HomeMy WebLinkAbout2404 SACADA CIR; ; 81-216; Permit"' z 0 ;::
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IP(';' hereby affirm that I am licensed under
~islons of Chapter 9 (commencing with
Section 7000) of 0Mslon 3 of the Business
and Professions Code, and my license Is In
full force and effect. ,,. r,/
Lie No J-7-';:-Ji J_ Class ~'--"-L~--
I hefeby affirm thal I am exempl from u,e eon.
~~o;·~~i:ss: ~~t=:~c!lt~.~
county whtch requires a permit to construc1
altet, 1mpro-,e, demohsh, or repair any structure. poor to its 1.ssuance also requires the applicant for
such perrmt 10 hie a s~ned statement tha1 he 1s licensed pursuant to lhe pr0'tiStOQS of the Con-
tractor's License Law (Chapter 9 commencing with Sectoon 7000 or Dtv1s,on 3 of the Bos,ness and f>ro.
fess,ons Code) or that 1s exempt therefrom and the
basis tor the alleged exemphon. Any "IO&ahon of Sectoon 7031 5 by an applicant lo, a pem,it subjecls
tne applicant to a c1V1I penalty of not more than five
hundred dollars ($500).
O I, as owner of the property, or my employees
-.1th wages as their sole compensation. will do I.he
'#Ol"k, and the structure ,snot intended or offered for
sale (Sec. 704-4, Busmess and Prolessiohs Code The Contractor's License Law does not apply to Ml
owner or property whO bu1kts Of' 1mpr<WeS thereon and who does such wottc. himself or through his own
employees, proYided that such improveme;its are
not mtendtrl or offered for safe. II. howevef. the building or 1mpr0Yefll4tflt 1s sad w1thm one yeM of
completion, the owner-builder will have the burden of provmo that he dtd not build or improve tor the
~
ofsalej.
owner of the property, am exclusively
ac mg with hcensed conlfi!Ctors 10 con~truct lhe prOfOCl (Sec 704-4. Bos,ness and Proles\oons
Code: The Contractor's license Law does not apply to an ownet" of prop,eny who builds or 1mprDYH ~~=-~~ 7.~nc~~!~ ~~,!~~~-=::.: Ucense Law).
O I hereby affirm that I have a cert1hcate or consent
to self-insure, or a cert1f1cate of Workers·
Compensation Insurance, or a cen1hed copy thereof
(Sec 3800, Labor Code~
POLICYN0 __
COMPANY
0 Copy IS hied With the City.
0 Certified copy 1s hereby lurmshe<I
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(Tl'us section need not be completed 11 the pemut 1s to, one hundred ~la.rs ($100) or less)
O I certify that m the performance of the wont tor which this permit 1s issued. I shall not employ any
person in any manner so as to become sub,ect to
the Wo~ers · Compensahon Laws of Callfomia
NOTICE TO APP\.ICANT 11. after malun;i this Cert•· hcate of Exemption, you should become sut>,ect I?
the Workers' Compensation p,ov1s10ns of lhe Laboe Code. you must forthwith comply with such
prov,s.ans Of this penmt shall be deemed revoked
O I hereby aittum th.al there 1s a construct10n
lenchng agency fOf lhe performance ot the woo. tor which this perm,t 1s issued tSec. 3097. Cw,I Code)
Lender·s Name ___________ _
Lenc,er'~ Address __________ _
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 (714) 438-5525 JO;D:;;4 <'.:;Ac.Av~ /:,,e.c.LS A~i.T,, D1'-:;7~?YONI ;3-;~C7#
!Pt VALUATION PERMIT NUMBER
'St 07} ~ i,~/ l
01SR~S r~ SM ~~~ I 7S2,~£i:;;; PRIME CONTRACTOR CONTRACTORS PHONE• ZONE
Sf-LF Z-3-1277
OWNER'S MAILING ADDRESS
/{.;J-/ /1/\JJZJ~ 6-~/('~,4-1)
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use cooe
)J,1471 BLOCK,}~ ,~~1;,1_V_'=!.ON I A~SESSOR PARCEL NO. DESIGNER STATE LICENSE # STAN0ARO PLAN# BUILDING SO. FOOTAGE 1,...,., r 5-o. UJJ,r~t _V3.'<.I/ DESCRIPTION OF WORK l'!!>-"7'~//\J}./l]~ WA-L'-' 0ESIGNER'S A00RESS DESIGNER'S PHONE
_M _{J1_ 'Z£.7ZvE-M -~ :1t-l-¥Z j .it= 11( F/P F LR ELEV. NO OCCGP EDU
S;t-, .4-hA. ,,. r,;,11,,,.; c
STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS I GRADING ~ERMIT ISSUED I RE0EVEL0PMENT TYPE OCC LOA0 FIRE SPR Li/27/81 2JU 'l~.7, AREA CONST
YO ND vO NO vO NO O O f'of V~ (!nles~f ~rfifi«f t:l~-,~
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY~CCOUNTNUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT c:--C • ""-'v"
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ f_ I / <
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
EACH INSTAl .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
-EACH ROOF DRAIN (INSIDE) SOLAR
TOTAL MECHANICAL STRONG MOTION
TOTAL PLUMBING I FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TAN KS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas
l PH 3 PH PUMP I San Diegu,to
REMOOE L/AL TER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL ·1 TOTAL SOLAR TOTAL FEES PAYABLE I C/2-,7
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E•p,rat1on Ew,y penntt-ued by the BuHdtr,g Offlc11t un-the prov,s,onsofth,s * AN OSHA PEMIIT IS REQUIAED FOA EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm,talton end become null and vo,d If the bui(d,ng or work S' O" DEEP ANO DEMOLfTION 01'1 CONSTMICTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS euthorlled by such permit•• not commenced within 180 days from the date of such STRUCTURES OYER 3 STOFIIES IN HEIGHT permit or ,f the buildl~ 01 w01k auth01,zed by such permit ta auspended or ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandOned at anv ,,_ a IK thwwork ,s com,,,..,cad for a oenod of 180 ·-··-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
AP2t'~L
OWNER □ CONTRACTOR 0
APP~~ 1?£~r/ 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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tt "' INSPECTION TYPE DATE INSPECTOR
BUILDING
-
FvUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
EtECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING ' \ '
HEAT -AIR COND. -SOLAR SYSTEMS •.
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN. APPROVED.
JOB SITE FINAL -.
PLUMBING
ELECTRICAL . ' ~
MECHANICAL
GAS ' BUILDING .
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
\
. '
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
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY
PILES CAISSONS
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This is o. bi>:cii":g a.c::;reer:ie "lt bet\;ee"l the p roperty OW'1ers of
240:::-/, ~3ac:=!<.'!O. Circle, ,;;::.souCi a'1cl J!ei(li Pegahdar , herei'1 refe rred
to ns O\·:'-:er of $C1id p1•operty t.1'1d 2404 Sc.cada Circle , Da'1 Sc hafer,
heri'1 referred to 2.s o·.-:..,cr of sai d p ro;1erty.
a retai-:i--:t;; \·Jall bct,•;ee'1 t i1e two p rop 0rtics, The terms of t:1i s ct;~1-cer.,e'1t
are ste.ted below:
1. The foo'..:i'1g,3 of the reta i'1i':g wnll , \Jill be 0'1 both p rop crtie:.,
sai d .
2 . Soid 0\·1--:3r of 2404 Se.cad:.. Circle \;ill co-:struc·i; o. co--:crete uall
to the \!est e--:c!s , of t he t ·.10 properties.
3 . Up o--: co;.r;:,letio>:, ~ai d 0\·1--:e1· of 2L~0G-.'. Snc aua Cr. will u":cuJ.:,·
pn:r ·i;h e CUl,1 of ~·coo.oo (e i Qt-:nr,dred c"oll ai·,.,) to 1)n'1 Sc'.10.fer
for full puyr~e"':t of t:,e v:all.
4 . for i--:te'1C:;c1 rurposcs of priv::,c:,, s::ii d 0' .. "1cr of 240C-t,
Sncada Cr . r:i;,.\y n t a'1:; t i r:ie , raise the heig..11t of the co,:crete ,;c.1 11
viith his o•.1•, r,rivri.te fu'1c:s .
TI1is agrccme'1t i o executed 0'1 this 30th uay of April 1931, at La Costa
Cali forv:io '.3 2003 •
:1.:..10~1..1 ~-..1;1.. · \;lu l. 1~e~;C--H.\'-.r
2t10C-/\ ~:ac2.un Cr .
I.a Co::;t:.1, CA 9 ::D03 Ln Costo., Cnli:f. '.);.2Qo~
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