HomeMy WebLinkAbout2286 PLAZUELA ST; ; 85-296; Permit4ri[
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~t hereby alf!rm that I am !lcensed under
provisions of Chapter 9 (commen::ing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full forfr, and effect. ~
L,L No 'it;,\, l\ "2. "'3 \la1s V
I hereby af!mn tha1 I am exempt from the Con ~~~~r~~~~:;:: ~:; ~~,~~,~~~c:;:t·~;;J;ei,
county wh,ch requires a permit to construct alter, improve, oemohsh, or repair any struclure,
prior to ,ts issuance also requires the applicant for
such pem,,t lo hie a signed statement that he ,s
lfcensed pursuant to the prov,s,ons of lhe Con
tractors License Law (CflaJ}ter 9 commencing with
section 70ClO o! D1Y1s1on 3 of !he Busmess and Pro-tess1ons Code) or thal ,s exempt therefrom and the
bas•\> tor the all~ exemption Any v,olat,oo of
Section 7031 5 by ;m .appl1can! for a permit subJecls tne appllc.r,n1 lo a civil penalty ot no1 mOfe than t,ve hundred dollars ($50())
O I, as owner o! the property, or my emplo~s
,...,!h wages as their sole compensakm, will do the woMI, and the struc!ure 1s not intended or oflered fOf sale (Sec 7044. &lsiness and Profess1oris Code
The Con!rac!or's license Law does no1 ,wply to an owner of property who builds or improves !he-reon and who does such woM\ himself Of through his own employees, provided that such ,mprm"efflflc,ts are
not ,ntende1 or offered lor sale. 11, however. the building or improvement 1s sold within ooe year of
completion, the owner-builder wilt have !he burden o! proving th.II he did not bu,ld or improve fo, the purpose of sale)
D I. as owner of the property. am exclusively contracting with licensed conl1actors to construct
the proJect (Sec 7044. Business and Professions Code The Contractor"s License Law does nol ~ly
10 an owner ol property who builds or improves thereon. and who contracts for each pro1ects with a coo!ractor(s) llcense pursuant to 1he Contr...-.:tor's
License Lawl
□ I am exempt under Sec
tor this reason
. B & PC
0 I hereby affirm that I ha.-e a cert1l1cate of consent to self-insure. or a cert,f1ca1e ol Workers
Compensatmn Insurance, or a cert1hed copy thereof
(Sec 3800. Labor Code)
POUCYNolf'..B i555q_0_7_
COMPAN,f(V j)IJ$Ti2-t A~ ':rN 1:>f::kNl
fl{ Copy IS 1'1ed with the city
D Gert1f1ed copy ,s hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s section need not be comp!e1ed ,1 the perm,t rs tor one hundred COiiars ($1Cl0) or less)
0 I cert1ty that in the performance of !he worl<. tor which this perrrnt ,s issued. I shall not employ any
person ,n any manner so as to become sub1ect 10 1he Worl<.ers· Compensation Laws ot Calllorrna
NOTICE TO APPLICANT 11, a!!er makm;i this Gert,
locale of Exemption. you should become sub1ec1 10
the Worl<.ers· Compensation provisions ol the Labo1 Code, you must lorthw,th comply with such
provisions or !his perm,! shall be deemed revoked
D I hereby affirm that there is a cons!1uc!1on 1endmg agency lo, the per1ormance of the work tor
which th1s perm,! •s ,ssued (Sec 3097 C,v,I Godel
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLV & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN StjADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Lti rt 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE# VAL AT!ON PERMIT NUMBER
~ :i. "64> fLA 21...1E1...f\ ST', RO. 4-1-i.S-l704$' /, (/ t7 /I -;d5' / V
OWNER0S NAME Ii s i~N~:;::iN~ PRIME CONTRACTOR CONTRACTORS PHONE 11 ZONE l:t'.;2 9~ M\~E: ~\:,. -z-u--ro .f\-12.f_ +\-'E: (2-:t r-J 1) U S."T /Ll ES '4 'g ll\-0 IO'-/
OWNER'S MAILING ADORES~ CONTRACTOR'S ADDRESS ESe.Of,,J u,1)Q LICENSE NO. PLAN 1.0. # BLDG USE COOE
'SF>ttv\f: It..\ :l s. -it At....E:° eA y(..fo 4 2.3
LOT I et_;~cK I SUBOlVISlON f ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK b.c <:: Cl .12-'J:: rJ ST A. • t h. "T' I O tJ DESIGNER'S ADDRESS DESIGNER'S PHONE
.
'" FLR ELEV NO OCC GP EDU ·-STORIES
YO NO --
CENSUS TRACT 1 GP LANO USE I PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND vD NO vO NO Not Valid Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT __ r --··
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3.15 HP TOTAL PLUMBING ---------------. ----
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
·--------------1---·--·-· ----
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL ------
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
---------------
WATER SO FTNE R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
----·----7. \-cc-, EACH ROOF DRAIN (INSIDE) SOLAR
TOT/iL MECHANICAL STRONG MOTION
----__J_ e
TOTAL PLUMBING FIRE SPRINKLERS .. ,_---
~TY.
PUBLIC FACILITIES FEE
ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE B_BJDGE FEE
·-
NEW CONST EA AMPISWT 1BKR COLLECTORS __.-;" SCHOOL FEE· DISTRICT -. ·----
!PH 3 PH STORAGE TANKS --Carlsbad ---
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE ./ Encinitas
. -------------· -----·-. ·-
1 PH 3 PH PUMP ./ San q1.egu1to ---· ··-· ----------
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ./ San Marcos
... -· -------·----·--·-----
TEMP POLE 200 AMPS / ---. --·-· --------~---
OVER 200 AMPS -I--------· ----
TEMP OCCUPANCY 130 OAYSf --. ------------·---·
-------l ··------~---
TOTAL ELECTRICAL TOTAL SOLAR I 5, g:;l.--TOTAL FEES PAYABLE I ~ C-0 I';:.,--
I HAVE CAREruU:. )' EXAMINED THE COMPLETED "APPLICATION AND PERMtr' AND DO HEREBY E,ipiration. ~ penmt issued by the Building Otticiaf under theprovisionsof' this * AN OSHA PERMIT 1$ RE0U1AEO FOR EXCAVATIONS OYEA
CERTIFY UNOER,PENALTY OF PERJURY THAT ALL JNFOAMATION HEREON INCLUDING THE Code sh8fl expire by Hmitation and become null and void. If the building or '#Ork 5' 0" DEEP ANO 0EMOUTION OR CONSTRUCT10N OF
~RATIONS ARE iAUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT tS •utholized by such pemilt is not commenced withm 180 days from the date of aucti ~ OVER 3 STORIES IN HEIGHT permit. or "ii\'-~ work authoriled by such permit is-~~ or ~ED: TO COMPLY WITH At.-L CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-time the work is commenced for a -nOd of 1 . Si'AiJCTk>N,:WH-ETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INOEMNtFY AND
A~'JWJGNAT~ J~ OWNER□ CONTRACTOR ff APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE .s BY PHONE 0 />/ I t/-1·-✓ ~ -GRANTING OF THIS PERMIT.
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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 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 l -
PLUMBING \.' '--' I
ELECTRICAL . -\
MECHANICAL ,, "'"-
GAS ' --, .....
BUILDING ., "-"-"-~'-
SPECIAL CONDITIONS '" ........
CERT OF OCCUPANCY ISSUED ' .......
ss-~~,1o
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 CAISSON~~
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