HomeMy WebLinkAbout2250 SARA WAY; ; 86-509-18; Permit"' z 0 ;::
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~he<eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proteaalons Code, and my license Is In
lull force and effect.
I hereby alflrm that I am exempt trom the Con1rac·
tor's license Law tor the foUowmg reason (Sec 7031 5 1
Business and Professions COde: Any city or county whict. re· I ~~~~~ a~/:i~~~~u~~. c;~!r1~~~!s 1~1!~~~~~:~eq~~:~:·a~ f
phanl IOI' soch permit to hle a signed statement !hat he 1s I li::;: l~r(ci~pt~~ J~J:!~; w~!n l~~t':n"';~; I
01vis1on 3 o1 the Business and Prolessions Code} or !hat ,sex· I ::~.~n:~'S:,~~d ;~,~sti/~nl~~;,~:,01:~;1f:I !~~ I
iects lhe applrcant 10 a c1v,1 penalty of 001 more lhan live hun· I
dred dollars ($500) ;
f 1. as owner ot lhe property, or my employees with wages I
as thelf sme compensation. wilt do the w0tk, and the strut· 1
~u;; ~:e~!:~~O: 0'f~edc:1,~~:~uc~1:·L~:•~:! I
nol apply to an owner ot property who builds or improves I
lhereon and who does such work htmseH Of lhrough hrs own employees, provided that such improvements are not ,ntend-I :: ,::.e: ~~hi:~ ~ea~~~p::.~o~~~:~o;;~[i:; I
will have the burden of proving !hat he did not build or 1m-I prove lor lhe purpose ol sale). I
n I, as ow-ner of the property, am exclusively contracting t with licensed contractors to construct lhe proteet {Sec 7044. I Business and Protess1ons Code· The Contractor's Ucense
Law does not apply to an owner 01 property who buik1s or im-t
proves thereon. and who contracts for each pro,ects '."Ith a I contractor(s) license pursuant 10 the Contractor's License ~~. I
0 As a homeowner I am 1mpr0Ymg my home. and !he IOIIOW I ing condi110ns exist I
~· fh~:'~i!!dbe/~ ~r1:~ r~;o't~0e1:le months t
puor to comp1etlon of this work t
3 6s~a:he,eeno;~r~imed lh1s exemption during the I
I g :n~:r':a:~tunderSec. ------· B&P.C I
I
I
~ereoy affum that I have a cert~r,-·-_____ . ·-I
self-insure or a certificate ot Worker~ Compensation In-I
surance. or a certified copy thereof (
POLICY NO.
COM_rNY
~ODY tS filed with lhe City
D Certified copy Js hereby furn,
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit
Is lor one hundred dollats ($ 1()0) or less)
D I cenify that in the performance of the work for which
this permit is issued. I shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen.
sat1on Laws of California.
:,oer~~!P~~:.~1;~~~~ ~~~ :;~;~t !:i~heee~~:,~ 1
Compensation provisions of the LabOr Code. you musl I
lorthwith comply wl1'1 such provisions or this permit shall i
be deemed revoked. I
I
I
I D I hereby affirm that there Is a construction lendmg t
agency for the performance of the work for which this per-,
m,t Is Issued (Sec. 3097, C1v11 COde) l
Lender's Na.me ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PREiSHARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~-CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS A\/. ST.RO. NEAREST CROSS ST. !DATE OF APPLICATION! 8USINE7NSE # ;J~;;? PERMIT NUMBER
,22-,0 ~.RA IJ.1u.1 8/o,6(fl~ ,i
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BLOCK I su~/;;_D/Cj 1 ~SSESSOji'-DMlCEL}jQ_
co~ A~ J-.J fi.JL
CONTRACTORS PHONE• ZONE"
lt.7-.. >9-D /ff ou7
OWNER'S NAME --.., I ., vro NE R'S PHONE
L <!.. .r n,. "~ i____,,J) u ~ A 1;.1-9./~I CONTRM!"fOR'S ADDRESS s;;;c:;;;o. BUILDING SO. FOOTAGE
" P.J~/'
OWNER'S MA•LING ADDRESS £n Jt.t. 7 ,s;, )!,, ~< ,;,..; #e hµ.,jt«JDK DESIGNER DESIGNER'S PHONE
DESCRIP~~N OF WORK p; • /!s St/A..Akc
I I
I ,.J t:,.L «.., '-A l'-'f I 4-J.f 9;J.0»5 DESIGNER'S ADDRESS STATE LICENSE NO
/?44,.1-#-/ ' ~,,1171> S/1) C'A~~J;; ---F/P F LR ELE\/. NO OCC GP i 7452-~ STORIES j73 0028 04/23 0101 02BldPllt
vO NO --I
I IPA~?CE I RES;NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA criv' '-
y D ND y D Ni;;r"' vO NB" Not Valid Unlt!Ss Machine C~rtified
QTY. PLUMBING PERMIT· ISSUE , 5C QTY. MECHANICAL PERMIT -ISSUE 3 Q() SUMMARY/ACCOUNT NUMBER
,
/le, EACH FIXTURE TRAP ///J. ,-J INSTALL FURN. DUCTS iJP TO 100,000 BTU D .r-BUILDING PERMIT 001·810-00-00-8220 ;S ~${,,.
I EACH BUI LO ING SEWER -/,,,. 19! OVER IOD,000 BTU SIGN PERMIT 001·810-00·00·8221
I EACH WATER HEATER AN010R v~ 2 .fio BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 '1~~-
I EACH GAS SYSTEM I TO 4 OUT_~ t /J .5F BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00·8222 ~q,--
EACH GAS SYSTEM 5 OR MO~ "~ ~-. ~ MET AL FIREPLACE £,. -ELECTRICAL 001 ·810·00·00·8223 -~<,-
EACH INSTA~. ALTER, REPA~TER ~v ~ , .. c.,-v ,2 VENT FAN SINGLE DUCT 11 . -MECHANICAL 001 ·810·00-00-8224 j}(),,.-
-b
EACH VACUUM BREA~>• .<\. -~ MECH EXHAUST -HOOO'OUCTS ~ MOBILEHOME 001-810-00·00·8225
WATER SOFTNER A,,.. >' _ _-V ..:S-.<. ,, RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00-8226 -
EACH ROOF DRAIN I (!Slit) -~; <i' ,~s I DRYER VENT .=3 . -STRONG MOTION 880·519·92-33 f(YJ=
--::> ;::. £ ~ .,, . TOTi,L MECHANICAL FIRE SPRINKLERS 001-810·00·00-8227
TO f AL PLUMBING ~~ ,{ ~. -:lo. -PUBLIC FACILITIES FEE 320-810·00-00-8740 gc.,~<,~
p--9. .... ,t::; 00
BRIDGE FEE 360-810·00-00-8740
QTY. ELECTRICAL PERMI r.~E QTY. MOBILE HOME SETUP PARK-IN·LIEU (AREA '7-tl.f,, --)
NEW CONST EA AMP SWT BKA ._$' 20£J _'i?) ,,... CAR PORT TIF 134-810·00-00-8835 "/...,.,.::.. -
I PH 3 PH AWNING LA COSTA TIF 133-810-00·00·8835
EXISf BLOG EA AMP/SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001-810·00-00-8162
AEMOOE L'ALHR PEA CIRCU IT MFF 880-519-92-57 I .fqo--
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI / \,.
CREDIT DEPOSIT -<Jao/
TOTAL ELECTRICA L I S<r-TOTAL TOTAL FEES PAYABLE I /.if:211 .~. ,
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT'" AND DO HEREBY Exptrahon Every permit tssued by tt-ie Bu,tdmg Offlc1at under the prov1s•ons of this * AN OSHA PERM:l IS REQUIRED F0A EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,~~•tatron and become null and void II the bu•ld,ng or work 5 O" DEEP ,tJ,iD DEMOt.lTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 auth{~~ch er rl 1s not commenced w,thm 180 days from the date of such / STRUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON :~i;:•t n~lf .~ .~"e1~Pte~~h:~~r:~!h:~~~e~l~f~~ r~~~l~,s~:rc,:~1~'
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND Ar.lCA~;t: • OWNER[] CONTAACTORJ:!l(: ~PROVEOBVV 17/4/J? 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 BY PHONE 0
GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING !
FOUNDATION !
REINFORCED STEEL .
I
MASONRY l
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D St!i EAR
FRAME I
EXTERIOR LATH j
INSULATION I
' INTERIOR LATH & DRYWALL I ,
I ~ '-. .
PLUMBING I 1_;,s..
I ,. -
0 SEW~R AND BU CO D RUCO (' . :: .
LJNDERGROUND D WASTE C WATER .. • .. '
1 TOP OUT D WASTE D NATER .,
--
TUB AND SHOWER PAN I ; ., ~ ' .
GAS TEST l :.,_
D WATER HEATER D SOLAR WATER •,.; I ..
I -~
ELECTRICAL . -·/4) I
D ELECTRIC UNDERGROUND [!J UF~ER -
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMpPRARY
D BONDING D POOL I .
I
MECHANICAL !
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I .. ' -... ,. ''-\
VENTILATING SYSTEMS ! . , ...
! -.... ~ . .
CALL FOR FINAL INSPECTION WHEN ,ALL APPROPRIATE
ITEMS ABOVE HAi'VE BEEN APPROVED.
FINAL 1
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
.,
-
-
.
.
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FIELD INSPECTION RECORD . I
REQUIRED SPECIAL INSPECTIONS
INSPECTOR S INSPECTION REO IF
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE--~ . ~
FIELD WELDING
HIGH STRENGTH
BOLTS .
i, -SPECIAL MASONRY
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INSPECTOR'S NOTES
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,. FINAL BUILDING INSPECTION
86-S09-18 .. 8-29-88 PLAN CHECK NUMBER: DATE: ---------
PROJECT NAME: _____ E_Z_A_N ________________________ _
ADDRESS:
PROJECT NO.: _____ 8;:_1:....-....;1~9 UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _____ S_F_D ______ NUMBER OF UNITS: 1
CONTACT PERSON: ____ B_r ...c..oo.c...k_;_ _______________________ _
CONTACT TELEPHONE: __ _____c4c;::3_:4_-=2.c...6 .:....S9;:.__ ______________________ _
11 <.t\.i t
INSPECTED ~
BY:-----'-~~'-"-'-:..._.:;___
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE SEP. 2 7 1988 INSPECTED: ____ _
DATE
INSPECTED:
DATE
INSPECTED:
Costa R~al Municipal Water District
COMMENTS: Engineering Oe~artment
(619) 438·3367 . > •
I._
:-::---cosr. R :-:--
APPROVED '/ DISAPPROVED __
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
'
:.t\L Wt -El "
Rev. 1/86 WHITE: Suspen~trict GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
.. FINAL BUILDING INSPECTION .
PLAN CHECK NUMBER: 86-509-10 DATE: 8-29-88 ------,--------l
EZAN ~
PROJECT NAME:--------------------------------,----
ADDRESS: 2250 Sar Way
PROJECT NO.: ______ 8_1_-_1 _) UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: _____ S_F_D ______ NUMBER OF UNITS: 1
CONTACT PERSON: ____ B::_::_roo.:::....;_k'-'--------------------------
CONTACT TELEPHONE: __ __:4..::.3....:.4_-=-26.::..5::...;9:;__ ______________________ _
II ,t
~~·~ DATE
f-21-Y~PPROVED -I-INSPECTED: DISAPPROVED
INSPECT DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1186 WHITE: Suspense BLUE: Water Distr CANARY: Utilities PINK: Planning GOLD: Fire
FIN~~ ~lJ.ILDING INSPECTION
PLAN CHECK NUMBER: DATE: 8-29-8&
PROJECT NAME: _____ E_Z_A_N ________________________ _
ADDRESS: 2250 S r ~•ay
PROJECT NO.: ______ l_-_ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ______ S_F_l, ______ NUMBER OF UNITS: 1
CONTACT PERSON: _____ B_r_o_;>_k _________________________ _
CONTACT TELEPHONE: ___ 4_3_-_26_5_9 _______________________ _
INSPECTED 1) ~ ~ DATE /) ~:2 I 0-JY V
BY: -~ ~ INSPECTED: _."L'--'-/c_v __ o_ ( APPROVED ~ DISAPPROVED ---
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS: ----------------------------------
... ------.,..,,.-r
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilltle PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION RrC~lVEn AlJG 3 1 1988
PLAN CHECK NUMBER: 6-509-18 DATE: _______ 8_-_29-88
PROJECT NAME: _____ E_·Z_A_N _______________________ _
81-1 PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _____ S_F_u ______ NUMBER OF UNITS: 1
CONTACT PERSON: ____ B_roo_k ________________________ _
CONTACTTELEPHONE: ___ 4_3_4_-_2_65_9 _______________________ _
ii
INSPECTED C.,. 5o..Q.0l..,, DATE q/l/LW I..., BY: INSPECTED: APPROVED DISAPPROVE.D ,
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
'"· .,,. WHITEc S,speo,o BLUEc W"" ""''" GREEN, Eogl,e,Oog CANARY, UUIIU,s PINK, Pl•oologe
FINAL BUILDING INSPECTION
Ir ' • •
PLAN CHECK NUMBER: 86-509-10 DATE: 8-29-88
PROJECT NAME: _____ E_Z_A_N ________________________ _
ADDRESS: 2250 Sara W y
PROJECT NO.: _____ 8_1_-_1_9 UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: SFD NUMBER OF UNITS:
Brook
434-2659 ....,
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INSPECTED BY: _________ _ DATE 17' 0ff.PPROVED / INSPECTED: l DI CJ
INSPECTED DATE BY: _________ _ INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE BY: _________ _ INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------