HomeMy WebLinkAbout2884 SANFORD LN; ; 83-135-30; Permitfl) z 0 ;: C a: C -' 0 ..,
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O I hereby affirm that I am licensed under
provl9lona of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business
and Profeaalona Code, and my license Is In
~~1 ~~•c•to/1f~ 6c1m B=---=1 __
1 hereby athrm lhal I am eKempt trom the Contrac·
tor's License Law for the following reason (Sec. 7031.5 Business and Professt0ns Code. Any c,ty or county which re· quires a permit to construct, alter. ,mprO'lle, demohsh, OI' repair any structure. prior to its issuance also requires !heap-
phcant tor such permit to tile a s.gned statement that he is hcensed pursuan1 to the provisions of the ContractOf·s
License Law (Chapter 9 commencing with SectlOn 7000 al 0Jv1s1on 3 ot the Business amt Professions COde} or that 1s ex·
empt therefrom and the basis for the allegeo exempt10n Any vielation of Settion 7031.5 by an appltcant tor a permit sub-
jects the app!Kant to a crvil penalty ol not more than frve hun-dred dollars ($500)
O t, as owner o1 the p<operty, or my employees with wages as their so'9 compensation, will do !he work, and the struc·
ture is not intended °' offered lor sale (Sec. 7044, Business
and Professions Code: The Contrac1or's license Law does
not appty ro an owner ol property who builds or improves
thereon and who does such work himself or lhrough his own employees. provided Iha! such improvements are not intend· ed or offered tor sale. If. however, the buUding or improve·
ment is sofd within one year of completion, the owner·builder will have the burden ol proving that he did not buUd or im·
prove tor the purpose ot sale).
D I, as owner o1 the property, am exclusivety contracling
with Hcensed contractors to construct the project (Sec. 7<M4, Business and Professions Code: The Contractor·s Ucense
Law does not apply to an owner of praperty who builds oc 1m• proves !hereon. and who contracts tor each projects with a contractor(s) license pursuant to the Con!raclor's License Law).
D As a hOmeOWner I am improving my home. and the follow·
ing condit10ns exist: L The work is being performed prior to sale. 2. I have lived in my home tor twetile months
prior to completion ol lhls -k. 3. I have not claimed this 1nemp1ion during the last three years.
D I am exempt under Sec. ______ , B & P.C.
tor this reason -------------
□ I hereby afhrm thal Ina~ a cen,hcate ol consent
to self-insure. or a cen1t1cate ol Workers
Compensation Insurance. or a certified copy !hereof
(Sec 3800. LabO< Code) I
I POLICY NO
COMPANY
KWP 265 92 50,
Firemen's Fund'
□ Copy IS hied with the city
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need not be compleled 11 the permit
1s tOJ one: hundred dotla<s (S l()()J Of 1ess1
O I cen1fy 1ha1 In the perlormance ol the work lor
which lh1s permit 1s issued. I shall no1 employ any
person in any manner so as to t>ecome subIec1 to
the Woni.ers· Compensa1ton U ws ot California
NOTICE TO APPLICANT If. atter makinJ !h,s Gen.
licate of Exemption. yoo shOuld t>ecome subIec1 I'> lhe Woni.ers· Compen:wt1on prov1sIons of lhe LabOr
Code. you must forthwith comply with such provIsIons or 1n1s permI1 shall be ~med revoke<l
0 I hereby affirm th.al mere ,s a conslruchon
lending agency lor the perlormance ol lhe woni. tor
wt'IICh lh•s permtl tS ,ssved tSec XIJ7 C1v1I CooeI
LondersName Union ga,gk
Lender's Add•••• 5 2 5 B .St
Sd CA 92101
USE BALL POINT PEN ONLY & PRESS HARD II APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST. RO. NEAREST CROSS ST. IOATE OF APl'LICATIONI 8USINESS LICENSE # VALUATION PERMIT NUMBER
2884 Sanford Lane 12/16./83 1710 [;3093 31)
LOT BLOCK I SUBOIVlSION ,J ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE 'if 3-1 s>--... ,.. ,...,,..,, ____ ;11.,. f"''T' A? .1t Pacific Scene, Inc 292-5100
O'v'7NE R·S NAME I OWNER'S PHONE
CONTRACTOR'S ADDRESS LICENSE HO. PLAN 1.0. # BLOG USE CODE
m--,..,+-~--TT~1;..,;t-,::,n ?Q9 5100 3900 Harney St/SD CA 272686
OWNER'S MA1L 1N't ADOAESS --
DESIGNER Chrisman/-Architect C g'~~-STANDARD PLAN # BUILDING SO. FOOTAGE
~QOO J.f;:,,rnAv !=:+-rAot San Dieao. CA 92110 L.O. l>-3. '7
DESCRIPTION OF WORK -
-J.; duo lex with lot line 1~14'"'ld-3oOu DESIGNER'S ADOUS&
; P,~[S-~D~e~
DESIGNER'S PHONE
Plan 3B 9939 Hibert b 695-3~ 30
:!.~37 sq ft--l-iv-ing -5.9-.-5.-storage __ --~ -F/P FLA ELEV. NO OCC GP EDU
STORIES R-'S I vO NO 2. ---
CENSUS TRACT I GP LANO USE I PARKINc?CE I RES U~ITS I GRADING PERMIT ISSUED I REDEVELOPMENT ~;;;r;; OCC LOAD FIRE SPA -~. :c,n -AREA ,~ 1,32'"'
YO N □ vO ~ vO ~ Nor Valid Unlt!ss ~chine Cerrifi«I .,
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ri. ,c INSTALL FURN. DUCTS lJP TD 100.000 BTU LJ. . --BUILDING PERMIT 01·00·00·8220 -4? '5 -
EACH BUILDING SEWER ~ ci OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
EACH WATER HEATER AND/OR VENT t. . .7 ' BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 '1 JI . .2. .;-
EACH GAS SYSTEM 1 TO 4 OUTLETS ., .," BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00·8222 LJ.Cf -
EACH GAS SYSTEM 5 OR MORE 1.s~ METAL FIREPLACE -z,. -ELECTRICAL 01·00-00-8223 -zo -
EACH INSTAl .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT 4.. -MECHANICAL 01·00·00·8224 ll.f -
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) JLf . -SOLAR 01·00·00·0000
TOT J.L MECHANICAL STRONG MOTION 80·92·33-0519 'f,. 'i,Z
TOT AL PLUMBING I L..f9 . -FIRE SPRINi<LERS 01 ·00·00·8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 J"2b2..-
QTY. ELECTRICAL PERMIT -ISSUE .'-J -BRIDGE FEE
N_EW CONST EA AMP/SWT1BKR 100 '1-.r;--COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22·0519
l PH 3 PH PUMP ,,/' San Oieguito 80·92· 23·0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE / • San Marcos 80·92·24·0519
TEMP PO LE 200 AMPS / /l -.~ I /
OVER 200 AMPS / to VJlP' -'6 , / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI I -c,1 ./ -
I ...,, ./ CREDIT DEPOSIT /'. f< 1 l__ lo Ot>!:tt L?-t'3,Sf57
TOTAL ELECTRICAL I ~OTAL SOLAR/ ' 30_-TOTAL FEES PAYABLE ? I t.s2.,. oq
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"' ANO DO HEREBY Exp,l'lttioll. &.y perfflil ...... li,Wlf~undtlrtlle.,,_ofthta * AN ~AEOUIAEDFOAEXCAYATIONSOVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 9hall expire by ~ llld'bee&IIIJ · =:·•-building or wofll ~• O" Dl(EP ANO MOUTlOH 0111 CONSTRUCTION Of authorized by IUCh .,._ le not CG■ _....,... dllpfrom the dateol such
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perffllt. or ,t Ille builcli:x.,« WOl1I • _,·.,;,,. ..,..,It ,a -,Cled or STIIUCl\JRES ER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON·
.,.,.______ ... ' . . ,~-..... =.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPL•CAHzTLR ~/A .. ~o CONTRACTOR 0 APPROVED B~~ lrr~A~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 9'f PHONE 0 GRANTING OF THIS PERMIT 'AA '.".!:::' .. ~--~-. .I ..... :---~ w
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TYPE I . DATE INSPECTOR I
BUILDING I
FOUNDATION I /,4-.Af l&f-
REINFORCED STEEL I \J
I
MASONRY I
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF l)J SHEAR1 11""U ·~ ~ 11
FRAME ''l?'Vl-91" ?J ,1 , P,. "-EXTERIOR LA TH l 1~•1.1.-~ l :)
_J
INSULATION I ?,,J5.B4-r. -
INTERIOR LATH & DRYWALL I ~11,~4 ft, ~
I
PLUMBING I
SEWER AND BUCO DIPUCO ' I
UNDERGROUND ~WASTE D WATER l,~,Af (& I-
TOP OUT D WASTE D WATER 1~.1.M It!~
TUB AND SHOWER PAN l \
GAS TEST I ~:i~M l&l-
D WATER HEATER D SOLAR WATER Vt
' I
ELECTRICAL I •
D ELECTRIC UNDERGROUND □,UFFER
ROUGH ELECTRIC ' ~·1,811 (Jf-, I
D ELECTRIC SERVICE D TEMPORARY Ii'!
D BONDING D POOL I
' I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING ~.1,&f ' f,J/...
HEAT -AIR COND. SYSTEMS I VJ
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ /T_E_M_S_ABQVE I-IA.V,E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
•· SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
' FIELD WELDING I ,, ..
HIGH STRENGTH ' ' -.', ~ -.. BOLTS -·--·
SPECIAL MASONRY I ,r
I . .. ~. ' ' --,
PILES CAISSONS .
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