUI LUING SEWER OVER l 00.000 BTU SIGN PERMIT 001-810·00·00·8221
1 EACH WATER HEATER AND OR VENT BOILER/COMPRESSO R UP TD 3 HP PLAN CHECK 001-810-00-00·8891
-, EACH GAS SYSTEM 1 ro 4 OUT LETS BOILER/COMPRESSOR 3 l 5 HP TOTAL PLUMBING 001 ·8 l 0-00-00·8222 J -EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 001 810·00·00-8223 ;
.: EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224 ,. -
:I EACH VACUUM BREA KER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER . SOLAR 001-810·00·00·8226
EACH ROOF DRAIN ti"JSIDE I DRYER VENT STRONG MOTlON 880·519·92·33 ' '
TOT t.L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TOl AL PL UMBINL I PUBLIC FACILITIES FEE 320-810·00-00-87 40 iC" -
BRIDGE FEE 360·810·00-00-87 40
QTY. ELECTRICAL PERMIT · ISSUE .-· QTY. MOBILE HOME SETUP ---PARK-IN·LIEU (AREA l
NEW CONST EA AMP SWl BKR CAR PORT TIF 312-810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 31 1-810·00·00·8835
EXIST BLDG EA AMP SWT BKR : GARAGE -. FMF
I PH 3 PH I
.. ~ ""~"" LICENSE TAX 001·810·00·00·8162
REMODEL Al TtR PER CIRCUII . "'r C\ \1UI I MFF 880·519·92·57
lEMP POLE 100 AMPS '• nL .v . ,
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSI
' CREDIT DEPOSIT (
IOTAL ElELlRICAL r TOTA[ TOTAL FEES PAYABLE 1
I HAVE CAREFULLY EXAMINED !HE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat,on Every permit 111ued by the Bu,ldtng Oft1c1al ur'ldef the p,ov1s1ons o f this * AN 06HA PE,_.:T IS llf0UIRED FOfl OlCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1na11 exptre by lrm1tat1on and t>ecome null and void If the bur1c1tng o, work ~ 0"' DEEP ANO OEMOUTION 0A CONSTRUCTION OJ
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURl'1E~ CERTIFY ANO AGREE lF A PERMIT I'> auttlor,zed by such perm,t ,s not commenced w1tt11n 180 days hom 1he date 01 such STAUCTUAlS OVER l STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNJV ANO STATE LAWS GOVERNING BUILDING CON• :'~~,:, '!t ':~v ~,;::•:x.~~:_:~r:~!~~~:'~l~~~~ :9~'::~'~t'~:r:1-~ 0
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STAUCTION WHETHER SPEC1F1EO HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE • QWNER[l CONTRACTOR G APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ·-: ---
(~-:c. BY PHONE 0 -_:_~ ·-; I GRANTING OF THIS PERMIT ~ ... '-
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TYPE ! DATE INSPECTOR ~7 --'S"d"'{
BUILDING I m,s$,L~t ... l){)..\f-.p..,p
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY l
GUNITE OR GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEIL!.ING SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FRAME ' '
FOUNDATION INSP
EXTERIOR LA TH j . STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION !
INTERIOR LATH & DRYWALL '
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING ! FIELD WELDING
□ SEWER AND BUCO [J PWCO
UNDERGROUND D WASTE □!WATER
I HIGH STRENGTH
BOLTS
TOP OUT D WASTE 0 WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
l -GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
' j
ELECTRICAL ,
D ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC '
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
l
MECHANICAL '
D DUCT & PLEM., D REF. PIPtNG
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS l
' LL FOR FINAL INS. __ 1~
ITEMS ABOVE HA vE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL ' MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
. ' .
•
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PLAN CHECK NO. J 7,.. So?/ ADDRESS -~-~_t_~_;___.-~_L_,J_G_U_e.._U ___ _ DATE
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PLANNING
ZONE: ' le/ TYPE OF PROJECT AND USE:. __ ~...i...:::::.0:-=eJ:..=?1:..!.-~½~?.f _______ _ I CARLSBAD •
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
ENCINITAS
SIDE REAR
SAN MARCOS --
DISCRETIONARY ACTIONS: _________________________ _
REDEVELOPMENT PERMIT REQUIRED: _____________________ _
LAND SCAPE PLAN COMMENTS: ___ __,_ ____________________ _
ENVIRONMENTAL REQUIRED ~--.t-J~---------------------
COASTAL PERMIT REQUIRED: NO
ADDITIONAL COMMENTS:---..J"'-4-1---1-=--"----------------------
OK TO ISSUE: ___ ..J./)a.::...-Q.. ___ _ DATE :_+-t<r/4~))--"-Ei_V_ •···················-ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED?/} APN CHECKED?
V
EASEMENTS: / ,,---RIGHT-OF-WAY:
EDU'S: / / DRAINAGE:
IMPROVEMENTS: 1" (
} FIELD CHECK DATE & INITIALS:
\,./
PERMITS REQUIRED
GRADING: ___ _.... __________________________ _
GRADING COMPLETION CERTIFIED: -------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: ----------------
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: ----..... ----TOTAL FEE: -------
D □ FACILITIES MGMT. FEE:
i • >
SEWER FEE (CONNECTION) : -
BRIDGE & TIIOROUGHFARE FEE: --------------
SEWER LATERAL:
It! ...,
C ADDITIONAL COMMENTS;
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0 OK TO ISSUE: ~~-_....,_ ___ DATE:--.'-
7
A2~(!; ______ _
DPD2:DPD6:1O/24/86
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And FIii In Shaded Area Only
JOB
ADDRESS 2-2_., ~(/ ICL-14-St.
ASSESSOR'S
PARCEL NO. 2 I ~ -'J '-{ o-0 L
OWNER
OWNER'S
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
TEL.
PLAN ID NO. t17-~;? /
0002 09/30 0101 OSHisc-
VALIDATION AREA
ESTMATED VALUATION _t.__b._.a...r_6_~__.__cJ __
MAILING PLAN CHECK FEE 001-810-00-00-8821
A_D_D_R_E_S_S_--=:./__.o:<..:-&.-..-::...=...RJlt,v_..:___;;C~-=-...;;:.S=-/1-_:...~1?9--;....t._-'-~L=--' IF THE APPLICANT TAKES NO ACTION
STATE
LICENSE NO.
BUSINESS
LICENSE NO.
TEL. 7'-f
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.
80-00
SUBDIVISION------LOT(S)-----------,J-----------------------
LEGAL DEscR1PT10N Lo.,-L/ tf T& 7 z..,--2 '/ CHECK IF SUBMITTED:
D 2 ENERGY CALCS
D 2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
DESCRIPTION OF WORK □ 2 STRUCTURAL CALCS
D 2 SOILS REPORTS
0 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
CONT ACT PERSON LA COSTA LETTER
ADDRESS SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
White · FIie Yellow -Applicant Pink -Finance Gold -Assessor