HomeMy WebLinkAbout2282 PLAZUELA ST; ; 80-388; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
dt,ereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 ,Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve, demolish. or repair any
structure, prior to Its Issuance also requires the
applicant for such permit to file a signed state-
ment that he Is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
~ owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure Is not Intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not Intended or of-
fered for sale. II, however, the building or Improve-
ment is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or Improve for the purpose of
CITY OF CARLSBAD-BUILDING DEPARTMENT
I
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. 4/-;:27 ,,:::t.... JOB ADDRESS F: APP,ICATION
I I ri' I I I I I I I I I I I I I ,//,te)
OWNER ---{
CL.Ait.el'I< t;' A, S'fb,I< oA L£ ~ t~N ~ R
03~ ]!-~A°J;7A ff 1'5A SX.1irA,fAfUos(jl/_ ?,£at r II CONTRACTOR'S ADDRESS
1¥'~~r~J~t,s;~:,; Vdd9e k:Y1~51°R'~J ~~ti~• ,<i l~t t
DESCRIPTlq,t( OF\.WORK /
~lt\/QL~ ;L~/Vlt 'iv .P tvE/b t'I/ q,
DESIGNER
t, o/ Ir e fZ..
DESIGNER'S ADDRESS ., I
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE
ST ATE LICENSE
CONTRACTOR'S
PHONE
ST ATE LICENSE
DESIGNER'S PHONE
PERMIT NUMBER
~-3ff?
0 1847
7
I II ·n
CENSUS TRACT GP LANO USE :13,-1 °f?;;, I STANDARD
l RES. u7s l p;~NG SPAC7:lo 1 NUMBE,2r sToR1Es
Not Valid Unless Machine Cartifi«J
BLOG SO. FT.
'3~•0
BLOG USE
,<;rD
PLAN II PLAN 1 0 II l~_:N I occ. LOAD l
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. " .le-C>V
~~ EACH FIXTURE TRAP ~flll / INSTALL FURN. DUCTS UP TD 100,000 BTU --.:i:l. -7 EACH BUILDING SEWER 7.r ---, OVER 100,000 BTU
,
•
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP • • • e
EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR 3-15 HP • _. ~
sale). BOILER/COMPRESSOR 16-30 HP • ~ c; J' ~
:JI, as owner of the property, am exclusively con-EACH INSTAL., ALTER, REPAIR WATER PIPE • d._ VENT FAN SINGLE DUCT ~ -/ •~ _ ~-~
tracting with licensed contractors to construct EACH LAWN SPRINKLER SYSTEM • ~ MECH EXHAUST HOOD/DUCTS p. p ~--VALUATION: , >
the project (Sec. 7044, Business and Professions -• -~ z
Code: The Contraclor's License Law does not ap-WATER SOFTNER • RELOCATION OF EA FURNACE/HEATER • BUILDING PERMIT &IJ I Q
ply to an owner of property •.•ho builds or im-Issue 3 00 Issue 3 uu SIGN PERMIT ;(I-1 ,a.0_ .• 1 -proves thereon, and who contracts for such pro-.. • 1 t;
EACH GAS SYSTEM 5 OR MORE
jects with a c~ntractor(s) license pursuant to the TOTAL PLUMBING 5"a TOTAL MECHANICAL PLAN CHECK 1i 29'. ,., v f~J,,'f5 . I -I I I w
contractor's License Law). ,-/' ~ _.,.-.;,,, ltf-' • e;
I am exempt under Sec. ___ -B. & P.C. CONTRACTOR l . CONTRACTOR 7 · ALL INCLUSIVE PERMIT J • I z ~"""=• ~ TOTALPLUMBING ",z ..--/ QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL L<(°-,. r-
, / NEW CONSTEA AMP/SWT/BKR .---~. -AWNING • MECHANICAL I /I~'· --r-
WORKERS' COMPENSATION DECLARATIOu :__ , -
I hereby affirm that I have a certlflcale of con-1 PH .25 3 PH • PORCH • MOBILE HOME I I • I
sent to self-insure, or a certificate o_f Workers' EXIST BLOG EA AMP/SWT/BKR • SET-UP SOLAR I I I I Compensation Insurance, or a certified copy • . • •
thereof (Sec. 3800, Labor Code). 1 PH .25 3 PH • RAMADA, CABANA • · I , I I I
~~\;~:~:~~~~~~----_-_-_-_-_-_-_-_ -_ -_ REMODEL/ALTER PER CIRCUIT • FENCE OVER 6' . I , I J
/ TEMP POLE 200 AMPS ,} . -TOTAL MOBILE HOME • MICO-FI LM I , I I
I
□Copy Is flied with the city.
D Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per-
mit Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit Is IS!!,\Jed, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE,TO APPLICANT: If, after making this Cer•
tllicate of Exemption. you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
-.by affi,m that there Is a construction len-
~Y for the performance of the work for
'rmlt Is Issued (Sec. 3097. Civil Codal.
I
OVER 200 AMPS I II I I II I I , I I : I
TEMP OCCUPANCY (30 DAYS}
Issue 2-. 0 1 • 1 1 . I
TOTAL ELECTRICAL -II I I II TOTAL FEES PAYABLE I l/~il g 'h
CONTRACTOR ~7 . 1 1 • , cl'-
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO 1
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY.
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
"AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: STRU VER 3STORIE EIGHT 5'-0" DE A. ND DEMOLIT~ION OR CONSTRUCTION OF
-~_,~#___... ~ \/
~o~, ~. /1 /
APPLICANT'S SIGNATURE•
-:;;-
OWN~~ CONTRACTOR□ APPR~
AGENT D BY PHONED _,,, V '
/4<fl *' /uo•."
" DATE
~ -1 ·-------
SITE
ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD
INSPECTiON DATE INSPECTOR JNSP ECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR
SUI.B FLOOR
UNDER SLAB PLUMBING
FOOTING o FORMS • SETBACK • TOI LET '\ '· ·' OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEAT1NGiVENT!LATlNG
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PLACE TAPE
EXTERIO.R L,ATH OK• PLACE STUCCO
. -j
FIREPLACE·
DAMPER 8: STEEL
PLATE TIES/HEIGHT OF CHIMNEY
-
OTHER
TEMP POWER {POLE)
SEWER
GAS TEST
SWIM POOL• STEEL BONDING
• PRE DECK
• FENCE PREPLASTER ~
SHOWN • FRAME I I \ l . PAN I /2 ' . J
FINAL INSP BY BLDG DEPT 1/Y I, f(/ >?<
. OT_HER DEPT'S REQ COMPLETED I I .... "-
i ELEC METER-PERM-TEMP ----iGASMETER-PERM-TEMP
! t--------~--·
&;ITT OFOCCUFAN~YISSUED
I '
------______________ __.
BN FORM 116
BIA FORM l 486
INSULATION . CERTIFICATION
This is to certify that, in conformance with the current energy regulations (California Adminis-
trative Code, Titte 25, State of California*) and approved plans, insulation has been installed in
the building located at:
Carlsbad San Diego
2282 Plazuela
Stn.N /lo. (II A .. t11bl1l Lat Pl-w Trees /lo.
DESCRIPTION OF INSTALLATION
ROOFS .
Type of Materia._ _________ Manufacturer _________ Thicknes ____ R Value,... __ _
(Dr Tra<le 1111111)
EXTIRIOR WALLS .
Type of Material Fiberglass ManufacturerJ ohnsManville Thickness 4" R Value*"'__ll
(Or TrM• N■m•l
CEILINGS
IAm: Fiberglass JohnsManville . 6*" 19 Type of Material, __________ Manufacturer _________ Th1ckness c. R Value*'" __
2 0 -:i 2 (Or Trade /1111111 Sq. Fl Coverl!d .I
BLOWN: Type of Materia._ _________ Manufacturer _________ ..fhicknes: .. $..._ __ No. Bags_~ __
(Dr Trade Neffll)
Wt/Ba.a ___ Sq. Ft CoverKI._ ___ R Value•"_
nooas
Type of Materi.a._ _________ Manufacturer _________ Thicknes.._ ___ R Value .. __
(Or Tra<le Pl11111)
SLAB ON GR.ADI
Type of Materia._ _________ Manufacturer _________ Thickness, ___ R Value••--
cor Trade N1m1)
'Nidth of Insulation Inches
FOUNDATION WAW (If required)
Type of Materia._ _________ Manufacturer _________ Thicknes ____ R Value** __
(Or Tra<I• Pleffll)
REMARKS (If desired) __
General Contractor (Builder _______________ license Number __________ _
By ________________ ntl.._ __________ _ Date ________ _
Sub-Contractor (Insulation Applicator) San Marcos Insulation License Number 3-* 0 81 2 :~r:s;"il.~ --:~: ';,:e·s:-~~ Date, __ • l_0_-_2_3_-__ 8_0_
( •Calif°""'• .Ad,..h1htt .. lve Code, En•rt'P' lntuletfN Standenh, cledar•11
''C-oUeJH.e. u,-.,. c-...oletJiM of tt.e i,u,.UotlM ef l111v•att .... • cwrd
cartffyiP19 l'het rtt. h11vtatfeft het lteeft l111NUH hi c...f.,,._.aa with "'• , ... .,.,....,..,. ef ,._... ,..vlat••• •'-•II 1M c...,.,_.... eft4 necvfN by
tN ,,. ... , •• ,.,. •11t1llmtw .,,. .. by Hie b111IIW. 1111, h11uletiM C."'Dtleflcw
c-111•11 i,., ~ et o c..,1pfrveua lec•tf• wllllln 1M dwern,...··i
1 • •1 Vah,e It tt.e IIIN■ure •I the ,e,ht■nce M • "'•...,._. ., bwlldllltf
<OfflCHMtel!"lt ro the ,-uae• •f hiNf, Th• rwti•t•ncw ••fue (IJ el M•tt•tv"
i11ta,lotien1 lftell ftet lnc.ti,de •"Y ., •• .,. lw reflectt.., lociftfl.)
uaa" ,._ Sec. 1917' of ,r.. H .. 1111 end S.fety Ced• of th Slot•
•I c.ilfem•••
"'Ne C91111icote ef eccuNftC'J ., 1h11ilor CM1lf1<11tf911 "'41t a n..,1., c•n•
tfflfdN h•-•• 11tetel, •"rt~t "-••.. "-"'• « .... _. ,..idN.tial dwelli119 ii hdlteble oll•II loe lm,ed lty .,,cit e bolld;o, d•_,.,..., •
..,, ..... , "'-1tt,,ch,,. •' I_,, ,et,die1 tfrle MiniMv• en..-.y ln1r,,1lotlen
uandard■ •trabUchN punwGftt to ffll1 cfuuu.,."
Fonn 116 -ce BUILDING NEWS, INC., 3055 OVerland Ave., Los Angeles. Calif. 90034---'213} 870-9871
form l48C-<CI BUILDING INDUSTRY ASSOCIATION OF c.ALIFORNIA, INC., 1571 Beverly Blvd., Los Angeles, Calif. 90026---'213) 625-5771
Fl£c£,vco
Der 3119Bo
Clry OF CARLSBAD
Bui/ding Department
I INTERDEPARTMENTAL INFORMATION SHEET
/ BuILriING DEPARTMENT
BUILDING ADDRESS: fl-2~2-..~ s;;/,
!ftCEIVED
APR 211980
CITY OF CARLSBAD
,,
Building Department
PLANNING DEPARTMENT /
o I ,t; ZONE __ -:...fi...._~ _____ LOT SIZE ________ LOT WIDT;--'-------
UNITS ALLOWED UNITS PROVIDED -----------------------
PARKING SPACES REQUIRED
• I
___ ?-______ PROVIDED-----;-~A--:--------:c-:----
1 ,. "' , % COVERAGE ALLOWED _____________ PROVIDED fS5 / C
BUILDING HEIGHT ALLOWED ____ 3~5 _____ PROVIDED
FRON T SETBACK: SIDE SETBACK:
ALLOWED AV' I'
. ---,..g----,,--
P RO VI DE D_)_O--"-'IL/2\----
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETpACK:
')~ 7
~--~---.-------~r-------------0.a
9ENVIRONMENTAL PROT
SCHOOL FEES: $
ADDITIONAL COMMENT .... &, ••1'0,,f
P.F. FEE: $
7-J'/
dJUf
ENGINEERING""'P.E.PARTMENT Os-; 9 3C d" ~,
~•'b
R. 0~ ~ INDUST, IAL WASTE JJjA IMPROVEMENTS~'?--1!1:t:'-
SEWER CONNECTION (!J'Y1 DRIVEWAY LOCATIONS~-~
GRADING PERMIT J./A--~ EASEMENT~ DRAINAGE ~HD,.) 6'/(_
'( LEGAL DESCRIPTION ~-c8: ~;y~fA.;#{ /~-;;2_1
ADDITIONAL COMMENTS (/ ---------------------
FIRE DEPARTMENT
SPRI~KLING SYSTEM ----+-------
FIRE ALARMS EXITS -------,-----------------------
FIRE HYDRANTS LOCATION -----------------
AD QI TIO NA L COMMENTS
0.K, TO IS SU
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ___ ~~----
_. t l ~RD~Nl ROOF E k~'
llt1 Oil ,11: 8085-SEC. 1203 th) UJ.B,
ALFONSO D. NEIS, P.E.
Civil Engineer
SAN MARCOS ENGINEERING
875 ROSE RANCH ROAD, SAN MARCOS, CA 92069
Tel. 714-744-0111
Civil Engineers • Planners • Land Development • Surveys • Soils and Foundation Engineering
May 20, 1980
REPORT OF SOIL MOISTURE CONTENT TAKEN AT 2282 PLAZUELA STREET,
LA COSTA ESTATES, CARLSBAD, CALIFORNIA FOR MR. AND MRS.
CLARENCE STOCKDALE
SO IL SAl."iPLE NO • % MOISTURE CONTENT
1 12.4
2 14.0
3 13.0
4 9.8
5 9.5
NOTE: The samples above were taken at 8 11 to 1. 5 1 below
existing ground surface.
.j-t,-/<)
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Ovmer 's Name
Mailing Address
Francis Daugherty
8756 Rumson Dr
Sant ee;-c-aTir-97071
Phone No. 448-2767
------<·.r\\•r-,, p .. -..... \. . . ~ :, C•' t:t•.,--1/T !SSi_;[:[) lPCN
----------------·~cci:" 1 ~ -1r)T OF BUILOi~IG PEf\~.f!T. Service Address: ,2.2J';1.. Plazuela St
Tract Description: lot 48 Spanish Village
Assessor's Parcel No. 216-340-02
su:t.Di r G P£R.MIT MUST f:ic::
Ae:-,urn r-OR B -r fl-;;... 9 -J'o -------------,,. --------------Type of Building
Lateral Size: 4 11
_s~ __ f ________ No. Units ___ Connection Fee$ 600.00
611 8 11 Saddle Easement Connecti~n pre-pd ( ~~~:~~)
Extra Footage: __ @$ ___ _
Amount Rec'd$ 400.00
Ck. No/Cash 281 ----Date 8-28-79
Rec'd By g.franklin
Extra Depth: @ $ ------
Lateral Fee
Prorated Sewer
Service Fee
Total $ 600.00
The application must be signed by the owner (or his authorized representative) of
the property to be served. The total charges must be paid to the District at the
time the application is submitted.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that ·part of the sewer system that extends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant's building sewer. The applicant is responsible for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appli-
cant1s plumbing to the point in the street (or easement) where a connection is made
to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
with the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED. ANY CONNECTION M.l\DE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED
INVALID AND WILL NOT BE ACKNOWLEDGED.
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There will be no
additional fee or refund if service actually corrmences on a different date. For
succeeding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agrees
to the conditions as stated .
8-28-79 9853
_ Owner's SJ~na-ture Date Account No.
" .:~
J . , .
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'Ii,:. ..... ~
i ~• r • ~ "•·l -.._, .
' JI t
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·r ,J .,
~ -1:'. .-:r: This Certifica te issued pursuant to the require ments of Section 306
~i of the Uniform Bu ilding Code certifies that at the time of issuance "i -~ this structure comp lies with applicable ordinances of the City
-~ ~ regulating building construction use.
~ « Use Classification __ S_in__cg=-l_e_F_am_i_l.:._y_Dw_e_l_l_i_n_,g:;__ ______ Bldg. Permit Na. __ 8_0_-_3_8_8 ___ _
4 ~ 3 fil ~-i Graup ______ Type Construc:tian ______ Fire Zane _______ Use Zon e _.c....:.... ____ _
<[' Occupant Load --,...,.--------:,---~-.--=-------------------------~ 0 1 8 .1d. Clarence Stockdale_ .2 wner a u, mg·. • · . ·
~-Building Address'· :2282 . Plazuela" St.
. . i .. ~-.-··· ~ -t <-s •
Ad-dress 3954 Via Rosa, ·San Marcos
Car sbad, CA. 92008
____________________ By_,_ __ ,_ __ ,..__,...--../--=~'-------
____________________ Dat'\.----------+----------
_:../,,_·~--~·.·,'-•
NOTE: Alterations, changes, additions or chan·ges o
(Post in conspicuous. place)
·~•,1•\··'1 ., <rt"-·v1•,,,;;,,'.~Vf\\fr··-'r•Jr·..,'/ 'l\Vr. 'l' ..... 1'\U'"'/\·1·~ ~~ ~ V \/ \i V Y/ ~ "V .. :; \ \, V ,, \ ·:v ·•l \ ·! ··.
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