HomeMy WebLinkAbout2878 SANFORD LN; ; 83-135-28; Permit"' z 0 .:: <I[ a:
<I[ _, u w C
g[ : ~ z
0 u
a: w C _,
5 I w z ~
z 0 .:: ~ z w Cl. ~ 0 u
"' ir w ,<: a: 0 3
1[
. ,
O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full for~4-of.fJICI. B-l
Lie No .,L.'-'-'= L.t>,,_•=l:50,<.__ Clm ~~---
I hereby affirm lha1 I 1tTI exempl lrom the COntrac-
101·s License Law lor !he lollowmg reason (Sec 7031 5 Business and Professions Gode Any city or county whtth re-
quires a permit 10 construct. alter, improve. demohsh, or
repair any structure. pnor to its issuance also requues !heap-
phcant tor such pemut to tile a signed statement thal he 1s
hcensed pu<suant lo lhe provisions o1 lhe contrac1or s License Law (Chapter 9 commencing w,lh Section 7000 of 01v,st0n 3 of the Busrness and Protessions COdeJ or that 1s ex-
empt therefrom and the basis toe the atlegea exemption Any
viola110n of Sec1ion 7031.~ by an apphcant for a perm11 sub· jects the apphcant to a ctvil penalty of not more rhan five hun-dred dollars ($500)
O I, as owner of the-propeny. or my employees wnh wages
as lhe1r so1e compensallon will do lhe wOfk. and the struc-ture ls not intended or offered for sale (Sec. 7044. Business
and Professions Code The Contractor's license law does
not apply lo an owner of property who builds or improves thereon and who does such work himself or through his own
employees, provided that such improvements are not intend-ed or offered 1or sale II. however. the building or Improve-
ment is sold within one year of completion, the owner-bwlder will have the burden of proving !hat he did not buiki or im-
prove 10! lhe purpose of sale).
D I, as owner ol the propeny, am exclusivtMy contracting with Hcensed contractors to construct the pro,ect (Sec. 7044. BuStness and Professions Code: The Contractor's license Law does not apply to an owner of property who bu1kis or Im•
proves thereon. a.nd who conlracts fOf each projects with a contractor(s) license pursuant to the ContractOf's license Law).
D As a homeowner I am improving lf'f/ home, and the tollow-ing conditions exist:
1. The work is being performed pnor to sale. 2. I ha Vi! lived in my home for twetve months
prK>r to completion ol lhis work. 3. I have not claimed this exemphOn during the last three years.
D I am exempl under Sec. ______ • 8 & P.C. tor this reason ____________ _
□ I hereby affirm 1nat I ha..-e a cer11f1ca1e ol consent
to self insure, o, a cer11flcate ot Workers·
Compensa.hon lnsur¥1ce. Of a cer11f1ed copy lhereol
(Sec 3800. Labor Code)
POUCYNOKWP 265 92 50
coMPANY Firrren' s Fund
0 Copy IS hied Vfllllh the City
0 Cer11hed copy 1s hereby furnished
CEATIFICATl OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This section need not be compleled 11 !he perm11
,s tor one hundred dollars ($1001 Of less)
0 I certify that in the pertormance of 1he wonc tor which this pem,11 1s issued. I st\atl not employ any
person m any manne, so as 10 t>ecome sub1ec1 to
the Workers· CompensattOfl Laws ot Cahlorn•a
NOTICE TO APPLICANT If after makin1 1n1s Cer11
1tcate of Exemption. you snould become subJecl t'J the. Wof'lil.ers· Compensation prov1s,ons ol the LabOr
COde. you must lorthw,tti comply with such
provisions or this perm11 shaJI be deemed revoked
0 1 riereDy affirm 1ha1 there 1s a construc11on
1enC•~ agency tor 1he per1ormance ol the work lor
which ltus permit ,s issued tSec 3097 C1v1t COde1
Lenoer s Name Union Bank
tenoe,s A<l<lres!:i 2 5 11 B II Street
San Diego; CA
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 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST AD, NEAREST CROSS ST.
r~;;~;;;;ATION1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2878 S anf o r d Lane PLAN 1B 1710 ~9 ::;}. l.t-, 7 ~3-l~-g,i L28 BLOCK lca~~~a HilJ.;SSESSOR PAACEttf 82-8 CONTRACTOR CONTRACTORS PHONE • ZONE I
OWNfR·s NAME I 299 ;~~e;·s PHONE
PACIFIC SCENE, nc. 299-5100
•1-~~-.. ~1 , ... 5 UNI IMI'IED
CONTRACTOR'S ADDRESS LICENSE NO PLAN LO.# BLDG use CODE
OWNE R·s MA, LING AODRESS 3900 Harnev S treet . S.D . CA 272686
3900 Harnev Street San D i ego, 92110 DESIGNER LICENSE" STANDARD PLAN# BUILDING 50. FOOT AGE
CA 9CSO DESCRIPTION OF WORK L.O. Chrisman/Architect C-9239
½ dunlex with l ot line DESIGNER'S AOORESS DESIGNER'S PHONE
_PLAN lB 1 ,, , <-t, ~ d"'~nou 9939 Hibert Street /S .D. 695-3830
~ F/P FLA ELEV. NO iz::3 EDU
a c:n r hdnr 57.5 s-t-or1r= vO NO
ST1RIES l
CENSUS TRACT G P L ANO USE PAAZPACE I RES r TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA VN YO ND v0 Nr:j._ vO ~ Not Valid Unless Machine Certifi«J
t t:, c;, • ,, .., ,-.J '
QTY. PLUMBING PERMIT • ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE 3 _ct) SUMMARY/ACCOUNT NUMBER ,r EACH FIXTURE TRAP ~r.;;;;.,_ { l INSTALL FURN. DUCTS UP TD 100,000 BTU U.. ( l BUILDING PERMIT 01·00·00-8220 :::::) -l.,'i< .Ct)
\ EACH BUILDING SEWER <~ ~ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER AND/OR VENT :.)_ ~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 c::::::: L-4-. JC \
I EACH GAS SYSTEM 1 TD 4 OUTLETS ::') ~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 [ LL I,. ( '{
EACH GAS SYSTEM 5 OR MOR£ -I METAL FIREPLACE ~rv'"' ELECTRICAL 01-00-00-8223 .-\( ' ( "'{,
EACH INSTAl .. ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT U..lY"' MECHANICAL 01-00-00·8224 I I....:.. ~ I [)(°"'1
EACH VACUUM BREAKER MECH EXHAUST • HOOO/OUCTS MOBILEHOME 01-00-0Q-8225
WATERSOFTNER RELOCATION OF EA FURNACE /HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE! SOLAR n1 .nn-nn-A??f;
TOT!:.L MECHANICAL
I 4f""t STRONG MOTION 80-92-33-0519 .J ,.._
TOTAL PLUMBING I Y-4-( 't FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT· ISSUE ~(T) QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-8933 1'X~.{Y°"
-----BRIDGE FEE
NEW CONST EA AMP.'SWT 1BKR \N1 ri..S(11 COLLECTORS /~ \ SCHOOL FEE -DISTRICT
l PH 3 PH STORAGE TANKS // ~-\ Carlsbad 80-92-21-0519
EXIST BLDG fA AMP/SWT /BKR ROCK STORAGE ,f' . ~)-Encinitas 80·92-22-0519
f PH 3 PH PUMP /, .. Y -r San Dieguito 80-92-23-0519
RE.MODEL 'AL HR PER Cl R CU IT PLAN CHECK FEE I('' f .l 't I San Marcos 80-92·24-0519
TEMP POLF 200 AMPS \../ A V
OVER 200 AMPS c:'} .7 LICENSE TAX 01-00-00-8162
rEMP OCCUPANCY 130 DAYSI /.
. \ / CREDIT DEPOSIT <. riln ~.c:... <"i< ~
TOTAL ELEClRICAL I TOTAL SOLAR '---J 1,cn4.i7 ?f)rf"' TOTAL FEES PAYABLE .
I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT" AND DO HEREBY Exp,ratton Every perm,1 ,saued by the Bu1ldrng Ofl1c1al under lhe provrsrons of lh1s * AN)'~ IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNQEA PENAL TY. QF. PERJURY THAT ALL !NFOAMA TION HEREON INCLUDING THE Code shalt exptre by flmrtat,on and become null and void If the bu1td1ng or work 5· O" P OEMOUTION 0A CONSTRUCTION OF
DECLARA TIOl>/S ARE JRUE' AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authonzed by such permit ,snot commenced withm 180 days from the date of such STRUC S OVER 3 STORIES IN HEIGHT permit, or 1f the bulld1::X or work 1uthor1Zed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandonecl at anv -er the wo"' ·• rommenced for s -riod of ISO d•"• ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPltCAZNATU~~ OWNER □ CONTRACTOR 0 APPROVE~\ lr!~j, KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACOAUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. -·--.. ~~~, BY PHONE 0
I
~ u::
>-Ol 0 a. E Q) I-
I
-0 0 c.,
.c C'O
-~ a. a.
<I:
I
-"" C a:
0 1/)
1/)
Q) 1/)
1/)
<I:
I
3: 2
ai >-
Iii
1/)
Q) u 0 a:
C'O
iii Cl
~
Q) u
C
C'O C u::
C Q)
~ c.,
0 0 Q) a. 1/)
C
.!
,=. ~
TYPE I , DATE INSPECTOR
BUILDING !
I
FOUNDATION I f ,ti.A4 (' Jot-
REINFORCED STEEL t VJ
MASONRY ' --
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF t5a .§lj~~~ ,.,, .z,,il,M "' FRAME ... .,, ..., • "\J Q~J:M_ r.t -
EXTERIOR LATH , "7~!~ :c .
INSULATION : '£;.~'l.3• ~ ~ INTERIOR LATH & DRYWALL ' •~•~8 G -'
I
PLUMBING I
I
SEWER AND BUCO DIPUCO I
UNDERGROUND !Sa WASTE D WATER L-5,Pff ~
TOP OUT D WASTE D VVATER l~,1.04 ~
TUB AND SHOWER PAN I vi
GAS TEST I l?>,7.~-4 c.J+-
D WATER HEATER D SOLAR W~TER YI
I
ELECTRICAL t
D ELECTRIC UNDERGROUND □I UFFER
ROUGH ELECTRIC I !,1,84 l\#--
D ELECTRIC SERVICE D TEMPORARY 11
D BONDING D POOL I
I
,
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl~G ~.7.~-4 t-Jf-.
HEAT -AIR COND. SYSTEMS I \,I
VENTILATING SYSTEMS ' I
I
I
CALL FOR FINAL INSPECTJON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPRQV_fD._
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
..; -
' '<
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION 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 CAISSONS
·r l -.
·"' .. -. ,._. .
c-~ ( -'
•
I
..
~~ ;~-~-~ ,.-
--' 83-13~ -;;i..~· '", ' -...
' '
INSPECTOR'S NOTES
I
DATE ---... ___ --. __ .; -•-
'
. ---cl ~~ ..
' I ) c-• ~ . ., I ' . ...
•
-! ,~,. ~ . ......_. :--.. . ____.... '\,.. .,J .. t. -,..._ .
' ' ·~ . ' -. -• --..,.
I I ' . ; ' ! ~ . ~ . ·.:-.i:1 ' , . ;----. ,, . ,
' '
-·--. -. --
_\, -\ -!.."-' '_ .J • -... -•-...'.... ' I •• i.,'it':
I ' _; ' i . I .
.
. -
I
I
. .,. . -. ~ ~ . ... ... -