HomeMy WebLinkAbout2288 PLAZUELA ST; ; 83-174; Permit., z
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D I hereby affirm that I am Ucensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No _ Cla,s
I hereby alf1rrn that I am exempt from the Contrac-
tor's License Law for the follow,ng reason (Sec 7031.5
Business and Pro1ess1ons Code· Ar,y city or county which re-
quirns a perm,t to construct, alter improve, demolish. or
repair any structure. prio• to ,ts 1sSoance also reou,res the ap-
plicant for such permit to file a signed statement that he is
licensed pursuant to the provisions of the Contractor's l1_cense Law !Chapter 9 commencing w11h Section 7000 of
D1v1s10~ 3 at the Business and Professions Code) or that 1s ex empt therelrom and the basis for the alleged exemD!Ion. Any
vIoiat1on of Section 7031 .5 by ar, appl,cant for a perm,t sub-
1ects the applicant to a c1v1I oenalty 81 not more !!lan five hun-dred dollars ($5001
_ I, as owner of \he property. or my employees 11,I\h wages
as their sole comoensatIon. will do the work. and the struc·
ture Is not intended or oflered for sale (Sec. 7044. Busi~ess and Professions Code: The Contractor's License Law does
not apply to an owner 01 property who builds or ,mproves
thereon and who does such work himself or through his own employees. provided that such improvements are not intend-
ed or offered for sale If. however. 1he building or ,mprove· men! Is sold w1th1n one year 01 complet,on, the owner-tiuilder will have the burden of proving that he did not bwld or im-
prove for the purpose of sale)
Li I, as owner of the property. am exclusively contracting
with licensed contractors to construct the project (Sec 7044. Business and Proless,ons Code· The Contractor's License
Law does not apDly to an owner of property who builds or 1m• proves thereon. and who contracts lor each pro1ects with a contractor(s) license pursuant to the Contrac1or's License Law)
!:J As a homeowner I am Improv,ng my home, and the follow-
Ing condItmns exist 1 The work Is being performed prior to sale 2 I _have lived 10 my home for twelve months
prior to completion ol this work I haV1l not cla,med !his exemption during the last three years
:J lamexemptunderSec ______ ,B&P.C
for this reason ____________ _
D I hereby atlorm !ha1 I ha~ea ceri,hcate of consent
to self-rnsure. or a cert,T,cate of Workers Gompensa1,on Insurance. or a cen,hed copy thereof
ISec 3800. Labor Code)
POLICY NO ___ _
COMPANY
D Copy ,s t,1e<1 with the~
D Ceri,T,ed copy ,s hereJ!urn,shed ~-=r
CERTIFICAT!o:~ EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s section need no1 be comple1ed ,f 1he perm,t
,s tor one hundred dollars 1SHXl) or less)
0 I cert,ty !hat ,n 1he performance of the worl< tor wh,ch th,s perm,, ,s issued, I shall not employ any
person ,n any manne, so as to become sub1ect 10
the Workers· Compensation Lilws of Ca1,torn,a
NOTICE TO APPLICANT 11. alter makIn;i th,s Cert•
f,cate 01 Exemption you should become sub1ect l'J the Wol1<ers· Compensation prov,s,ons ot the Labor
COOe. you must tonhw,th comply w,th such pro~1s,ons or th,s pe,m,I shall be deemed revoked
0 I he,eby afJ,r,-,, lhat therf" ,s a construct,or
lending a1.1ency •or the µertormance ol !he wor1o: io, wh,ch th,s permit ,s ,ssued ,Sec 3097 C,v,I Code,
Lenders Name ___________ _
Lende, s Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
J01rAOOR ESS , ----AV.ST. O~OF APPLiCA'TtON "'!'~N~l•~""!' • . -4.80AOON PERMIT NUMBER
I'/ "1.9,/J., Pt.A?HaLk RO, ' -25-'..:c&~ 83-17+ ---~ -· • ~'·.:-c '
OWN~ -I OWNER"S PHONE CON~OR •0, ~!~~--·-ZONE
--~ .
OWNER'S MAILIWG ADDRESS CONTRACTOR'S ADDRESS 'UCENSl:NO. PLAN 1.0. # BLDG USE CODE
LOT I BLOCK l·SVBDlVISION I ASS2"ftPAR~~4 ,1.,\, 0 c) DESIGNER LICENSE# STANDARD PLAN# BUILjlNG SO. FOOTAGE
&;(Ji/J DESCRIPTION OF WOAI(
DESIGNER'S ADDRESS OE.SIGNER'S PHONE . '
.---f,U~L.P :1•-~U~ E'..6{"Afl\ HA.1/1 r, ,i ,, 1,.-.,e? ,: . c. .• ~ . _,
"' FLA ELEV. NO DCC GP EDU l 1 &\ I I /\Hl°'T STORIES -' .. ,. .. rd ' . < ,
vO NO
CENSUS TRACT I GP LAND USE l PARKING SPACE RES UNITS ! GRADING ~ERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD FIRE SPA
AREA CONST
YO N □ vD NO vO NO Not Valid Unless lbchine Certified
QTY. '"-eLUMBING PERMIT -ISSUE 7 §;:-QTY, MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
~
EACH Fl){'{.URE TRAP
, IN""S,;,.aLL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 ._,>.~v-
EACH BUILD")tJG SEWER
---------... OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
-
'EACH_WATER HENl=R A-N □.':q-~_y~N_T_ --~------
-----
BOILER/COMPffi.SOR-UPTO ]"HP
---Yl..BS --
PLAN CHECK 01-00-00-8806
EACH GAS SYS!_§~ 1~ OUTLETS i BO!LER/COMPRESS0~-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEMS OR M0~
1I
METAL FIREPLACE ~ ELECTRICAL 01-00-00-8223
---i -----_:__ --------------------------------
EACH INSTAI.. ALTER, REPAIR WAT PE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 -
EACH VACUUM BREAKER "' MECH EXHAUST HOOD/DUCTS '-MOBILEHOME 01-00-00-8225 --------I---------
WATER SOFTNER ' RELOCATION OF EA FURNACE1HEATEA ........_ MOBlLEHOME PARK INSP -------
tj-E~~H--ROOF ORAI-N _1:1-~~~il_ ___
-' SOLAR 01-00-00-8226
TOTAL MECHANICAL __ STRONG MOTION 80-92-33-0519 .C:,0
I --~
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
---__ _;
PUBLIC FACILITIES FEE 32-00-00-8923
ELE'G:J'RICAL PERMIT -ISSUE 5---QTY. QTY. SOLAR -ISSUE -
BRIDGE FEE
-----1--
i NEW CONST EA~P.'SWTd:lKR COLLECTORS -->L-tn:NJ FEE -DISTRICT -
' ---
Cartsba' 1 PH 3 PH STORAGE TANKS "--1 80-92-21-0519
~
EXIST BLDG EA AMP7swi~R
-----
I ROCK STORAGE ----7 Encinitas' 80-92-22-0519 . lPH 3~ --• PUMP ---1 ·, ,~ .· \ -; San Oi,i}uito 80-92-23-0519
REMO□EL'ALTER PERCIRclJIT-.. _ ----t---PLAN CHECK tEE __.. A,:,_,,,/, , ., / .,
Sao Marcos 80-92-24-0519
------------------------------~---~-/ ( / -, I --
TEMP PO LE 200 AMPS --------------------------II--
--+ • ~r,,, . -------------
-f""'"'"" ~ ~ TEMPD~~::~:,:3~01:~:y:'. -~---__ :~~=~~-/ ----
j__ ________ -r-------_/ _,-~ ----
-. -------~~TA~-;"_.-·· TOTAL FEES PAYABLE I s~ec::-/_;,. I,/
~ E11pirat1on. Every permit UJ&ued by the Building ~;._-iiie =ot'thbi -'.::t,•--~~ FOIi EXCAVATIONS ovE• l HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde stiall e)(pire by limitation and bfleome null and VOltl. lfttMf · · ~~ '< , ':~d"'OHPAND , ORCONSTRUCT10N OF
DECLARATtONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authOfiZed by sue ti permit is not commenced within 180 days from the dale h -~OYER 3STOfttES IN HEIGHT permit or if the buildi~ or WO<k auth01ized by auctq)iermit is SUS or ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at anv time a er the work UJ comlJMfnced fonl ;.:.:riOd of 1
STRUCTIQN, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND APP§: DSIG'fZ~i OWNER □
~O>!l/'~~ ~~ DATE
KEEP HA~LESS THE 011'¥-0F CARLSBAQ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 1-4-,2,q•83 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY JN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. 8~ "'1"' □ --
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INSPECTION TYPE DATE INSPECTOR
' BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
H!GH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
~
• x'o-11'-f
INSPECTOR'S NOTES
DATE
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.
-..,.; ! ..
,a.:____
----
. • -· -1
----
INTERDEPARTMEN "!AL INFORMATION SHEET iE CE IVE D
BUILDING DEPARTMl:.NT 'J <.? v /71IJ
BUILDING ADDRESS: ~,;z O O {/ h~_ ~ c,n, OP CARLSBAD
A. p . N : --C • T : _________ · -=B_,,_u!.!Jlld.ulu;o,;..• -!aOlf!--. .. .....,.,~;:......-0P~1 t, 11ent
DATJf-pr ',.. 198 -.J J j
* ** * * *****~** ** * * *** ** * ** -.~ i; *** ** t¼t· ** ** ****** * *** * * * * * * * ** *** * * * * * X.
PlANNING DEPARTMENT
ZONE: ______ SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS CARLSBAD ______ _
UNITS REQ'D: PROVIDED:
% COVERAGE ALLOWED: .PROVIDED:
PARKING SPACES REQ'D: PROVIDED:
BUILDING HEIGHT REQ'D: PROVIDED:
FRONT SETBACK SIDE SETBACK REAR SETBACK
'ALLOWED: /1 '\ I ·), 1, PROVIDED: '(\ / l I
INTRUSIONS: './
RE-DEVELOPMENT APPROVAL REQ'D: ---------
LANDSCAPE & IRRIGATION PLAN COMMENTS: ----------------
ADDI IONAL COMMENTS: ------------------------
OK TO ISSUE: / ,r--i DATE: OK TO FINAL: ___ _ DATE: ___ _
ENGINEERING DEPARTMEf'J.T
R.O.W: ______ _ IMPROVEMENTS~: ________________ _
PUBLIC FACILITIES FEE:_· __________ SEWER CONNECTION: ___ _
DRIVEWAY LOCATION(S) =------------"-------__
GRADING PERMIT: _________________________ _
EASEMENTS: __________ DRAINAGE: _____________ _
LEGAL DESCRIPTION: ________________________ _
ADDITIONAL COMMENTS: _______________________ _
F INJ\L: __________ _
:1:.t * * * * * ;1; * * * * * * * * £££.m * * * * z-* * * * fj;_;.f£.'lwti.hlif...:k.k.1il * * * * m:&D * * * * * * * ~
* IF TIIIS ITEM IS NOT CIIECKEl1, BUILDING DEP/\llTMENT WILL MAKE
FINAL INSPECTION.
S~-11Y
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lECEIVED
~PR 2 91983
CITY Of CARLSBAD
euHdlng Department
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