HomeMy WebLinkAbout2020 PLAYA RD; ; 87-128; Permit"' z 0 ~ "' ~ u .. 0
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I hereby affirm that I am llcensed under
,,~alone ol Chapter 9 (commencing w. Ith ~ n 7000) ol Division 3 ol the Business
and rofesalons Code, and my license 1s in
lull force and effect
I hereby af1,rm tha1 I am exempt lrom the Contrac tor"s License Law for the tollow,ng ,eason (Sec 7031 5 1
Business and Protess,ons Code Any city or coun!y wh,a, re-quires a permit 10 construe!. alter ,mprove. Oemol1sh, or
repa,r any structure, prior to ,ts issuance also requires !heap-
p11can1 lor such perm,t to hie a SH.)ned sraternenl lhal he ,s
I,censed pursuant 10 the pro~IsIons of lhe Contractors
License Law !Chapter 9 commencing w1lh Section 7000 of
D1v1s,on 3 of the Business and Professions Code) or that LS ex
empl therefrom and the basis !or the allegeo exempt10n Any
vIolatIon 01 Section 7031 5 by an applicant for a perm,t sub 1ects lhe appl,cant to a c1v1I penalty ol not more than five hun
dred dollars [$500)
I as owner of the property, or my employees with wages
as rneIr sole compensat<on. will do the work. and the struc-
ture LS not Inlenctect or ottered for sale (Sec 7044. Business
and Profess10n~ Code The Contractor's License Law does
nol apply to an owner of property who ou,lds or improves
thereon and who does such work himself or through his own
employees. prov,ded tha1 such 1mprovemen1s are not intend-
ed or ollered for ,ale If. however. 1he building or improve-
ment 1s sold w1th1n one year o1 complel1on, the owner·bu1lder
will have the burden o! proving that he did no! build or im-
prove for the purpose of sale)
7 I, as owner of the property, am exclusively contracting
wI!h licensed contractors lo construct !he pro1ect (Sec. 7044
Business and Profess,ons Code The Contractor's License
Law does not apply to an owner o1 property who builds or im-
proves thereon, and who contracts for each pro1ects w11h a
contractor(s) I,cense pursuant to 1he Contracto(s License Law)
'_J As a homeowner I am improving my home. and the follow
1ng cond111ons exist
1 The work Is being performed prior to s.ale
2 I have lived in my home for twelve months prior to complet1M of 1h1s work
I have no\ claimed lh1s exemption during the
las1 three years
:l I am e~:_r,;i~der Sec . B & P C
for this re7 _
I hereby affirm that I have a cert1f1cate of consent to
s~1nsure. or a certificate of Workers Compensation ln-
sur~ce. or a c;P1f1ed copy thereo,.:.JSec ~*' Code) ,a"°' ,a c.,,Cr:; ;;_.s"::, -ir.,.
COMPANY
Copy 1s filed w,th the city
L Cer1ifled copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
1Th,s section need not be completed if the permit
,s for one hundred dollars ($1001 or less)
C I cert1ty that in the performance of the work for which
th,s permit ,s issued. I shall not employ any person in any
manner so as to become sub1ecl to the Workers· Com pen
sation Laws of California
NOTICE TO APPLICANT: It. after makLng this Certihcate
of Exemption. you should become sub1ect to the Workers
Compensation provisions of the labor Code. you must
forthwith comply with such prov,sIons or this permit shall
be deemed revoked
I hereby afflfm that there ,s a conslructIon IendIng
agency tor the performance of the work for wh,ch this per
mIt is issued 1Sec 3097. Ci,I, Code)
Le~der's Name_
Lender'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 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS ~ i ··, ., ,..., -, AV.ST.RO. NEAREST CROSS ST. o:z7£li?NI B,8s2Llrz:;# VALUATION PERMIT NUMBER
7,,.., ... t"\ pi.,,,,,..,.f ' 12;! ,,_ L-/, t, 00 g1-1a COT BLOCK SUll\)IVJSJON ''.' r~:sp~•~~"?, ... -n
CONTRACTOR . ., CONTRACTOOS PHO,,€ If ZONE I .. -/ L,aw-----p""" Pf>.,( J; __ , 7 •., ~Slt!>o
OWNER'S NAME ---· ' I OWNER'S Pl--tON E
(\_ I Pe.scJ.. CONTRACTOR'S A OD RESS STAfE LICENSE NO. BUILDING SO FOOTAGE
---V /(,./7 t:". '-. blol .... ,3 ~(Ci>'-(~ OWNER'S MAILING AD~$S ·-. ' C..,4-,/
, ,..., ""l M ~ ,l_,4_ ~ r•L-I OE.SIGNER p~ , DESIGNER'S PHONE
f37c.y
OESCfllf'TION OF WORK -· .. '
DESIGNER'S ADDRESS STATE LICENSE NO.
'--~: le... : if>A __ 0001 03/30 0101 02BldPw,t 81-' 0
'
ee FLRELEV NO OCC GP EDU
"' "' ---,, 1·; STORIES -. . ' vC NO
I
I PARKING SPACE RES UNITS l GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIRE SPF'
AREA CONST
,□ N □ '~ ,□ vO NO Nol Valid Un/en Machine Cerrd1ed
7'$--~•-!:' QTY PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT -ISSUE '
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT ,.--~11::~IW;.OD-00-8220 S-f. oO
EACH BUILDING SEWER --~-~--
OVER 100,000 BTU L.
SIGN PERMIT -~ 111,1~-1.n!12f!f I l
R ------------------
EACH WATER HEATER ANO,QR VENT : z. ,,s"n BOILER.'CUMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 <'1.c.b
EAlH GAS SYSTEM 1 TO 4 OUTLETS j --~--~"? ----
801LER,COMPRESSOR 3 15 HP ~ TOTAL PLUMBING I (Jl_'.8 2 8 Df9'8? /~~•O ----_j_ ---------------------------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-8. 0-00·00-8223 -,., .... -
-----• EACH INSTA~, ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL City -"'" ""' ~ ·-IT I----------------------7-<o ~ -----------___ J._ ----
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHIIMPu ... --· _001.oii-,_ :nri-5
WATER SOFTNER RELOCATION OF EA FURNACE-HEATER SOLAR " -· ~CJ<Y~. 001-8'U-C ·uu_~ ~-
FACH ROOF ORAi~ ilNSIDtl DRYER VENT STRONG MOTION 880·519-92-33 -~_£Q_ ----· -TOH.l MECHANICAL FIRE SPRINKLERS 001-810-00· 00-8227
TU! AL PLlJMfllNG I lfj-,.., PUBLIC FACILITIES FEE 320-81 O· 00·00 ·87 40 ----
_,,,...,,-L..J_.0 BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT· ISSUE r, QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA '
NEW CONST EA AMP'SWT BKR CAR PORT TIF 134-810·00·00-8835 ---
I PH J PH AWNING LA COSTA TIF 133-810-00·00-8835
---
E:XIST BlOG t:AAMP.'SWT BKR GARAGE FMF
I PH J PH LICENSE TAX 001-810-00-00-81 62 -.. -<-REMODEL Al TtR PER CIRCUII ,,,., . ao MFF 880-519-92-57 --. -.
H.MPPOLE 200 AMPS -. --. -
OVER 100 AMPS ------
TEMP OCCUPANCY 130 DAYSI -~ ~ -733:"o--,--CREDIT DEPOSIT -1 TOT Al Elt.CTRICAI t) HJTAl TOTAL FEES PAYABLE I c::o '5<"/,.5----C
' Expiration Every perm1_t issued by tl'le 8u1ldmg Official undef the prov1s1ons ofttus l HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCATION AND PERMIT'' AND 00 HEREBY * AN OSHA PERMIT tS REOUIREO FOR EXCAV.A.TtONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and void If lhe budd,ng 01 work 5' O" DEEP AND OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND l FURTHER CERTIFY AND AGREE IF A P~~MlT 15 authonzed by such permit ts not commenced w1thm 180 days lrom the date0f such STRUCT\IRf:S OVER 3 STORIES IN HEtGHT
ISSUED: TO COMPLY WITH All'CITY. COUNTY AND STATE LAWS GOVERNING BUJLDIN ,_ · ~~r;;;On°~ 1~11Z~11 ~~~!;P..?;h:~~r:~:hii~~~leJ~~~ ~~i::~d·~,s~sb~na~-'!° or
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY AND YNT'S Slf'A ..,NERD CON TA AC TO~~ APPROVED BY /) I DATE
KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS, COSTS AND ~
L /r EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,-.,ftfJ.,~ ~ I 3•.30-~1 GRANTING OF TH1S PERMIT. \ -BY PHONE 0
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TYPE I
BUILDING I
FOUNDATION
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEl:LING
SHEATHING □ ROOF □ S~EAR
FRAME I
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL 1
PLUMBING
-,-
1
:J SEWER AND BL/CO □ RL/CO
UNDERGROUND □ WASTE d WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST '
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND [) UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPpRARY
D BONDING D POOL l
MECHANICAL
□ DUCT & PLEM., □ REF. Pl~ING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS ' !
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL 1
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPI_IANCE
PRIOR TO
FOUNDATION INSP
REO IF INSPECTORS
CHECKED APPROVAL
STRUCTURAL CONCRETE"+----f ------j
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENS.IONED
CONCRETE
&1-1~
INSPECTOR'S NOTES
DATE
,
1----;;,;--;~~ ----l---------+-----1--! f)K ~Cl (Jl~s.{c.,-7--t({-~7 I FIELD WELDING
rllbH STREN(_j J H
BOL Ts
SFECIAL MASONPY
I
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PILES CAl'.:,SO"-..'."
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• P.LAN CHECK No'(/) 2r ADDRESS 202 0 Ir L_,4 t( ft RJ
PLANNING
DATE,¥.&
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ZONE: ----TYPE OF PROJECT AND USE: ___ S----'-f,-~-----------
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS CARLSBAD SAN MARCOS
SETBACKS: FRONT SIDE REAR
DISCRETIONARY ACTIONS: ----------r----::,,-'--""7-'------------R EDE VELO PM ENT PERMIT REQUIRED: ------+--,-..--r------------
L ANDS CAPE PLAN COMMENTS~: /;:;;._---::,~--~-1--+---,"'---------------
ENVIRONMENTAL REQUIR :
COASTAL PERMIT REQ RED.-:~=---7......_-::-=========----------
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION
EASEMENTS:
EDU'S:
IMPROVEMENT
INITIALS:
COMPLETION CERTIFIED:
DRIVEWAY: WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRAN
P.F.F.: TOTAL FEE: ...-------------
FACILITIES MGMT
SEWER LATERAL:
OK TO ISSUE:
DPD2:DPD6:10/24/86
B l "D C, PE~ M\ T .' :x:t=-B 6 -2-Bb .
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-ATTENTION~ Own s, COntracfors and
Sub-Contractors. --~---------
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