HomeMy WebLinkAbout2237 PLAZUELA ST; ; 81-479; Permit"' z 0 : :5 0 w C
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D 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
full force and effect.
Lie No Closs
I hereby aftrrm tha1 I am exempt from the Con
~03?fB~~~:;:: ~: ~~~1:~~.1i~1tC~/:;;~,\~,
county which ,equi,es a perm,! to construct
aller, ,mpro~e, demohsh, or repa1r any structure,
proo, to rts ,ssuance also requires the appl,cant for
such perm,t to hie a s,gned statement that he ,s
licensed pursuant 10 the proy1s1ons of the Con
tractor's License Law (Chapter 9 commencing with
Section 70ClO of o,~1s,on 3 of the Busir,ess and Pro
fess,ons Code) or that <s exemp1 therefrom and the basis for the alleged exemption Any ~,olat,on of
Seclmn 7031 5 by an apphc.;,nt for a perm,t subiects ine appl>can110 a c1v,I penally ol no1 more than five
hundred dollars (15(X))
0 I, as owner o! the property, or my employees
,,..,th wages as the" sole compensa1,::in. w,11 do the
won<. and the structure 1s not m1enoed or offered tor
sale (Sec 704'. Busmess and Protess,ohs Code
The Contractor's L,cense Law does not apply to an
owner ot prope,iy who bu,lds or improves thereon
and who does such won\ homsell or through his own
employees. provided that such ,mprovements are
not mtende1 or offered for sale If. however the
bu1ld,ng or ,mprovement ,s sold w1th1n one year of
complet,on, the owner-bu,lder will have the burden
of provmg that he did not build or ,mprove for the
purpose of sale)
D I, as owner ot the property_ am exclusively
contractmg with 1,censed contractors to construe!
ttle pro1ect (sec 7044. Bus,ness and Pro!essmns
Code The Contractors License Law does not apply
to an owner of property who builds or improves
thereon, and who contracts for each pro1ects w,th a
contractorjs) license pursuant to the Contracto,·s
License Law)
0 I am e~emp1 under Sec
lor th,s reason
B & PC
□ I hereby a!hrm thal I ha-.-e a cert,t,cate of consen1
10 sell-msure. or a cer1'11ca1e of Workers
Compensatoon Insurance. or a cert,t,ed copy thereof
(5ec 3800. Labor Code)
'
PY ,s filed with th # D Cert,t,ed co e c,ty PY •s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be completed ,f the permit
,s !or one hundred dollars ($100) or less)
D I cert,ty tha1 m the pertormance of the won\ tor which !hos perm,t ,s ,ssued. I shall no1 employ any
person m any manner so as to become sub1ec1 to
?he Wori<.ers· Compensation Laws of Californ,a
NOTICE TO APPLICANT If. alter mak1n;i this Cen,
hcate ol Exempt.on you should become sub1ect t0
lhe Wori<.ers· Compensation prov,s,ons of 1he Labor
Code, you must forthw1th comply w,th such
prov,s,ons or 1h15 perm,! shall De deemed revoked
O I hereby alhrm that there ,s a coristruct•on
,end,n,;i ayency to, :he perlorfT1ance o• lhe wo<"l< tor
wh,ch tn,s perm,i ,s ,ssued 1Sec 3097 Ci.,I Code,
Lende• s Name ___________ _
lenders Address __________ _
USE BALL POINT PEN ONLY & PAE~S HARD APPLICANT -FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
JOB AOORESS
'2. '1. ">1
OWNEA·S NAME
~Ot-J
-------------------------CARLSBk-BUILDING DEPARTMENT A,-t'LICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438•5525
'f't..A-ZUE LA
~Pe,~t-J I
L/:>. G:>S1'A..
OWNEA•S PHONE
AV. ST. DATE OF APPLICATION BUSINESS LICENSE tt VALUATION
RO I -te-0( 2 94<:f I
PRIME CONTRACTON ZONE
~OND-StLT Co~STl4Sl-?'1::>I \
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ~-~, LICENSE NO. PLAN I.D. #
?A.ME. -,. A,. tpoq '?e>. C1o()(u,;.
L -,. DESIGNER
-_. f. C.A1-t-Ar\A N F~"" ' L , DESIGNER'S ADDRESS
~ d N.:;. -c 12-• .:; TA, rz.. v..t A'/ ~ e
O\~ L$'t'A\~VJ1~rov'1-\P r,ooR., '"
YC NO
F LR ELEV
GRADING ~ERMIT ISSUED
NO
STORIES
TYPE
CONST
'3>14i4-?_
STA.TE LICENSE# STANDARD PLAN#
~'t> \.;2.1 !!>
OE.SIGNE R'S PHONE
14e I -'? 4:, \_\_
OCC GP EDU
OCC LOAD FIRE SPA
PERMIT NUMBER
81-479
BLDG USE CODE
CeS. ADD,
BUILDING SQ. FOOTAGE
I C:?A $
crnsus TRAC, T G> CANO use I >AR KONG seACe RCS UN>TS I
YO ~ □ I
REDEVELOPMENT
AREA
,□ NO vO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EAOtBUILDING SEWER
1---l-~EA~CH~WATER HEATER AN0,DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
QTY.
;+---
MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER I
INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERM_I_T ____ _
OVER 100,000 BTU +----~-½-cS~IG~N-PERMIT
BOILERiC0MPRESS0R UP TO 3 HP PLAN CHECK f.i•ll •1'rfil
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
4-4.55'
-1-430 1
~-ta
EACH GAS SYSTEM 5 0 R MORE I--·
1_·_--.
--L--
---+-
---------
MET AL FIREPLACE ELECTRICAL -----+--L,_{2_Q -
I EACH INSTA\ ALTER REPAIR WATER PIPE j . ~ VENT FAN SINGLE DUCT MECHANICAL --------------
EACH VACUUM BREAKER . MECH EXHAUST -H00D·'DUCTS MOBILEHOME
r-~R S0FTNER --· ---+---. --~ __ RELOCATION OF EA FURNACE/HEATER --+----~--.. M□BILEH0ME PARK INSP
SOLAR
t=-1-~ACH RO~: __9_R~I~ i!'IISIOE1
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE
! NEW CONST EA AMP-'SWT tlKR
1 PH 3 PH
EXIST BLOG EA AMP.1SWT:BKR
1 PH 3 PH
------t----TOT.4.L MECHANICAL
COLLECTORS
STORAGE TANKS
~0NGM_0_T_I0_N ____________ +--
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
--+---___ .. H SCHOOL :EE -DISTRICT
Carlsbad
] i~-+m, -SOLAR· ISSUE
-----_______ __, _____ .,,__
ROCK STORAGE
. PUMP
Encinitas
San 01egu1to
----
---;Jil)=
----·
---
---
-L REM0OEL:ALTER PER CIRCUIT -----
TEMP POLE 1---+--200 AMPS
OVER 200 AMPS
5' 0 at EAN CHECK FEE
----+-------,1---.
··--+-
--+ ~~an Marco_s_ f'/leVicvs aA;N CJM!L PN o-t( -44:, s2)
--+------<I--• >---TEMP OCCUPANCY 130 DAYS)
. --JI--.-+--·---.
' --<1---· --
TOTAL ELECTRICAL -+--
·1,00
+---------------
TOT Al SOLAR
---+ ..
TOTAL FEES PAYABLE l 8{;,,oo
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT'" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
Expiration. Every permit issued by the Building Official undeJ"the provisions of this * AN. OSHA PERMIT IS REQUIRED FOR OlCAVAllONS OYER
Code shall expire by lim11at1on and become null and void If the butlding or work 5· Q" DEEP ANO DEMOUT10N OR CONS UCTION Of'
auth~12ed by such P!1'"':'il is not comme~ within 180 days fro"! the date of such STFIUCTURtS OYER 3 STORtES IN H permit. or 1f the bUtld1ng or work authorized by such permit 1a suspended or
ISSUED: TO COMPLY WITH ALL CITY, COUNT" ANO STATE LAWS GOVERNING BUILDING CON• ab ned" at an lime after the work 1s commenced for a ri Of 180 a .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND PP A.NT'S SIG AE~WNER D APPROVED BY ult ~ I
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN 14 ,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT C-1 BY PHONE O , .i"II .... ~ ,.f \
GRANTING OF THIS PERMIT. ~"' ·r
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INSPECTION TYPE DATE INSPECTOR
BUILDING
Ff>UNDATION '-.. /I
REINFORCED STEEL ......... 14-IJJ-Y/ .µ
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME /-1~.9'3. "{
EXTERIOR LATH lNSULATION ' I
INTERIOR LATH & DRYWALL '\ /-,o-04 ,.,
PLUMBING I
SEWER AND BL/CO ,.
PLUMBING UNDERGROUND '"•/l·l'I ,J/
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC 1-1,.en. A/ .
ELECTRIC SERVICE
BONDING I
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING '
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL A-PPROPRIATE_
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING " ELECTRICAL "\. " MECHANICAL ' ---.. UTJ,.
GAS '--.
BUILDING .
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
I
I
i '
;:;1-'-17'1
-
FIELD INSPECTION RECORD
REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS DATE -n-ll"'-~NC.U:lDES PW:--jRooF-~ToP CHECKED APPROVAL PE:A-1\1-r ~
SOILS COMPLIANCE 1,.....c:: f~I.A \I.,'< ~t-11 ,._1:1or'C\al-4, PRIOR TO
FOUNDATION INSP .. STRUCTURAL CONCRETE /'J.A -, _EA,4,N'I£ ~k ~ l.V~f/L.. /-L~-o, .II/ OVER 2000 PSI .
PRES TRESSED I I
CONCRETE ------POST TENSIONED
CONCRETE /.,(,,!,(/~. IIK L-1:f·BZ.
FIELD WELDING
-· .............--------
6K.. _L-I.;. -8 1.-"-f HIGH STRENGTH
~.f~ R4Alt£~ ~~~_µ..«-BOLTS --
SPECIAL MASONRY ' ..
--~-
PILES CAISSON'.:
. --
--
----
"-------
-----
. , . . . . .. -. . --------·---. i .... -.... --
' . . ---·
--
-., ---..
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT r•---=:-=-=c.=__.;._;::__;::::_=c-'-===.:.:..=. DATE :--L..l IL-·_.:.t ....... 9_·8>-=---L __
BUILDING ADDRESS:
PLANNING DEPARTMENT
Z ONE ___ ___..f_-----=~'-----L OT SI Z E. _________ LO T WI DTH _________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
-+-,Ai-+-,.~---PROVIDED____,fi.--++'-,1c..-,:;_--L __
___ D-----4(,-. _______ PROVIDED D_
__________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK :
ALLOWED ¥--::
PROVIDED ___ Q1-->-~i===----
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: _._N~\~B------------------------
ENGINEERING DEPARTMENT
R.O.W . ______ INDUSTRIAL WAS TE _______ IMPROVEMENTS _______ _
SEWER CONNECTION
GRADING PERMIT
________ DRIVEWAY LOCATION S ____________ _
_______ EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________ FIRE PROTECT I ON EQUI P . _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: -~~ ___ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
if--419