HomeMy WebLinkAbout2035 PLAYA RD; MULTI-PERMIT FILE; 81-255; Permit"' z 0
!:;:
<C ..
~ iL 0
0:
i[
0
<)
a: "' 0 ~ 5 ~ "' z ~
z 0 s z
"' .. ,.
0 <)
"' ir "' "' <C 0 3
![
~ 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 license is in
:~:I ~~ream.;~ Cl"\S C-:~6t,
I hereby ilflmn that I am exempt from the Con
~t;·~~~~:;:: ~; ~~~1~~.~~
1tC~e'8t~~~,i~;
county which r9Quires a perm,t to construct
alter, improve, demolish. or repair any structure,
prior to ,ts ,ssu.ance also requ,res the apphcant tor
such perm,! to file a s,gned statement that he ,s
licensed pursuant to the prov1s1ons o! the Con
tractor's License Law (Chapter 9 commencing \\111h
Sect,on 7(X)() ol D,v,s,on 3 of the Business and Pro-
tess,ons Coc!e) or that ,s exempt !herefrom and 1he
11,as,~ for the alleged exempt,on Any v,olat,on of
Sect1on 7031 5 by an applicant tor a permit subJects
ine appl+cant lo a civil penalty o! not more than five
hundred dollars ($500)
□ I, as owner of the property, or my employees
.,,,!h wages as their sole compensat,on, will do the
won<, and the structure 1s no1 intended o, o!fered for
sale (Sec 7044, Business and Protess1ol'is Code
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon and who does such won< himself or throug~ his own
employees. provided that such 1mproveme~1s are not mtende1 or offered for sale If. however. the
building or improvement 1s sold w1th,n one year of
completion. the owner-builder w,11 have the burden
of proving that he did not build or improve for the
purpese of salel
D I. as owner o! the prope'1y, am exclusively
contracting with licensed contraclors to construct
the proiect (Sec 7044. Business and Professions
Code· The Contrac10,·s License Law does not apply
10 an owner of property who builds or improves
thereon, and who contrac1s for each pro1ects w11h a
c0fl1ractor(s) llcense pursuant to the Contr..ctor"s
L,cense Law)
. B & PC O I am exempt under Sec
---'-i 1\1.
!or th<S reason
~ \i\
CJ-thereby athrm \hat I ha•e a cert1t1cate al conse"t
to sell-insure. or a cert1t1cate of Workers
~~t~~n,sc;;:re~e, Of a Cert,f1ed COQ{,thereof
eQUONO _ 441672 ~,\y
coMPANY Li~_erty Hu_ 1;1.~
Qt Copy ,s hied With the c,ty
0 Gert1t1ed copy 1s hereby turmsh"v '\ • ~
CERTIFICATE. OF EXEMPTION~ROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1! the perm,t
1s tor one hundred dollars 1SH))) or less)
0 I cert,ty that 1n 1he performance of the worl< tor
which this perm,t 1s issued. I shall not employ any
person m any manner so as to become sub1ect to
the Worl<ers· Compensat,on Laws of Cal,torn,a
NOTICE TO APPLICANT 11, a!1er mak1n;i 1h1s Cert,
focate of E•empt,on. you should t>ecome sub1ect 1,:,
!he Workers Compensa11on prov,s1ons of \he Labor Code. you mus! torthw,th comply w11h such
prov,s,ons or lh•s pe,m1\ shall be deemed revoked
0 I hereby al\,rm that lhe,e ,s a construct,on
,end,ng agency Jor the performance of the worl< lor
which th,s perm,! ,s ,ssued 1Sec 3097 C,-,1 Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS AV.ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
RD, g \ ,..--201"i P]_:,va Rd. -La Costa "-14-81 21471 ---, -_<
OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE fl ZONE ,,:,< j
LEROY IEES 4 '38-1411, 1 BOBS PL• SERVIIDE 729-2055
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
20<>0: Pl aua Rd. -La Costa 2501 State st., Carlsbad 245707
LOT 8LOCK1 I SUBOIV!SION I ASSESSOR PARCEL NO. DESIGltER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE . . .
DESCRIPTION QF W()ftK ! -·-.
--_, .. _.L.! ,..,p --• OESiG,NEfl $ AODRl;S$ _ _-DESIGNER'S PHONE ' .
.L Li. I , Se: f:,1;•~/ -· : ,--_; .
-
'• "' FLA ELEV. NO OCC GP EDU
STORIES -
. . .. v□ NO
CENSUS TRACT GP LANO USE I PARKING SPACE RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
AREA CONST
y □ ND vO NO vO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. OUCTS iJP TO 100,000 BTU BUILDING PERMIT ----
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT
' EACH ~~~E __ R HEATER ANO/OR VENT _·--=-t= _2 _5Q__ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ,-,')
~-/o_:..---EACH GAS SYSTEM 1 TO 4 OUTLETS I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
-----------------· ---~ ------
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
--~---_ _:_ __ I---------------
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP ---·----
, EACH ROOF DRAIN {INSIDE)
--f--7 :so SOLAR
_J Issue TOTJ.L MECHANICAL STRONG MOTION
---I ---------
TOTAL PLUMBING 10 00 FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY_ ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE ~-
BRIDGE FEE
-------
NEW CONST EA AMP/SWT,BKR COLLECTORS SCHOOL FEE -DISTRICT
------·
1 PH J PH STORAGE TANKS Carlsbad -------I-------------------
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas
--___ _____j___ ----
1 PH "3 PH PUMP San ~1egu1to
--~----. ------------
REMOOEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos -------------~ ----~---
TEMP POLE 200 AMPS ------------~ ------
OVER 200 AMPS -----------------~ -
TEMP OCCUPANCY (30 DAYS) --~-------------------------1---------------
' -' --~ 1 ------~-
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /cf_;:.-I
I HAVE CAREFULLY' EXAMINED THE COMPLETED "APPLICAT10N ANO PERMfT"·ANO 00 HEREBY :,-· i: y.pemilillluedbytheBuildlngOfficieluodertheprovisklnsofthis * AN OSHA PERMfT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY' UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDtNG THE Code-aflllt •ph'e-by limildOn and become null and void. If the building or work ·5" O" DEEP .\NO DEMOLITK>N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTtFY ANO AGR'EI: IF A PEF™IT IS aulhariad a.,-~.!.:!'!! Is ftOt c:ommenced Wittlin 180 days from the date of llUCh STRUCTURES OVER 3 STORl£S IN HEtGHT
ISSUED: TO coMPLY' WITH ALL CITY, COUNTY A.ND STATE LAWS GOVERt,UNG BUILDING O<»f-permit. • JI ~-· .or work aulbOriZad by SU(:h permit is SUSP9!"ded or abMdrJ!llllf ill time tht work IS commenced for a riod of 180
STAUCTION, WHETHER SPECIFIEP HEREIN OR NOT. I ALSO AGRE'E. TO SAVE INDEMNIFY A.NO .,. SIGNATURE ¥ OWNER □ CONTRACTOR ~ APPROVED BY DAT§/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS. COSTS ANO ,1-1,,,_ /_ :/-£ ..... / /, ,/Jlt EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ; BY PHONE 0 1-11!//; GRANTING OF THIS PERMIT. ' . ,, . ',
~
ii:
> :;;
0 o_
E
" f-
l
-0
0
(!)
-'.ti C
;!'l 1
o_ o_ .,
I
~
C a:
0 00 00 " "' 00 .,
I
~ 9--a; >-
ui 00 " 0 e a_
ro oi
0
~
" 0 C ro
C
u..
C " ~
(!)
0 u " o_
00 C
~
" ;;:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
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 SHOWER 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 ISSUEO
FIELD INSPECTION RECORD
REOUIRfO SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
-------------
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
---·-STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED -------
CONCRETE
------POST TENSIONED --
CONCRETE
FIELD WELDING
HIGH STRENGTH 1--------------------------·-----------
BOLTS r-----------· -------
SPECIAL MASONRY
PILES CAISSONS
-
--
------·-
------·
--------
------
'. ··-----------
----
--
--------------
TIME:__· ------REOUEST-19R ~~PECTION
INSPECTOR ~ ,~ PERMIT No. _ _..?_;/_-_"2..5_;-,_~_DATE:_~,,_i;-'-1/<_,.$""-"'---
OWNER _______________________________ _
ADDRESS ~ () 3 .::,-£Lr= 12d.
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
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
)efwATER HEATER
/ ~ FINAL
READY FOR INSPECTION: $,MONDA~
!i!A.M.
Cll:P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
□ PATIO
D SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
WEDNESDAY Ill THURSDAY tJ FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY....L,<;.....-,::'::iZ<~L....J,;..'--""·---~:t.."-"-:......:..c:....,:,-----'-, _____ PHONE NO. ~ ~
PERSON TAKING REPORT_1,..'1EF=,<..+......__ ___ _
··•·--·-··-------... ··--··-------------
PLUMBING PERMIT APPLICATION )f
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only Perm,! No
JO& AODR E$S
t11-----"---....,.,.. ~-..
LOT HO. I ILK I T•Ac T I
LE~AL I 1 ocsc•.
OWNER MAIL ADD~ [$5 --~
~, p
~ .... PHONE :ft-&., .
2 . .,....;:;-.,.., :'!'.. --~ ~-
CONTRACTOR MAil. ADORt.SS PHONC -~ -· LICENSE NO, STATE CITY
--,_ --'J.-3 v•.,·J&J -:-·--:..:= l At • ~ -l:l+>/Vt
ARC:HITtCT OR DESIGNER MAIL AODRE.55 PHONE LICENSE. NO.
4
ENGINEER MAIL ADDA tss PHONE l.lCtN.SE NO.
5
COMPENSATION fNS. CARRIER MAIL AODRE5S SIU.NCH -t~,nn --
--_ ..... ___
~qi itj.e:;u• -.t;:.i • ~ 6 --•·=,•· ... -• t.;t .I '-,., .. . ~ --~--;--"'
use o, 8UILOINC.
7
8 Class of work: □ NEW 0 ADDITION □ ALTERATION 0 REPAIR
c~-"'"-.,. __ ~ -q Describe work: --~
PERMIT FEES ,.~-.
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP.
' DISHWASHER
APPLICATION ACCEPTED ev Pi.ANS CHECKED BY APPIIOVEO FOIi iSSUANCE BY LAUNDRY TRAY .
~l .. CLOTHES WASHER ... ·-t .. -~ WATER HEATER ""' ...,
DATE
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR -SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-,SLOP SINK . ,. X -. ,. '6.;-;-_:c;-.---,... ;..., __ . ~
MENCED. ;/ GAS SYSTEMS: NO.OUTLETS I HE.REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP, ,.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER
1)Jt.,..~4 r.' Ofk~ CESSPOOL
P/ I/VS SEPTIC TANK & PIT
ROOF DRAINS
SIG,..ATUPU. o.~ CONTlltACTOlll Ollt Aun,;a~1z:1.o AGl.frr4T (DATE, ""' , ... ft
PERMIT $ ~· ~
TOTAL FEE $ • --SIGNATUJII[ Oll' OWN[JII: ,,, OWN[llt aotLOUt) DATt}
WHEN PROPERLY VALIOATEO (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR