HomeMy WebLinkAbout2873 SANFORD LN; ; 83-135-43; Permiten z 0 i= C IC ~ 0 ... Q
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000> of Division 3 of the Business
and Professions Code, and my license is In
lull force and ellf{t.
lie No 27268 Class _ ___Bd
I hereby affirm thal I am exempt lrom the Contrac· 1or's License Law tor the lollowing reason (Sec 7031.5
Business and Professions Code. Any city or county whw:ti re--quues a permit to construct. alter. ,mprove. demolish. «
repair any struclure. prior 10 11s issuance also requ,res !heap,-
ri~~~~orp~~~~3:r:it 111~/~~:;?o: ::a'ii~to~~:!c:-1:
License law (Chapter 9 commencing with Sect10n 7000 of
Otv1S10f1 3 of the Business and Protessions Code} or thal ,sex-empt tllerefrom and 1he basis for the aJlegeo exemption Any
·violation of Section 7031,5 by an apphcant fOf a permil sub-1ects !he apphcant to a cMI penally of n01 more th.an five hun-
dred dollars 1$500)
rJ I, as owner of the property, o, my employees with wag,s
as their sole compensation. will do lhe work, and the struc·
ture Is not intended or offered for sate (Sec. 7044, Business
and Protess10ns Code: The Contractor's License Law does not apply to an owner ol property who builds or improves
thereon and who does sucn work h,msett or through h,s O'Nn employees. provided lha1 such 1mpuwemen1s are not inteod·
ed or offered tor saJe. If. however, the bu1ld1ng or Improve· ment 1s sold within one year of comptet!Ofl, the owner-builder
wilt have the burden of provmg lhat he did not bmki or Im· prove lor the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code: The COntractor's License Law does not apply to an owner of property who builds or im· proves thereon. and who contracts tor each projects with a
contractor(s) license pursuant to the Contractor's Ucense Law).
D As a homeowner I am improving rrr, h0<ne. and tile follow· Ing conditlOOs exist: t. Tile w0<k is Doing pert0<med prior to sale.
2. I have lived in my home for twelve months
3. rr~: =p:~of 11
~1~ ::~ption dunng the
last three years
D lamexemptunderSec. ______ .B&P.C. lor this reason ____________ _
□ I hereby affirm lhat I ha•e a, cert1fica1e of consent to self-insure. or a cerhflcale of Workers·
Compensation Insurance. Of a certified copy thereof
tSec 3800. Labor Code) KWP 265 92 50 POLICY NO
COMPANY Firemen's Fund
O Copy 1s hied w,th 1he city
0 Cert1hed CoPy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectton need not be completed 11 lhe permI1
is tor one hundred dOlla.rs (S 100) or Jess)
O I cer11ty that In lhe per1ormance of the wortit to,
which this permI1 1s issued. I shall not employ any
person in any manner so a,s 10 become sut>Iec1 10
lhe Workers· Compensation Laws 01 Ca.1tlorn1a
NOTtCE TO APPLICANT II. a,tter mal\tnJ this Cer11
hca.te of Eicempt1on. you should become subIec1 I'>
the w ooers· Compensation pro\1IsIons ot the LabOr
Code. you must torth't1>i1th comply with such
provisions or this perm11 shall be ettme<I revOked
0 I hereby atfum lhal lhere Is a consuuc1Ion
Iending agency to, lhe per1Qfmance or the woOI lor
wtuchl \~5;";;';{' 'B~~k.(Sec 3097 C,v11 COde)
LenoeY S N3ri'fe ---=-,,-~--=~~-----
Lende•s A<l<l•ess 525 B St San Diego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT
I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV.ST.RO. NEAREST CROSS ST.
I DATE t;;;;~~~IONI
BUSINESS LICENSE It VALUATION PERMIT N UMB~
2873 Sanford Lane 1710 39').,'7 11"
LOT BLOCK 1d SUBDIVISION .! ASSESSOR PARCEL NO CONTRACTOR 299~51Ro5HONE • ZONE \-;5' ...
43 alavera Hill or 82-8 Pacific Scene Inc 1/~'
OWNE A'S NAME I OWNER'S PHONE
Treetops Unlimited 299-5100 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0 . # BLDG use CODE
3900 Harney ST, SD, CA 272686
OWNE A'S MAILING ADDRESS
3900 Harney Street San Diego, CA 92110 DESIGNER LICENSE ~ STANDARD PLAN# BUILDIN'tj~AGE
Archite•ts Lorimer & Case C-9037
OESCRIPTION OF WORIC * nnnlpx wit-h Lnr line OESIGNER'S ADDRESS DESIGNER'S Pl-iONE
SFI) Plan 1 1""14-,~ 4~ou 3344 Fourth Ave, S.D. CA 291-0660 . !21t0/i'~ f,O, --~-r ---F/P FLR ELEV. NO OCC GP EDU H~6G.4l
STORIES A-~ I vO NO --I
CENSUS TRACT I GP LAND USE I PARTE I RESU;ITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CV7V v □ ND vO ~ yQ NR" Not Valid Un/,:ss Machine Certified
QTY. PLUMBING PERMIT· ISSUE ~ 7,r QTY. MECHANICAL P ERMIT · ISSUE ~ SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP ~ "'2.. c-. -INSTALL FURN. DUCTS UP TO 100.000 BTU '+. BUILDING PERMIT 01·00·00-8220 ,;;z. '3'15"-
EAC_H BUILDING SEWER ~ " .>v OVER 100.000 BTU I SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER ANO/OR VENT ~ 2-.>w BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 1~1..f. "l)
EACH GAS SYSTEM 1 TO 4 OUTLETS ~ "2... . .s 0 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 4-ll--
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE. -s . ELECTRICAL 01·00·00-8223 -:ii:, -
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT 'f". MECHANICAL 01·00·00·8224 l'f-
EACH VACUUM BREAKER MECH EXHAUST -H000/0UCTS M0BILEH0ME 01·00·0Q·8225
WATER S0FTNER ' . RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE> SOLAR n1-M-00-~??<:
TOTJ;L MECHANICAL
JLf .-STRONG MOTION 80-92-33-0519 ~-~
TOTAL PLUMBING 1'4'-1 '14 .-FIRE SPRINKLERS 01 ·00·00·8227 ,...,'i<S--
PUBLIC FACILITIES FEE 32·00-00-8933
QTY. ELECTRICAL PERMIT· ISSUE 5 5 "~ QTY. SOLAR· ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT•BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92· 22·0519
1 PH 3 PH PUMP San Dieguito 80-92· 23·0519
RE~0DEL:AllfR PER CIRCUIT PLAN Cl!E,C~ I San Marcos 80·92-24-0519
TEMP POLE 200 AMPS -/ . ~.P-_"' 7
OVER 200 AMPS / .. II I #-, I JI) ' / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) I (/V,. , _,,/ I) _/
\ t ---CREDIT DEPOSIT
TOTAL ELE CTRICAL I ~o--AL SOLAR TOTAL FEES PAYABLE I J :l~'i ,'/5 --
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMlr' AND DO HEREBY Expm1tion Every peffllll -by the Budding Ofl1c1at undef the prov151ons of this * '';r~~PMIT IS RE0UtAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•p,re by hmtlalion and become null and void If tne building or work 5' DEE ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS author.zed by such pe,mtl es not commenced w,thin 180 days from the date of such ST S OYER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON• =~ •~ ~ =~ lhe~~t~ec1"':~~ f"~';',;~,,'~t'~:rJ!.~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE .INDEMNIFY AND
APPLICz~Tv~
OWNER □ CONTRACTOR 0 APPROVED~ i17-i,/t-; 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 GRANTlNG OF THIS PERMIT, /I _,,,._._,_~ '6 --I ... / /
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
_J_
REINFORCED STEEL i
MASONRY ' I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF ~ ~H~~, ,.,
FRAME G--j "t,•c.ri, ·'+'4 'f.,1.A-,84 I~ t"
EXTERIOR LATH I i ,z.,A4 /I ::.
INSULATION I I t,.z_,q_ -~4 t. --
INTERIOR LATH & DRYWALL I ~-1>&1-~ JI-
I V
PLUMBING ' I
SEWER AND BUCO DIPUCO I I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D VVATER IJ ,....,A b 1• l'.U.
TUB AND SHOWER PAN I .,
GAS TEST I 7__,. ~,I "'1 ('H
D WATER HEATER D SOLAR W!_TER ••
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □l UFFER
ROUGH ELECTRIC I t-•vi•B4 fj,L
D ELECTRIC SERVICE D TEMPORARY H
D BONDING D POOL :
I
MECHANICAL ' I
D DUCT & PLEM., D REF. PIPl~G 1,.1~.,94 rJ.L
HEAT -AIR COND. SYSTEMS I l,(.J
VENTILATING SYSTEMS I t)
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
I
PLUMBING I
ELECTRICAL I
MECHANICAL I A\
GAS I "\X'Y \
BUILDING l(A~• 14•1'5·l1t tt1
SPECIAL CONDITIONS '\ I .
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FIELD INSPECTION RECORD
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REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO 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
Si>~IAL MASONRY· " ,·
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PILES CAISSONS
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' THIS IS TO CERTIFY THAT INStn -~TION I!AS BEEN INSTALLED IN
CONFORM. HCE WITH Tlli. CURRENT ENERG\' REGULATIONS, r.ALIFORNIA
ADMINISTRATIVE CODE , TITLE 25, STATE OF CALIFORNJ r , I N TUE
BUILDING LOCATED AT:
~ITE ADDRESS: J 373 ,<;(~ *rJ,..../ Ln'J Cqr /;:Jq c/
Number Stre-=:t -City .
fil{fERIOR WAI.LS
Manufacture~ ;::;:/m
CEILINGS
Thickness/Type J~ 11
R/Value .... / ___ / __
,-/ IL II Batts: Manufacturer--LJ..f--:lJ..'"" _____ Thickness h le,( R/Value / 5? __
GENERAL CONTRACTOR: LIC.# --------
BY ___________ TITI.E _____ DATE ________ _
INSULATION CONTRACTOR: APOLLO I N~>ULATJON LIC.{! :.?B/\015 --------
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull forc9,4"4.e,fl8c;l. 6 B l
Lie No _L. __ /L._O_ O_ Class -
I hereby affirm that I am exempt from the Contrac· to(s License Law for the following reason (Sec. 7031.5
Business and Protessions Code: Any city or county which re· quires a permit to construct, alter. improve. dem<>tish, or ~~~i~ta~ s:~~u;r:.7ra 1'M!s ~s;i~~": :~f e:~ti~\~rs
licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professions Code) or that is ex-empt therefrom and 1ne basis for the allegeo exemption. Ally
violation of Section 7031.5 by an applicant for a permit sub-jects the applicant to a civll penalty of not more than five hun·
dred dollars ($500).
0 t, as owner of the property. or my employees with wages
as their safe compensation, wltt do the work, and the struc-
ture is not Intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or Improves
thereon and who does such work himsett or through his Win employees, provided that such imprOY9ments are not Intend-ed or offered ID< sale. If, however, the building or imprOY&-
ment is sotd within ooe year of completion, the owner-builder will have the burden of proving that he did not build or im· prove for the purpose of sale).
D 1. as owner of the property, am exclusively contracting with licensed con1r2.ctors to construct the prOject (Sec. 7044. Business and Professk>ns Code: The Contractor's license
Law does not apply to an owner of property who builds or Im-proves thereon, and who contracts fo, each projects with a contractOt(S} license pursuant to the ContractCN''s License Law).
0 As a homeowner I am Improving my home, and the follow·
ing conditions exist: 1. The work Is being pertormed prior lo sale. 2. I have lived In my home for twelve roonlhs
3. r:: ::'Pc::Ool m: :'~ptiOn during the last three years.
0 I am exempt under Sec. ______ , B & P.C.
for this reason ____________ _
D I hereby afhrm that I h.ave a certificate of consent
to selt-1nsure, or a cert1f1ca1e ot Workers·
Compensation Insurance. or a certified copy thereof
(Sec 3800. Labor Code!
POLICY NKWP 2 6 5 --9 2_5_0 __
coMPAN-f' i.r.emen¼ _£und-
o Copy IS hied with the city
0 Cert1t1ed copy 1s hereby furntshed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t the perm,t
1s tor one hundred dollars (S100) or ~ss)
D I certify that 1n the per1ormance ot the won( tor
which this permit ,s issued. I shall not emptoy any
person ,n any manner so as lo become sub1ec1 lo
the Wor1<.ers' Compensation Laws ot Cahto<n1a
NOTICE TO APPLICANT It. after mahin-, tn1s Cem-
hcate of E,cemphon, you shOukt beeome subJecf f'J the W()O(ers· Compensa11on prov1s1ons ot the ut:>or
Ccxte. you must f0f1hw1th comply with such
prov1s1ons or 1h1s perm11 shall be deemed revoked
0 I hereby affirm that there 1s a construction
lend,ng agency to, the pertormance of the wOf'k tor
which tt11s permit ,s issued tSec. 3097. C1v1I Code)
Lender's Nam,Un ion Bank
Lender's Ad<lre.'3 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 t~1~ s.c AV. ST I DATE OF APPLICATION! BUSINESS LICENSE # V ALUATION PERMIT~{ RO. 75(£) SANFORD A SP CES 41,42,43,47,51,52 7/5/83 1710
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE lt;~'o/~1 TREETOPS UNLIMITED 299-5100 PACIFIC SCENE, INC. 299-5100
OWNER'S MAILING AOORESS CONTRACTOR'S A DDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
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3900 Harney Street/San Diego, CA 92110 3900 Harney St./San Diec 0 272686 IG/1111 ~i l~i:il , ,. 1"1 ·
LOT l BLOCK I SUBOIVISION J ASSESSOR PARCEL NO. DESIGNER LICENSE• STANDARD PLAN# BUILDING SQ. FOOTAGE
r""l:=ou,:,r:=o 'ills l"'T' A'.J-1=1 \f~-)
DESCRIPTION OF WORK L.O. Chrisman/Architect C-9239
I"'---__ ,._ -,(:,. ,..,,,,,.. DESIGNER'S ADDRESS DESIGNER"S PHONE
'O 0 ,p-
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al . St. /San (M~ ,r } . ----
9939 Hibert Diec 0 695-3830
-NO
'-----------.,, ---·--F/P FLRELEV. OCC GP EDU
STORIES
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CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRAOING ~ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPR
AREA CONST
v □ ND v O NO vO NO Not Valid Unlt!ss M.chine Certifild
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER 0 rt)
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 l.D"i( • ~ l '
EACH BUILDING SEWER . OVER 100,000 BTU SIGN PERMIT -01 ·00·00·8221
-· ~-~"=""'-EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
rt)
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EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
?;
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EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEH0ME 01·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER .. MOBILEH0ME PARK INSP -
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EACH ROOF DRAIN (INSIDE) SOLAR OHJ0·00·000~
TOTt.L MECHANICAL STRONG MOTION 80·92-33·0519
0 0 it
TOTAL PLUMBING l . FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8923 l'S"I f I}
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE
al iii 0
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NEW CONST EA AMP/SWT/BKR COLLECTORS I SCHOOL FEE • DISTRlCT 0 C «I
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21 ·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE -" Encinitas 80·92·22·0519
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1 PH 3 PH PUMP San Dieguito 80·92·23·0519
REMODEL/AL TEA PER CIRCUIT • PLAN CHECK rEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS ' •'
I
C Q)
Q) a OVE A 200 AMPS .
TEMP OCCUPANCY (30 DAYSI --0
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~ld-\-.l'S •
ti Q) C. rt)
E
f HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit IUued by the Building OlflClal under the prov1S10<1S of tllts * AN OSHA PEAMIT IS AEQIIIMO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahafl exp,ra by limitation and become null and void If the building or work 5' O" DUP ANO Dbl0UTl0N OR OONS~ OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorlZed by such permit 11 not com..-ced within l80 days from Iha date of such STAUCl\lAES OV£fl 3 STORIES IN HEIGHT permit or 11 the buijdo::g or work authorized by such permit 1a -pended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· llbandonad at anv tima ar the work ii~ for a ~od of 180~;,:.;;._ ~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. f ALSO AGREE TD SAVE INDEMNIFY AND ~ 'iC, CONTRACTOR 0 APPRO' D BY _p.-----....,,.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ANT s ATO .tf. ~WNER D ~~ flJ~.
._··., \ .. ,l··:~
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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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION I' A.5,PA (:.J.'. ..
REINFORCED STEEL v,
MASONRY ,,
GUNITE OR GRnUT
FLOOR & CEILING SUB FRAME
SHEATHING ,.
--
FRAME '
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --SEWER ANO BUCO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
--TUB ANO $HOWER PAN ',•
GAS TEST
ELECTRICAL :;
. TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC .. ~
ELECTRIC SERVICE
BONDING ' I
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS ~ • J -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELE~RICAL
MECHANICAL
GAS
BUILDING ~-----
SPECIAL CONDITIONS
CERT OF OCCUPANCY 188UED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
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
..!..
I REO. IF I INSPECTOR'S
CHECKED APPROVAL
.
INSPECTOR'S NOTES
DATE --
•
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O I hereby affirm that I am licensed under
provisions of Cnapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull torcj1,apl1111~.
L,c No L }Lbl:5t)_ Class ~B.=c..J._ __ _
I hereby affirm that I am exempt from the Contrac-
tor's License Law tor the following reason (Sec. 7031.5 Business and Professions Code: My city or county which re-quires a perrmt to construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires the ap-
plicant for such permit to file a signed statement that he is licensed pursuant to the provisions ot the Contractor's
License Law (Chapter 9 commenci"il with Section 7000 of 0lvision 3 of the Business and Professions Code) or that is ex-
empt theretrom and the basis for the alleged exemption Any viotallon of Section 7031.5 by an applicant for a permit sub-
jects the applicant to a civil penalty of not more than five hun-dred dollars ($500).
O I. as owner of the property, or my employees with wages
as their sole compensaUon, will do the work, and the struc-
ture Is not intended or o!!ered fo, sale (Sec. 7044, Business
and ProfesstOfls Code: The Contractor's License Law does not ap~y to an owner of property who bu1k1s or improves
thereoo and who does sucti work himself or through his own erttployed. provJded that such Improvements are not intend· ed or o!!ered for sale. If, however, the building or improve-ment is sold within one year of completion, the owner-builder
will have the burden of PfOY•ng that he did not build or im· prove to, the purpose of sale).
0 I, as owner of the property, am exclusively contracting W1th licensed contr2ctors to construct the pro,ect (Sec. 7044,
Buslness and Professions Code: The Contractor's license
Law does not apply to an owner of property who builds or im· proves thereon, and who contracts lor each projects with a
tontractCM'(S} hcense pursuant to the Contractor's License Law).
0 As a homecwner I am Improving my home, and the follow-ing conditions exist: t. The work is being pertorrned prior to sale.
2. I have lived in my home for tweive months
3. rr:v~0 ~:;1P~~~ of :~l: :'!ption during the
last three years.
□ I am exempt under sec. ______ , B & P.C. for th!s reason ____________ _
□ I hereby afftrm that I ha.,e a cen1hcate of consent to self-insure. or a cert1f,cate of Wonters·
Compensation Insurance, or a cen,hed copy thereof
(Sec 3800. LabOr Code)
POLICYNO _l(WP-2.65 92--50.-
COMPANY Ri-r--emen' s Fund
□ Copy IS filed With the C1ty
0 Certified copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1I the permit
,s for one hundred dollars (S H>O) OJ less)
0 I certify that ,n the performance ot the w()(k tor
which this penmt ,s issued. I shall not employ any
pe,son m any manner so as to become sub1ect to the Wonters· Compensatton Laws of Cahlornia
NOTICE TO APPLICANT II. after makm1 th•S Cerio
hcate of Ew.emptlon. you should become sub1ect I?
the Work.ers· Compensation provisions of the Lat>or Code. you must forthwith comply with suer,
prov1s1ons or this permit shall be deemed revoked
0 I hereby attum that !here 1s a cons1ruc1,on 1end1ng agency !or lhe perlormance ol the work lor
which lhlS permll IS ,ssued (Sec :Jf:B7. C1v1I Code)
Lender sName Union Bank
Lender'sAddres,525 B Street
SD, CA 92101
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., DATE OF APPLICATIONl BUSINESS LICENSE # VALUATION VPERMlTN~ . RD. ,.3, 7 00" Sanford Lane illilll Lots 41 & 43 12/8/83 1710 {?r''~ OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTOIIS Pt10NE • ZONE
Treetops Unlimited 299-5100 Pacific Scene, Inc. 299-5100 \ \\
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG UM GODE
3900 Harney Street/San Diego, CA 92110 3900 Harney St.!SD CA 92110 272686
LOT l BLOCK rl suBD1v1s10N J ASSESSOR PARCEL NO DESIGNER LICENSE It STANDARD PLAN# BUILDING SO. FOOTAGE
1 ~ TT~ 11 f"T 0'"' '} L.0. Chrisman/Architect C9239 DESCRIPTION OF WORK Retaining Wall -Type 6 DESIGNER'S ADDRESS OEStGNER'S PHONE
400.76 Sq. Ft 9939 Hibert St/SD CA 92131 695-3830
------···~ ----·-F/P FLR ELEV. NO OCGGP EDU
STORIES -
vO NO
CENSUS TRACT I GP LAND u se I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OGC LOAD FIRE SPR
AREA CONST
y D ND vO NO vO NO NJrlv'.iid tJ,,l;s~McJiine Certified 73,
SUMMARY/Ac'6'6uhil~MBEA
I --
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU BU)LOING PERMIT 01-00-00-8220 __.+ ~"ir-9 ~
EACH BUILDING SEWER . OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 ( -
EACH WATER HEATER ANO/DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 '-.!f J./ L.f .,; "l'.l
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00-00-8225 -
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-oo-nn.R2,i;
~ TOTJ.L MECHANICAL STRONG MOTION 80-92-33-0519 ---~ I TOTAL PLUMBING I ·-· -. -FIRE SPRINKLERS 01-00-00-8227
: PUBLIC FACILITIES FEE 32-00-00·8923
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE .. 8RIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS --SCHOOL FEE -DISTRICT ..
1 PH 3 PH \-STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLDG EA AMP/SWT/BKR . ROCK STORAGE , Encinitas 80-92-22-0519
1 PH 3 PH PUMP i San Dieguito 80·92·23-0519
REMOOEL/ALTER PER Cl RCUIT PLAN CHECK FEE • San Marcos 80-92-24·0519
TEMP POLE 200 AMPS ~ • u
OVER 200 AMPS -. 1 -
TEMP OCCUPANCY (30 DAYS) . ' --
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PA~ I t '7 '3; '-1-5'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E•p,ratton Every perm,t ,saued by the Build,ng Ott,c1aI under the provisions ofthiS * ~ PEMIIT IS REQUIRED FOR EXCAVATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall exp,re by hmItation and become null and void If the building or work S' " DEEP ANO OEMOUfl()fj OR COflSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth(!rtZed by such permit 1s not commenced within 180 days from 1he date of such RUCT\IR£S OVER 3 STORIES IN HEIGHT ~ permit. or if the bulidmH or work authoriz.ed by such permit 1s suspended or ISSUED: TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandon«! at..,.nv ltme a er tl>rwork is commenced for a nAnod of 180 dau•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICZ SIG~ 1/ A OWNER □ CONTRACTOR 0 APPRO~ /i'~'!.f 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
.AA_ ~ BY PHONE 0 GRANTING OF THIS PERMIT,
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INSPECTION TYPE DATE INSPECTOR ... -
BUILDING
FOUNDATION
REINFORCED STEEL 1 -. ,-
' MASONRY
GUNITE OR GRnlJT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BUCO ~
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST ..
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND '•
ROUGH ELECTRIC '
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM .• REF. PIPING
HEAT -AIR CONO. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
Ml;CHANICAL
GAS
BUILDING
SPECIAL CO!'!DJI!QNS
CERT OF OCCUPANCY ISSUED
C
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTOR'S INSPECTION REO. IF
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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INSPECTOR'S NOTES .
_.,. " -DATE . ' .... --~:-.. ,._
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