HomeMy WebLinkAbout2202 RECODO CT; ; 82-29; PermitI
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~ D fflrm that I am licensed under
Iona of Chapter 9 (commencing with
,ectlon 7000) of Division 3 of the Business
1nd Professions Code, and my license Is In
'ull force and effect.
.IC No -----Class
I hereby affirm that I am exempt from the COn-Yoo~'!!•~~!~:::~ ~f~~l~~~~~j\~
county which requires a permit to construct
alter, improve, demolish, or repair any s1ructure,
prior to its issuance also requires the applicant for
such penn,t to hie a signed statement that he 1s licensed pursl.Wlt to the provisions of the Con•
tractor's License Uw (Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-
fessK>ns Codel or that ,s exempt therefrom and the
basis for the alleged exemptk>n. Any violation of
Section 7031.5 by an applicant tor a pem,it subjects tne applicant to a c,..,il penalty of not more than five hundred dollar$ ($500).
D I. as owner of the property, or my employees
._.1th wages as their sole compensation, w,11 do the work. and the structure is not intended or offered for
sale (Sec. l()IM, Business and Professions Code.
The Contractor's License Law does not apply to an owner of Pfopert'y who builds or improves thereon
and who does such w()O( himself or through his own employees. provided tha1 such 1mprovemeilts are
not intende1 Of offered tor sale. It, however, the
building or improvement 1s sold w1th1n one year of
completion, the owner-builder will have the burden
of proving that he dtd not build or improve tor the
purpose of sale).
□ I, as owner of the pr()perty, am exclusively
contr.::tin; with licensed contr~tors to construct
the pro1ect (Sec. 70.U, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or ,mproves ~~~i~ 7.~nc~~~!~~~ ~~~h:r~~~;:~~-=
license Law).
O I am exempt under Sec ____ , B. & P.C
104' th,s reason
□ 1 hereby atftrm tt\al I have a cert1hcale ol consent
to self-insure. or a cert1hca1e of Workers·
Compensauon Insurance, or a certified copy thereof !Sec. 3800. Labo< Code).
POLICY NO ------
COMPANY
Q Copy 1$ hied with the city
□ Cert11ted ccpy ,s hereby furnished
CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit
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Ill a:: "' "' a:
~ ,s for ~undred dollars ($100) or tess) ;~I :f ·~ .., __ . ., ·~ -b > s pemu ,s issued, I shall nol employ any 0 J t any nner so as to become subJect lo
rs· pensa.11on ws of Cahforn,a
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0 P I after makm~ this Certt•
hcate of Ex •Of OtJkj become subJecl ,., lheWC)ft(e . n on prov1s,ons of the Labor
Code. X V m f hwtlh mply with such
prov1s1 e,,6r ,, s deemed re...-oked
-.
0 I hereby affirm that mere •s a construct1on
lending agency tor the performance ot the wortc. to, wtuch th,s perm,1 1s issued (Sec 3097. C1V1I Code)
Lender's Name
Lender's Address
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USE BALL POINT PEN ONLY & PRESS HARD
CARLSBA~ )UILDING DEPARTMENT ----------~i1-~~;~~~ & PERMIT
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB A00RESS
A~i.T•102?9ppr;;:N1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
220?. Rt! obo CO\..\~ C ~RLS\.3.A\") )._lf f 9/ 5C/8D BZ-Z9 OWNER"S NAME I 4 g-7:e;:;c_:74-PRIME CONTRACTOR I CONTRACTORS PHONE I ZONE
l)('}-.._ \~ L_\') S:\ '\4 R. ~-&F-P~ N ;:::-l < ON 99-2-3 22''6'
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS I LICENSE NO. PLAN 1.0 . # BLOG use CODE
\ l.,:,o 51.~fv\f\.~TT\ t-JCC\ T RiwA"I qzoiLf 1&>/f' (3,~<H~~ ~ct '"'>0('":,J FeS, ADD. r r?l>,-CC C'
LO;-,! BLOCK I ~~;_5ryN I A£Si°l P~CEU~,;). -0~ DESIGNER ' STATE LICENSE# STANDAR-•:'.. ~fflcj ) ~LOING SQ. FOOTA~E
IC $(JM.~ 3~.0720 00019613 • 1n~"1,Qtf J • uC
DESCRIPTIO~,OF WOR~ ._ ~~ -' . -Atv\. ~ \)(°')\'"i')f'\,1'.
. ··•-' ··-. A.Ml
I "<-' -/ -'-,I,_ I 1 1'-'\ \ L i ,~,, DESIGNER'S ADDRESS DESIGNER'S PHONE -l \ I ~
-------F/P FLRELEV. NO OCC GP EDU STORIES
vO NO
CENSUS TRACT l GP LAND use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDE VELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unless Machine 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 01-oon.4220 V') {;,. r.-y·) ---EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER ANO /DA VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01 ·000-4806 '7,/,,,, ., r;
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ., -. -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223 -, nn ...
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000-4226
TOTl<L MECHANICAL STRONG MOTION 65-640-0519 ~ J:,i/'J
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TOTAL PLUMBING FIRE SPRINKLERS 01 ·000-4227
PUBLIC FACILITIES FEE 25-000-4933 ,z,,oo QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas 65-624-0519
l PH 3 PH PUMP San Dieguito 65-625-0519
I REMODE UAL TE R PEA CIRCUIT r;;..;,or, PLAN CHECK FEE San Marcos 65-626-0519
J-TEMP POLE 200 AMPS ' .,
0V EA 200 AMPS Pl.lf.Ir~.f'if:Z.-~ _c..(-1-17~ I vrL I ""7½ ,
TEMP OCCUPANCY (30 DAYSI \ /
TOTAL ELECTRICAL..----I 7 IO() TOTAL SOLAR ~ TOTAL FEES PAYABLE I 4R,4o
I HAVE CAREFULLY EXAMINED"THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Eve,t permit tuued by tang Official under the P,OVIIIOftS o( this * AN OSHA P£AMIT IS AEQUll'IED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~•11 e1tptretby limit~t•on and null and void II the budding or worlt · 5" O" DEEP ANO OEMOUTt0N OR CONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS autt,onzed by such permit•• not E,,.,, . wolhtn 180 days from the date of such STIIUC1\IAES OVER 3 STORIES IN HEIGHT PJ1fm1t. or ,t the bulldl::X.Yt WI! aut ized by such permit 11 1uspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-_-bendoMd at anv tome a the, ork • co;;;~~ tor a oeriod of 1M "•u• ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~ , .f_ CONTRACTO~ 11::::;Jt KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND PPLICANT S;SIGNATUAE • OWNER□ DATE
(Z-17-8Z EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / /
GRANTING OF THIS PERMIT /' 1:J..A , g . .._ BY PHONE 0 -,,
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INSPECTION TYPE ... _. --··-·· ... -DATE --.. -INSPECTOR ···-· --. -·.
BUILDING I
FOUNDATION " REINFORCED STEEL " 3-4-fll. y'
MASONRY '
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I I
SHEATHING I '
FRAME j \
EXTERIOR LATH lNSULATION I
I
INTERIOR LATH & DRYWALL I
' PLUMBING I .
SEWER AND BL/CO I
PLUMBING UNDERGROUND
,
I
PLUMBING TOP OUT I
TUB AND ~HOWER PAN I
GAS TEST \
I
ELECTRICAL I
TEMPORARY POWER .
I
ELECTRIC UNDERGROUND I
I
ROUGH ELECTRIC '
ELECTRIC SERVICE I
BONDING A. I I
G. F. I. -SMOKE DETECTOR I
I
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN·, APPROVED.
JOB SITE FINAL ' ., I , c.._ ' I I
PLUMBING "'-I -
ELECTRICAL "'-I . ---=, '
MECHANICAL " _,.,y '•
GAS " 4-~g -5,1,,-~-
BUILDING "--
SPECIAL CONDITIONS
CERT OF ocr· '?ANCY ISSUED 'l
' '
FIELD INSPECTION RECORD ,,
REQUIRED SPECIAL INSPECTIONS \
INSPECTION REQ IF INSPECTOR'S
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 '··
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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INTERDEPARTMENTAL INFORMA TION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE: 1 ECEIVED
FEB O 9 1982
CITY OE CARLSBAD Bulldlr1g Ooportme.nt
ZONE __ f,__+fYl---'-.__ ____ LOT SIZE _________ LOT WIDTH ________ _
UhITS ALLOWED UNITS PROVIDED ------------------------I
PA~KING SPACES REQUIRED ,;:2 PROVIDED __ ~----------
% COVERAGE ALLOWED ____ -<j..J.._~6_)7!-L-;o=-____ PROVIDED --~e~~{(+'L------
BUILDING HEIGHT ALLOWED 3S I PROVIDED -----"'____: ____ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -/--
PROVIDED=====~=:rc:=== 0~
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: 7:15, DATE ~(t..:'.l._oK TO FINAL _______ DATE ___ _
ENGINEERING
·R.O .W. ------WASTE IMPROVEMENTS ---------------
SEWER CONNECTION DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT -----~--EASEMENTS _________ DRAINAGE ____ _
LEGAL DES CRIP T ION __ ~,,,..cZ;i:""""'-"---~/......::0~+-1------4-7........:::...J_--+-z-------------
ADDITIONAL COMMENTS __________________________ _
I~ ~• r;
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP . ______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _