HomeMy WebLinkAbout2288 PLAZUELA ST; ; 83-303; Permit"' z 0 ~ "' j
" w Q
"' i[
0
"' l!J ~ 3 ~ ..,
z ~
z 0 ~ z .., ..
"' 0 0
"' "' ..,
" "' i
![
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 Ucense is in
full force and effect.
Lie No_ Class _
I hereby a!firm that I am exempt from the Contrac·
tor's License Law for the following reason !Sec 7031.5
Business and Professions Code: Any city or county which re·
quires a perm,t to construc1. alter. improve. demolish, or
re_oair any structure, p_nor to its 1ss_uance also requires the ap-ol,cant for such permit to 11le a s,gned statement that he ,s
11censed pursuant to the pro~1s1ons of the Contractor"s
License Law {Chapter 9 commencing with Section 7000 of
01v1s1on 3 o1 the Busmess and Pro(essions Code) or !hat Is ex-
empt therefrom and !he tiasis for me alleged exemption Any
v1olat1on of Section 7031.5 by an appl,can1 for a permit sub-
jects the apo'1cant to a c1v1I penalty of not more than five hun-
dred dollars ($500\
L I. as owner of the property, or my employees with wages
as their soie comoensatron will do 1he work. and lhe s1ruc-
ture Is not intended or ottered for sale (Sec 7044. Business
a~d Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work h1msel1 or through his own
employees, provided that such improvements are not intend-
ed or oflered lor sale. If, however, the building or improve-
ment ,s sold wItt11n one year ot completion. the owner-builder
will have tM burden ol proving that he did not build or im-
prove !or the purpose o! sale)
[: I._ as owner of the property. am exclusively contracting
with_ licensed contractors to construct the proIect {Sec _7044. Busmess and Professions COCle: The Con1ractor's License
Law dOOS not apply to an owner of property who builds or im-
proves thereon, and who con1racts tor each proIects with a
contractor(s) license pursuant to the Contractor's License Law)
[l As a homeowner I am improving my home. and the follow·
Ing condItIons exist
1 The work is being performed prior to sale
2 I have l1~ed m my h_ome for twelve months
prior lo completion of this work
I have not claimed this exemption during the last three years
::::J lamexemptunderSec ______ , B&P.C
for this reason ____________ _
O I hereby affirm that I ha,e a certificate o1 consent
to self-insure, or a cer11!1cate of Workers
Compensa1,on Insurance. or a cert1!,ed copy thereof
(Sec 3800. Labor Code)
POLICY NO I
cose~J 1 0 Co~y.red w,!h !he c,ty
0 ~d copy Is hereby lurmshed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section nee<I not be comple!ed i1 the permit Is tor one nundred dollars ($1001 or IessI
0 I cerl1!y that In the performance ol tM work tor
which 1h1s peITTnt Is issued. I shall not employ any
person ,n a,ny manner so as 10 become sutiIecP 10
ttie Workers C<Jmpensa1Ion Laws ot Ca,l1torn1a
NOTICE TO APPLICANT If. a11er makin;i tti,s Cert,
ficate ol E~empt1on. you should become sut>Iect t,:,
!he Workers· Compensation pro•IsIons o! the Labor
Code you mus1 !orlhw1!h comply w,th such
provisions or th,s permit shall be deemed revol<ed
0 I hereby af!irm that the,e ,s a consIructIon
Iend1ng agency to, the perlormance ot the work tor wn,cn 1nIs perm,1 ,s issued 1Sec 3097 c,v,I Code,
Lenders Name ___________ _
Lender 5 AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
'°·1;z~e 1-:JA?_1 ,.-A
APPLICATION & PERMIT
AV. ST.I DATE Of APf>\.tCATION
RO,
,_
aus,~e.,~'fENSE # tJ;r, VALUATION
/j7/;7-;,
PERMIT NUMBER
OW1{£Fl'.S NAME
¾e,(
T
\7 c Alt 5<t l ~E R"S PHONE , 7..> 3 -{? $-.1, .5;).";;:t" ~_,/s 7/(W(,. &,¢,;:T::;;;;•;:_, ZONE S3~?P'3
W~su"P2.""l"f¼ Z''--A-CONTRACTOR'S ADO RESS UCEN~O. PLAN I.D. # BLOG USE CODE
~D/2~~~£J tf» 3j '/'{} Hf (!,,,,91t. '-> ~,,-1'1) 'l )Ale? €,
LI>': l BLocK I suB01v1s10N I ,\SS~R PAR~~ ,I OEStµD~""'C /,NC/ · V Pft-,,l,.,,2;; 7 LICENSE# STANDARD PLAN# BUILDING sa. FOOT A.GE
btL Ut!· "'YI --Al_}_-V, I oESCRJP~~ fiR~ (J"";j t...,,,~J I DESIGNER'S ADDRESS
"' FLA ELEV
vO r-O
GRADING ~EAMIT ISSUED
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
OCC GP EDU 7,1-j I / l'li! 0 , ., .. 7:,~7
OCC LOAD FIRE SPA crnsus TRAC> Tee CANO use j "R.,NG seAcE RES LJN,TS l
YO N □ I
REDEVELOPMENT AREA
vO "'O vO r-O Not Valid Unlers ~chine Certified
QTY. PLUMBING PERMIT -ISSUE 7J;!,..llaTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
1--+.:CE'..'.ACH BUILDING SEWER
/ EACH WATER HEATER AN □,□R VENT /.J.-EAcH GAS svsTEM~1 TO 4 oUT LE TS
EACH GAS SYSTEM !"i OR MORE >---+---
INSTALL FURN DUCTS UP TD 100,000 BTU
-E~M=-
-1-
-~-+--,-----~~ER 1~0.~_00 BT~-------t----------+
------+----
BOILER/COMPRESSOR UP TD 3 HP
BOILER/COMPRESSOR 3-15 HP -------
METAL FIREPLACE
EACH VACUUM BREA_~~_ _____ _ $~----MECH E~~AU~L--=--~000-'DUCTS
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME I
EACH INSTA~. ALTER. REPAIR WATER PIPE --__ L: --:IL I VENT FAN SINGLE DUCT _______ -+-------¼
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I-MOBILEHOME PARK INSP ------------+ EACH ROOF DRAIN (INSIDE) ---+------II I I I SOLAR TOT.L.L MECHANICAL I STRONG MOTION
TOTAL PLUMBING FIRE SPRINKLERS
01-oo-oo-a220 I
01-00-00-8221
01-00-00-8806
01-00-00-8222
01-00-00-8223
01-00-00-8224
01-00-00-8225
-~
01-00·00·8226 __ ---l--__
80-92-33-0519
01-00-00-8227 ___ +--
l;;NI mornac"°'"""'$"~·1.·· :.__~_ ~'"E .. mo ,ssne PUBLIC FACILITIES FEE 32·00-00-8923
~ONST EA AMP SWl BKR____ --------COLLECTORS I =L
1 PH 3 PH . STORAGE TANKS >--~---------. ------------------
EXIST BLOG EA AMP1SWT:BKR
----
>-; I PH
REMOOEL·ALTER
J PH
PER CIRCUIT
--j---
+-tPUMP _ --_ _s -:""4_ __ P~AN ~HECK r~ __
ROCK STORAGE --------+-----1e-
---1-----
---+-~E_MP PO LE 200 AMPS --+ ----+--------I-
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Diego0i~lo __ _
San Marcos
OVER 200 AMPS >---+------+------+-------ti--
TEMP OCCUPANCY ,:JO DAYS! --------ll---
80-92-21-0519
80-92-22-0519
80-92-23-0519
1-----
80-92-24-0519 ----~~+--___,_
::5(_;,~
1.~-1 i-a--
---
$?
----
----
---
TOTAL ELECTRICAl
-·1
l 10 -------+ ----
TOTAL SOLAR TOTAL FEES PAYABLE -, I I I d 1/,,. ·-
~ . ___ .·.;c;.c;:,;,:::, '.'r:'~!":~'.~"~under the provisions of this ~ sha id If the building or wOrk auth0tiz days lrom the dale of such
permit, h permit ts suspended or
abando ""-"'"'-""' _Ql'._a period of 180 days.
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS,
ISSUED: TO COMPLY WITH ALL CITY, COUNTY A.ND STATE LAWS GOVERNING BUILDING CC
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I A.LSO AGREE TO SAVE INDEMNIFY A
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS A
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF
GRANTING OF THIS PERMIT.
D ~~~~~(Al:ua~,~i-'L-c:-7"'7 CONTRACTOR□
E av PHONE 0
/
*-AN 0$1:iA. ~fT IS REOU1AEO FOR EXCAVATIONS OY~
.5• ~-· DE£P 4ND DEMOLITION OR CONSlRUC1lON OF
,.~FIUCTUReS OYER 3 STOR6 IN HEKiHT
APPROVED BY DATE
r X-::,r-, Ii-~ 'fr:l --
I
I
~ u::
> ;;;
0 Q.
E " ~
I
:'2
0 CJ
c
"' -~ i~
I
-"' C
ii:
0 "' "' " "' "' <(
I
;:: g
,; >-
,,;
"' " u 0 0::
"' ;;;
0
~
" u C "' C u::
C " " ~
0 u ~
Q. "' C
~
LC ,:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL 17,zt...0.< ~ ..,
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING ---
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST A,c?J:r.t l'..J..
ELECTRICAL '
TEMPORARY POWER
ELECTRIC UNDERGROUND 18"1·85 <'~
ROUGH ELECTRIC II
ELECTRIC SERVICE
BONDING 1,1.1.flj; ~
G. F. I. -SMOKE DETECTOR .,
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING -.---.,,
ELECTRICAL Y/-..;/JI
MECHANICAL . ' . -N -,
GAS u,; , Y\''"""
BUILDING •
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-
~6~303
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ------
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
! PILES CAISSONS
.
I
I
---
--....
.
. -~-____ .. -~~-
GRADING CUBIC YAR~S --~Ifie ✓ Sf 11 ±.::!ED_
INTERDEPARTMENTAL INFORMATION SHEET lE CE IVE D
ELANNING DEPARTMENT
ZONE: _____ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS_· __
ENCINITAS CARLSBAD ------
·UNITS REQ'D: __________ PROVIDED: ___________ _
% COVERAGE ALLOWED: . PROVIDED: ------------,-
PARKING SPACES REQ'D: PROVIDED: -----------
BU IL DING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE REAR SE 'BACK
ALLOWED: ---.,.+-.:.....++---
PROVIDED: _--\1 _ _\,....\..-=====---
INTRUSIONS: -4----4-4---
R E -DEVELOPMENT
LANDSCAPE & IRRIGATION PLAN COMMENTS: \ ---'~--+---'-----------
ENVIRONMENTAL PROTECTION REQ: ___________________ _
ADDITIONAL COMMENTS: -------+------------------
DATE: ---------
PUBLIC FACILITIES FEE:· SEWER CONNECTION: --------------
DRIVEWAY LOCATION(S) : ___________ _;__ _____________ _
GRADING PERMIT: --------------------------EASEMENTS: _________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: -----~--:---2:--:::-:-,-2"-i:=-=-----,~-iil-lQ _____ ..(._1.f:_:;._::::_:=_:.. _ _, _________ _
ADDITIONAL COMMENTS: iAh¥'..~ 6t1RE !&f, fsv• -
*CHECK If ENG~RING INSPECTION REQ'D. ON FINAL:
OK TO ISSUE: ~ • DATE: ]-\S-83 PWI: . OK TO FINAL: ~ •
DATE: 4 .... \S-83
* IF TIIIS ITEM IS NOT CIIECKED, lllJILDI NG DEP/\RT~IENT WILL MAKE
FINAL INSPECTION.