The URL can be used to link to this page

Home My WebLink About2032 PLAYA RD; ; 80-803; 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 D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Buslness 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 Ille 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 permil subjects the applicant to a civil penalty of not more than five hundred dollars ($500). D I, as 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. 70«, 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. If, 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 sale). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDA ESS t-l(!)I ":,12,,r If=> OWNE~ M OWNER'S MAILING ADDRESS \~0 r-,l • .f='At~~ LOT SUBDIVISION c ENsus TRACT ,G RJ::t4-~1f P~~u9r !NING FT\p (f'ti-l BL;;~~ OCC. GP I STANDARD PLAN It PLAN I D 11_ So-S?.o TYPE CONST QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER EACH WATER HEATER AND/DR VENT EACH GAS SY~TEM 1 TO 4 OUTLET~ I ~,CO II I BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE I II I BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE I "1/.bO II I VENT FAN SINGLE DUCT AMT. APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. PERMIT NUMBER fJ-ft3 ~/22/604%~ Not V1/id Unless M1chin1 Clrtifild ~ t;O~{~--~ 11/?>/r tfpt:'~) ~ as owner of the property, am exclusively con- tracting wilh licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ~ ply to an owner of property \•*"build ~i~t ('A\ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS v~•-C/"'-·-13v WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PE ~ proves thereon, and who contra fo ro- Jects with a contractor(s) llcens u n o he contractor's License La . I am exempt under Se for this reason, __ ...,,.Hll."--...... '--J-~<---1--Ain Date WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con• sent to self-Insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. :i!lOO, LabQL Codf). POLICY N COMPAN'. b ~llled with ,.,~ "''T' ~rtifled copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mil Is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Wo,iers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer· tillcate of Exemption, you should beeome subject to the Workers· Compensation provisions of the L:abor Code, you must forthwith ccmply with such provlslonst.•this permit shall b8J8'.,med revoked. "" CONSTRUCTION LENDlhG AG ENCY I hereby attirm that there ·11, ~ constr,.otlon len• ding agency for the performance of the work for ,-.,hl.-.h ♦hlo .,..,.., ... u l• lee,, ... A IC:.or "Vl07 ~lull r.nri~\ _l _...._~,,=:.. .bt> ~ ---· ----,,.,. TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLDG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMP5 OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH "lj_«J CONTRACTOR TOTAL MECHANICAL AMT. QTY. MOBILE HOME PERMIT AMT. AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TD COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN DA NOT. I.ALSO AGREE TD SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5•.o•• DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT ' OF THE GRANTING OF THIS PERMIT. MECHANICAL MOBILE HOME SOLAR MICO -FILM TOTAL FEES PAYABLE SCHOOL FEES: CONTRACTOR ENT D ! ~ ~ 5 ;:::: lzl a. V) ~ SITE ""~ ADDRESS: • ·-OWNlliiila ( L P.ERMIT NO:· • : ~-. . FIELD INSPECTION REC6'a . . ' ~· ,,.. . I INSPECTION DAT& 11'1.::,r-·c:.L-, vn ~ • INSPECTOR'S NOTES • WOOD FLOOR ·' • • ._ ' ' ; ·-· ·• • FOUNDATION • FORMS • SET BACK •TOILET • ~~!!!!!!!!!!'.!!!!!!!!!!~~~~~~-~~~-:.._----',_---,,,----,_,,.-.....,.., ----,_::-________ :_ ____________ ~ UNDER FLOOR PLUMBING · ., ':' , • :_· -·Jt, ,. ,. -i,a ~ .. -., _ . ' ',! ~ ~ UNDER FLOOR HEATING t -:"-~ •-:, .~ ,.. ;. .· ~ • • J ~ A" •·, -1-•-:~,-, !/\:::;;·:i, .,...., '~~-' OKTOINSTALLSUBFLOOR _, ·L . • . , . . ·-.. . , . . . -• "• -... :~~:,.-·.~:~·-f.-.~-! c-:-~~,:, .. ~::--·:!'t.-,_ .. ~., .. -_/ .. l~: '~J,~-1'~--~1 .... .,r~,\ .... --_ ....... ~ .. -~ r---------------------1-----,--------1 SLAB FLOOR - UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET c:._ • d , ~ 1 OK TO POUR CONCRETE , -.. · • · · FRAME ,el ~=~~======~ :===============================================================================================: . ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK• PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK. PLACE STucco· '. ti . FIREPLAq:: ' , ~ , · • D~PER 6:STEEL -'_ 1---------------------------------------------------i PLATE Tl Es/HEIGHT 'OF CHIMNEY • OTHER TEMP POWER (POL E) SEWER GAS TEST SWIM POOL • STEEL BONDING 1----------------------------------------------------, 1· , __ . • PRE DECK ~~--. ·•.it • FENCE PREPLASTER ' I I ., I ~ :·- SHOWN • FRAME ,1tA\11\ v, ur • PAN •(\.\~\ \ /.' FINAL INSP BY BLDG DEPT '-- OT.HER DE_P.T'S REQ COMPLETED , ; l------------------------•-~-:--------------------------1 E_L EC METER-PERM-TEMP _ GAS METER.:_PERM-TEMP • l" ,'\ ~ -::, CERT OF OCCUPANCY ISSUED ~ , ·, 1 ,, • .,_,P TIMEc..· _____ _ REQUEST FQR .INSPECTION INSPECTfR ~~ PERMIT NO.--tp,___"'~f_O~l~_DATE:-.,....~-~=?'! __ _ OWNER _______________________________ _ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER )6 FINAL ,,-/ READY FOR INSPECTION: □MONDAY /~UESDA'i'. DA.M. " DP.M. ' ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. D SMOKE DETECTOR ~ FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING ~ FINAL □WEDNESDAY □THURSDAY D FRIDAY SPECIAL INSTRUCTIONS---~~-~~---"""-' _-_s;_;o;_,<; __ ...,.-_O~E~c~K~-------- -r:, -f.Y-//3 0 REQUESTED BY_~-+_.u-4::fJ::!J"-.!.e.,,1,,--------------'PHONE NO •. ~/J-#-~-----v' PERSON TAKING REPORT _______ _ REQUEST FOR INSPECTION <302-TIME: ?PD INSPECTORc=:;::::===;----PERMIT NO. ?;o-~ DATE: 11¥0 OWNER __ = _ _.__/-L=.:1..e.!'--=~:------:;;:;-----------:---~:--f'---.- ADDRESS-...C::::.....=..._~~-.l,l_____..'....~.LL_____..!!~--___;::::.._:L....c:;!~---'../4-'---""-)>-=Jl'-, .:...:tJ:..__ 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR D FINAL -L~ ~ LA-,/ 0 ,J ~----------------, ----------------PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL MISC ELL AN E OU S 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY )"WEDNESDAY D THURSDAY D FRIDAY ~.M. DP.M. SPECIAL INSTRUCTIONS _________________________ _ REQUEST ED BY __ __:=.V"'---'M..:...:..1.f'-./1__:._,_l ..:.,..J=-...,,.,'--------I'"' PERSON TAKI T _______ _ RE_QUEST FOR IN,sRECTION n;,I/ TIME:, __ .,.iZ_:....___.'t:._'--'--- / :J-1"-J:J DATE: INSPECTOR--------~~~--PERMIT NO. --< OWNER __ ~--1[_.ffen.c7."""-'c.;,;U-.---,,--------,~--------- ADDRESS ___ .£L..._::_~"3~?:....:.__.lL~LAq...i;..i:.,.-...1~q...._------------ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT· GUN I TE D FLOOR AND CEILING FRAME D SHEATHING D FRAME D EXTERIOR LATH SULATION TERIOR LATH 0 FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY EDNESDAY o THURSDAY D FRIDAY SPECIAL J9 INSTRUCTIONS..,('::~-------------------------- u3 1 (/-Z.o' REauEsTED BY __ _,C._.,M"""'~ffil-l--'-----------PHoNE No. ___ ~r~_·/ __ _ PERSON TAKING REPORT--i'"c2"= .. ------ .. ········---·------------ REQUEST FOR/rlNSPECTION INSPECTOR _____ w __ · ____ PERMIT NO. &---K0 3 TIMEc_· -~/~i}_,'~//"_?_ DATE: ~£~'.,i_.../,~/--~'{v __ BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT -GUN I TE D FLOOR AND CEILING FRAME D SHEATHING D FRAME -~l ~EXTERIO~ D INSULATION ® INTERIOR LATH OR D FINAL PLUMBING D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT OG.F.I. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL RE0UESTED BY ___ C.,,._~='-'=---'--'----------PHONE No._'-1.,_.....3'-'t"--,....,/ /_,;5-<--u_ PERSON TAKING REPORT ___ 'Ji..,./,___· __ _ REO.UEST FO).JAINSPECTION TIME· IN~CTon.' ___ U::;_:;_-=-----PERMIT NO._..,,n____c.zi_-..e.ft_t:i..:']'---DATE: / ~ 0 GROUT -GUNITE D FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME D EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL LL READY FOR INSPECTION: D MONDAY □J.Ji~~~ D A.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND D ROUGH ELECTRIC 0 POOL BONDING D ELECTRIC SERVICE 0 CEILING HEAT OG.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL D THURSDAY D FRIDAY ~:-u~~ SPECIAL INSTRUCTIONS--~~=eura,L<:l~E:'.-:..:::==....L....= ______________ _ REQUESTED BY ~ PHONE NO.:IY=-:// .s C PERSON TAKING REPORT ~ REQUEST . INSPir;:TOR • F0,13 INSPECTION ;;{;"'' ~,; h t? .2 //·,·--PERMIT No.v'o'~,3..) OWNER ________ =-------------------------~r~ ADDRESS'-<~'.?:J~')~()~3~2~' ~---(/,c~~/0.._:j-<--",'.''=•--•~•~• _:J~'._.=•-· ______________ _ (BUILDTNGJ' 0 FOUNDA • •~•• 0 REINFORCING STEEL •~::~~~R:UNITE .. /d FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY DA.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL D TUESDAY D WEDNESDAY D THURSDAY 0RIDAY DP[M/ l /4 . ,.IL .. '1 // SPECIAL INSTRUCTIONS ___ ;.,.[.,'-/,.,,',_· ""l"'{""/"''J'-"r:'-;l1---------------------r l , ,, '-3 /· I/? s· /,f,f>••· . ; REQUESTED BY__.·c:_•.:..· _______________ PHONE N0._1"',:_p-fk.i:;-FL---_-_. __ PERSON TAKING REPORT_...c.... _____ _ RE~ EST FOR 11\1SPECTION • TIME-· ______ _ INSPEc!. IR • ----z:/;.a, PERMIT NO _______ DATE:~/u:'f.~•'-'/,1,i..._• ._Yic...'tJ __ , ' OWNER _________________________________ _ ADDREss __ 2__.,:}"-',J'.,_,2:........18c....,,,:Z.e<...fi:..!Cr"....£'/l~lft:l.-""/J."------------------• BUILDING 0 FOUNDATION L~] REINFORCING STEEL L"J MASONRY 'C GROUT -GUNITE 0 FLOOR AND CEILING FRAME C::J SHEATHING Ji!!.. FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING D UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND ~ ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT OG.F.I. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS )Q PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY ,#RIDAY DA.M. DP.M. SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY __________________ PHONE NO. ___ -t.//r----- PERSON TAKING REPORT_---+J,,i/,..._ ____ _